Oflomac Dx Eye/ear Drops: 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
- Sudden loss of vision or severe eye pain after using this medicine.
- Swelling of the face, lips, or throat, or difficulty breathing, which may indicate a severe allergic reaction.
- New or worsening eye redness, discharge, or pain that does not improve after a few days.
- Severe ear pain, dizziness, or hearing changes after using the ear drops.
- Signs of increased eye pressure such as headache, eye pain, blurred vision, or seeing halos around lights.
- Yellowing of the skin or eyes, or dark urine, which may indicate liver problems.
- A new rash or hives on the skin after using this medicine.
If experiencing severe symptoms, call emergency services immediately.
What is oflomac dx eye/ear drops used for?
This medicine is a prescription eye and ear drop that combines ofloxacin 0.3%, an antibiotic, with dexamethasone 0.1%, a steroid. It treats bacterial eye or ear infections that have significant inflammation. It is usually used three to four times a day for eye infections and two to three times a day for ear infections, for a short period, as directed by a doctor.
- Generic Name: Ofloxacin (0.3%) + Dexamethasone (0.1%)
- Manufacturer: Macleods Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 oflomac dx eye/ear drops के बारे में (Hindi Summary)
उपयोग: यह दवा आंख और कान की बैक्टीरियल संक्रमण के इलाज के लिए इस्तेमाल की जाती है, खासकर जब सूजन और लालिमा भी हो। इसमें ऑफ्लोक्सासिन नाम का एंटीबायोटिक है जो बैक्टीरिया को मारता है, और डेक्सामेथासोन नाम का स्टेरॉयड है जो सूजन, खुजली और दर्द को कम करता है। यह दवा आंखों की बैक्टीरियल कंजंक्टिवाइटिस, पलकों की सूजन, कॉर्निया के संक्रमण और कान के बाहरी हिस्से के संक्रमण में दी जाती है। यह दवा डॉक्टर के प्रिस्क्रिप्शन के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में आंख या कान में डालते समय हल्की जलन या चुभन, धुंधली दृष्टि, आंख में कुछ होने का एहसास, और आंख से पानी आना शामिल है। कभी-कभी आंखों में खुजली या लालिमा बढ़ सकती है। गंभीर दुष्प्रभाव कम होते हैं, लेकिन लंबे समय तक इस्तेमाल करने पर आंखों का दबाव बढ़ सकता है, मोतियाबिंद हो सकता है, या दूसरा संक्रमण हो सकता है। अगर आंख में तेज दर्द, अचानक दृष्टि कम होना, चेहरे या गले में सूजन, या त्वचा पर चकत्ते दिखें, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा का इस्तेमाल सिर्फ डॉक्टर की सलाह पर करें और उतने ही दिन तक करें जितने दिन के लिए डॉक्टर ने कहा है। इस्तेमाल से पहले और बाद में हाथ अच्छी तरह धोएं। आंख में डालते समय सिर पीछे करें, नीचे की पलक को हल्का खींचकर जेब बनाएं और एक बूंद डालें। कान में डालते समय करवट लेटें और डालने के बाद तीन से पांच मिनट तक उसी स्थिति में रहें। ड्रॉपर की नोक को आंख, कान, उंगली या किसी सतह से न छुएं। अगर आप कॉन्टैक्ट लेंस पहनते हैं, तो दवा डालने से पहले उन्हें निकालें और कम से कम पंद्रह मिनट बाद ही दोबारा पहनें। अगर कुछ दिनों में सुधार न हो या तकलीफ बढ़े, तो डॉक्टर से संपर्क करें।
💊 oflomac dx eye/ear drops Uses & Benefits
[{"condition":"Bacterial conjunctivitis with inflammation","description":"This medicine treats bacterial infection of the conjunctiva while reducing the associated redness, swelling, and discomfort.","evidence":"Well-established"},{"condition":"Bacterial blepharitis","description":"It helps control bacterial infection of the eyelid margins and reduces lid inflammation and crusting.","evidence":"Well-established"},{"condition":"Bacterial keratitis or corneal ulcer with inflammation","description":"Used under close ophthalmology supervision to treat bacterial corneal infection and limit inflammatory damage.","evidence":"Established"},{"condition":"Post-operative eye inflammation with infection risk","description":"Prescribed after certain eye surgeries to prevent bacterial infection and control post-surgical inflammation.","evidence":"Well-established"},{"condition":"Otitis externa with inflammation","description":"Used for bacterial infection of the outer ear canal when inflammation is prominent, provided the eardrum is intact.","evidence":"Established"}]
Off-label uses: [{"condition":"Allergic eye disease with suspected secondary bacterial infection","description":"Sometimes used when allergic inflammation is complicated by a bacterial infection, but this decision must be made by an eye specialist.","evidence":"Limited"},{"condition":"Inflammatory ear canal conditions after ear procedures","description":"Occasionally prescribed after certain ear procedures to reduce inflammation and prevent infection, based on specialist judgment.","evidence":"Limited"}]
Primary treatment for: Bacterial eye infections with inflammation
Also treats: Bacterial ear infections with inflammation, Post-operative eye inflammation with infection risk, Bacterial blepharitis, Bacterial keratitis
📋 Drug Information
| Generic Name(s) | Ofloxacin (0.3%) + Dexamethasone (0.1%) |
| Brand Name | oflomac dx eye/ear drops |
| Manufacturer | Macleods Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | OPHTHAL |
| Action Class | |
| Route of Administration | Ophthalmic and otic (eye and ear) topical administration |
| Storage | Store this medicine at room temperature between 15°C and 30°C. Protect it from direct sunlight and excessive heat. Keep the bottle tightly closed when not in use. Do not freeze the medicine. Keep it out of the reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture, but the exact expiry date is printed on the bottle. Once opened, discard the bottle after 30 days or as directed on the label, because the risk of contamination increases over time. |
| 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
