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Summary

A brain tumor is an abnormal growth of the cells of the brain. Tumors can be harmless (benign) or cancer-causing (malignant). Brain tumors that form within the brain are called primary brain tumors. Secondary brain tumors or metastatic brain tumors, on the other hand, are tumors caused by cancer originating in some other part of the body that then move to the brain. The signs and symptoms of a brain tumor depend on various factors such as the size of the tumor, the speed at which the tumor grows in size and the area where the tumor is located. Some early and common symptoms of brain tumors include changing headache patterns, frequent and severe headaches, problems with speech, and difficulty in balancing. Treatment of a brain tumor depends on the type of brain tumor as well as the size and location of the tumor.

  1. What is a brain tumor?
  2. Types of Brain Tumor
  3. Stages of Brain Tumor
  4. Brain Tumor Symptoms
  5. Brain Tumor Causes & Risk Factors
  6. Prevention of Brain Tumor
  7. Diagnosis of Brain Tumor
  8. Brain Tumor Treatment
  9. Brain Tumor Complications
  10. Medicines for Brain Tumour
  11. Doctors for Brain Tumour

What is a brain tumor?

A brain tumor is a mass or growth resulting from an uncontrolled growth of brain cells. The exact cause of this uncontrolled growth of brain cells is not yet clear. However, one in 20 tumors is thought to be due to the inheritance of a gene that puts a person at a higher risk for a brain tumor.

There are more than 130 different primary brain and spinal tumors that are grouped and named on the basis of their location in the brain, the type of cells they develop from, and how quickly they grow and spread. Malignant or cancerous brain tumors are rare (almost 2% of all the cancers in adults). Many brain tumors are associated with poor survival rates, resulting in a higher loss of the number of years of life as compared to other cancers. But what exactly are brain tumors, and how do they form? What causes brain tumors? And how can they be treated? Read more to know everything about brain tumors.

Types of Brain Tumor

Primary Brain Tumours

Primary brain tumors are tumors originating within the brain and are named as per their location in the brain as well as on the basis of the type of brain cell the tumor is made of. Most primary tumors that begin in the glial cells of the brain are called gliomas. Some types of gliomas seen in adults are meningiomas, astrocytomas, and oligodendrogliomas. Brainstem glioma, ependyma, medulloblastoma, or grade I or grade II astrocytoma are the types of gliomas seen in children.

Primitive neuroectodermal tumors, pituitary tumors, pineal tumors, choroid plexus tumors, and tumors of the nerves and nerve sheaths in the brain are all part of primary brain tumors.

Secondary or Metastatic Brain Tumours
Secondary or metastatic tumors typically occur at the meeting point of the grey matter and the white matter of the brain. These tumors originate in different organs of the body such as the kidneys, lungs, breasts, and then travel to the brain. Some examples of metastatic tumors are:

  • Neuroma
  • Neurocytoma
  • Optic nerve glioma
  • Pilocytic astrocytoma
  • Pineal cyst
  • Pineoblastoma
  • Pineocytoma
  • Pituitary adenomas
  • Neurinoma

Stages of Brain Tumor

Staging simply refers to the extent of the spread of a tumor. There is, at present, no standard staging system for primary brain tumors, as they do not spread beyond the brain (central nervous system). Grading, on the other hand, refers to the aggressiveness of a tumor and suggests how a tumor appears under a microscope when examined by a pathologist. 

Tumors that have a fast growth are given a higher grade and, in most brain tumors, the lower the grade, the better the diagnosis. At present, the following grading system is used for brain tumors:

Grade 1
The tumors are not likely to spread, and they grow slowly. Often, they can be cured with surgery.

Grade 2
The tumors are less prone to grow and spread, but they have a high possibility of coming back after treatment.

Grade 3
These tumor cells often show rapid cell division but no dead cells. They can develop rapidly.

Grade 4
Tumor cells of this grade are actively dividing. In addition, the tumor has areas of dead tissue and blood vessel growth. These tumors can grow and spread quickly.

