Chlor H Eye Ointment: Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe eye pain or sudden vision loss
- Increased redness, swelling, or discharge that worsens
- Signs of allergic reaction such as rash, itching, or swelling of face, lips, or throat
- Unusual fatigue, bruising, or bleeding
- Eye pain with nausea or vomiting
- New or worsening eye infection symptoms after starting treatment
If experiencing severe symptoms, call emergency services immediately.
What is cemix h eye ointment used for?
This medicine is a combination eye ointment containing chloramphenicol (an antibiotic) and hydrocortisone (a corticosteroid). It is used to treat bacterial eye infections that are accompanied by inflammation. It should be used only under medical supervision for short periods.
- Generic Name: Chloramphenicol + Hydrocortisone
- Manufacturer: Orbit Biocare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cemix h eye ointment के बारे में (Hindi Summary)
उपयोग: यह दवा एक संयोजन नेत्र मरहम है जिसमें क्लोरैम्फेनिकॉल (एक एंटीबायोटिक) और हाइड्रोकोर्टिसोन (एक स्टेरॉयड) शामिल हैं। इसका उपयोग बैक्टीरियल आंखों के संक्रमण के इलाज के लिए किया जाता है जिसमें सूजन और लालिमा भी होती है। यह आंखों की सतह पर लगाया जाता है और डॉक्टर की सलाह के अनुसार ही इस्तेमाल किया जाना चाहिए। यह वायरल, फंगल या पैरासिटिक संक्रमण के लिए प्रभावी नहीं है।
साइड इफेक्ट्स: आम दुष्प्रभावों में अस्थायी धुंधली दृष्टि, हल्की जलन या चुभन, और आंखों में लालिमा शामिल हैं। गंभीर दुष्प्रभावों में आंखों का दबाव बढ़ना, दूसरा संक्रमण, और दुर्लभ रक्त विकार हो सकते हैं। यदि आंखों में तेज दर्द, दृष्टि में बदलाव, या संक्रमण बिगड़ने के लक्षण दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा का उपयोग केवल डॉक्टर के निर्देशानुसार करें। लगाने से पहले और बाद में हाथ धोएं। ट्यूब की नोक को आंख या किसी सतह से न छुएं। कॉन्टैक्ट लेंस पहनने से पहले हटा दें और दवा लगाने के 15 मिनट बाद ही दोबारा पहनें। लंबे समय तक उपयोग न करें क्योंकि इससे ग्लूकोमा, मोतियाबिंद और दूसरे संक्रमण का खतरा बढ़ सकता है। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 cemix h eye ointment Uses & Benefits
[{"condition":"Bacterial conjunctivitis with inflammation","description":"Used to treat bacterial infection of the conjunctiva accompanied by redness and swelling.","evidence":"Well-established for short-term use under medical supervision."},{"condition":"Blepharitis with bacterial component","description":"Helps control bacterial infection and inflammation of the eyelid margins.","evidence":"Commonly used, though evidence is moderate."},{"condition":"Bacterial keratitis with inflammation","description":"May be used in specific cases where bacterial infection and inflammation coexist, but only under close ophthalmologic care.","evidence":"Limited; corticosteroid use in keratitis requires careful evaluation."}]
Off-label uses: [{"condition":"Post-operative ocular inflammation with suspected bacterial infection","description":"Sometimes prescribed after eye surgery to prevent infection and reduce inflammation, though not a standard approved indication.","evidence":"Limited"}]
Primary treatment for: Bacterial eye infections with inflammation
Also treats: Bacterial conjunctivitis, Blepharitis, Bacterial keratitis
📋 Drug Information
| Generic Name(s) | Chloramphenicol + Hydrocortisone |
| Brand Name | Belmycetine C Eye Ointment |
| Manufacturer | Orbit Biocare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | OPHTHAL OTOLOGICALS |
| Action Class | Antibiotic + Corticosteroid |
| Route of Administration | Topical (ophthalmic). Apply a thin ribbon of ointment into the affected eye(s) as directed by your doctor |
| Storage | Store at room temperature (15-30°C). Do not freeze. Keep the tube tightly closed when not in use. Protect from light and moisture. |
| Shelf Life | 24 months from the date of manufacture, unless otherwise specified on the packaging. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with distinct mechanisms. Chloramphenicol is a broad-spectrum bacteriostatic antibiotic that binds reversibly to the 50S ribosomal subunit of susceptible bacteria, inhibiting peptidyl transferase activity and thereby blocking protein synthesis. This prevents bacterial growth and multiplication. Hydrocortisone is a glucocorticoid that binds to intracellular glucocorticoid receptors, leading to suppression of inflammatory mediators such as prostaglandins and leukotrienes, and reducing capillary permeability, edema, and cellular infiltration. Together, they address both bacterial infection and the associated inflammatory response.
Mechanism Steps
💡 How to Take cemix h eye ointment
Strength: Eye ointment containing chloramphenicol 1% w/w and hydrocortisone 0.5% w/w.