This medicine works through two complementary mechanisms. Ofloxacin, a fluoroquinolone antibiotic, enters bacterial cells and inhibits DNA gyrase and topoisomerase IV. These enzymes are essential for bacterial DNA replication, repair, and transcription. When they are blocked, the bacteria cannot copy their DNA or repair damage, and they die. Ofloxacin is bactericidal against many gram-positive and gram-negative bacteria that commonly infect the eye and ear. Dexamethasone, a synthetic corticosteroid, binds to glucocorticoid receptors inside cells. This binding reduces the production of inflammatory chemicals such as prostaglandins, leukotrienes, and cytokines, and it stabilizes immune cells so they release fewer inflammatory signals. The result is less swelling, redness, itching, and pain in the eye or ear. The combination allows the antibiotic to fight the infection while the steroid controls the inflammatory response that causes much of the discomfort.
Mechanism Steps
💡 How to Take oflomac dx eye/ear drops
Strength: Sterile ophthalmic and otic solution containing ofloxacin 0.3% w/v and dexamethasone 0.1% w/v.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one drop placed into the affected eye or ear three to four times a day for eye infections, or two to three times a day for ear infections, depending on the severity of the infection and your doctor's instructions. For eye use, the dose may be increased to one drop every two hours during the first day or two in severe infections, as directed by your doctor. For ear use, the drops should be placed in the affected ear while lying on your side, and you should stay in that position for three to five minutes. The duration of treatment is usually five to seven days, but it may be longer for severe infections. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing of this medicine is not established from available information for all age groups. It is generally not recommended for children under one year of age unless specifically prescribed by a pediatrician or eye or ear specialist. For older children, the dose is usually the same as for adults, but it must be determined by a qualified clinician based on the child's age, weight, and the severity of the infection. Consult a pediatrician before using this medicine in children. |
| Elderly Dosage | Elderly patients usually use the same dose as younger adults. However, older adults may be more sensitive to the effects of corticosteroids, especially increased eye pressure and cataract formation. They may also have more difficulty applying eye or ear drops correctly. If you are above 65 years of age, your doctor may monitor your eye pressure more closely if you use this medicine for more than a few days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Renal Impairment | No dose adjustment is usually needed for kidney disease when this medicine is used as eye or ear drops, because systemic absorption is very low. However, if you have severe kidney disease, inform your doctor before using this medicine. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Hepatic Impairment | No dose adjustment is usually needed for liver disease when this medicine is used as eye or ear drops, because systemic absorption is very low. However, if you have severe liver disease, inform your doctor before using this medicine. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Maximum Daily Dose | The maximum daily dose of this medicine depends on the condition being treated and your doctor's instructions. For eye use, it is usually not more than one drop in the affected eye every two hours during the first day or two of severe infection, followed by a reduced frequency. For ear use, it is usually not more than three to four drops in the affected ear two to three times a day. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of oflomac dx eye/ear drops
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other corticosteroid eye or ear preparations | Major | |
| Live vaccines | Major | |
| CYP3A4 inhibitors | Moderate | |
| CYP3A4 inducers | Moderate | |
| Antidiabetic medicines | Moderate | |
| Potassium-lowering diuretics | Moderate | |
| Other eye drops | Minor | |
| Contact lenses | Minor |
🚨 Major Interactions
- Other corticosteroid eye or ear preparations
- Live vaccines
⚡ Moderate Interactions
- CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, and ritonavir
- CYP3A4 inducers such as rifampicin, carbamazepine, and phenytoin
- Antidiabetic medicines
- Diuretics and other medicines that lower potassium
🍷 Alcohol Interaction
There is no direct interaction between this medicine and alcohol because it is applied topically to the eye or ear and systemic absorption is minimal. However, alcohol can worsen dehydration and may affect your overall recovery from an infection. It is best to avoid heavy alcohol use while you are recovering from an eye or ear infection.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to ofloxacin, dexamethasone, other quinolone antibiotics, or any ingredient in this medicine.","Viral, fungal, or untreated parasitic infections of the eye or ear.","Use in the eye or ear when there is an untreated bacterial infection that requires a different antibiotic.","Use in the ear when the eardrum is perforated, unless specifically directed by a doctor.","Use in the eye after uncomplicated removal of a corneal foreign body, because steroids can delay healing and increase infection risk.","Use in children under one year of age unless specifically prescribed by a specialist."]