Brain Tumor Symptoms

Symptoms of a brain tumor vary according to the type of the tumor and the location of the tumor. Since different parts of the brain are responsible for different body functions, the area affected by the tumor will manifest symptoms accordingly. Here are some common symptoms of a brain tumor:

  • Headaches
    A headache is an initial symptom in about 20% of the patients with a brain tumor. Headaches in a person with a brain tumor can be irregular, worse in the early morning, may be followed by vomiting or could be aggravated by activities that increase the pressure inside the skull such as coughing or a change in the posture.
     
  • Seizures
    In some people with brain tumors, seizures can be the first sign of a brain tumor. Seizures occur due to unusual electrical activities in the brain. In a person with a brain tumor, these seizures can occur in the form of sudden loss of consciousness, a total loss of control of bodily functions or short periods of lack of breathing (30 seconds) resulting in bluish discoloration of the skin.
     
  • Memory loss
    A brain tumor can cause problems with the patient's memory. Radiation or treatment like surgery can also lead to memory problems. Fatigue can make the memory problems even worse in patients with brain tumors. Short-term memory of a patient is affected more (like forgetting a phone number when dialing) than the long-term memory. (Read more: Memory loss causes)
     
  • Depression
    Researchers suggest that more than 1 in 4 patients with a brain tumor has a major depressive disorder. Depression is commonly seen in both, the patients and their loved ones. Symptoms like loss of pleasure/interest in things that used to be fun, insomnia (lack of sleep), reduced energy levels, feelings of worthlessness, feelings of sadness irrespective of the situation, and even thoughts of suicide may be observed and are indicative of depression.
     
  • Personality changes and mood swings
    Brain tumors can also cause changes in a person's personality. A person who was once motivated and driven can become inhibited and passive. Tumour can affect the way a person thinks and acts. Also, treatment procedures like chemotherapy and radiation disrupt the brain function further. Mood swings are unexplained, sudden and are commonly seen in patients with brain tumors.
     
  • Cognitive functions
    Changes in concentration and attention, communication and language, and decreased intellectual abilities are seen in patients with brain tumors. Tumors formed in different lobes of the brain, like the parietal, frontal or temporal lobes can affect the behavior of a person.
     
  • Focal symptoms
    Focal symptoms, or localized symptoms, are symptoms that affect only a particular part of the brain. These symptoms can help in identifying the tumor location. Double vision, feeling clumsy, weakness, feeling tingly or numb, are some examples of focal symptoms. These symptoms are explicitly due to a tumor and its location in the brain.
     
  • Mass effect
    Due to the growth of a tumor within the tight space of the skull, the tumor starts exerting pressure on the healthy tissue around it, resulting in what is known as mass effect. As a result of fluid build-up near the tumor, there is an increase in the pressure within the brain. Symptoms of mass effect include behavior changes, drowsiness, vomiting, and headaches.
     
  • Fatigue
    The typical symptoms of fatigue such as sleeplessness, weakness, irritability, a sudden feeling of tiredness and difficulty in concentration are commonly seen in patients with brain tumors.

Brain Tumor Causes & Risk Factors

Causes

The exact cause of most brain tumors not completely understood. However, researchers suggest that changes in the healthy brain cells may be the cause of brain tumor formation.

The DNA is the carrier of all our genetic information and decides the characteristics or qualities of an individual. The DNA does not just decide the way we look but determines every function of our body. The cells in our body function according to the information stored in each cell's DNA. Genes also control when our cells divide and grow into new cells and also when the cells die.

Genes that help the body cells develop and divide and keep them active are called oncogenes. Genes that control the cell division and ensure that the cells die at the right time are called tumor suppressor genes. If the DNA of the oncogenes changes or the tumors suppressor genes mutate or their function is reduced, cancer tumors are formed. These genetic changes are either hereditary or can occur at any point in a person's lifetime.

