• Ofloxacin Otic

    (oh floks' a sin)

    WHY is this medicine prescribed?

    Ofloxacin otic is used to treat outer ear infections in adults and children, chronic (long-lasting) middle ear infections in adults and children with a perforated eardrum (a condition where the eardrum has a hole in it), and acute (suddenly occurring) middle ear infections in children with ear tubes. Ofloxacin otic is in a class of medications called quinolone antibiotics. It works by killing the bacteria that cause infection.

    HOW should this medicine be used?

    Ofloxacin otic comes as a solution (liquid) to place into the ear. It is usually used once or twice a day for 7-14 days, depending on your condition. Use ofloxacin otic at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use ofloxacin otic exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
    Ofloxacin otic is only for use in the ears. Do not use in the eyes.
    You should begin to feel better during the first few days of treatment with ofloxacin otic. If your symptoms do not improve after one week or get worse, call your doctor.
    Use ofloxacin otic until you finish the prescription, even if you feel better. If you stop using ofloxacin otic too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.
    To use the eardrops, follow these steps:
    1. Hold the bottle or single-dispensing container(s) in your hand for 1 or 2 minutes to warm the solution.
    2. Lie down with the affected ear upward.
    3. Place the prescribed number of drops or the contents of the prescribed number of single-dispensing containers into your ear
    4. If you are using a bottle of solution, be careful not to touch the tip to your ear, fingers, or any other surface.
    5. For middle ear infections, push the tragus (small flap of cartilage just in front of the ear canal near the face) of the ear inward four times so that the drops will enter the middle ear.
    6. Remain lying down with the affected ear upward for 5 minutes.
    7. Repeat steps 1-6 for the opposite ear if necessary.

    Are there OTHER USES for this medicine?

    This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

    What SPECIAL PRECAUTIONS should I follow?

    Before using ofloxacin otic,
    • tell your doctor and pharmacist if you are allergic to ofloxacin (Floxin), cinoxacin (Cinobac) (not available in the U.S.), ciprofloxacin (Cipro), enoxacin (Penetrex) (not available in the U.S.), gatifloxacin (Tequin) (not available in the U.S.), gemifloxacin (Factive), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), nalidixic acid (NegGram), norfloxacin (Noroxin), sparfloxacin (Zagam) (not available in the U.S.), trovafloxacin and alatrofloxacin combination (Trovan) (not available in the U.S.), or any other medications.
    • tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.
    • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using ofloxacin otic, call your doctor.
    • you should know that you must keep your infected ear(s) clean and dry while using ofloxacin otic. Avoid getting the infected ear(s) wet while bathing, and avoid swimming unless your doctor has told you otherwise.

    What SPECIAL DIETARY instructions should I follow?

    Unless your doctor tells you otherwise, continue your normal diet.

    What should I do IF I FORGET to take a dose?

    Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use extra eardrops to make up for a missed dose.

    What SIDE EFFECTS can this medicine cause?

    Ofloxacin otic may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
    • ear itching or pain
    • change in taste
    • dizziness
    Some side effects can be serious. If you experience any of these symptoms, stop using ofloxacin otic call your doctor immediately:
    • rash
    • hives
    • swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
    • hoarseness
    • difficulty swallowing or breathing
    Ofloxacin otic may cause other side effects. Call your doctor if you have any unusual problems while using this medication.

    What should I know about STORAGE and DISPOSAL of this medication?

    Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Protect from light. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

    What should I do in case of OVERDOSE?

    If someone swallows ofloxacin otic, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

    What OTHER INFORMATION should I know?

