Actoflox Forte Suspension: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain or cramping
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Numbness or tingling in hands or feet
- Sudden joint pain or swelling, especially in the Achilles tendon
- Severe diarrhea that does not improve or worsens
If experiencing severe symptoms, call emergency services immediately.
What is ofpac oz suspension used for?
This medicine is a prescription oral suspension containing Ofloxacin (50 mg) and Ornidazole (125 mg) per 5 mL. It is used to treat mixed bacterial and protozoal infections, especially those affecting the gastrointestinal tract, such as infectious diarrhea, amoebiasis, and giardiasis. It works by killing bacteria and parasites through two different mechanisms. It should be taken exactly as prescribed, with food, and alcohol must be avoided completely.
- Generic Name: Ofloxacin (50mg) + Ornidazole (125mg)
- Manufacturer: Pacific Biotech
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ofpac oz suspension के बारे में (Hindi Summary)
उपयोग: यह दवा ओफ्लोक्सासिन और ओर्निडाजोल का संयोजन है, जिसका उपयोग विभिन्न प्रकार के बैक्टीरियल और पैरासिटिक संक्रमणों के इलाज के लिए किया जाता है। यह मुख्य रूप से पेट और आंतों के संक्रमण, जैसे दस्त, पेचिश, अमीबiasis, और जिआर्डिया के इलाज में प्रभावी है। यह दवा बैक्टीरिया और पैरासाइट को मारकर संक्रमण को रोकती है। इसे डॉक्टर के निर्देशानुसार ही लें और कोर्स पूरा करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, दस्त, सिरदर्द, चक्कर आना और मुँह में धातु जैसा स्वाद शामिल हैं। ये आमतौर पर हल्के होते हैं और दवा बंद करने पर ठीक हो जाते हैं। कुछ गंभीर दुष्प्रभाव भी हो सकते हैं, जैसे एलर्जी, टेंडन में दर्द या टूटना, तंत्रिका क्षति, और यकृत की समस्या। अगर आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। बोतल को अच्छी तरह हिलाकर ही दवा निकालें। सही मापने वाले कप या चम्मच का उपयोग करें। दवा का कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। इस दवा के साथ शराब बिल्कुल न लें, क्योंकि इससे गंभीर प्रतिक्रिया हो सकती है। एंटासिड, आयरन, जिंक या कैल्शियम सप्लीमेंट इस दवा से 2 घंटे पहले या बाद में न लें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें।
💊 ofpac oz suspension Uses & Benefits
[{"condition":"Infectious diarrhea","description":"Used to treat diarrhea caused by mixed bacterial and protozoal infections, especially when both aerobic and anaerobic organisms are suspected.","evidence":"Well-established"},{"condition":"Amoebiasis","description":"Effective against Entamoeba histolytica, the parasite that causes amoebic dysentery and liver abscess.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Used to treat giardiasis, a parasitic infection of the small intestine caused by Giardia lamblia.","evidence":"Well-established"},{"condition":"Bacterial gastroenteritis","description":"Prescribed for gastroenteritis caused by susceptible bacteria such as Escherichia coli, Salmonella, and Shigella species.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Used in mixed aerobic-anaerobic infections of the abdomen, including peritonitis and abscesses, often as part of a broader treatment plan.","evidence":"Moderate"},{"condition":"Dental infections","description":"Sometimes prescribed for dental abscesses and periodontal infections where anaerobic bacteria are involved.","evidence":"Moderate"},{"condition":"Pelvic inflammatory disease","description":"May be used as part of combination therapy for pelvic inflammatory disease in women, covering both aerobic and anaerobic pathogens.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Prophylaxis in colorectal surgery","description":"Occasionally used off-label to prevent surgical site infections in colorectal procedures due to its broad anaerobic coverage.","evidence":"Limited"},{"condition":"Bacterial vaginosis","description":"Sometimes prescribed off-label for bacterial vaginosis when anaerobic bacteria are implicated, though other treatments are more standard.","evidence":"Limited"}]
Primary treatment for: Mixed bacterial and protozoal infections of the gastrointestinal tract
Also treats: Amoebiasis, Giardiasis, Infectious diarrhea, Bacterial gastroenteritis, Intra-abdominal infections, Dental infections, Pelvic inflammatory disease
📋 Drug Information
| Generic Name(s) | Ofloxacin (50mg) + Ornidazole (125mg) |
| Brand Name | ofpac oz suspension |
| Manufacturer | Pacific Biotech |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| 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. Do not freeze. Keep the bottle tightly closed when not in use. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. Once opened, use within the period specified on the label, typically within 7-14 days if stored properly. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. The World Health Organization does not specifically recommend this fixed-dose combination for any indication. Treatment guidelines for specific infections should be consulted. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research has not published specific guidelines for this fixed-dose combination. Clinicians should refer to standard treatment guidelines for the specific infection. |