Risk Factors

Risk factors are any factors that can increase your chance of getting a disease. Some risk factors like alcohol consumption, smoking, and obesity can be changed by an individual; however, risk factors such as a family history of illness or a person’s age cannot be changed. Having one or many risk factors for a disease does not always mean that an individual will have the disease. Most brain tumors are not connected with any known risk factors or specific causes, but some factors are known to increase the risk of brain tumor:

  • Radiation
    The most common environmental risk factor for a brain tumor is an exposure to radiation. This can occur either due to radiation therapy used for the treatment of some other health condition or while getting tests such as x-rays, computed tomography (CT) scans done. The radiation from the tests is quite less but repeated and frequent exposure could increase the risk.
    Brain tumors caused due to radiation are quite rare. However, there are many side effects of radiation which also include the risk of developing a brain tumor years after radiation therapy. Therefore, radiation is given keeping in mind its risk-benefit ratio.
     
  • Family history
    Many patients with brain tumors do not have a family history of the disease. Although rarely a brain tumor can run in the family. Some families have genetic disorders such as neurofibromatosis (a common syndrome connected to spinal or brain tumors), Li-Fraumeni syndrome (there is a high risk of people with this condition developing glioma) and many more that tend to occur at a young age.
     
  • Weak immune system
    A weak immune system can be present at birth or can be due to diseases such as Acquired Immunodeficiency Syndrome (AIDS), treatment of other cancers, or immunosuppressive treatment for organ transplant patients. People with a weak immune system have a higher risk of developing cancers such as lymphoma, a cancer of the lymphocytes, which are a type of white blood cell responsible for fighting diseases.
     
  • Other risk factors
    Exposure to certain chemicals like petroleum products, vinyl chloride (a chemical substance used to make plastics) and other chemicals have been connected to an increased risk of brain tumors in some studies. Other possible risks are certain virus infections and exposure to an electromagnetic field from power lines. Research continues on these and some other possible risk factors.

Prevention of Brain Tumor

Other than radiation exposure, there are no confirmed environmental or lifestyle-related causes that can be avoided to prevent a brain tumor. Thus, there are no known ways to protect against brain tumors.

Diagnosis of Brain Tumor

If a person’s signs and symptoms suggest a brain tumor, the doctor will recommend the following diagnostic tests:

Neurological examination
This includes checking hearing, balance, vision, coordination, reflexes, and strength along with other neurological tests. If there is a difficulty in one or more of these, it may give a clue about the part of the brain that may be affected by a tumor.

Imaging tests

  • MRI
    Magnetic resonance imaging (MRI) is commonly done to spot brain tumors. It helps the doctor evaluate a tumor and plan out a suitable treatment for it. Other imaging tests like positron emission tomography and CT scan are also sometimes used for brain imaging.
     
  • Tests to find cancer in other parts of the body
    The doctor may advise tests to find the origin of cancer. These tests are performed to check for the possibility of a brain tumor caused by cancer spreading from another part of your body.
     
  • Biopsy
    The doctor may take a biopsy or a small sample from the abnormal tissue. It helps in understanding the nature of the growth and aids in tumor diagnosis and treatment.

Brain Tumor Treatment

Treatment of a brain tumor depends on many factors such as the tumor location, size, and growth of a tumor, overall health condition of the patient and his/her treatment preferences. Following are some of the treatment procedures available for the treatment of a brain tumor:

  • Surgery
    If the location of a brain tumor is such that it is accessible to surgery, the doctor will remove the tumor as much as possible. Sometimes the tumors are small and easy to separate from the other brain tissues; therefore, surgical removal becomes easy. Surgery can help reduce the signs and symptoms of a brain tumor depending on how much of the tumor was removed. There may be a risk of bleeding or infection or other risks such as the risk of hearing loss after surgery for a tumor connected to the ears.
     
