Medicines labeled for the same conditions
Alternatives to tobramycin
8 other medicines are given the same way (ophthalmic) and in the same FDA class as tobramycin or labeled mainly for the same use (bacterial infections); 4 are in its class, aminoglycoside antibacterials: dexamethasone and neomycin and polymyxin b, gentamicin, bacitracin, hydrocortisone, neomycin and polymyxin b and hydrocortisone and neomycin and polymyxin b; the others include 1 quinolone antimicrobial, 1 dihydrofolate reductase inhibitor antibacterial and 1 sulfonamide antibacterial (FDA labels read October 8, 2026). In the same class, the lowest pharmacy cost is $0.790 per mL (Gentamicin 0.3% eye drop) (what pharmacies paid in the NADAC survey; strengths differ).
Which medicines are labeled for the same conditions as tobramycin?
Bacterial infections lists all 51 medicines labeled for it, by any route. Each row shows the conditions both labels name. They are listed as public records, not as substitutes: whether one can replace another depends on the person and is a prescriber's decision.
| Medicine and FDA class | Shared indication | Generic labelers (ophthalmic) | Pharmacy cost | Boxed warning | Shortage |
|---|---|---|---|---|---|
| Tobramycinaminoglycoside antibacterial | this medicine | 18 labelers | $1.08 per mL 300 mg/5 mL ampule | No | A presentation being discontinued |
| Dexamethasone and neomycin and polymyxin bpolymyxin-class antibacterial · same class | Bacterial infections | 9 labelers | $1.78 per mL Neomyc-polym-dexameth eye drop | No | No current entry |
| Gentamicinaminoglycoside antibacterial · same class | Bacterial infections | 10 labelers | $0.790 per mL 0.3% eye drop | No | No current entry |
| Bacitracin, hydrocortisone, neomycin and polymyxin bpolymyxin-class antibacterial · same class | Bacterial infections | 1 labeler | $5.52 per gram Neo-bacit-poly-hc eye ointment | No | No current entry |
| Hydrocortisone and neomycin and polymyxin bpolymyxin-class antibacterial · same class | Bacterial infections | 1 labeler | $17.64 per mL Neomycin-poly-hc eye drops | No | No current entry |
| Ofloxacinquinolone antimicrobial | Bacterial infections | 23 labelers | $1.24 per mL 0.3% eye drops | No | No current entry |
| Polymyxin b and trimethoprimdihydrofolate reductase inhibitor antibacterial | Bacterial infections | 10 labelers | $0.452 per mL Polymyxin b-tmp eye drops | No | No current entry |
| Sulfacetamidesulfonamide antibacterial | Bacterial infections | 6 labelers | $1.96 per mL 10% eye drops | No | No current entry |
| Azithromycinmacrolide antimicrobial | Bacterial infections | none listed | $98.51 per mL 1% eye drops | No | A presentation being discontinued |
Source: FDA drug labels (indications) via openFDA; FDA NDC Directory; CMS NADAC of October 7, 2026; FDA Drug Shortage Database (FDA files October 8, 2026)
What do pharmacies pay for each?
The headline NADAC price per unit of each medicine's most widely listed form; strengths differ, so compare like with like on each record.
Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price
What next?
- Tobramycin: the full record
- label, generics, price, shortages, recalls
- Tobramycin vs gentamicin
- two records side by side
- Ofloxacin vs tobramycin
- two records side by side