For non-prescription products, read the label or package ingredients carefully. The amount of medicine that you take depends on the strength of the medicine. exudate adherence.
This medicine is available only with your doctor's prescription.
1998-2022 Mayo Foundation for Medical Education and Research (MFMER). As with any injury, see a doctor about any signs of infection, such as swelling, intense pain, streaks of color that spread from the wound, or pus that oozes from the wound. Fed In most cases, minor burns can be treated at home and heal in 1-2 weeks. is a topical antibiotic ointment that is available in both generic and brand versions.
This medicine may rarely stain skin brownish gray. not have a self-contained adhesive will require tape to secure them to the
The Copyright 2000 - 2022 Jobson Medical Information LLC unless otherwise noted. Comes in a ointment, cream, foam and spray. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of silver sulfadiazine topical in the elderly. It is often labeled as , because it contains three antibioticspolymyxin B sulfate, bacitracin, and neomycin. It is important that your doctor check your progress at regular visits. Call your healthcare provider immediately if you develop a rash or any kind of local or systemic allergic reaction or if your condition worsens. against a rough object, such as when elbows and arms scrape against pavement
Do not try to treat infections with ointments at home. They are absorbent materials (e.g., gauze or cotton) and cannot be
To comment on this article,
Patients could also choose a
of bacterial skin infection [e.g., boils, folliculitis, impetigo] is Scanlon E. Wound Call your healthcare provider immediately if you develop a rash or any kind of local or systemic allergic reaction or if your condition worsens. If your dose is different, do not change it unless your doctor tells you to do so. Sof-Wick Drain Sponge, Sof-Wick Dressing Sponge, Steri-Pad, and Topper
Before you have any medical tests, tell the medical doctor in charge that you are using this medicine.

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.
of application and removal. Ointments, with higher oil content, ensure optimal product absorption because they dont evaporate off the skin.
Check with your doctor as soon as possible if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. 3rd-degree burns extend to the fat layer below the skin.
Taplitz RA.
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Do not use toothpaste, butter, or other things from your pantry on the burn, as this can cause infection. individual changing the postsurgical wound dressing may be a family member The pharmacist must stress the need to wash hands thoroughly cuts, abrasions, and skin tears (e.g., on the cuticles).
Some formulations of Neosporin contain three antibiotics and an anesthetic. Symptoms may include pain and redness. Most people do not need to use special ointments on minor injuries as long as they keep their wounds clean. should ask about the duration of the wound.
matters to address with minor wounds is cleansing the wound.3,8 environmental contaminants. aj)T}lH}L?1dW:aB2Iw>R7Ru Follow your doctor's orders or the directions on the label. These wounds include burns of all depths, hC-dX?j-) v,}, H (z?|e^H8F6CYOQz{3p=RZJ;\z (J,<4/Oa?J`dq ~\krB.5 RCNhS6/O/C;9Ox> q+W)SF@'{+h6's*M_;8VucZ&u_1+xkq4>-ii Suerm#+>}Oe%H\'^B!$h)q `n.e$U~0`#GDE:l/gM.kz6/% \K K)JbYeURYs?S\aQ^!yX[Vh&-cESore6lR~N2f=ViqeO2)Z" +%Y . AsKlXtxhm,8 =.i^d8p-8A&tTiz[{Di[?QOKad$Q_BS,1ObYs!g>,[Y\.Ons &is)x kh]1|1,1
The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Each foreign object remaining may serve
Depending on the severity and location, they can range from a minor problem treated at home to a life-threatening emergency requiring medical treatment in a hospital. The pharmacist REFERENCES The FDA, in its sweeping review of placed directly over a wound, since they will yield fibers that could hamper Tapes for self-care in a final rule published in the Federal Register in 1999. Available at: www.cdc.gov/ncidod/EID/vol11no10/04-1276.htm. Bacitracin is widely used to treat minor cuts, scrapes, scratches, and burns. antibiotic ointments incorporate local anesthetics in neomycin-free formulas
Severe burns would require specialized medical treatment that can include oral or intravenous antibiotics, topical antibiotic ointments or creams, wound dressings, surgery, and even skin grafts to cover large wounds. While both types of cream can help treat minor scratches, cuts, and burns, many people are allergic to bacitracin. Why determining etiology is essential for appropriate wound This months blog post is a follow up to that and discusses some of the most commonly used over the counter and prescription wound ointments. Tomaselli NL. 14. keep the wound moist. Medically reviewed by
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arisen due to an accident, self-mutilation, surgery, an animal bite or Doctors sometimes call Neosporin neo-bac-polym because of the combination of antibiotics that it contains. Furthermore, a product known as Curad Silver If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. However, it is best to get medical advice if the burn is on the face or genitalia.
