MAXIBIOTIC (5 mg + 5000 IU 400 IU)/g Ointment

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Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Maxibiotic

Contents of the leaflet

  1. Leaflet accompanying the packaging: patient information
  2. MAXIBIOTIC, (5 mg + 5000 IU + 400 IU)/g, ointment
    1. Please read the contents of the leaflet carefully before using the medicine, as it contains
    2. Table of contents of the leaflet
  3. What is M and what is it used for
    1. Indications for use:
  4. Important information before using M
    1. When not to use M:
    2. Warnings and precautions
    3. Children and adolescents
    4. M and other medicines
    5. Use in patients with kidney function disorders or hearing impairment
    6. Use in elderly patients
    7. Pregnancy and breastfeeding
    8. Driving and operating machinery
  5. How to use M
    1. Using a higher dose of M than recommended
    2. Missing a dose of M
  6. Possible side effects
    1. Reporting side effects
  7. How to store M
  8. Package contents and other information
    1. What M contains
    2. What M looks like and what the package contains
    3. Responsible entity
    4. Manufacturer
    5. Date of the last update of the leaflet:

Leaflet accompanying the packaging: patient information

MAXIBIOTIC, (5 mg + 5000 IU + 400 IU)/g, ointment

(Neomycin sulfate + Polymyxin B sulfate + Zinc bacitracin)

Please read the contents of the leaflet carefully before using the medicine, as it contains

important information for the patient.
This medicine should always be used exactly as described in the patient leaflet or according to
the doctor's or pharmacist's instructions.

  • The leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, the pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor or pharmacist. See section 4.
  • If there is no improvement after 7 days or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

  • 1. What is M and what is it used for
  • 2. Important information before using M
  • 3. How to use M
  • 4. Possible side effects
  • 5. How to store M
  • 6. Package contents and other information
Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

1. What is M and what is it used for

M is a medicine in the form of an ointment, used locally on the skin. The active substances of the medicine are
three antibiotics with a complementary range of antibacterial activity against bacteria
causing most skin infections.

Indications for use:

  • minor wounds (abrasions, scratches, bites);
  • burns;
  • skin ulcers.

2. Important information before using M

When not to use M:

  • if the patient is allergic to neomycin sulfate, polymyxin B sulfate, zinc bacitracin, or any of the other ingredients of this medicine (listed in section 6);
  • if the patient has hearing disorders (in such cases, the use of the medicine may cause harmful effects on hearing);
  • on deep or puncture wounds, severe burns, or large areas of damaged skin, as well as on oozing lesions, due to the risk of absorption of the active substances into the blood and the occurrence of systemic side effects (harmful effects on hearing, kidneys);
  • in the eyes.

Warnings and precautions

Before starting to use M, the patient should discuss it with their doctor or pharmacist.
Prolonged use of M may cause excessive growth of insensitive microorganisms, including fungi, similar to the use of other medicines containing antibiotics.
Patients allergic to aminoglycoside or polymyxin antibiotics may be allergic to this medicine. In the event of severe allergic reactions, treatment should be discontinued and the doctor consulted.
If side effects occur, especially irritation at the site of application or the patient notices no improvement, the use of M should be discontinued and the doctor consulted.
Using the medicine on large areas of damaged skin may cause hearing loss, kidney damage, and toxic effects on the nervous system.

Children and adolescents

M should not be used in children under 12 years of age.

M and other medicines

The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
After applying the M ointment to a large area or damaged skin, interactions with other medicines used at the same time may occur.
Concomitant use of M with orally administered neomycin may increase the risk of allergic reactions.
M should not be used with medicines that may damage the kidneys and hearing, such as potent diuretics (e.g., furosemide, ethacrynic acid). These medicines, when used with aminoglycosides, increase their concentration in the blood, which increases the risk of hearing disorders, up to deafness, which may occur even after the medicine is discontinued.
During concomitant use of oral or topical aminoglycoside antibiotics or other medicines with potential harmful effects on the kidneys or nervous system, the risk of side effects may increase.
During concomitant use with other medicines with harmful effects on the kidneys and hearing, M may enhance the effects of these medicines.

Use in patients with kidney function disorders or hearing impairment

Patients with kidney function disorders or hearing impairment should use this medicine with caution, as they are more likely to experience harmful effects on the kidneys and hearing.