⚠️ Warnings & Precautions
["This medicine contains a corticosteroid and can mask the signs of infection. Use it only for the condition your doctor has diagnosed.","Prolonged use can increase eye pressure and lead to glaucoma, and it can cause cataracts. Your doctor may monitor your eye pressure if you use it for more than ten days.","Do not use this medicine for more than the prescribed duration. Longer use increases the risk of secondary infections and delayed healing.","If you have a history of glaucoma, herpes simplex infection of the eye, or fungal eye infection, tell your doctor before using this medicine.","Do not touch the dropper tip to your eye, ear, finger, or any surface, because this can contaminate the bottle and cause a new infection.","Remove contact lenses before using the eye drops and wait at least fifteen minutes before reinserting them.","If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine.","If your symptoms do not improve within a few days or if they get worse, stop using the medicine and contact your doctor."]
🤱 Lactation Safety
Ofloxacin and dexamethasone are excreted in human breast milk when given systemically. After topical eye or ear use, systemic absorption is very low, so the amount reaching breast milk is expected to be minimal. However, because there is limited data on topical use during breastfeeding, this medicine should be used only if clearly needed. To minimize infant exposure, you can apply the drops right after breastfeeding and avoid touching the dropper to your skin. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose with this medicine is unlikely because it is applied topically to the eye or ear. If you accidentally place too many drops in the eye or ear, rinse the area gently with clean water or saline. If someone swallows the medicine, rinse the mouth with water and contact a poison control center or emergency department for advice. Do not try to vomit unless instructed by a medical professional. Treatment is supportive and based on symptoms.
⏰ Missed Dose
If you miss a dose of this medicine, apply 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 apply a double dose to make up for a missed one. If you miss several doses in a row, contact your doctor for advice.
Additional Safety Advice
Use this medicine only when prescribed by a doctor and only for the condition it was prescribed for. Wash your hands thoroughly before and after each use. For eye use, tilt your head back, pull the lower eyelid down to form a small pocket, place one drop into the pocket, and close your eye gently for one to two minutes without blinking or rubbing. For ear use, lie on your side with the affected ear facing up, place the prescribed number of drops into the ear canal, and stay in that position for three to five minutes so the medicine reaches the infection. Do not touch the dropper tip to your eye, ear, finger, or any surface because this can contaminate the bottle. Do not share this medicine with anyone else. Do not use this medicine for more than the prescribed number of days because prolonged steroid use can raise eye pressure and cause cataracts. If you wear contact lenses, remove them before using the drops and wait at least fifteen minutes before putting them back, unless your doctor has told you otherwise. Keep the bottle tightly closed when not in use and store it as directed on the label. If your symptoms do not improve within a few days or if they get worse, contact your doctor promptly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the effects of corticosteroids, especially raised eye pressure and cataract formation. If you are above 65 years of age and need to use this medicine for more than a few days, your doctor may check your eye pressure regularly. Older adults may also have more difficulty applying eye or ear drops correctly, so ask a family member or caregiver for help if needed.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, talk to your doctor before using this medicine. There is limited information about the safety of this medicine during pregnancy, and it should be used only if clearly needed. Your doctor will weigh the benefits of treating the infection against any potential risks to you and your baby.
🏥 Post-Surgery Considerations
This medicine is sometimes prescribed after eye surgery to prevent infection and reduce inflammation. Use it exactly as your surgeon has instructed, and do not stop it early. If you have had ear surgery, do not use this medicine in the ear unless your surgeon has specifically told you to, because it may not be safe if the eardrum or surgical area is not fully healed.
🦷 Dental Procedures
There is no direct interaction between this medicine and dental procedures. However, if you are having dental work and you use this medicine for a long time, inform your dentist about all medicines you are taking. You can continue using your eye or ear drops as prescribed unless your doctor tells you otherwise.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue light exercise while using this medicine, but avoid swimming or water sports until your eye or ear infection has cleared, because water can introduce new bacteria and worsen the infection. If you have eye pain or blurred vision, avoid activities that require clear vision, such as cycling or lifting heavy weights, until your vision is normal.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause temporary blurred vision after eye drop use, so wait until your vision is clear before driving or operating machinery. For ear drop use, you may need to lie down for a few minutes after each dose, which can briefly interrupt your work. Most people can continue their normal daily activities while using this medicine, but avoid swimming and activities that could expose your eye or ear to water or dust.