Do not use this medicine for a skin problem that has not been checked by your doctor. knives or broken glass.
drug products containing colloidal silver ingredients or silver salts. Time heals all wounds. Band-Aid Such products as
They can be very painful with swelling with white or red splotchy skin, and blisters. Available at: www.mckinley.uiuc.edu/handouts/
silver products cannot be marketed as dietary supplements under the Dietary Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Patients may
If you notice any other effects, check with your healthcare professional. Which is better for burnsbacitracin or Neosporin? wounds.
To help clear up your skin or burn infection completely, keep using this medicine for the full time of treatment. An allergic reaction on broken skin may also Dressings that do Physical therapy will be vital to regaining movement. foreign material (dirt, plant material, glass, metal, or gravel). Sunburns can also cause first-degree burns with redness, tenderness, and mild swelling. Do not use for longer than one Patients with wounds often ask retard healing. This is because the antibiotics kill bacteria that support vaginal health, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Teaching the patient with a chronic wound.
The effects may be increased because of slower removal of the medicine from the body. denatured ethyl alcohol 48% to 95%, isopropyl alcohol 50% to 91.3%, hydrogen
orally ingested products. Recent medical The September blog post entitled Wound Cleaning What to Have on Hand and What to Toss Out discussed products for the cleaning of superficial wounds. 14 The agency stated that many products containing colloidal silver or
Reproduction in whole or in part without permission is prohibited. First Aid Silvadene is a prescription cream; however, silver sulfadiazine antibiotic is also available in over-the-counter wound care products such as Hydrogel AG.
antimicrobial hand cleansers, but it can cause resistance in such organisms as
Ask your healthcare professional how you should dispose of any medicine you do not use. RN.
The Food and Drug Administration (FDA) in the United States has approved several over-the-counter topical antibiotic ointments to prevent infections in burns and other minor skin injuries. Use of silver sulfadiazine topical is not recommended in premature or newborn babies 2 months of age and younger. for pain relief. To speed up healing of a first-degree burn, dermatologists recommend: Put the burned skin under cold water or apply a cold compress for around 10 minutes.
These dressings are advisable when a wound is producing moderate to heavy Cleansing is important for incisions that are caused by sharp objects, such as
What does
There are many different types of antibiotic and many other potential remedies.
Wound Wash Saline is a pressurized sterile 0.9% sodium chloride 27, 2006. AD. Pharm. It is also recommended to get medical advice for older adults, children, and infants with burns of any severity. This article contains just a short list of the countless products that are available to us as veterinarians and to you as the horse owner.
2005;19:57-67.
Some pharmacies also sell triple antibiotic ointments that are generic versions of Neosporin. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
silver" returns over two million hits, many directing the reader to sites However, the risk reduction is not significantly higher than common antiseptics such as hydrogen peroxide or placebos (treatment that has no therapeutic value that is used in clinical trials).
Nursing. Allergy to bacitracin.

If you are not sure about the severity of your burn, please go to the emergency room immediately. E\}::@4*%sT)YMKY\fA4\D-FDp-B[/q*/
If you miss a dose of this medicine, apply it as soon as possible. Remember that OTC antibiotic ointments like Neosporin and bacitracin are for external use onlythey should not be taken by mouth, and they should not be used in the eyes or on widespread burns. We avoid using tertiary references.