  • Radiation therapy
    High-energy beams like x-rays or protons are used as radiation therapy to kill tumor cells. It is performed by placing a machine either outside the patient’s body to provide external beam radiation or inside the patient’s body next to the brain tumor (brachytherapy). Proton therapy, which is a newer form of radiation, can reduce the risk of side effects linked to radiation when the tumors are close to the sensitive areas of the brain. Whole brain radiation is used to treat cancer that has spread from the other parts of the body. It is also used when cancer forms multiple brain tumors. Side effects during radiation or immediately after the therapy depend on the dose and type of radiation the patient receives.
     
  • Radiosurgery
    The radiosurgery method uses multiple radiation beams to kill tumor cells in a tiny area. Gamma knife or linear accelerator is one of the many types of technologies used in radiosurgery of brain tumors. This surgery is usually a one-day treatment, and most patients go home on the same day.
     
  • Chemotherapy
    Chemotherapy is a cancer treatment that uses oral pills or injections that kill the tumor cells. Depending on the type and stage of a brain tumor, chemotherapy can be recommended as a treatment option. The most commonly used drug in chemotherapy of brain tumors is temozolomide, which is given as a pill. Corticosteroids are used in brain tumor medication to help reduce the swelling caused due to the tumor or due to any ongoing treatment. The drugs and side effects depend on the dose and type of drugs used for chemotherapy.
     
  • Targeted drug therapy
    This treatment focuses on specific abnormalities observed within the cancer cells. Drugs used in this therapy target the cancer cells and kill them. Different forms of drug delivery systems are under trial and are being developed.

Lifestyle management

It is quite natural for a person to feel anxious, fearful and distressed after being diagnosed with a brain tumor. However, by taking some effective measures, it is possible to manage the stress and pain associated with a brain tumor. It is best to talk to the doctor to understand the various forms of supportive and complementary treatment modalities to help cope with the stress of a brain tumor. Some of these treatment modalities include relaxation techniques, art therapy, music therapy, meditation, exercise, and acupuncture.
Here are some simple measures that can help in managing brain tumor effectively: 

  • Keeping family and friends close
    Strong bonds with loved ones can give the patient the much-needed support that he/she needs, both physical and mental. Friends and family could be the support system and help in taking care of the patient at home and even at the hospital.
     
  • Learning about brain tumors and making informed decisions about treatment
    It is always best to try to gather as much information about a brain tumor as possible from the doctor and asking the doctor about the different treatment options available. By building awareness about the disease and understanding treatment options in greater detail, patients can make informed decisions.
     
  • Finding someone to talk to
    A good listener who could be a family member, a medical social worker, a counselor or even a support group can help patients in coping with their illness effectively. Discussing their hopes and fears while undergoing treatment for a brain tumor can benefits patients immensely.
     
  • Maintaining a healthy lifestyle
    It is critical that patients do not lose focus on their overall health while battling a brain tumor. Unhealthy habits such as smoking and drinking can be detrimental while working towards recovery. It is best to quit smoking and limit drinking. Including an exercise regimen as simple as a daily walk can help in boosting stamina. The focus should also be on eating healthy and following a better diet plan if needed. New research shows that people following a vegan or vegetarian diet show lower rates of cancers. Some researchers also suggest that a ketogenic diet (low carbohydrate diets) can slow down the tumor growth.

Brain Tumor Complications

Prognosis

After being diagnosed with a brain tumor the outcome depends on many factors such as the type of the tumor, the treatment received and even the fitness level of the patient. As such, it is quite difficult to predict an outcome and life expectancy in patients with a brain tumor. Though statistics from large groups of patients with a brain tumor are available, they cannot predict the outcome.

Some factors that can affect the outcome and quality of life after being treated for a brain tumor are as follows:

  • The Type of tumor
    Different brain tumors respond to different types of treatments. For example, some respond better to chemotherapy, and some may respond to radiation.
     
  • The grade of tumor cells
    The grade of a tumor affects the type of treatment received. Fast-growing tumors are likely to come back even after the completion of treatment.
     
