Cold sores are usually caused by herpes simplex virus type 1 (HSV-1). Cor. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. : Firstly, at a relatively low price compared to other drugs in this group, ACIC is a high-quality drug that allows you to achieve the desired effect. Ms. Terrie is a clinical pharmacy writer based in Haymarket, Virginia. This "decreases the virus from replicating, so then it will help it to heal faster, says Dr. Young. Some products, such as those containing docosanol or benzyl alcohol, may even promote faster healing when used early and in plentiful amounts. Another form of the virus, herpes simplex virus 2 (HSV-2), is primarily responsible for causing genital herpes.1,2 Either form of the virus can cause cold sores or genital herpes if there is contact with the skin.1,2, Statistics show that between 50% and 98% of the US adult population is infected with HSV-1; many patients who have the virus never develop cold sores, however.1 Once an individual becomes infected, the virus remains in his or her system for life. : What are the main types of herpes virus common in Ukraine and what are the features of this infection? Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Interestingly, however, most people who contract the virus never actually develop symptoms.. Perhaps the development of allergic dermatitis. ACIC is active against almost all pathogens of herpes infection and, except for individual intolerance, has no contraindications for use. 4 If the infection is bacterial, your vet may prescribe antibiotic eyedrops. Registration number: No. Surveying the Pipeline of Biologics to Treat Inflammatory Conditions, Assessing a REMS Strategy: Keep It Simple and Responsible, www.abrevapharmacist.com/AboutCS_etiology.aspx, www.nlm.nih.gov/medlineplus/coldsores.html, www.abrevapharmacist.com/AboutCS_path.aspx, www.mayoclinic.com/health/cold-sore/DS00358/DSECTION=3, Ultraviolet radiation due to extreme sun exposure, Fever and/or infections due to colds or influenza, Menstruation, pregnancy, or other conditions associated with hormonal changes, Factors that may compromise the immune system (eg, chemotherapy, radiation therapy, or immunosuppressant agents). It is highly ototoxic (can cause permanent deafness/balance damage). 4.0 (44) Out of Stock. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Chemical name: 9-(2-hydroxy)ethoxymethylguanine or 2-amino-1,9dihydro-9-(2-hydroxy)ethoxymethyl-6H-purine-6-one. Hearst Magazine Media, Inc. All Rights Reserved. Get rid of herpes and kiss for health! It sucks the moisture and water out of the blister, says Dr. Robinson. Cover the wound with a bandage if desired. That feeling jumps you into high gear: how do I get rid of this, quick? Neosporin is a brand of triple-antibiotic ointment. Warnings Follow all directions on your medicine label and package. I can get someone who has an outbreak to scab within 3 days using thatwhich otherwise might take a week to 10 days.. Herpes simplex labialis (HSL), also known as cold sores or fever blisters, is a common disease typically caused by infections of the mouth area with the herpes simplex virus 1 (HSV-1). Things to remember when you fill your prescription. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Common side effects with antibiotics include: More severe antibiotic side effects include: These side effects are extremely variable however, there are some common side effects that may occur within larger antibiotic drug classes, as described in Table 1. If it gets infected, see your doctor. Journal of Pharmaceutical and Biological Sciences is licensed under a . Available for Android and iOS devices. However, some antibiotics can weaken the immune system, which may indirectly lead to an outbreak of cold sores by making the body more susceptible to viral infections. Another way to keep bacteria outdon't pop the blister! This medication is for use on the skin only. Your Privacy Choices: Opt Out of Sale/Targeted Ads. Does Strep Throat Cause High Blood Pressure Cold sores. Bacitracin ointment is also available, and it does not include the other two antibiotics. All medicines have risks and benefits. It sits there and dissolves slowly throughout the day, offering your body a steady stream of the medicine to tame the virus. You should avoid acidic and spicy foods, in particular. Then dunk a thin cloth, like a handkerchief or pillowcase, into the glass. Its not uncommon for the blister to linger. You could also ask your pharmacist for advice on other ways to remember your medicines. Consult your pharmacist or local waste disposal company. Cold sores. Antibiotic ointments containing such ingredients as neomycin, polymyxin, or bacitracin should not be used for diaper rash. At the site of penetration of HSV due to its reproduction, local redness, itching, groups of fluid-filled vesicles appear, which, when bursting, form ulcers. We may earn a commission through links on our site. Clean and dry the affected skin area. Topical over-the-counter meds dont work as well as prescription antivirals as cold sore treatments, says Bruce Robinson, M.D., a dermatologist in private practice in New York City and clinical instructor of dermatology at Lenox Hill Hospital. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Mild symptoms of COVID-19 may be similar to those of the common cold. Long term side effects of antibiotics can occur, but are infrequent. Just dissolve the tablets or powder in about 12 to 16 ounces of water. If the drink or food choice is harsh, it could contaminate your infected sore even more. Therapy should be initiated at the earliest symptom of a cold sore (e.g., tingling, itching, or burning). However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. There are a few over-the-counter anesthetic ointments and creams that can help control pain, such as lidocaine or benzocaine. Those symptoms should improve over time. Most people are infected when they are young and the infection lasts for life. Contact your vet if your dog's skin reacts to the Neosporin. If you just did the cream without viral therapy, you would be feeding the cold sore infection, says Dr. Young. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. For nearly 10 years, Christa has created health, fitness, nutrition, and wellness content thats steeped in science but engaging enough that people actually want to read it. When a fever blister becomes infected, the healing process will cease. Cold sores around the mouth are generally caused by HSV-1. minor skin irritation after using the medicine. www.abreva.com/basics_What. There are 2 types of herpes simplex virus. There are many other viruses that are also in the herpes virus family, however the infection and symptoms are different. It doesn't kill the staph and strep bacteria that cause skin infections, and some people develop an allergic contact dermatitis to one of . She's also certified as a swim and triathlon coach. So Best features in low budget are also a part of Best Product. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Twist the tube to help the ointment break off from the tip . Corr. It may be that the location of your outbreak that is the problem. It is a combination medicine that is used as a first-aid antibiotic. Burns A burn is a type of skin injury that is primarily caused by damage from heat, chemicals or friction. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Numerous factors may increase the frequency of HSL outbreaks, including1-4: Typically, an outbreak of HSL goes through various stages, with each having distinct characteristics. Cold sores on the mouth can cause genital infection during oral sex for people who do not already carry the cold sore virus. Fever blisters that refuse to pop can also be a sign of trouble. Once its dry, stop the soaks and keep the area moist with a topical antibiotic ointment like Neosporin. The primary goals in treating HSL are to relieve pain and discomfort, prevent transmission to others, and prevent further complications or infections.2. Detailed Triple Antibiotic dosage information. US residents can call their local poison control center at 1-800-222-1222. Before you apply this medication, wash the skin area with soap and water and then dry it thoroughly. Wash your hands after applying the ointment. They may recommend tablets rather than the cream. While it won't zap cold sores overnight, aloe vera has been found to reduce the pain associated with cold sores. Some of the most commonly prescribed of these include: Bacitracin: A polypeptide, brand name Baciguent 2 Ciprofloxacin: A quinolone, brand name Ciloxan 3 Erythromycin: A macrolide, brand names Eyemycin, Ilotycin, and Roymicin 4 That's a strain of the virus that's closely related to the type 2 bug (HSV-2) responsible for genital blisters. Bacitracin topical. Excipients - Lipid bird fat component - Lipocomp C, macrogol 400 (polyethylene oxide 400), emulsifier No. Abreva Pharmacist Web site. Your . Since triggers can be hard to avoid, the next-best thing to do is to catch a cold sore early. When theyre used the right way, antibiotics can save lives. If you have any questions, ask your doctor or pharmacist. Read More Follow all directions on your medicine label and package. It will not work for other types of skin infections (such as infections caused by fungi, viruses). However, if you have