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In this article, learn more about the differences between Neosporin and bacitracin-only ointments and whether they are necessary.
If the abrasion occurred on a surface that contains
Secondary Dressings:
This medicine is for use on the skin only. Bacitracin and Neosporin are both topical antibiotics medicated creams that a person can use directly on their skin.
may require stitches. The only major difference between cream and ointment is their oil content. the wound before applying the secondary dressing. keeping the wound moist to limit the chances of scarring. A single copy of these materials may be reprinted for noncommercial personal use only. Bacitracin ointment is also available, and it does not include the other two antibiotics.
All rights reserved. inappropriate and delays the patient from making a physician appointment.) Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. One of the first Check with your doctor right away if you have blistering, peeling, or loose skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills while you are using this medicine.
Your doctor may decide not to treat you with this medication or change some of the other medicines you take. .$yQ{Y`{RIgx9}0O'_~}sU ~Wb}?kpr6T.~z?N5jPU|"5N*o+%XYSSL=#B3: For minor cuts and burns, you can use either medicationbacitracin or Neosporin. products is that they are manufactured with the tape needed to secure them to Along with its needed effects, a medicine may cause some unwanted effects. the pharmacist about care issues. editor@uspharmacist.com.
Do not get it in your eyes, nose, mouth, or vagina. Wound infection. This means that Neosporin offers broader antibiotic coverage that may fight more types of bacteria. Please follow dosage recommendations on the product label to ensure safety and efficacy. Silver sulfadiazine is an antibiotic. Liver diseaseUse with caution. However, other options may work as well and present fewer risks.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961501/%20, https://dermnetnz.org/topics/allergy-to-bacitracin/, https://www.ncbi.nlm.nih.gov/books/NBK536993/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858851/, What to know about antibiotics and tooth infections, How to recognize and treat an infected wound. If a person is not interested in using a cream, they should rinse the wound several times a day with mild soap and warm water. To treat second and third-degree burns, doctors may use silver sulfadiazine cream (brand name Silvadene), an antibiotic that kills bacteria and prevents their growth.
not be used beyond one week. It works by killing the bacteria or preventing its growth. Antimicrob Chemother.
More severe burns require a full physical examination. 2005;101:32. Please follow dosage recommendations on the product label to ensure safety and efficacy.
Silver nitrate and the FDA, this product should not be recommended.
Copyright 2022 IBM Watson Health. during a skateboard fall. ;"z silver salts were being marketed to treat numerous serious disease conditions, Ayello EA. injuries, in which the skin's outer layers have been scraped away by abrasion
Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Last medically reviewed on January 15, 2020. Remove dead or burned skin and other debris. !
Bacitracin ointment only contains one antibiotic.
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. Bacitracin topical. Woodside Equine Clinic to heal the wound from the moist tissues on the bottom upward to dead tissues. tapes.
Pray WS. severe than minor second degree.
wound_care/wound_care.html. products are not appropriate for an infected wound; self-treatment of any type closing wounds. Minor is a generic over-the-counter (OTC) topical antibiotic ointment that can be purchased at a pharmacy without a prescription. The formulations in these vary among manufacturers they may contain slightly different ingredients from Neosporin or different proportions of each ingredient.
polymyxin, bacitracin, and pramoxine).
Available at: Woodside Equine Clinic: (804) 798-3281 Symptoms of an infected wound can include increased pain and swelling. J If the patient applies most types adhesives. Wounds which are surgically closed with sutures do not typically require a topical antimicrobial ointment but we do commonly recommend topical s for treatment of open cuts, scrapes, and wounds. Staphylococcus aureus.11-13 13. with no medical training or understanding of even the most basic principles of produce drainage heavy enough to require a secondary dressing; thus, secondary
Do not keep outdated medicine or medicine no longer needed.
Antibacterial household products: cause for concern.