  • Position in the brain
    The position of a tumor in the brain decides the treatment. Surgery is the primary treatment for most brain tumors; however, some tumors are challenging to operate as compared to others due to their position in the brain. The tumors may be difficult to remove due to the need to preserve the healthy tissue surrounding them or may be inoperable due to being very close to a major blood vessel or nerve. Such tumors can be treated with radiation or chemotherapy, and the outcome will depend on the response of the tumor to therapy.
     
  • Size of a tumor
    Tumors that are large and have an unclear edge are hard to remove.
     
  • Age
    The outlook of having a better quality of life is often better in young people.

Complications

Brain tumors are associated with many complications, especially if they are not treated completely. Here are some of the complications that may be seen after the treatment for a brain tumor or as a result of adjunctive therapy:

  • Depression
  • Loss of some brain capacity or mental function
  • Fatigue
  • Headaches
  • Seizures
  • Muscle paralysis
  • Nutrition depletion
  • Hearing loss
  • Speech problems
  • It is important to note that not every patient will experience all of these symptoms.
  • Children who undergo brain tumor treatment at a young age can experience late effects of the treatment throughout their childhood. In addition to the previously listed complications, the following symptoms may also be seen:
  • Cognitive delay
  • Hormone deficiencies
  • Visual and auditory problems
  • Learning disabilities
  • Delayed or early puberty
  • Diabetes
  • Emotional problems linked to the stress of diagnosis and treatment
  • The possibility of developing a second cancer
  • Physical disabilities
Dr. Arabinda Roy

