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ofloxacin ophthalmic (Ocuflox)

 

Classes: Quinolones, Ophthalmic

Dosing and uses of Ocuflox (ofloxacin ophthalmic)

 

Adult dosage forms and strengths

ophthalmic solution

  • 0.3%

 

Bacterial Conjunctivitis

Days 1-2: 1-2 gtt in affected eye q2-4hr, THEn

Days 3-7: 1-2 gtt four times daily

 

Corneal Ulcer

Days 1-2: 1-2 gtt q30min while awake (WA), awaken 4-6 hours after retiring

Days 3-7: 1-2 gtt q1hr while awake

Days 7-9: 1-2 gtt four times daily until clinical cure

 

Pediatric dosage forms and strengths

ophthalmic solution

  • 0.3%

 

Bacterial Conjunctivitis

< 1 year

  • Not recommended

> 1 year

  • Day 1-2: 1-2 gtt in affected eye q2-4hr, THEN
  • Day 3-7: 1-2 gtt four times daily

 

Corneal Ulcer

< 1 year

  • Not recommended

> 1 year

  • Days 1-2: 1-2 gtt q30min while awake (WA), awaken 4-6 hours after retiring
  • Days 3-7: 1-2 gtt q1hr while awake
  • Days 7-9: 1-2 gtt four times daily until clinical cure

 

Ocuflox (ofloxacin ophthalmic) adverse (side) effects

Frequency not defined

Transient ocular burning or discomfort following instillation of the solution

Conjunctival hyperemia

Chemical conjunctivitis/keratitis

Foreign body sensation

Blurred vision

Periocular/facial edema

Eye pain

Photophobia

Pruritus

Stinging

Tearing

Dryness

Hemorrhagic conjunctivitis with palpebral edema (rare)

 

Warnings

Contraindications

Hypersensitivity to quinolones or other components in product

 

Cautions

May result in overgrowth of nonsusceptible organisms, including fungi

Careful monitoring, including slit-lamp biomicroscopy and fluorescein staining when appropriate may be necessary

Not for subconjunctival injection

 

Pregnancy and lactation

Pregnancy category: C

Lactation: Not known if distributed into milk; discontinue breastfeeding or drug

 

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.

 

Pharmacology of Ocuflox (ofloxacin ophthalmic)

Mechanism of action

BactericidaL

Inhibits DNA topoisomerase (ATP-hydrolyzing), a type II DNA topoisomerase commonly referred to as DNA-gyrase, in susceptible organisms

 

Pharmacokinetics

Absorption: Minimal systemic absorption with ophthalmic use

Excretion: Urine