Ofloxacin is a fluoroquinolone antibiotic used to treat a variety of bacterial infections. Here’s a detailed overview:

Description

Ofloxacin is a synthetic broad-spectrum antibiotic effective against a wide range of Gram-negative and Gram-positive bacteria. It works by inhibiting bacterial DNA gyrase and topoisomerase IV, enzymes critical for bacterial DNA replication and repair.

Brand Names

  1. Floxin
  2. Ocuflox (ophthalmic solution)
  3. Oculox (ophthalmic solution)
  4. Oflocet
  5. Ofloxacin (generic)

Available Forms & Strengths

  1. Tablets: 200 mg, 400 mg
  2. Eye Drops (ophthalmic solution): 0.3%
  3. Ear Drops (otic solution): 0.3%
  4. Injection: Not commonly used or available

Uses

  1. Urinary Tract Infections (UTIs)
  2. Respiratory Tract Infections (e.g., bronchitis, pneumonia)
  3. Skin Infections
  4. Prostatitis
  5. Sexually Transmitted Infections (e.g., gonorrhea)
  6. Ocular Infections (e.g., conjunctivitis, corneal ulcers)

Side Effects

  1. Nausea
  2. Diarrhea
  3. Dizziness
  4. Headache
  5. Insomnia
  6. Rash

Dose

  • Tablets: Typically 200 mg to 400 mg twice daily, depending on the infection and severity.
  • Eye Drops: 1-2 drops in the affected eye(s) 2-4 times daily.
  • Ear Drops: 4-5 drops in the affected ear(s) twice daily.

Contraindications

  1. Allergy to ofloxacin or other fluoroquinolones
  2. Children (except for certain conditions like cystic fibrosis)
  3. Pregnancy (use only if benefits outweigh risks)
  4. Severe hepatic impairment (liver disease)

Warnings

  1. Tendon Damage: Risk of tendonitis or tendon rupture, especially in older adults and those on corticosteroids.
  2. QT Prolongation: Caution in patients with a history of arrhythmias.
  3. Central Nervous System Effects: May cause seizures, tremors, or hallucinations.
  4. Photosensitivity: Increased risk of sunburn.
  5. Drug Interactions: Can interact with anticoagulants, antidiabetic drugs, and other medications.

Always consult a healthcare provider for personal medical advice and proper dosage instructions.

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