Dr. Arabinda Roy

ऑन्कोलॉजी

Dr. Ashutosh Gawande

Dr. Ashutosh Gawande

ऑन्कोलॉजी

Dr. C. Arun Hensley

Dr. C. Arun Hensley

ऑन्कोलॉजी

Medicines for Brain Tumour

Medicines listed below are available for Brain Tumour. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
DefloxDeflox 0.3%/0.1% Eye Drops12.0
BiodexoneBiodexone 4 Mg Injection6.0
DecamycinDecamycin 4 Mg Injection33.0
DecdanDecdan 0.5 Mg Tablet1.0
DexajectDexaject 4 Mg Injection9.0
DexaDexa Injection20.0
DexonaDexona 0.5 Mg Tablet3.0
Dex ZDex Z Powder67.0
MeridecaMerideca 4 Mg Injection33.0
OzurdexOzurdex 0.7 Mg Injection24303.0
ZydexaZydexa 4 Mg Injection26.0
AuradexAuradex 8 Mg Tablet60.0
DecakemDecakem Injection7.0
DecdakDecdak St 0.5 Mg Tablet2.0
DecicortDecicort 0.5 Mg Tablet3.0
DecmaxDecmax 4 Mg Tablet16.0
DecoliteDecolite 0.01% Drops15.0
DeksaDeksa 4 Mg Injection5.0
DemisoneDemisone 0.5 Mg Tablet2.0
DexacipDexacip 0.1% Drops8.0
DexageeDexagee 0.5 Mg Tablet12.0
DexalabDexalab 4 Mg Injection13.0
Dexamethasone 0.5 Mg TabletDexamethasone 0.5 Mg Tablet3.0
DexapenDexapen 4 Mg Injection6.0
DexarilDexaril 4 Mg Injection12.0
DexasoneDexasone 0.10% Eye/Ear Drops7.43
DicorsoneDicorsone 0.5 Mg Injection6.0
LabizoneLabizone 20 Ml Injection22.0
Lodex(Syntho)Lodex 0.05% Drops9.0
LupidexaLupidexa 0.5 Mg Tablet2.0
MethasoneMethasone Tablet4.0
RavicortRavicort 4 Mg Injection9.0
UdicortUdicort 4 Mg Injection35.0
WymesoneWymesone 0.5 Mg Tablet2.0
AgidexAgidex Injection18.0
DecadronDecadron Injection10.0
DeexaDeexa 4 Mg Injection7.0
DexajetDexajet Injection9.0
DexamarkDexamark 4 Mg Injection9.0
Dexamethasone 4 Mg InjectionDexamethasone 4 Mg Injection12.0
Dexamethasone Sodium PhosphateDexamethasone Sodium Phosphate Injection85.0
DexamoxDexamox Kid Forte Tablet44.0
DexanirDexanir Injection9.0
DexasoleDexasole Injection5.0
DexasporinDexasporin Injection6.0
Dex EDex E Powder17.0
DexometDexomet 0.25% W/W Cream128.0
DexonilDexonil 4 Mg Injection63.0
DexonDexon Injection25.0
DexzyDexzy Injection5.0
OsidexOsidex Injection5.0
StedexStedex 0.5%/0.1% Eye Drops12.48
ZoftadexZoftadex 4 Mg Injection190.0
GliotemGliotem 100 Mg Capsule1802.08
GliozolamideGliozolamide 100 Mg Tablet7323.07
GliozGlioz 100 Mg Capsule8896.37
NublastNublast 100 Mg Capsule7246.66
TemcadTemcad 100 Mg Capsule4375.0
TemcureTemcure 100 Mg Tablet8571.42
TemodalTemodal 100 Mg Capsule37060.7
TemokemTemokem 100 Mg Injection6600.0
TemonatTemonat 100 Mg Capsule9735.0
TemosideTemoside 100 Mg Capsule2400.0
GlistromaGlistroma 100 Mg Capsule18158.2
ImozideImozide 100 Mg Capsule6678.56
TabzeTabze 100 Mg Tablet1206.25
TemoglanTemoglan Infusion99.2
TemolonTemolon 100 Mg Capsule6875.0
TemotecTemotec 100 Mg Capsule9250.0
TemotideTemotide 100 Mg Tablet2500.0
TemotrustTemotrust 100 Mg Capsule9359.67
TemozamTemozam 250 Mg Capsule20229.0
TolmdTolmd 2.5 Mg Tablet9.52