problems with your kidneys and your pharmacist has referred you to your doctor to see if this medicine is suitable for you, your doctor may have recommended a different dose. Abreva Pharmacist Web site. It is unlikely that you would absorb enough of this medicine through your skin to cause this effect. A lack of healing, the location, and the severity should all be carefully considered before consulting your physician. Expert: Infusion Pharmacy Technicians Can Reduce Workload in Oncology Pharmacy, Clinical Forum Recap Data Show Melanoma Site to Be Independent High-Risk Factor for Recurrence, Poor Outcomes, The Pharmacy Benefit vs the Medical Benefit, Hepatitis C Case Study at Prosperity Specialty Pharmacy, Building Your Specialty Warehouse: Focus on Data Acquisition, Oncology 2011: Today's Payer Strategies and Tomorrow's Market Innovations, Eight Mega Trends Shaping the Future of Specialty Pharmacy, Conference Calendar Upcoming Fall/Winter 2011-2012. Theyre unsightly. There are two types of herpes simplex infection: herpes simplex virus type 1 and herpes simplex virus type 2 . An overdose of Triple Antibiotic topical is not expected to be dangerous. When applied topically, it is practically not absorbed through damaged skin, does not enter the systemic circulation. When you have petsespecially ones that are prone troublekeeping your first aid kit stocked is a must. This is essential if it worsening. 51 of the Podolsky district of Kyiv Lydia Tishchenko ( L.T.). Always check with your health provider if you are at risk for COVID-19. Docosanol works by inhibiting direct fusion between the herpes virus and the human cell plasma membrane, thus averting viral replication.2,3 Docosanal is intended for external use only for individuals 12 years and older. For the treatment of patients infected with HSV-1 and HSV-2, we use topical acyclovir - 5% ACIC cream. WebMD does not provide medical advice, diagnosis or treatment. Do not use this medication on irritated skin in a child's diaper area unless directed by the doctor. However, neomycin has been linked to loss of hearing," she says. This medication is used to prevent and treat minor skin infections caused by small cuts, scrapes, or burns. Try not to touch your cold sore unless applying cold sore cream, and always wash your hands before and after applying cream. Here's how to make the healing process go as quickly as possible. Fortunately, there are some cold sore treatments that can speed up the healing process, especially if you catch the cold sore early. Both Neosporin and the generic triple antibiotic contain three antibiotics: Neomycin, Polymyxin B, and Bacitracin. Thus, a "defective" viral DNA is formed, which leads to the suppression of the replication of new generations of viruses. Be careful with Neosporin (Neomycin antibiotic). Wash hands regularly with warm water and soap to prevent transmission or spread of the virus. Fraser, J. Cor. Triple antibiotic ointment is an over-the-counter (OTC) medication containing neomycin, bacitracin, and polymyxin antibiotics. S.F. She's also certified as a swim and triathlon coach. This "decreases the virus from replicating, so then it will help it to heal faster, says Dr. Young. Bacitracin ointment is also available, and it does not include. Don't use a triple-antibiotic ointment like Neosporin. This is normal and does not mean you need an antibiotic. 2,5, An outbreak of HSL can negatively impact several aspects of an individuals quality of life, including physical, social, and emotional well-being. Avoid applying other creams, lotions, ointments, or other medicated skin products to the same areas you treat with Triple Antibiotic. One thing about cold sores is that they often give you a heads up via symptoms like tingling, itching, inflammation, or soreness where the fever blister is about to appear. Properly discard this product when it is expired or no longer needed. Over the past 10 years, a surge in herpes infection with a similar situation has been observed in Ukraine. But many drugs can interact with each other. After 2 or 3 days, mucus may change to a white, yellow, or green color. Some products, such as those containing docosanol or benzyl alcohol, may even promote faster healing when used early and in plentiful amounts. Nguyen, R., & Sun, Y. When used early, there are several remedies that can help ease the pain and reduce swelling and may even shorten the duration of a cold sore: 2. "Bacitracin has been deemed safe for use on animals, as has polymyxin B. However, a 2018 meta-analysis found that these creams were barely more effective at preventing infection than a placebo. While swelling and discomfort are common, the more significant concern is the increased amount of time that it takes to recover. Ice, held against the blisters, or a warm wash cloth may help ease any pain. In combination, the three topical antibiotics in Neosporin are effective at keeping wounds bacteria-free. Many people using this medication do not have serious side effects. Assistance to such patients must be provided comprehensively, step by step, and in recurrent forms of herpes it is very expensive. Remind children with cold sores about this. Discuss the risks and benefits with your doctor. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. The nasal spray may be prescribed for individuals that come into contact with patients infected with MRSA, or other infectious diseases. In these cases, you should contact your doctor. : How urgent is the problem of herpetic infection in Ukraine? Impetigo is treated with prescription mupirocin antibiotic ointment or cream applied directly to the sores two to three times a day for five to 10 days. Hypersensitivity to acyclovir and other components of the drug. Never have 2 doses at the same time. For this reason, cold sores often recur. It contains bacitracin zinc, neomycin sulfate, and polymyxin B sulfate. To achieve the maximum therapeutic effect, it is necessary to start using the drug as soon as possible after the onset of infection (at the first signs of the disease: burning, itching, stinging, feeling of tension and redness). When a cold sore becomes infected, it isnt uncommon for the area around the blister to swell and turn a reddish color. It also contains vitamins A, C, and E, which may help to expedite the healing process. Avoid picking at a wound. Over-the-counter creams may provide relief from the tingling and burning, but they arent the best option if you want sores gone fast. You can buy an antiviral cream called aciclovir from your Pharmacy. It may even prevent the cold sore from erupting in the first place. : Is there a relationship between the season of the year and the number of patients who purchase an antiviral drug? If pus appears under the crusted area, a secondary infection may be present. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. A different treatment may be necessary for these types of conditions.This product contains neomycin, bacitracin, and polymyxin, antibiotics that work by stopping the growth of bacteria. When Will There Be a Genital Herpes Vaccine. 2008. International unprofatored name Aciclovir. Triple Antibiotic are antibiotics that kill bacteria on your skin. In the countries of the European Union, the USA, Canada, from 30 to 50% of the population are carriers of the herpes virus, and in third world countries - from 80 to 90%, and in 50% of cases the disease recurs at least once a year, since there is no stable immunity to the virus. Cor. It's safe. About 80 per cent of adults are infected with HSV-1. Can I use human antibiotic ointment on my dog? To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. This medication can be applied up to 3 times each day, or as directed on the medicine label. Just dissolve the tablets or powder in about 12 to 16 ounces of water. For example, youve used a, colds, flu or fevers that make the body less able to fight off infection, Mild skin rash or other allergic reactions, Severe allergic reaction that results in difficulty breathing, facial swelling. It is. Without letting the tip of the tube touch your eye, squeeze a line of ointment into the pocket under your eye. To get rid of a cold sore quickly, the best thing you can do is start treating it as soon as possible, says Dr. Brown. Not to be confused with Neosporin! Triple Antibiotic are antibiotics that kill bacteria on your skin. The betadine antiseptic cream for cuts and wounds kills germs, worked great and it is made in handy size. You might also cough up thick, yellow or green mucus. 1 of the Shevchenkovsky district of Kyiv, to a member of the Ukrainian Association of Dermatovenereologists and Cosmetologists Serhiy Fedorenko ( S. F. ) and pharmacist-pharmacist of pharmacy No. Topical over-the-counter meds dont work as well as prescription antivirals as cold sore treatments, says Bruce Robinson, M.D., a dermatologist in private practice in New York City and clinical instructor of dermatology at Lenox Hill Hospital. If you catch a cold sore in the early stages and call a doctor to get an antiviral medication, you may prevent a cold sore from breaking outor at least keep it from sticking around so long. The best way to treat cold sores is to start treatment earlyin that prodromal stagewith a prescription oral antiviral medication like valacyclovir (which you probably know as Valtrex), says