👨⚕️ 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 combines two antimicrobial agents with complementary mechanisms. Ofloxacin is a fluoroquinolone antibiotic that inhibits bacterial DNA gyrase and topoisomerase IV, enzymes essential for DNA replication, transcription, repair, and recombination. By blocking these enzymes, Ofloxacin prevents bacteria from multiplying and leads to bacterial cell death. Ornidazole is a nitroimidazole antiprotozoal and antibacterial agent that enters microbial cells and is reduced by anaerobic organisms to reactive intermediates. These intermediates damage microbial DNA, causing strand breakage and inhibiting nucleic acid synthesis, which results in cell death. The combination provides broad coverage against both aerobic and anaerobic bacteria as well as certain protozoa, making it effective for mixed infections.
Mechanism Steps
💡 How to Take ofpac oz suspension
Strength: Each 5 mL of the suspension contains Ofloxacin 50 mg and Ornidazole 125 mg. The suspension is an immediate-release oral liquid formulation.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 mL (providing 50-100 mg Ofloxacin and 125-250 mg Ornidazole) taken orally twice daily, or as directed by your doctor. The exact dose and duration depend on the type and severity of the infection, your age, weight, kidney and liver function, and other medications you may be taking. For infectious diarrhea, a typical course may last 3-5 days, while for amoebiasis, it may be 5-10 days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Always follow your doctor's prescription exactly and complete the full course. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is generally not recommended for children under 18 years of age due to the risk of cartilage and tendon effects associated with fluoroquinolones. If prescribed by a pediatrician, the dose will be calculated based on the child's weight and the specific infection. |
| Elderly Dosage | Elderly patients (above 65 years) may be more susceptible to the side effects of this medicine, particularly tendon rupture, central nervous system effects, and renal impairment. Dose adjustment may be necessary based on kidney function. Elderly patients should be monitored closely for signs of tendon pain, confusion, and falls. The dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with renal impairment, the dose of this medicine may need to be adjusted because Ofloxacin is primarily excreted by the kidneys. For patients with a creatinine clearance below 50 mL/min, a reduced dose or increased dosing interval may be recommended. Ornidazole does not typically require dose adjustment in renal impairment, but its metabolites may accumulate. Consult your doctor for specific dosing recommendations based on your kidney function. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, no specific dose adjustment is usually required. However, in severe hepatic impairment, caution is advised, and monitoring for signs of liver toxicity is recommended. Ornidazole is metabolized in the liver, so its clearance may be reduced in severe liver disease. The dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 20 mL of the suspension (providing 200 mg Ofloxacin and 500 mg Ornidazole) in divided doses, but this may vary based on the indication and the patient's condition. 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 ofpac oz suspension
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Antacids | Major | |
| Theophylline | Major | |
| NSAIDs | Major | |
| Corticosteroids | Major | |
| Alcohol | Major | |
| Caffeine | Moderate | |
| Cyclosporine | Moderate | |
| Oral antidiabetics | Moderate | |
| Phenytoin | Moderate |
🚨 Major Interactions
- Warfarin
- Antacids, sucralfate, iron, zinc, calcium
- Theophylline
- NSAIDs
- Corticosteroids
- Alcohol
⚡ Moderate Interactions
- Caffeine
- Cyclosporine
- Oral antidiabetic agents
- Phenytoin
- Methotrexate
🍷 Alcohol Interaction
Alcohol must be strictly avoided while taking this medicine and for at least 48 hours after the last dose. Ornidazole can cause a disulfiram-like reaction with alcohol, leading to severe nausea, vomiting, flushing, headache, and rapid heartbeat. Alcohol may also worsen the central nervous system side effects of Ofloxacin, such as dizziness and drowsiness. Additionally, alcohol can irritate the stomach and worsen gastrointestinal side effects.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to Ofloxacin, Ornidazole, other fluoroquinolones, or nitroimidazoles","History of tendon disorders associated with fluoroquinolone use","Pregnancy and breastfeeding","Children under 18 years of age, unless specifically prescribed by a pediatrician","Patients with myasthenia gravis (fluoroquinolones may exacerbate muscle weakness)","Severe renal impairment without dose adjustment","Patients with a history of QT interval prolongation or uncorrected electrolyte disturbances"]