AdvacanAdvacan 0.25 Mg Tablet571.42
AfinitorAfinitor 10 Mg Tablet85923.8
BoletraazBoletraaz 10 Mg Tablet20000.0
CerticanCertican 0.25 Mg Tablet920.0
EvelimusEvelimus 10 Mg Tablet29400.0
EvergrafEvergraf 0.25 Mg Tablet628.57
EvermilEvermil 10 Mg Tablet30136.2
EvertorEvertor 10 Mg Tablet29666.7
VolantisVolantis 10 Mg Tablet19066.66
DexacortDexacort Eye Drop17.73
Dexacort (Klar Sheen)Dexacort (Klar Sheen) 0.1% Eye Drop18.62
SolodexSolodex 0.1% Eye/Ear Drops7.23
Lupidexa CLupidexa C Eye Drop9.75
Ocugate DxOcugate Dx Eye Drop10.62
LomtinLomtin 40 Mg Capsule719.0
ConsiumConsium 100 Mg Injection3497.95
DexapinDexapin 1%/0.10% Eye Drop20.0
Gate DxGate Dx 0.1%/0.3% Drops37.35
4 Quin Dx4 Quin Dx Eye Drop17.84
Apdrops DmApdrops Dm 0.5% W/V/1% W/V Eye Drop108.0
Dexcin MDexcin M Eye Drop67.0
Mfc DMfc D Eye Drop88.0
Mflotas DxMflotas Dx 0.5%W/V/0.1%W/V Eye Drop90.0
Mo 4 DxMo 4 Dx Eye Drop80.0
Moxifax DxMoxifax Dx Eye Drop55.0
Moxitak DmMoxitak Dm Eye Drops20.12
MyticomMyticom Eye Drop75.74
Occumox DmOccumox Dm 0.5%/0.1% Eye Drop17.8
Mflotas DMflotas D Eye Drop18.08
Mflotas TMflotas T Injection18.08
MilflodexMilflodex Eye Drop115.0
Milflox DmMilflox Dm Eye Drop21.3
Mosi DMosi D Eye Drop11.25
MoxigramMoxigram 400 Mg Tablet115.86
Occumox DOccumox D Eye Drop17.8
Aflox DAflox D 0.3%/0.1% Drops15.4
Amoflox DAmoflox D 0.3%/0.1% Eye Drops11.15
Deflox DmDeflox Dm Eye Drops27.62
Festive DFestive D 0.3%/0.1% Drop26.0
Flan DxFlan Dx Eye Drops13.75
O Cebran DO Cebran D 0.3%/0.1% Drops18.0
Ofc DxOfc Dx 0.3%/0.1% Drops10.67
OfdexOfdex 0.3%W/V/0.1%W/V Eye/Ear Drops12.0
Ofelder DOfelder D 0.3%/0.1% Drops10.53
Ofen DxOfen Dx 0.3%/0.1% Drops25.76
Oflo DmOflo Dm 0.3%/0.1% Eye Drops10.95
Oflomac DxOflomac Dx 0.3%/0.1% Eye/Ear Drops7.51
Oflozen DOflozen D 0.3%/0.1% Drops11.04
Olin DOlin D 0.3%/0.1% Eye Drops35.9
Omeflox DxOmeflox Dx 0.3%/0.1% Drops10.82
O Syn DxO Syn Dx Drops10.05
Oxop DOxop D 0.3%/0.1% Eye Drops11.71
Zevid DZevid D 0.3%/0.1% Drops16.8
Zo DZo D 0.3%/0.1% Eye Drop8.69
Zuflo DZuflo D 0.3%/0.1% Eye/Ear Drops8.75
Zynoff DZynoff D 0.3%/0.1% Eye Drop9.06
Oflacin DxOflacin Dx Eye Drop11.68
OfrondOfrond Eye Drops8.75
Protoflox DProtoflox D Eye/Ear Drops9.12
Appatoba DAppatoba D 0.3%/0.1% Eye Drops12.1
Itocin DItocin D 0.3%/0.1% Eye Drops21.25
Ocutob DOcutob D 0.3%/0.1% Eye Drops11.45
TobadexTobadex 0.3%/0.1% Eye Drops16.0
Tobaren DTobaren D 0.3%/0.1% Drops15.29
Tobaren DmTobaren Dm 0.3%/0.1% Eye Drops58.0
Tobazon DmTobazon Dm 0.3%/0.1% Drops9.92
TobradexTobradex 0.30%/.1% Drops18.29
Tobram DTobram D Eye Drops17.25
Toby DToby D 0.3%/0.1% Eye Drops11.08
Tojawa DTojawa D 0.3%/0.1% Drops13.67
TromadexTromadex 0.3%/0.1% Drops10.0
Paritob DParitob D Eye Drop37.71
TeradoxTeradox Eye Drops20.31
Tobacin DTobacin D Eye Drop35.9
Tobracid DmTobracid Dm Eye Drop13.56
Tobramed DTobramed D Eye/Ear Drops10.82