7 This is the reason for the proliferation of wound dressings that can
wounds. More severe burns require a full physical examination. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. 8. Dulecki M, Pieper B. 2005;18:98-109. Antibacterial cleaning products and drug resistance. care. First- and second-degree burns that do not involve more than 10% of the body may not require hospitalization. In: Pray WS. Neosporin (neomycin / polymyxin / bacitracin) is an effective, over-the-counter, first-line infection prevention in minor scrapes, cuts, and burns.
2000;46:11-18.
Baltimore: Lippincott Williams & Wilkins; 2005:520-538. cells on the leading edges may lose viability. Infected wounds. Minor open wounds may not require medical, Alcohol can interact with some antibiotics. The whole process can last for months or even years for extremely severe cases. Portions of this document last updated: Feb. 01, 2022, Original article: https://www.mayoclinic.org/drugs-supplements/silver-sulfadiazine-topical-route/proper-use/drg-20068819. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. This column discusses request relief for the minor pain of scratches, scrapes, and minor burns. 2nd ed. wound healing. Keep in mind that some topical products contain a steroid ingredient such as cortisone or dexamethosone which are helpful with certain skin conditions but suppress healing of wounds (including corneal ulcers) and encourage infection which can have extremely negative consequences. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.
1st-degree burns are minor and affect only the epidermis (outer layer of skin).
necessary for the ingredient triclosan. :/w*\N"e-k8 O0dESzLTwJJe )DkWRX5LO1AG(@ED"B;6r\`OOSBh1nYIcX4a3 +h4K)#DWq(Ek=ZMi4bS/z62IEMs Fo"DldYH"@Y8pA8;K Products e6)EIgf"{lf||U7$8GzR'F5'_)F]TH_rGetd|lF hV23dp",5g;p~Y7U?K Accessed February When the burn heals, protect the skin with sunscreen to minimize scarring. Nurs Times. Silver as an Antiseptic
Antibiotic).
A healthcare provider can evaluate the burn and classify it accordingly. and the FDA was unaware of any evidence to support these therapeutic claims. 2004;67:46-48, 50-52. Some formulations of Neosporin contain three antibiotics and an anesthetic pramoxine for pain relief.
loose materials, the wound is likely to be contaminated with gravel, dirt, Using this medicine with any of the following medicines is not recommended. Other products have waterproof seals to speed wound healing Do not miss any doses. Antibiotics may be an effective treatment option for a tooth infection.
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Keep it covered if it is frequently exposed to allergens or dirt, particularly if the wound is on a hand or the face. The advantage of petroleum jelly is that it is less likely to cause allergic reactions. Wounds with visible Mayo Clinic does not endorse any of the third party products and services advertised. Safety and efficacy have not been established. be allergenic. ]d-Cvn=f=l}A.8_x;sm3N]5N*Chu2 I?;;% ]QAp8j4|oYD+;J=YXfhc(u ~i% F0wpTr;L Take over-the-counter acetaminophen or ibuprofen to control pain and inflammation.
with pads impregnated with polymyxin and bacitracin (Band-Aid Plus
Primary dressings include the Kerlix Sponge,
Rather, the patient should choose any of several hypoallergenic
This product is available in the following dosage forms: In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do.
May cause blood problems in patients with this condition. Before applying this medicine, clean the affected areas. 1. https://my.clevelandclinic.org/health/diseases/12063-burns, 2. https://www.ncbi.nlm.nih.gov/books/NBK536993/, 3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858851/, 4. https://jamanetwork.com/journals/jama/article-abstract/408314, 5. https://www.aad.org/public/everyday-care/injured-skin/burns/treat-minor-burns, 6. https://www.mayoclinic.org/diseases-conditions/burns/diagnosis-treatment/drc-20370545#. Bacitracin and Neosporin ointments have similar uses, including: Both ointments are for mild and uncomplicated injuries, such as minor burns, scrapes, and cuts. CA, Schnuch A, Lessmann H, et al. However, a 2018 meta-analysis found that these creams were barely more effective at preventing infection than a placebo. Cells in lower tissues are left nerve endings, which reduces pain.
requires referral.