Lorraine Young, M.D., co-chief of dermatology clinical services at UCLA. Various factors can cause the virus to become active resulting in one or more cold sores. Keep the solution for a maximum of 24 hours. See all CVS Health products > . If you use the otc brands, your nose could develop an inflammation worse than the infection you are treating. Applying mupirocin ointment, a prescription, to the nostrils twice daily for 5 days is the current standard of care for treatment to clear this bacteria. The most common form of Neosporin contains three antibiotics and is sometimes called triple antibiotic ointment. Apply a small amount of medication (pea-size only) in a thin layer on the skin and rub in gently. Not good. So the best way to avoid an outbreak is to reduce your exposure to certain triggers, although that can, admittedly, be pretty tough. Follow all directions on the product package or use as directed by your doctor. Store at room temperature away from moisture and heat. L.T. Some signs of bacterial sinus infection are pain around your face and eyes that may get worse when you bend over. Antibiotic Ointment Treatment An antibiotic treatment is used for bacterial infection. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Dont share eating utensils, towels, make-up or razors, and dont kiss anyone, particularly babies and children, as cold sores can cause much more severe symptoms for them. You can also download the most up to date leaflet from www.novartis.com.au. However, the virus can remain dormant in many people, meaning that cold sores may never appear. : What preventive measures would you recommend for herpes? This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This medicine may be harmful if swallowed. Site Map. These antibiotics work by stopping bacterial growth and do not require a prescription. While triple antibiotic ointments like Neosporin can help to reduce bacterial build-up in and near the nose, it cannot be used to prevent flus or other viral illnesses including COVID-19.. Repeat two to three times a day until the sores dry out. You May Like: How To Get Over Tonsillitis Without Antibiotics. In fact, the word herpes comes from the Greek word to creep, since the virus tends to creep along a nerve pathway and sit at the end until a trigger prompts it to rear its ugly head again. Doctors sometimes call Neosporin neo-bac-polym because of the combination of antibiotics that it contains. The American Academy of Dermatology (AAD . If pus appears under the crusted area, a secondary infection may be present. However, other options may work as well and present fewer risks. So until the zinc drug has come in the market,. Working in conjunction with each other, this trio effectively takes out the most common bacteria found not only on human skin but also . Dont Miss: What Antibiotics Are Given For Strep. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. The features of HSV are infection in childhood, a long latent course, "lifelong" latent reproduction of HSV in the lymph nodes and ganglia of the nervous system. (384) ADD TO CART. This is not a complete list of possible side effects. Wring it out and lay it on the blistering area for about 15 to 30 minutes. 1 (cetostearyl alcohol - Lanette SX), methyl parahydroxybenzoate (nipagin), propyl parahydroxybenzoate (nipazole), purified water up to 100 g. Description : Homogeneous ointment from white to white with a yellowish tint. But if youre on the antiviral medicines, that could help decrease the symptoms. Dont put any kind of covering on top of the blister; air speeds the healing of these. Cold sore patches can protect the skin while it heals. In: Berardi R, Newton G, McDermott JH, et al. Those updates may contain important information about the medicine and its use of which you should be aware. If the virus does cause cold sores, it can spread from person-to-person through close contact, like kissing. Theyre painful. Another form of the virus, herpes simplex virus 2 (HSV-2), is primarily responsible for causing genital herpes.1,2 Either form of the virus can cause cold sores or genital herpes if there is contact with the skin.1,2, Statistics show that between 50% and 98% of the US adult population is infected with HSV-1; many patients who have the virus never develop cold sores, however. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, 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/, Common sweetener erythritol tied to higher risk of stroke and heart attack, Skipping breakfast and fasting may compromise the immune system. In this case, just skip the missed dose and continue with your next one as normal. If you forget a dose of aciclovir, take it as soon as you remember, unless its nearly time for your next dose. The herpes virus acts systemically, so early treatment is important. Keeping the area clean and using petroleum jelly can help speed healing, There are three main categories of wound healing, depending on treatment and wound type: primary, secondary, and tertiary. Primary cold sore infection can be worse than recurrent mouth ulcers but luckily some people dont experience any symptoms at all. Read Also: Mexican Antibiotics For Tooth Infection. We comply with the HONcode standard for trustworthy health information. In: Berardi R, Newton G, McDermott JH, et al. A topical steroid cream (like cortisone) can help reduce the inflammation associated with the sores, which can make the pain, redness, and irritation feel a little less annoying. Hyperemia, dryness, peeling of the skin; burning, inflammation in contact with mucous membranes. Apply a cool, wet compress or ice to the affected area at least 2 to 3 times a day for 15 to 20 minutes to reduce swelling or erythema. If this does happen, rinse with water. During outbreaks, avoid foods that may aggravate cold sores (eg, acidic foods). If you get an additional infection, that not only makes the sore stick around longer; it can also lead to scarring. After applying the medication to the diaper area, do not use tight-fitting diapers or plastic pants. If there's no skin reaction, apply the Neosporin as described above. Generic name: bacitracin, neomycin, and polymyxin B (topical) [BAS-i-TRAY-sin, NEE-oh-MYE-sin, POL-ee-MIX-in-B] To ease the sting and reduce redness and swelling, apply a small bag of ice or a cold pack to the affected area. Colds are very common. Reduce swelling and irritation with a cool, wet towel. Use this medication regularly in order to get the most benefit from it. Skin and mucous membrane infections caused by Herpes simplex virus types 1 and 2, genital herpes, shingles, chicken pox. Nucleosides remain the most effective drugs for the treatment of herpes. The best way to treat cold sores is to start treatment earlyin that prodromal stagewith a prescription oral antiviral medication like valacyclovir (which you probably know as Valtrex), says Lorraine Young, M.D., co-chief of dermatology clinical services at UCLA. Repeat two to three times a day until the sores dry out. To avoid him licking the medicine, you can use a bandage. You can use warm water or a saline solution and pat the area dry. Precautions Avoid using large amounts of antibiotic ointment for wounds. People with itchy wounds or localized allergic reactions may find relief by using hydrocortisone cream. In reality, using antibiotics (actually, they are anti-viral medications) as a cold sore treatment option may not be the best option for you. Dr. Robinson advises making a cold sore treatment solution with Domeboro, a powder available at drugstores that's used to help with skin irritation (lots of people use it to soothe poison ivy rashes). It contains three antibacterial agents: neomycin , bacitracin , and polymyxin . Version: 2.01. With a question about what to do in this situation, the APTEKA Weekly correspondent turned to specialists who daily encounter patients suffering from herpes - a dermatovenereologist of the highest category, head of the dermatovenereology department of polyclinic No. Herpes simplex virus the virus that causes cold sores is incredibly contagious, and infection with the virus is really common, says Dr. Donald Brown, primary care practitioner at Houston Methodist. Common side effects of Triple Antibiotic may include: minor skin irritation after using the medicine. Antibiotics are medications that treat infections by killing bacteria or other organisms or slowing their growth. What to Know Before Using Neosporin on Your Dog. Herpes simplex labialis can be controlled with proper treatment and use of OTC products. However, both viruses can cause either cold sores or genital herpes. If you have any concerns about this medicine, ask your pharmacist or doctor. Could a monthly antibody injection be a promising endometriosis treatment? Change your toothbrush and towels regularly and dont use those belonging to other people. 1 Once an individual becomes infected, the virus remains in his or her system for life. You may report side effects to FDA at 1-800-FDA-1088. This content is imported from poll. For exclusive content you dont want to miss. This is not a complete list of side effects and others may occur. Externally. Learn how we can help 4.8k views Answered >2 years ago Merged Thank 4 thanks Similar questions You should not use this medication if you are allergic to bacitracin, neomycin, or polymyxin B.