Use in elderly patients

There are no special requirements for the use of M in elderly patients.
However, it should be remembered that the highest doses used should be reduced in patients with kidney function disorders.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor before using this medicine.
Due to the lack of appropriate studies, the medicine should not be used during pregnancy and breastfeeding.

Driving and operating machinery

No effects of using M on driving and operating machinery have been reported.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to use M

This medicine should always be used exactly as described in the patient leaflet or according to
the doctor's or pharmacist's instructions. In case of doubts, the doctor or pharmacist should be consulted.
After removing the tube from the box and unscrewing the cap, the inverted cap should be used to pierce the aluminum seal on the tube and squeeze out the required amount of ointment.
The wound area should be cleaned and a small amount of the medicine applied to the affected skin area.
The area can be covered with a gauze dressing or left uncovered.
Apply 2 to 5 times a day.
Do not use for more than 7 days.
After completing the treatment, M should not be used again before 3 months have passed.

In the event of using the medicine on mucous membranes and/or on a large skin area (especially damaged skin), systemic side effects may occur. This applies primarily to patients with kidney function disorders. Symptoms of kidney damage, hearing loss, and toxic effects on the nervous system may occur. In such cases, the use of M should be discontinued and the doctor consulted.

Missing a dose of M

A double dose should not be used to make up for a missed dose.
In case of any further doubts about using this medicine, the doctor or pharmacist should be consulted.

4. Possible side effects

Like all medicines, M can cause side effects, although not everybody gets them.
The frequency of side effects cannot be determined based on available data.
Infections and infestations:
infection with insensitive strains of bacteria or fungi .
Immune system disorders:
local symptoms of hypersensitivity (itching, rash, redness, swelling, and other symptoms of irritation).
Ear and labyrinth disorders:
hearing loss.
Kidney and urinary disorders:
kidney damage.

Reporting side effects

If any side effects occur, including any side effects not listed in the leaflet, the doctor, pharmacist, or nurse should be informed. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C, 02-222 Warsaw
Phone: + 48 22 49 21 301
Fax: + 48 22 49 21 309
e-mail: [email protected]
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store M

Store at a temperature below 30°C.
The medicine should be stored in a place out of sight and reach of children.
Do not use this medicine after the expiry date stated on the box or tube. The expiry date refers to the last day of the given month.
Medicines should not be disposed of via wastewater or household waste. The pharmacist should be asked how to dispose of medicines that are no longer used. This will help protect the environment.

6. Package contents and other information

What M contains

  • The active substances of the medicine are: neomycin sulfate, polymyxin B sulfate, zinc bacitracin.
  • 1 g of ointment contains 5 mg of neomycin sulfate, 5000 IU of polymyxin B sulfate, and 400 IU of zinc bacitracin.
  • Excipient: white petrolatum.

What M looks like and what the package contains

M is an ointment.
The package consists of an aluminum tube and a sachet in a cardboard box.
Package sizes:
1 tube of 3 g
1 tube of 5 g
1 tube of 15 g
10 sachets of 1 g.
Not all package sizes may be marketed.

Responsible entity

Bausch Health Ireland Limited
3013 Lake Drive
Citywest Business Campus
Dublin 24, D24PPT3
Ireland

Manufacturer

EMO-FARM Sp. z o.o.
ul. Łódzka 52
95-054 Ksawerów
e-mail: [email protected]
phone: + 48/42/212 80 85

Date of the last update of the leaflet:

  • Maxibiotic
  • Country of registration
  • Dosage form
    Ointment, (5 mg + 5000 IU 400 IU)/g
  • Prescription required
    No
  • Manufacturer
  • Importer
    EMO-FARM Sp. z o.o.
  • Alternatives to Maxibiotic
    Dosage form: Ointment, (250 IU + 5000 IU)/g
    Active substance: bacitracin
    Prescription not required
    Dosage form: Ointment, 20 mg/g
    Active substance: mupirocin
    Prescription required
    Dosage form: Cream, 20 mg/g
    Active substance: mupirocin
    Prescription required

Online doctors for Maxibiotic

Discuss questions about Maxibiotic, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(22)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Book a video appointment
€156
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75

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Frequently Asked Questions

Is a prescription required for Maxibiotic?

Maxibiotic does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

Who manufactures Maxibiotic?

Maxibiotic is manufactured by EMO-FARM Sp. z o.o.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Maxibiotic online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Maxibiotic is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Maxibiotic in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Maxibiotic in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Maxibiotic?

Other medicines with the same active substance () include Altabactin, Bactroban, Bactroban. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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