Floxin

Generic name: OfloxacinBrand names: Floxin

Why is Floxin prescribed?

Floxin is an antibiotic. Floxin tablets have been used effectively to treat lower respiratory tract infections, including chronic bronchitis and pneumonia, sexually transmitted diseases (except syphilis), pelvic inflammatory disease, and infections of the urinary tract, prostate gland, and skin. Floxin Otic solution is used to treat ear infections.

Most important fact about Floxin

Floxin kills a variety of bacteria and is frequently used to treat infections in many parts of the body. However, you should stop taking the drug and notify your doctor immediately at the first sign of a skin rash or any other allergic reaction. Although rare, serious and occasionally fatal allergic reactions have been reported, some after only one dose. Signs of an impending reaction include swelling of the face and throat, shortness of breath, difficulty swallowing, rapid heartbeat, tingling, itching, and hives.

How should you take Floxin?

You may take Floxin tablets with or without food. Be sure to drink plenty of fluids while taking the tablets.

Do not take mineral supplements, vitamins with iron, or minerals, didanosine chewable tablets and pediatric powder, or antacids containing calcium, aluminum, or magnesium within 2 hours of taking Floxin tablets.

Floxin Otic solution should be administered as follows:

  1. Wash hands.
  2. Clean the outer ear of any discharge. Do not insert any object into the ear canal.
  3. Warm the drops by holding the bottle in your hand for one or two minutes.
  4. Have the individual receiving the drops lie on his or her side with the affected ear up.
  5. Place the prescribed number of drops in the ear.
  6. Do not touch the applicator to the ear or your fingers.
  7. If a middle ear infection is involved, gently press the flap in front of the ear canal 4 times to help push the drops inward. For an outer ear canal infection, gently pull the ear upward and backward while giving the drops.
  8. Keep the ear facing upward for 5 minutes to allow drops to be absorbed into the ear.

Take Floxin exactly as prescribed. You need to complete the full course of therapy to obtain best results and decrease the risk of a recurrence of the infection.

  • If you miss a dose...Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.
  • Storage instructions...Store at room temperature in a tightly closed container, away from light.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Floxin.

FLOXIN TABLETS

  • Side effects may include:Diarrhea, difficulty sleeping, dizziness, headache, itching of genital area in women, nausea, vaginal inflammation, vomiting

FLOXIN OTIC SOLUTION

  • Side effects may include:Abnormal or bitter taste, itching

Why should Floxin not be prescribed?

Do not take Floxin if you are sensitive to or have ever had an allergic reaction to it or other quinolone antibiotics such as ciprofloxacin and norfloxacin.

Special warnings about Floxin

Floxin tablets, used in high doses for short periods of time, may hide or delay the symptoms of syphilis but are not effective in treating syphilis. If you are taking Floxin for gonorrhea, your doctor will test you for syphilis and then perform a follow-up test after 3 months of treatment.

Convulsions, increased pressure in the head, psychosis, tremors, restlessness, light-headedness, nervousness, confusion, depression, nightmares, insomnia, and hallucinations have occasionally been reported with this type of antibiotic. If you experience any of these symptoms, stop taking the drug and contact your doctor immediately.

Like all antibiotics, Floxin has been known to cause serious inflammation of the bowels. Notify your doctor if you develop diarrhea during or after a course of therapy with Floxin.

Floxin can cause a rupture in the muscle tendons in your hand, shoulder, or heel. If you notice any pain and inflammation in a tendon, rest and avoid exercise until you have seen your doctor.

If you are prone to seizures due to kidney disease, a brain disorder, or epilepsy, make sure your doctor knows about it. Floxin tablets should be used with caution under these conditions.

If you have liver or kidney disease, your doctor will watch you closely while you are taking Floxin tablets.

Avoid being in the sun too much; you can develop sun poisoning while you are taking Floxin tablets.

