Floxin Otic, Oflaxacin Otic (ofloxacin otic) dosing, indications, interactions, adverse effects, and more

Sections

Sections ofloxacin otic
Dosing & Uses
Adverse Effects
Warnings
Pregnancy
Pharmacology
Images
Patient Handout
Formulary

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

otic solution

0.3%

Chronic Suppurative Otitis Media With Perforated Tympanic Membranes

Instill 10 gtt twice daily for 14 days in affected ear(s)

Otitis Externa

Instill 10 gtt qDay for 7 days in affected ear(s)

Dosage Forms & Strengths

otic solution

0.3%

<1 year old: Safety & efficacy not established

Otitis Externa

< 6 months

Safety and efficacy not established

6 months to 12 years

Instill 5 gtt into affected ear twice daily for 7 days

>12 years

Instill 10 gtt qDay for 7 days in affected ear(s)

Acute Otitis Media With Tympanostomy Tubes

< 1 year

Safety and efficacy not established

1-12 years

Instill 5 gtt into affected ear twice daily for 7 days

Chronic Suppurative Otitis Media With Perforated Tympanic Membranes

>12 years: Instill 10 gtt twice daily for 14 days in affected ear(s)

>10%

Application site reaction (1-17%)

1-10%

Taste perversion (7%)

Pruritus (4%)

Dizziness (1%)

Earache (1%)

Paresthesia (1%)

Rash (1%)

Vertigo (1%)

<1%

Otorrhagia

Tinnitus

Transient hearing loss

Tremor

Xerostomia

Diarrhea

Contraindications

Hypersensitivity to drug or product components

Cautions

Warm solution with hands to prevent dizziness

May result in overgrowth of nonsusceptible organisms, including fungi

Careful monitoring, including slit-lamp biomicroscopy and fluorescein staining when appropriate, may be necessary in some patients receiving topical ophthalmic ofloxacin therapy

Not for injection or ophthalmic use

Tendon rupture reported with systemic quinolones

Pregnancy & Lactation

Pregnancy Category: C

Lactation: Not known if distributed in milk; not recommended

Pregnancy Categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

Mechanism of Action

Inhibits DNA gyrase, which in turn inhibits DNA replication, recombination, transcription, and transposition; bactericidal

Pharmacokinetics

Absorption: Minimal

Images

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Patient Handout

A Patient Handout is not currently available for this monograph.

Formulary

FormularyPatient Discounts

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The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

View explanations for tiers and restrictions

Tier	Description
1	This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2	This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC	NOT COVERED – Drugs that are not covered by the plan.

Code	Definition
PA	Prior Authorization Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL	Quantity Limits Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST	Step Therapy Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR	Other Restrictions Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.

Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.

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Sections ofloxacin otic
Dosing & Uses
Adverse Effects
Warnings
Pregnancy
Pharmacology
Images
Patient Handout
Formulary

ofloxacin otic (Rx)

Dosing & Uses

Dosage Forms & Strengths

otic solution

Chronic Suppurative Otitis Media With Perforated Tympanic Membranes

Otitis Externa

Dosage Forms & Strengths

otic solution

Otitis Externa

< 6 months

6 months to 12 years

>12 years

Acute Otitis Media With Tympanostomy Tubes

< 1 year

1-12 years

Chronic Suppurative Otitis Media With Perforated Tympanic Membranes

Adverse Effects

>10%

1-10%

<1%

Warnings

Contraindications

Cautions

Pregnancy & Lactation

Pregnancy Categories

Pharmacology

Mechanism of Action

Pharmacokinetics

Images

Patient Handout

Formulary

Plans

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