For such a strategy, an oily suspension of chloramphenicol appears to be the best antibiotic to use as a first-line treatment; a second injection of oily chloramphenicol has to be given no more than 48 hours later.

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Use chloramphenicol eye drops every 2-4 hours to begin withand then reduce the frequency to four times a day as your symptoms improve.

Wash your hands before you use the ointmentRemove the cap from the tubeTilt your head back a little and pull the lower lid of your eye downwards to form a pocketHold the tube upside down near to your eyeApply enough pressure to the tube to release a thin line of ointment along the inside of the lower eyelidTry not to touch your eye as you do thisClose your eye for a moment or twoand then blink a few times to spread the ointment around the inside of your eyeRepeat the process in your other eye if both eyes are affectedWhen you have finishedremember to replace the cap on the tube to prevent the ointment from becoming contaminated.

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Bone marrow suppressionincluding the idiosyncratic type of irreversible and fatal aplastic anaemia that is recognized to occur with systemic therapyhas been reported in association with topical administration of chloramphenicol.

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chloramphenicol is antagonistic with most cephalosporins and using both together should be avoided in the treatment of infections.

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