    Keep all appointments with your doctor.
    Do not let anyone else use your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish the ofloxacin otic, call your doctor.
    It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

    Brand Names

    • Floxin® Otic

    Ofloxacin

    (oh floks' a sin)

    IMPORTANT WARNING:

    Taking ofloxacin increases the risk that you will develop tendinitis (swelling of a fibrous tissue that connects a bone to a muscle) or have a tendon rupture (tearing of a fibrous tissue that connects a bone to a muscle) during your treatment or for up to several months afterward. These problems may affect tendons in your shoulder, your hand, the back of your ankle, or in other parts of your body. Tendinitis or tendon rupture may happen to people of any age, but the risk is highest in people over 60 years of age. Tell your doctor if you have or have ever had a kidney, heart, or lung transplant; kidney disease; a joint or tendon disorder such as rheumatoid arthritis (a condition in which the body attacks its own joints, causing pain, swelling, and loss of function); or if you participate in regular physical activity. Tell your doctor and pharmacist if you are taking oral or injectable steroids such as dexamethasone (Decadron, Dexpak), methylprednisolone (Medrol), or prednisone (Sterapred). If you experience any of the following symptoms of tendinitis, stop taking ofloxacin, rest, and call your doctor immediately: pain, swelling, tenderness, stiffness, or difficulty in moving a muscle. If you experience any of the following symptoms of tendon rupture, stop taking ofloxacin and get emergency medical treatment: hearing or feeling a snap or pop in a tendon area, bruising after an injury to a tendon area, or inability to move or bear weight on an affected area.
    Taking ofloxacin may worsen muscle weakness in people with myasthenia gravis (a disorder of the nervous system that causes muscle weakness) and cause severe difficulty breathing or death. Tell your doctor if you have myasthenia gravis. Your doctor may tell you not to take ofloxacin. If you have myasthenia gravis and your doctor tells you that you should take ofloxacin, call your doctor immediately if you experience muscle weakness or difficulty breathing during your treatment.

    Talk to your doctor about the risks of taking ofloxacin.

    Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with ofloxacin. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website ( http://www.fda.gov/Drugs) or check the manufacturer's website to obtain the Medication Guide.

    WHY is this medicine prescribed?

    Ofloxacin is used to treat certain infectionsincluding bronchitis, pneumonia, and infections of the skin, bladder, urinary tract, reproductive organs, and prostate (a male reproductive gland). Ofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria that cause infections. Antibiotics will not work for colds, flu, or other viral infections.

    HOW should this medicine be used?

    Ofloxacin comes as a tablet to take by mouth. It is usually taken with or without food twice a day for 3 days to 6 weeks. The length of treatment depends on the type of infection being treated. Your doctor will tell you how long to take ofloxacin. Take ofloxacin at around the same times every day and try to space your doses 12 hours apart. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take ofloxacin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
    You should begin to feel better during the first few days of your treatment with ofloxacin. If your symptoms do not improve or if they get worse, call your doctor.
    Take ofloxacin until you finish the prescription, even if you feel better. Do not stop taking ofloxacin unless you experience the symptoms of tendinitis or tendon rupture described in the IMPORTANT WARNING section or the symptoms of allergic reaction described in the SIDE EFFECTS section. If you stop taking ofloxacin too soon or if you skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.

    Are there OTHER USES for this medicine?

    Ofloxacin is also sometimes used to treat other types of infection, including infections of the bones and joints and of the stomach and intestines. Ofloxacin may also be used to treat or prevent anthrax or plague (serious infections that may be spread on purpose as part of a bioterror attack) in people who may have been exposed to the germs that cause these infections in the air. Talk to your doctor about the risks of using ofloxacin to treat your condition.
    This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

    What SPECIAL PRECAUTIONS should I follow?