Floxin tablets may make you feel dizzy or light-headed. Be careful driving, operating machinery, or doing any activity that requires full mental alertness until you know how you react to Floxin.

Never put Floxin eardrops in the eyes or mouth. When placed in the ear, the drops may cause dizziness if they have not been sufficiently warmed.

Stop taking Floxin and contact your doctor if you develop pain, fever, burning, tingling, weakness, or numbness.

Floxin tablets have not been tested in children under 18. Floxin eardrops have not been tested in children less than 1 year old.

Possible food and drug interactions when taking Floxin

If Floxin is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Floxin with the following:

Antacids containing calcium, magnesium, or aluminumBlood thinners such as warfarinCalcium supplementsCimetidineCyclosporineDidanosineInsulinIron supplementsMultivitamins containing zincNonsteroidal anti-inflammatory drugs such as ibuprofen and naproxenOral diabetes drugs such as chlorpropamide and glyburideProbenecidSucralfateTheophylline-containing drugs

Special information if you are pregnant or breastfeeding

The effects of Floxin during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. This medication should not be used during pregnancy unless your doctor has determined that the benefit to you outweighs the risk to the unborn baby. Floxin appears in breast milk and could affect a nursing infant. If Floxin is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with Floxin is finished.

Recommended dosage for Floxin

FLOXIN TABLETS

Worsening of Chronic Bronchitis

The usual dose is 400 milligrams every 12 hours for 10 days, for a total daily dose of 800 milligrams.

Pneumonia

The usual dose is 400 milligrams every 12 hours for 10 days, for a total daily dose of 800 milligrams.

Gonorrhea

The usual dose is 400 milligrams taken once.

Sexually Transmitted Infections of the Cervix or Urethra

The usual dose is 300 milligrams every 12 hours for 7 days, for a total daily dose of 600 milligrams.

Pelvic Inflammatory Disease

The usual dose is 400 milligrams every 12 hours for 10 to 14 days, for a total daily dose of 800 milligrams.

Mild to Moderate Skin Infections

The usual dose is 400 milligrams every 12 hours for 10 days, for a total daily dose of 800 milligrams.

Bladder Infections

The usual dose is 200 milligrams every 12 hours for a total daily dose of 400 milligrams. This dose is taken for 3 days for infections due to E. coli or K. pneumoniae. For infections due to other microbes, it is taken for 7 days.

Complicated Urinary Tract Infections

The usual dose is 200 milligrams every 12 hours for 10 days, for a total daily dose of 400 milligrams.

Prostatitis

The usual dose is 300 milligrams every 12 hours for 6 weeks, for a total daily dose of 600 milligrams.

FLOXIN OTIC SOLUTION

Otitis Externa (Swimmer's Ear)

For adults and children over 13, the usual dose is 10 drops in the affected ear once a day for 7 days. For children from 1 to 12 years of age, the usual dose is 5 warmed drops in the affected ear once a day for 7 days.

Acute Otitis Media (Severe Middle Ear Infection) in Children with Ear Tubes

For children from 1 to 12 years of age, the usual dose is 5 warmed drops in the affected ear 2 times a day for 10 days.

Chronic Otitis Media with Perforated Eardrum and Pus

For adults and children over 12, the usual dose is 10 warmed drops in the affected ear 2 times a day for 14 days.

Overdosage

Any medication used in excess can have serious consequences. If you suspect an overdose, seek medical treatment immediately.

  • Symptoms of Floxin overdose may include:Disorientation, dizziness, drowsiness, hot and cold flashes, nausea, slurring of speech, swelling and numbness in the face
  • Floxin Prescribing Information (FDA)
  • Floxin Consumer Overview
  • Floxin Advanced Consumer (Micromedex) - Includes Dosage Information
  • Floxin MedFacts Consumer Leaflet (Wolters Kluwer)
  • Ofloxacin Prescribing Information (FDA)
  • Ofloxacin Professional Patient Advice (Wolters Kluwer)