Xepa Dextracin Eye/Ear Drop

Xepa Dextracin Eye/Ear Drop is a combination medicine containing dexamethasone, a corticosteroid that reduces inflammation, and neomycin sulphate, an antibiotic that treats susceptible bacterial infections. It is used in the eye or ear to relieve inflammation, redness, itching, and swelling that occurs together with a bacterial infection, such as certain cases of bacterial conjunctivitis or outer ear infection.

Because it combines a steroid with an antibiotic and can worsen certain untreated eye or ear conditions, including viral, fungal, or unrecognised infections, if used without proper diagnosis, Xepa Dextracin is a prescription medicine in Malaysia. A valid prescription from a doctor is required, and it is only supplied through DoctorOnCall after an online consultation confirms it is appropriate for your specific condition.

Dexamethasone works by suppressing the local inflammatory response, reducing swelling, redness, and discomfort in the affected eye or ear, while neomycin sulphate works by binding to bacterial ribosomes to stop susceptible bacteria from producing proteins they need to survive and multiply, helping to clear the underlying infection alongside the anti-inflammatory effect.

Xepa Dextracin should be used strictly as directed by the prescribing doctor, typically instilled as drops into the affected eye or ear a few times daily for a limited course. Hands should be washed before use, the dropper tip should not touch the eye, ear, or any surface, and the cap should be replaced securely after each use to avoid contamination.

The dose and duration of treatment are determined individually by the prescribing doctor based on the condition being treated and its severity, and the course should not be extended beyond what is prescribed, as prolonged unsupervised steroid-antibiotic use carries additional risks to the eye or ear.

Xepa Dextracin should be used before the expiry date printed on the bottle and carton, and any remaining solution should be discarded after the treatment course ends or per the discard period stated on the label once opened, as an opened bottle should not be kept for future unsupervised use.

Store Xepa Dextracin at room temperature away from direct sunlight and heat, and keep it out of reach of children. Keep the bottle tightly closed when not in use and avoid contaminating the dropper tip.

• Viral infections of the eye, including herpes simplex keratitis (dendritic keratitis) and other viral corneal or conjunctival infections
• Fungal infections of the eye or ear
• Tubercular eye infection
• Untreated bacterial, fungal, or viral infections where the cause has not been properly diagnosed
• Perforated eardrum, unless specifically directed by a doctor for ear use
• Known hypersensitivity to dexamethasone, neomycin, or related antibiotics

• Using other eye or ear medicines at the same time should be spaced apart and discussed with your doctor to avoid reduced effectiveness or increased side effects
• Concurrent use with other ototoxic medicines (that can affect hearing) should be reviewed by a doctor if used in the ear
• Wearing contact lenses during treatment is generally not recommended unless advised otherwise by your doctor
• Combining with other topical steroid products should be avoided unless directed, to reduce the risk of prolonged steroid exposure

• Do not use Xepa Dextracin for longer than the course prescribed by your doctor
• Do not let the dropper tip touch your eye, ear, fingers, or any surface to avoid contamination
• Seek medical review if symptoms do not improve within the expected timeframe or if they worsen
• Avoid wearing contact lenses while using the eye drop unless your doctor says otherwise
• Never share this medicine with another person, even if their symptoms look similar
• Report any vision changes, increased eye pain, or persistent discomfort to your doctor promptly

Xepa Dextracin combines a corticosteroid with an antibiotic, and using a steroid-antibiotic combination without a confirmed diagnosis can mask a worsening infection, delay proper treatment, or, in the case of certain viral eye infections, cause serious corneal damage. It is dispensed only against a valid prescription following an online consultation with a DoctorOnCall doctor, who will assess your specific eye or ear symptoms before prescribing. Prolonged or repeated use of steroid-containing eye drops without medical supervision can raise eye pressure and increase the risk of glaucoma or cataract with long-term use, so treatment should be limited to the course and duration your doctor advises, with follow-up review if symptoms persist.