🛑 When to Stop This Medicine
Stop using this medicine when your doctor tells you to, or when you have completed the prescribed course. If you experience severe eye pain, sudden vision loss, a severe allergic reaction, or new worsening symptoms, stop the medicine immediately and seek medical help. Do not stop the medicine early on your own, because the infection may come back. If you have used it for more than ten days, do not stop suddenly without talking to your doctor, especially if you have been using it for a long time.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of raised eye pressure, which can lead to glaucoma, and can cause cataract formation. It can also increase the risk of secondary bacterial or fungal infections and delay wound healing. Because of these risks, this medicine is usually prescribed for a short period, and your doctor may monitor your eye pressure if you need to use it for more than ten days. Do not use it for longer than prescribed without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Applying a clean, warm compress to the closed eye can help relieve discomfort and loosen crusting, but it does not replace antibiotic treatment.
Evidence: Supportive careKeeping the ear canal dry and avoiding inserting objects into the ear can help prevent and manage outer ear infections.
Evidence: Well-establishedFor bacterial eye infections without significant inflammation, a plain antibiotic drop may be sufficient and avoids the risks of steroids.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no direct interaction between this medicine and vaccines when it is used as eye or ear drops, because systemic absorption is very low. However, if you are using this medicine for a long time or at high doses, corticosteroids can reduce the immune response to live vaccines. Discuss the timing of any live vaccine with your doctor if you are using this medicine for more than a few days.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not freeze the medicine.
✅ DO
Keep the bottle tightly closed when not in use.
❌ DON'T
Do not leave the cap off for long periods.
✅ DO
Keep the medicine away from direct sunlight and heat.
❌ DON'T
Do not store it in a hot car or near a stove.
✅ DO
Keep the medicine out of the reach of children and pets.
❌ DON'T
Do not transfer the medicine to another container.
✅ DO
Discard the bottle 30 days after opening or as directed on the label.
❌ DON'T
Do not use the medicine after its expiry date.
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original labelled bottle along with a copy of your prescription. Keep it in your hand luggage if you are flying, because checked baggage can get very cold or lost. Store it at room temperature and protect it from direct sunlight and extreme heat. If you are crossing time zones, continue your doses at the same intervals as prescribed, but you do not need to wake up at night for eye or ear drops. Check the customs rules of your destination country for prescription medicines, and carry enough supply for your entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may notice less burning, itching, and redness within a few hours to one day. The infection itself usually starts to improve within one to three days, but you should complete the full course prescribed by your doctor.
A: Yes, this medicine can be used as ear drops for bacterial infections of the outer ear canal, but only if your eardrum is intact and your doctor has prescribed it for that purpose.
A: Stopping too early can allow the infection to come back and may lead to resistance. Always complete the full course prescribed by your doctor.
A: Remove your contact lenses before using the eye drops and wait at least fifteen minutes before putting them back, unless your doctor has told you otherwise.
A: This medicine should be used during pregnancy only if clearly needed and after consulting your doctor, because there is limited data on its use in pregnancy.
A: This medicine is generally not recommended for children under one year of age unless prescribed by a specialist. For older children, the dose must be determined by a doctor.
🤔 Common Patient Concerns
🔄 Substitutes for oflomac dx eye/ear drops
View AllAlternative brands with exact same active ingredient:
-
owin dx eye/ear dropsAlembic Pharmaceuticals Ltd ₹7.86 11.6% COSTLIER
-
zuflo d eye/ear dropsMorepen Laboratories Ltd ₹8.75 24.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for any red eye.
Fact: This medicine contains a steroid and an antibiotic. It should only be used for bacterial infections with inflammation, as diagnosed by a doctor. Using it for viral or allergic red eye can make the condition worse. - Myth: More drops mean faster recovery.
Fact: Using more drops than prescribed does not speed up recovery and can increase the risk of side effects such as raised eye pressure and secondary infection. - Myth: It is safe to use this medicine for weeks.
Fact: Prolonged use of steroid-containing eye drops can cause glaucoma, cataracts, and secondary infections. Use it only for the duration prescribed by your doctor. - Myth: This medicine can be shared with family members who have similar symptoms.
Fact: This is a prescription medicine. Sharing it can delay correct treatment and may spread infection. Each person needs their own prescription.
🔄 Alternative Options
Generic Alternatives
- Ofloxacin 0.3% + Dexamethasone 0.1% eye/ear drops
Brand Alternatives
- Oflomac DX