Bact O Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe or bloody diarrhea
- Sudden pain or swelling in a tendon, especially the Achilles tendon
- Numbness, tingling, or weakness in hands or feet
- Seizures, confusion, or hallucinations
- Rash, hives, or swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Irregular heartbeat or palpitations
If experiencing severe symptoms, call emergency services immediately.
What is bact o tablet used for?
This medicine is a combination of Ofloxacin, an antibiotic, and Lactobacillus, a probiotic. It is used to treat various bacterial infections and helps prevent antibiotic-associated diarrhea.
- Generic Name: Ofloxacin + Lactobacillus
- Manufacturer: Domagk Smith Labs Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bact o tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ओफ्लोक्सासिन और लैक्टोबैसिलस का संयोजन है। ओफ्लोक्सासिन एक एंटीबायोटिक है जो बैक्टीरिया के संक्रमण का इलाज करता है, जैसे मूत्र मार्ग संक्रमण, श्वसन तंत्र संक्रमण, त्वचा संक्रमण और प्रोस्टेटाइटिस। लैक्टोबैसिलस एक प्रोबायोटिक है जो आंतों में अच्छे बैक्टीरिया को बनाए रखने में मदद करता है और एंटीबायोटिक से होने वाले दस्त को रोकता है। यह दवा वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, सिरदर्द, चक्कर आना और नींद न आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें टेंडन टूटना, तंत्रिका क्षति, दौरे, गंभीर एलर्जी और क्लोस्ट्रीडियम डिफिसाइल दस्त शामिल हो सकते हैं। यदि आपको कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। दवा को एक गिलास पानी के साथ लें। एंटासिड, आयरन, जिंक या मैग्नीशियम सप्लीमेंट के साथ इस दवा को लेने से 2 घंटे पहले या बाद में लें। पर्याप्त पानी पिएं। धूप से बचें और सनस्क्रीन का उपयोग करें। चक्कर आने पर वाहन न चलाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। शराब का सेवन न करें।
💊 bact o tablet Uses & Benefits
[{"condition":"Urinary tract infections","description":"Used to treat uncomplicated and complicated urinary tract infections caused by susceptible bacteria such as Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis.","evidence":"Well-established"},{"condition":"Respiratory tract infections","description":"Effective against certain bacterial respiratory infections, including acute exacerbations of chronic bronchitis and community-acquired pneumonia caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Prescribed for bacterial skin infections such as cellulitis, abscesses, and wound infections caused by susceptible gram-positive and gram-negative bacteria.","evidence":"Well-established"},{"condition":"Sexually transmitted infections","description":"Used in the treatment of gonorrhea and chlamydia infections, often in combination with other antibiotics.","evidence":"Well-established"},{"condition":"Prostatitis","description":"Ofloxacin penetrates prostate tissue well and is used to treat chronic bacterial prostatitis caused by susceptible bacteria.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for severe traveler's diarrhea caused by susceptible bacteria, though other antibiotics are often preferred.","evidence":"Limited"},{"condition":"Diverticulitis","description":"May be used off-label in combination with other antibiotics for mild diverticulitis, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Urinary tract infections, Respiratory tract infections, Skin infections, Prostatitis, Gonorrhea
📋 Drug Information
| Generic Name(s) | Ofloxacin + Lactobacillus |
| Brand Name | A Flox 100mg Tablet |
| Manufacturer | Domagk Smith Labs Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Fluoroquinolone antibiotic + Probiotic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Ofloxacin is a synthetic fluoroquinolone antibiotic that inhibits bacterial DNA gyrase (topoisomerase II) and topoisomerase IV. These enzymes are essential for bacterial DNA replication, transcription, repair, and recombination. By blocking these enzymes, ofloxacin prevents bacterial cell division and leads to bacterial death. Lactobacillus is a probiotic that helps maintain the natural gut flora, which can be disrupted by antibiotic therapy, thereby reducing the risk of antibiotic-associated diarrhea.