⚠️ Warnings & Precautions
["Fluoroquinolones, including Ofloxacin, can cause disabling and potentially irreversible serious adverse reactions, including tendonitis, tendon rupture, peripheral neuropathy, and central nervous system effects. Stop the medicine and seek medical attention if these occur.","Avoid alcohol completely during treatment and for at least 48 hours after the last dose due to the risk of a disulfiram-like reaction with Ornidazole.","Take this medicine with food to reduce gastrointestinal upset.","Do not take antacids, iron, zinc, or calcium supplements within 2 hours before or after this medicine, as they can reduce its absorption.","Inform your doctor if you have kidney or liver disease, heart rhythm disorders, diabetes, or a history of seizures.","This medicine may cause dizziness and drowsiness. Avoid driving or operating machinery until you know how it affects you.","Complete the full course as prescribed, even if symptoms improve, to prevent recurrence and resistance.","Report any signs of severe diarrhea, allergic reactions, or unusual bleeding to your doctor immediately."]
🤱 Lactation Safety
Both Ofloxacin and Ornidazole are excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, including effects on cartilage and potential mutagenicity, this medicine is generally not recommended during breastfeeding. If treatment is essential, breastfeeding should be interrupted during the course and for at least 48 hours after the last dose, and a healthcare provider should be consulted.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, dizziness, and potentially more serious effects such as seizures, QT prolongation, or liver injury. If an overdose is suspected, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be administered if the overdose is recent and the patient is stable. Hemodialysis may be considered for Ofloxacin toxicity in patients with renal failure, but it is not routinely used. Monitor vital signs, ECG, and liver and kidney function.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. However, 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. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring cup or spoon to measure the dose accurately. Do not skip doses or stop the course early, even if you feel better, as this can lead to treatment failure and antibiotic resistance. Avoid alcohol completely while taking this medicine and for at least 48 hours after the last dose, as it can cause severe nausea, vomiting, flushing, and rapid heartbeat. Inform your doctor if you have kidney or liver problems, heart rhythm disorders, or a history of tendon problems. Do not take antacids, iron supplements, or multivitamins containing zinc or calcium within 2 hours before or after this medicine, as they can reduce its absorption. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children and store it as directed on the label.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, central nervous system effects, and renal impairment with this medicine. Dose adjustment based on kidney function may be necessary. Monitor closely for signs of confusion, dizziness, and tendon pain. Avoid concurrent use of corticosteroids, which further increases tendon rupture risk.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended for use during pregnancy or when planning to conceive. Both Ofloxacin and Ornidazole may pose risks to the developing fetus. If you are planning pregnancy, consult your doctor to discuss alternative treatments and ensure the infection is treated before conception.
🏥 Post-Surgery Considerations
This medicine may be used after surgery to prevent or treat intra-abdominal infections, especially in colorectal procedures. However, it should be used with caution in post-surgical patients due to the risk of tendon problems and interactions with other medications. Follow your surgeon's instructions carefully.
🦷 Dental Procedures
This medicine may be prescribed for dental infections, but it is not a substitute for dental treatment. Inform your dentist if you are taking this medicine before any dental procedure. It may interact with other medications used during dental work, and the risk of tendon problems should be considered.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness, drowsiness, and tendon pain. Avoid strenuous exercise or activities that put stress on your tendons, especially the Achilles tendon, while taking this medicine. If you experience joint pain or swelling, stop exercising and consult your doctor immediately.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, drowsiness, and confusion, which can affect your ability to drive or operate machinery. Avoid driving or operating heavy machinery until you know how this medicine affects you. It is advisable to take rest and stay hydrated, especially if you have diarrhea. Inform your employer if you need to take time off to recover.