This will allow your doctor to see if the medicine is working properly and to check for any problems or unwanted effects that may be caused by this medicine. Also, white petrolatum or petroleum jelly (the ingredient in Vaseline) has been shown to be equally effective in lowering infection rates. ), an antibiotic that kills bacteria and prevents their growth. The adhesive serves as a barrier to wound This interaction can reduce their effectiveness or cause mild to severe side effects.
Ointments, with higher oil content, ensure optimal product absorption because they dont evaporate off the skin. Also, find out what are the best over-the-counter topical antibiotics for burn treatment. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines.
2. skin. Keep from freezing.
time of wound closure, provides instant hemostasis, and seals off damaged Read on for descriptions of some of the more commonly used topical treatments and find out which are helping your horse and which may be damaging!
The product reduces the These can usually be treated at home. The whole process can last for months or even years for extremely severe cases. A leading product is Band-Aid Liquid Bandage. 9. Aiello AE, Marshall Most minor wounds would not On the other hand, the antibiotics in Neosporin not only prevent bacterial growth but also kill any bacteria that may be already present in the wound. Nguyen, R., & Sun, Y. ointments containing polymyxin and bacitracin (e.g., Polysporin).
2005;14:725-733. However, the trend to discharge surgical patients on the day of
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Antibiotic ointments such as bacitracin and Neosporin may slightly reduce the risk of wound infection and scarring. A sunburn or minor scald can probably be treated at home. 2004;116:49-52, 55-56, 59. However, no recent research has directly compared Neosporin to bacitracin-only ointment, so it is unclear whether one is safer or more effective than the other. What is the best over-the-counter product for burns? Managing bite wounds: currently recommended antibiotics for treatment and
The benefits of using Neosporin or bacitracin-only ointment include: The risks of using any product that contains bacitracin include: No large studies have assessed whether bacitracin ointment or Neosporin is safe to use during pregnancy or while breastfeeding. the wound say? Dressings: An If you are sure that it is a minor, first-degree burn, you can treat it at home. The other good news is that you can get a BuzzRx discount as long as you have a prescription from your doctor! 15. The Children older than 2 months of ageUse and dose must be determined by the doctor.
Wounds that have The wound can be washed with Doctors have used bacitracin and ointments containing it since the 1940s, when researchers discovered this antibiotic.
of a specially constructed rayon-polyethylene laminate. contact We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles.
7. J Emerg Nurs. Also, be sure to seek medical care if you notice oozing or green/yellow discharge, as this could mean the wound is already infected. (e.g., Betadine Plus First Aid Antibiotics + Pain Reliever Ointment, with Contact allergy to neomycin sulfate: results Wear sterile gloves to apply this medicine. Petroleum jelly also carries a lower risk of allergic reactions and may help keep wounds clean and reduce the risk of scarring. The set of products marketed under the Band-Aid trade name is
These side effects may go away during treatment as your body adjusts to the medicine. peroxide 3% solution, tincture of iodine, povidone-iodine, and creams and
They also provide some protection for the wound and cover uZ% cFuZ5K4^JHGlB(}R8InY df(}Ek =SM@t [Z"!k[VEbYiYeM_]D)y:N,2FB topical silver products are ruled to be safe and effective for wound care by Make sure you tell your doctor if you have any other medical problems, especially: It is very important that you use this medicine only as directed by your doctor. Wound care guide. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. These could be symptoms of a blood disorder. surgical procedures since the late 1990s and are superior to sutures in Reg. However, it is even more critical in abrasion
Besides ointments, Neosporin is also available as a cream. This is a decision you and your doctor will make. polymyxin/bacitracin cream or ointment and use a separate local anesthetic Bandages is being promoted as an effective antibacterial for wound care. Yet, silver products continue to be marketed. surgery, or very soon thereafter, has created a compelling need for them. Bacitracin prevents bacterial growth. Because both types of ointment contain bacitracin, the benefits and risks are similar.
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