Mechanism Steps
💡 How to Take bact o tablet
Strength: Tablet containing Ofloxacin 200 mg and Lactobacillus 60 million spores.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally every 12 hours or as prescribed by your doctor. The exact dose and duration depend on the type and severity of the infection, your kidney function, and other factors. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Complete the full course as prescribed. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. Ofloxacin is generally not recommended for children under 18 years except in specific circumstances under specialist supervision. |
| Elderly Dosage | Elderly patients may have reduced renal function and are at higher risk of tendon rupture, CNS effects, and QT prolongation. Dose adjustment may be necessary based on renal function. Use with caution and monitor closely. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For patients with creatinine clearance less than 50 mL/min, the dose may need to be reduced or the dosing interval increased. Consult your doctor for specific recommendations. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment, but use with caution and monitor liver function. |
| Maximum Daily Dose | The maximum recommended daily dose is 400 mg of ofloxacin, but this must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of bact o tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Antacids | Major | |
| Warfarin | Major | |
| Theophylline | Major | |
| NSAIDs | Major | |
| Corticosteroids | Major | |
| Oral hypoglycemics | Moderate | |
| Probenecid | Moderate | |
| Cimetidine | Moderate | |
| Furosemide | Moderate | |
| Didanosine | Minor |
🚨 Major Interactions
- Antacids, sucralfate, and mineral supplements (iron, zinc, magnesium, calcium)
- Warfarin
- Theophylline
- NSAIDs (e.g., ibuprofen, naproxen)
- Corticosteroids
⚡ Moderate Interactions
- Oral hypoglycemics (e.g., glibenclamide)
- Probenecid
- Cimetidine
- Furosemide
🍷 Alcohol Interaction
Alcohol may increase the risk of central nervous system side effects such as dizziness, drowsiness, and confusion. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to ofloxacin, other fluoroquinolones, or any component of the formulation","History of tendon disorders associated with fluoroquinolone use","Myasthenia gravis (may exacerbate muscle weakness)","Children under 18 years (except for specific indications under specialist supervision)","Pregnancy and breastfeeding (unless clearly needed)","Patients with known QT prolongation or uncorrected hypokalemia"]
⚠️ Warnings & Precautions
["Fluoroquinolones, including ofloxacin, have been associated with disabling and potentially irreversible serious adverse reactions, including tendinitis, tendon rupture, peripheral neuropathy, and CNS effects. Reserve use for patients with no alternative treatment options.","May cause dizziness and lightheadedness. Avoid driving or operating machinery until you know how this medicine affects you.","May cause photosensitivity. Avoid excessive sun exposure and use sunscreen.","May worsen muscle weakness in patients with myasthenia gravis. Avoid use in these patients.","May cause hypoglycemia, especially in diabetic patients. Monitor blood glucose closely.","May prolong QT interval. Use with caution in patients with risk factors.","Clostridium difficile-associated diarrhea may occur. If diarrhea develops, consider this diagnosis.","Do not use in patients with a history of tendon disorders related to fluoroquinolone use."]
🤱 Lactation Safety
Ofloxacin is excreted in breast milk. Because of the potential risk of serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Consult your doctor.
💊 Overdose Management
In case of overdose, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, dizziness, and confusion. Treatment is symptomatic and supportive. Adequate hydration should be maintained. Ofloxacin is not effectively removed by hemodialysis or peritoneal dialysis.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop the course early, even if you feel better, as this can lead to antibiotic resistance. Take the tablet with a full glass of water, with or without food. Avoid taking antacids, sucralfate, or mineral supplements containing iron, zinc, or magnesium within 2 hours before or after this medicine, as they can reduce its absorption. Drink plenty of fluids to stay hydrated. Avoid excessive sunlight and use sunscreen, as ofloxacin can make your skin more sensitive to sunlight. Do not drive or operate heavy machinery if you experience dizziness or drowsiness. Inform your doctor if you have kidney or liver problems, diabetes, myasthenia gravis, or a history of tendon problems. Avoid alcohol while taking this medicine. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, CNS effects, and QT prolongation. Dose adjustment may be needed based on renal function. Monitor closely for side effects.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Ofloxacin is not recommended during pregnancy unless clearly needed.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may need to be stopped before certain procedures.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. No specific precautions are usually needed, but it is important for your dentist to know your medication history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that put stress on tendons, especially the Achilles tendon, while taking this medicine. If you experience tendon pain, stop exercising and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, drowsiness, or confusion. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to take it when you can rest if you experience these side effects.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. If you experience serious side effects, contact your doctor immediately; they may advise you to stop.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to antibiotic resistance and may increase the risk of serious side effects such as tendon rupture, peripheral neuropathy, and Clostridium difficile infection. It should only be used for the prescribed duration. Regular monitoring of kidney and liver function may be needed if used for prolonged periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Supplementing with probiotics can help maintain gut health during antibiotic therapy.
Evidence: Well-establishedDrinking plenty of water can help flush out bacteria in urinary tract infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics do not interact with vaccines. However, if you are acutely ill with a fever, your doctor may advise postponing vaccination until you recover.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. Store at room temperature and protect from light and moisture. If crossing time zones, adjust dosing times gradually to maintain even intervals. Check local customs regulations for bringing prescription medications into the country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24-48 hours, but it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. If it upsets your stomach, take it with a meal.
A: Avoid antacids, iron, zinc, magnesium supplements, and alcohol. Also avoid excessive sun exposure.
A: Ofloxacin is generally not recommended for children under 18 years except in specific circumstances under specialist supervision.
🤔 Common Patient Concerns
🔄 Substitutes for bact o tablet
View AllAlternative brands with exact same active ingredient:
-
a flox 200mg tabletAdventure Life Sciences Pvt Ltd ₹28.50 44.7% CHEAPER
-
ofdon 200mg tabletDonnel Healthcare Pvt Ltd ₹28.60 44.5% CHEAPER
-
menflox lb 200mg tabletMen-Care Pharmaceuticals ₹35.00 32% CHEAPER
-
ofay 200mg tabletAzine Healthcare Pvt Ltd ₹39.80 22.7% CHEAPER
-
netflox tabletChemida Labs Pvt Ltd ₹40.00 22.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure viral infections like the common cold.
Fact: This medicine is an antibiotic and is only effective against bacterial infections. It does not treat viral infections. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You must complete the full course as prescribed, even if you feel better, to prevent the infection from returning and to avoid antibiotic resistance. - Myth: This medicine is safe to take without a prescription.
Fact: This medicine is a prescription antibiotic and should only be taken under a doctor's supervision.
🔄 Alternative Options
Generic Alternatives
- Ofloxacin + Lactobacillus
Brand Alternatives
- Bact O Tablet