Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Tobrex (tobramycin) and Zylet (loteprednol/tobramycin) are both used to treat bacterial eye infections, but they have some key differences. Tobrex is an aminoglycoside antibiotic available in both eye drop and ointment forms, and it is used solely to treat bacterial infections in the eye. It is available in generic form, making it a more affordable option. Zylet, on the other hand, is a combination of an antibiotic (tobramycin) and a corticosteroid (loteprednol). This combination helps treat both bacterial infections and inflammation in the eye. Zylet is only available as a brand-name medication and can be more expensive. Additionally, Zylet carries a risk of increasing eye pressure and causing eye injury if used for a long time, while Tobrex does not have these risks. Both medications require a prescription and should be used as directed by your healthcare provider.
Tobramycin (Tobrex)
Zylet (loteprednol / tobramycin)
Tobramycin (Tobrex)
Zylet (loteprednol / tobramycin)
Summary of Tobrex vs. Zylet
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.
Summary for Corticosteroid / Antibiotic
Prescription only
Zylet is a combination eye drop medication that contains two active ingredients: loteprednol and tobramycin. It's approved for use in people 7 years and older to treat bacterial eye infections, like pink eye, and related eye redness and swelling (inflammation). The corticosteroid (or steroid), loteprednol, helps lessen eye inflammation and the aminoglycoside antibiotic, tobramycin, fights off bacteria causing the eye infection. Zylet eye drops are placed directly into the affected eye(s) every 4 to 6 hours. Side effects include eye irritation and headache.