Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Gentak (gentamicin) and Tobrex (tobramycin) are both aminoglycoside antibiotics used to treat bacterial infections of the eye or eyelid. Both medications are available as an eye drop and an eye ointment. Both medications require a prescription and are not available over-the-counter. Gentak and Tobrex work by blocking bacteria from making proteins necessary for their protective covering. However, Gentak is noted for its affordability and availability in a lower-cost generic in both forms, while Tobrex only has a generic solution. Tobrex is suitable for people as young as 2 months old. Common side effects for both include temporary eye irritation, but Tobrex may also cause eyelid itching and swelling. Both medications should be used for the full prescribed duration to prevent the infection from returning or becoming harder to treat.
Gentamicin
Tobramycin (Tobrex)
Gentamicin
Tobramycin (Tobrex)
Summary of Gentamicin vs. Tobrex
Summary for Aminoglycoside antibiotic
Prescription only
Gentamicin is a topical antibiotic that treats bacterial skin infections, such as impetigo. It comes as a cream that's useful for wet, oozing, or greasy skin infections. There's also a topical ointment for infections on dry skin. Both forms are applied on the skin 3 to 4 times a day. Gentamicin can be used on adults and children over 1 year of age. Most people don't have many side effects when used as directed. But it's possible to have mild skin irritation, like redness and itching.
Summary for Aminoglycoside antibiotic
Prescription only
Tobramycin (Tobrex) is an antibiotic that's used to treat different types of bacterial eye infections. It can be used for people ages 2 months and older. Tobramycin (Tobrex) comes as an ophthalmic solution (eye drops) and eye ointment that are used multiple times per day. It's available in both brand-name and generic versions. The most common side effects include eyelid itching, eyelid swelling, and eye redness. Like with all antibiotics, you shouldn't stop treatment too early because your infection could come back or get harder to treat.