Dosage Information
| Adult Dosage | The usual adult dose is a thin ribbon of ointment applied to the affected eye(s) every 3 to 4 hours, or as directed by your ophthalmologist. The frequency and duration depend on the severity of the infection and your response to treatment. Do not use for longer than prescribed. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician or ophthalmologist for appropriate use in children. |
| Elderly Dosage | No specific dose adjustment is established for elderly patients. Use with caution and monitor for side effects, especially with prolonged use. |
| Renal Impairment | No specific dose adjustment is established for renal impairment. Use with caution in severe renal impairment due to potential systemic absorption. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution in patients with liver disease. |
| Maximum Daily Dose | Not established from the available information. Follow your doctor's prescription. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cemix h eye ointment
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other ocular corticosteroids | Major | |
| Live vaccines | Major | |
| CYP3A4 inhibitors | Moderate | |
| Other antibiotics | Moderate | |
| Contact lens solutions | Minor |
🚨 Major Interactions
- Other topical ocular corticosteroids
- Live vaccines
⚡ Moderate Interactions
- Other antibiotics
- CYP3A4 inhibitors
🍷 Alcohol Interaction
No specific interaction is established between this topical eye ointment and alcohol. However, alcohol may worsen certain eye conditions or interact with other medicines you are taking. Consult your doctor for personalized advice.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to chloramphenicol, hydrocortisone, or any component of the ointment","Viral, fungal, or parasitic eye infections","Acute purulent bacterial conjunctivitis without medical supervision","History of aplastic anemia or bone marrow suppression related to chloramphenicol","Use in patients with untreated ocular infections that could be masked by corticosteroids"]
⚠️ Warnings & Precautions
["Prolonged use may increase the risk of glaucoma, cataracts, and secondary infections.","Corticosteroids can mask signs of worsening infection.","Do not use for more than 7 days without medical advice.","Avoid touching the tube tip to the eye to prevent contamination.","If symptoms persist or worsen, consult an eye doctor.","Systemic absorption may occur, especially with prolonged use or damaged corneal epithelium.","Use with caution in patients with a history of herpes simplex keratitis."]
🤱 Lactation Safety
It is not known whether chloramphenicol or hydrocortisone from this ointment passes into breast milk in significant amounts. Systemically absorbed chloramphenicol is excreted in breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose from topical ocular use is unlikely. If accidental ingestion occurs, seek medical attention immediately. Symptoms of systemic chloramphenicol overdose may include nausea, vomiting, and blood disorders. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Use this medicine only as prescribed by your eye doctor. Wash your hands thoroughly before and after applying the ointment. Avoid touching the tip of the tube to your eye or any surface to prevent contamination. Do not share your tube with anyone else. If you wear contact lenses, remove them before applying the ointment and wait at least 15 minutes after application before reinserting them, unless your doctor advises otherwise. Do not use this medicine for longer than recommended, as prolonged use of corticosteroids can increase the risk of glaucoma, cataracts, and secondary infections. If your symptoms do not improve within a few days or worsen, seek medical advice. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Keep this medicine out of the reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to the side effects of corticosteroids, such as increased intraocular pressure and cataract formation. Use with caution and monitor regularly.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this combination in pregnancy has not been fully established.
🏥 Post-Surgery Considerations
This medicine may be prescribed after eye surgery to prevent infection and reduce inflammation. Use strictly as directed by your surgeon and attend all follow-up appointments.
🦷 Dental Procedures
No specific considerations for dental procedures. However, inform your dentist about all medicines you are using.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
No specific exercise restrictions are established. However, if you experience blurred vision after applying the ointment, avoid activities that require clear vision, such as swimming or contact sports, until vision clears.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause temporary blurred vision after application, which can affect driving, operating machinery, or performing tasks requiring clear vision. It is advisable to apply the ointment at bedtime or when you do not need to drive. Otherwise, it should not significantly impact your daily work life.
🛑 When to Stop This Medicine
Stop using this medicine immediately and consult your doctor if you experience severe eye pain, vision changes, signs of allergic reaction, or if your symptoms worsen. Do not stop abruptly if you are using it for a prescribed duration without consulting your doctor, as the infection may recur.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to increased intraocular pressure, glaucoma, cataract formation, corneal thinning, and secondary infections. It may also cause systemic effects due to absorption of chloramphenicol and hydrocortisone. Regular monitoring by an eye doctor is essential if prolonged use is necessary. Do not use for more than 7 days without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help relieve discomfort and loosen crusts in blepharitis or conjunctivitis.
Evidence: Well-established for supportive care.May provide symptomatic relief for irritation, but do not treat infection.
Evidence: Supportive.💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Corticosteroids may reduce the efficacy of live vaccines and increase the risk of disseminated infection. Consult your doctor before receiving any live vaccine while using this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case you need to show it at customs or to a healthcare provider. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, continue using the ointment at your usual intervals, but adjust to local time as needed. Keep it in your carry-on luggage to avoid temperature extremes in checked baggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start noticing improvement in symptoms within 1 to 2 days, but complete healing may take longer. Use it for the full duration prescribed by your doctor.
A: No, this medicine is only effective against bacterial infections. It should not be used for viral, fungal, or parasitic eye infections.
A: If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: Remove contact lenses before applying the ointment and wait at least 15 minutes before reinserting them, unless your doctor advises otherwise.
A: No, prolonged use can increase the risk of glaucoma, cataracts, and secondary infections. Use only for the duration prescribed by your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for cemix h eye ointment
View AllAlternative brands with exact same active ingredient:
-
chlor h eye ointmentJainson Biotech (India) Pvt Ltd ₹56.25 14.3% CHEAPER
-
cph eye ointmentVee Remedies ₹64.41 1.9% CHEAPER
-
hydrol c eye ointmentGrowell Vision ₹65.63 SAME PRICE
-
zychlor eye ointmentrynel clifton pharma pvt. ltd ₹65.63 SAME PRICE
-
Retivib H Eye OintmentVibcare Pharma Pvt Ltd ₹79.00 20.4% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This ointment can be used for any eye infection.
Fact: It is only effective for bacterial infections and should not be used for viral or fungal infections. - Myth: It is safe to use for long periods without doctor supervision.
Fact: Prolonged use can cause serious side effects like glaucoma, cataracts, and secondary infections. - Myth: If symptoms improve, you can stop using it immediately.
Fact: You should complete the full course as prescribed to prevent recurrence and resistance.
🔄 Alternative Options
Generic Alternatives
- Chloramphenicol 1% + Hydrocortisone 0.5% eye ointment (generic)