Tobrine DmTobrine Dm Eye Drops19.75
Tsun DTsun D Eye Drops19.15
TybroTybro Eye Drops40.0
Dexapin CDexapin C Eye Drop13.97
Biocip DBiocip D 0.3%/0.1% Drop9.8
Ceprolen DCeprolen D 0.3%/0.1% Eye Drops11.18
Ciplex (Leeford)Ciplex 0.3%/0.1% Eye Drops10.62
Cipromac D (Torque)Cipromac D Drop10.61
Ciprozen DCiprozen D 0.3%/0.1% Drops19.37
Kemocip DKemocip D 0.3%/0.1% Eye/Ear Drops9.71
Larcip DLarcip D 0.3%/0.1% Eye Drops7.25
Lucipro DLucipro D 0.3%/0.1% Eye/Ear Drops12.07
Zoxan DZoxan D 0.3%/0.1% Eye Drop8.59
Ahlox DAhlox D 0.3%/0.1% Eye Drops9.2
Cebran DCebran D Eye Drop9.33
Ceflox DCeflox D Drop26.0
Chlorodex (Sun)Chlorodex Drop10.0
Cifomed DCifomed D Drop16.75
Cipcos DCipcos D Drops14.0
Ciplox DCiplox D Eye/Ear Drops14.0
KemocipKemocip Eye/Ear Drops7.28
Swiflox DSwiflox D Eye Drop7.5
Garasol DGarasol D 0.3%/0.1% Drops11.5
Gencin D MGencin D M Drops18.0
Gentacip DGentacip D 0.3%/0.1% Drop9.62
Gentajin DGentajin D 0.3%/0.1% Eye Drops7.04
Gentamide DmGentamide Dm 0.3%/0.1% Eye Drops8.2
Gentapen DGentapen D 0.3%/0.1% Eye Drops8.36
Genticare DGenticare D 0.01%/0.3% Eye Drops9.66
GermentadGermentad 0.3%/0.1% Drops7.8
GlycortGlycort 0.3%/0.1% Drops10.0
Gentaglow DGentaglow D 0.3%/0.1% Eye Drops20.0
PyricortPyricort Eye Drop9.39
Biodexone NBiodexone N 0.5%/0.1% Eye Drops9.37
Dekortyn NDekortyn N 0.5%/0.1% Drops8.25
Dexacort NDexacort N 0.5%/0.1% Eye Ointment9.11
DexcinDexcin Eye/Ear Drops11.55
Opthodex NOpthodex N 0.5%/0.1% Drops9.41
Biosone PBiosone P Eye/Ear Drops40.0
Ocupol DOcupol D Eye Drop13.44
Renicol PxRenicol Px Eye Drops21.0
Takchlor CTakchlor C 10 Mg/1 Mg/5000 Iu Ointment46.2
Deximon PDeximon P Eye Drops22.5
Imix 10Imix 10 Eye Drops30.0
Imix D 10Imix D 10 Eye Drops80.0
Imix D 5Imix D 5 Eye Drops47.5
Imix DImix D Eye Drops36.25
Ocupol DxOcupol Dx Drop75.61
D ChlorexD Chlorex Eye Drops7.99
Decakem CDecakem C Eye Drops11.76
DecoDeco 0.5%W/V/0.01%W/V Eye/Ear Drops10.62
Dekortyn CDekortyn C 1%/0.1% Drops8.86
DexamonDexamon 1%/0.1% Drops9.8
DeximonDeximon 0.5%/0.1% Eye Drops47.55
Eptico DEptico D 5%/0.1% Drops9.66
KlorumdKlorumd 1%/0.1% Drops7.8
OpthodexOpthodex 1%/0.1% Eye Drops9.4
Opthodex SOpthodex S Drops9.75
PolydexPolydex 1%/0.1% Eye/Ear Drops43.75
RenidexRenidex 1%/0.1% Drops8.89
AvimonAvimon Eye Drops11.0
CareCare Drops51.05
Chlorgull DChlorgull D Eye/Ear Drops7.37
ChloridexChloridex Eye Drops20.87
Chlormet DmChlormet Dm Drops11.75
Chlorodex (Leeford)Chlorodex Eye Drop10.0
ClodilClodil Eye Drops35.87
Pc DexPc Dex Eye/Ear Drops37.98
PyrimonPyrimon Eye Drop11.4
VisomerVisomer Eye Drop23.93
KedexKedex 0.5%/0.1% Eye Drop50.0
KetrodexKetrodex Eye Drop70.0
Low DexLow Dex Eye/Ear Drops9.75
NordexNordex Eye Drops44.88
SofradexSofradex Cream29.42
Sofradex FSofradex F Cream25.58
Tympalin CTympalin C Drops45.0

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