🛑 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 treatment failure and antibiotic resistance. However, if you experience serious side effects such as tendon pain, severe allergic reactions, or neurological symptoms, stop the medicine and seek immediate medical attention. Your doctor will advise you on whether to continue or switch to an alternative treatment.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended and may increase the risk of antibiotic resistance, tendon damage, peripheral neuropathy, and liver or kidney problems. If prolonged therapy is necessary, regular monitoring of liver and kidney function, blood counts, and neurological symptoms is advised. Always consult your doctor before extending the course beyond the prescribed duration.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Essential for managing dehydration caused by diarrhea, used alongside antibiotics.
Evidence: Well-establishedMay help restore gut flora and reduce antibiotic-associated diarrhea.
Evidence: ModerateRecommended in children with diarrhea to reduce duration and severity.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics like this medicine may reduce the efficacy of live bacterial vaccines, such as the oral typhoid vaccine. Complete the antibiotic course before receiving live vaccines, or consult your doctor for appropriate timing. Inactivated vaccines are not affected.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container with cap tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Shake well before each use
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of your prescription or a letter from your doctor, especially for international travel, as some countries have strict regulations on antibiotics. Store the suspension at room temperature and protect it from extreme heat or cold. If crossing time zones, adjust your dosing schedule gradually to maintain even intervals, but consult your doctor or pharmacist for specific advice. Always pack enough medicine for the entire trip plus extra in case of delays. Keep it in your carry-on luggage to avoid loss or temperature extremes in checked baggage.
💰 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, which may last 3-10 days depending on the infection.
A: Yes, it is recommended to take this medicine with food to reduce stomach upset. However, avoid taking it with dairy products or calcium-fortified foods within 2 hours of the dose.
A: 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 double dose.
A: No, alcohol must be strictly avoided during treatment and for at least 48 hours after the last dose, as it can cause a severe reaction with Ornidazole.
A: This medicine is generally not recommended for children under 18 years unless specifically prescribed by a pediatrician, due to the risk of cartilage and tendon effects.
A: Seek immediate medical attention if you experience tendon pain or swelling, numbness or tingling, severe diarrhea, allergic reactions, or yellowing of the skin or eyes.
🤔 Common Patient Concerns
🔄 Substitutes for ofpac oz suspension
View AllAlternative brands with exact same active ingredient:
-
owino z 50 mg/125 mg suspensionAlembic Pharmaceuticals Ltd ₹16.25 54.9% CHEAPER
-
oflokem oz suspensionAlkem Laboratories Ltd ₹18.52 48.6% CHEAPER
-
ornigyl o suspensionTorque Pharmaceuticals Pvt Ltd ₹18.75 47.9% CHEAPER
-
wayflox oz syrupYacca Pharmaceuticals Pvt Ltd ₹19.90 44.7% CHEAPER
-
Fantim OZ SuspensionGayzel Pharmaceuticals Pvt Ltd ₹29.00 19.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of diarrhea.
Fact: This medicine is only effective against specific bacterial and protozoal infections. It is not effective for viral diarrhea or diarrhea caused by non-infectious conditions. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You must complete the full course as prescribed, even if symptoms improve, to prevent the infection from returning and to reduce the risk of antibiotic resistance. - Myth: It is safe to drink alcohol while taking this medicine.
Fact: Alcohol must be strictly avoided during treatment and for at least 48 hours after the last dose, as it can cause a severe disulfiram-like reaction with Ornidazole. - Myth: This medicine is safe for children.
Fact: This medicine is generally not recommended for children under 18 years due to the risk of cartilage and tendon effects. It should only be used in children if specifically prescribed by a pediatrician. - Myth: You can take antacids along with this medicine.
Fact: Antacids, iron, zinc, and calcium supplements can reduce the absorption of Ofloxacin. They should be taken at least 2 hours before or after this medicine.
🔄 Alternative Options
Generic Alternatives
- Ofloxacin + Ornidazole Suspension
Brand Alternatives
- Actoflox Forte Suspension