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Netenax

Ask a doctor about a prescription for Netenax

5.0(6)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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 Netenax

Package Leaflet: Information for the Patient

Netenax, 3 mg/ml, Eye Drops, Solution

Netilmicin

Read the package leaflet carefully before using the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

  • 1. What is Netenax and what is it used for
  • 2. Important information before using Netenax
  • 3. How to use Netenax
  • 4. Possible side effects
  • 5. How to store Netenax
  • 6. Contents of the pack and other information

1. What is Netenax and what is it used for

Netenax contains the active substance netilmicin, an antibiotic that kills bacteria.
This medicine is indicated in adults for the local treatment of external eye and adnexa infections caused by bacteria susceptible to netilmicin.
If there is no improvement or the patient feels worse, they should consult a doctor.

2. Important information before using Netenax

When not to use Netenax:

  • if the patient is allergic to netilmicin, any other aminoglycoside antibiotic (gentamicin, tobramycin, kanamycin, etc.) or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before starting treatment with Netenax, the patient should discuss it with their doctor or pharmacist.
Prolonged use of antibiotics may make the patient more prone to eye infections.
Aminoglycoside antibiotics can cause serious hearing and kidney problems. If the patient is using other antibiotics, including oral antibiotics, at the same time as Netenax, they should consult their doctor.
Netenax is not intended for injection and should not be injected into the eye or introduced into the anterior chamber of the eye.
In all of the above cases or in the event of an allergic reaction during use of this medicine, the patient should stop using it and consult a doctor.

Children and adolescents

The safety and efficacy of Netenax in children and adolescents have not been established.

Netenax and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Netenax can be used at the same time as other eye medicines, but the patient should follow the instructions in section 3.
The patient should tell their doctor or pharmacist if they are taking:

  • another antibiotic, in particular polymyxin B, colistin, viomycin, streptomycin, vancomycin, or cephaloridine. Using Netenax with other aminoglycoside antibiotics may increase the risk of kidney or hearing problems or may affect the efficacy of other antibiotics;
  • cisplatin (a medicine used to treat cancer);
  • diuretics (medicines that help remove excess water from the body) such as ethacrynic acid and furosemide.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a baby, they should ask their doctor for advice before using this medicine.
Pregnancy
The medicine should only be used if the doctor considers it necessary.
Breastfeeding
Using Netenax is not recommended during breastfeeding, as the medicine passes into human milk in small amounts.

Driving and using machines

After using Netenax, temporary blurred vision may occur. The patient should not drive or use machines until their vision is clear again.

Netenax 3 mg/ml eye drops, solution contains benzalkonium chloride

This medicine contains 0.05 mg of benzalkonium chloride per ml.
Benzalkonium chloride may be absorbed by soft contact lenses and change their color. The patient should remove their contact lenses before using the drops and wait at least 15 minutes before putting them back in.
Benzalkonium chloride may also cause eye irritation, especially in people with dry eye syndrome or corneal disorders (the transparent layer at the front of the eye). If the patient experiences any abnormal sensations in the eye, stinging, or eye pain after using the medicine, they should contact their doctor.

3. How to use Netenax

This medicine should always be used exactly as the doctor or pharmacist has told the patient. If the patient is not sure, they should ask their doctor or pharmacist.
The recommended dose is one or two drops into the affected eye, three times a day, or as directed by the doctor.

Contact lenses

During superficial treatment of eye infections, it is not recommended to wear contact lenses.
If the patient wears contact lenses, they should remove them before using Netenax eye drops. After using the drops, they should wait 15 minutes before putting their lenses back in.

Instructions for use

  • 1) Wash your hands thoroughly.
  • 2) Tighten the cap to break the seal on the bottle tip.
Hand breaking the seal on the bottle tip
  • 3) Remove the cap, turn the bottle upside down, and gently squeeze to release one drop into the affected eye. Do not touch the bottle tip to the eye, eyelid, or any other surface to avoid contamination.
Hand holding the bottle with the dropper over the eye, releasing a drop
  • 4) Put the cap back on the bottle.
Hand putting the cap back on the bottle

Without opening the affected eye, press the inner corner of the eye with your finger and hold for one minute. This is important, as it reduces the amount of medicine that gets into the body.

Hand pressing the inner corner of the eye with a finger

Using more Netenax than recommended

No cases of overdose with Netenax have been reported.
If more medicine than recommended is accidentally used, problems are unlikely to occur. The next dose should be used as usual.

Missing a dose of Netenax

The patient should not use a double dose to make up for a missed dose.

Stopping treatment with Netenax

If the patient has any further questions on the use of this product, they should ask their doctor, pharmacist, or nurse.

Using Netenax with other eye medicines

If more than one eye medicine is being used, the patient should wait at least 5 minutes before using the next one.
Eye ointments should be used last.

4. Possible side effects

Like all medicines, Netenax can cause side effects, although not everybody gets them. Most people using these eye drops do not experience any side effects.
The following side effects have been observed during treatment with Netenax. Frequency not known (cannot be estimated from the available data):

  • eye irritation
  • eye redness
  • eyelid rash
  • eyelid swelling
  • eye itching
  • allergic reaction
  • hives

Reporting side effects

If the patient experiences any side effects, including any not listed in this leaflet, they should tell their doctor or pharmacist. Side effects can be reported directly to the Department of Pharmacovigilance, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, the patient can help provide more information on the safety of this medicine.

5. How to store Netenax

Keep the medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the label and carton after EXP. The expiry date refers to the last day of the month.
Shelf life after first opening the bottle: 28 days
Do not store above 25°C.
Keep the bottle in the outer carton to protect from light.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Netenax contains

  • The active substance is netilmicin. Each ml of solution contains 3 mg of netilmicin (as netilmicin sulfate).
  • The other ingredients are sodium chloride, benzalkonium chloride (preservative), sodium hydroxide (for pH adjustment), purified water.

What Netenax looks like and contents of the pack

Netenax is a clear, colorless or pale yellow solution in a LDPE bottle with a screw cap, containing 5 ml of eye drops, in a cardboard box.

Marketing authorization holder and manufacturer

SIFI S.p.A.
Via Ercole Patti 36
95025 Aci S. Antonio (CT)
Italy
[email protected]

This medicine is authorized in the Member States of the European Economic Area under the following names:

Bulgaria, Germany, Latvia, Lithuania: Nettacin
Cyprus, Greece, Poland, Portugal, Slovakia, Spain: Netenax
Czech Republic, France: Anetena

Date of last revision of the leaflet:

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    Sifi S.p.A.
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Online doctors for Netenax

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Netenax – subject to medical assessment and local rules.

5.0(6)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
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Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
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  • Preventive medicine and health screenings.
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With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

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  • sports-related health questions
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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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  • Chronic pain lasting more than 3 months.
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In addition to pain management, Dr. Popov helps patients with:
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  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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  • 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.

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