    Before taking ofloxacin,
    • tell your doctor and pharmacist if you are allergic or have had a severe reaction to ofloxacin; other quinolone or fluoroquinolone antibiotics such as ciprofloxacin (Cipro), gatifloxacin (Tequin) (not available in the U.S.), gemifloxacin (Factive), Levofloxacin (Levaquin), lomefloxacin (Maxaquin) (not available in the U.S.), moxifloxacin (Avelox), nalidixic acid (NegGram), norfloxacin (Noroxin), and sparfloxacin (Zagam) (not available in the U.S.); or any other medications.
    • tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention the medications listed in the IMPORTANT WARNING section and any of the following: other antibiotics; anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven); certain antidepressants; antipsychotics (medications to treat mental illness); cimetidine (Tagamet); cyclosporine (Gengraf, Neoral, Sandimmune); diuretics ('water pills'); insulin and oral medications for diabetes such as glyburide (DiaBeta, in Glucovance, Micronase, others); certain medications for irregular heartbeat such as amiodarone (Cordarone), quinidine, procainamide (Procanbid), and sotalol (Betapace, Betapace AF, Sorine); nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, others) and naproxen (Aleve, Naprosyn, others); probenecid (in Col-Probenecid, Probalan); and theophylline (Elixophyllin, Theo-24, Uniphyl, others). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
    • if you are taking antacids containing aluminum, calcium, or magnesium (Maalox, Mylanta, Tums, others); didanosine (Videx); sucralfate (Carafate); or supplements or multivitamins containing iron or zinc, take ofloxacin 2 hours before or 2 hours after you take these medications.
    • tell your doctor if you or anyone in your family has or has ever had a prolonged QT interval (a rare heart problem that may cause irregular heartbeat, fainting, or sudden death) or an irregular heartbeat and if you have or have ever had nerve problems, seizures, a slow heartbeat, a low level of potassium in your blood, chest pain, cerebral arteriosclerosis (narrowing of blood vessels in or near the brain that can lead to stroke or mini-stroke), or liver disease.
    • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking ofloxacin, call your doctor.
    • you should know that this medication may cause dizziness, lightheadedness, and tiredness. Do not drive a car, operate machinery, or participate in activities requiring alertness or coordination until you know how ofloxacin affects you.
    • plan to avoid unnecessary or prolonged exposure to sunlight and ultraviolet light (tanning beds and sunlamps) and to wear protective clothing, sunglasses, and sunscreen. Ofloxacin may make your skin sensitive to sunlight or ultraviolet light. If your skin becomes reddened, swollen, or blistered, call your doctor.

    What SPECIAL DIETARY instructions should I follow?

    Make sure you drink plenty of water or other fluids every day while you are taking ofloxacin.

    What should I do IF I FORGET to take a dose?

    Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one and do not take more than 2 doses of ofloxacin in one day.

    What SIDE EFFECTS can this medicine cause?

    Ofloxacin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
    • nausea
    • diarrhea
    • constipation
    • gas
    • vomiting
    • stomach pain or cramps
    • change in ability to taste food
    • loss of appetite
    • dry mouth
    • headache
    • dizziness
    • excessive tiredness
    • pain, swelling, or itching of the vagina
    Some side effects can be serious. If you experience any of these symptoms, or those mentioned in the IMPORTANT WARNING section, stop taking ofloxacin and call your doctor immediately:
    • severe diarrhea (watery or bloody stools) that may occur with or without fever and stomach cramps (may occur up to 2 months or more after your treatment)
    • rash
    • itching
    • hives
    • difficulty breathing or swallowing
    • swelling of the face, lips, tongue, or throat
    • hoarseness
    • loss of consciousness
    • fever
    • blistering or peeling skin
    • yellowing of the skin or eyes
    • dark urine
    • muscle or joint pain
    • pale skin
    • shortness of breath
    • unusual bruising or bleeding
    • fast, pounding, or irregular heartbeat
    • fainting
    • seizures
    • confusion
    • hallucinations (seeing things or hearing voices that do not exist)
    • nightmares
    • difficulty falling asleep or staying asleep
    • uncontrollable shaking of a part of the body
    • depression
    • thoughts about killing or harming yourself
    • anxiety
    • not trusting others or feeling that others want to harm you
    • restlessness
    • pain, numbness, burning, tingling, or weakness in the hands, arms, legs, or feet
    • vision changes
    Ofloxacin may cause problems with bones, joints, and tissues around joints in children. Ofloxacin should not be given to children younger than 18 years of age. Talk to your child's doctor about the risks of giving ofloxacin to your child.
    Ofloxacin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
    If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch ] or by phone [1-800-332-1088].

    What should I know about STORAGE and DISPOSAL of this medication?

    Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

    What should I do in case of OVERDOSE?

    In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
    Symptoms of overdose may include:
    • drowsiness
    • nausea
    • dizziness
    • hot and cold flushes
    • numbness and swelling of the face
    • slurred speech
    • confusion

    What OTHER INFORMATION should I know?

    Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your body's response to ofloxacin.
    Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking ofloxacin.
    Do not let anyone else take your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish taking ofloxacin, call your doctor.
    It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

    Brand Names

    • Floxin®
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