ofspan m suspension - Ofloxacin (50mg) + Metronidazole (100mg) medicine

Daneeof MZ Syrup: Complete Medicine Guide

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🏭 Pharmatech Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Signs of allergic reaction (rash, swelling, difficulty breathing)
  • Tendon pain or swelling
  • Numbness or tingling in hands or feet
  • Seizures
  • Severe or persistent diarrhea

If experiencing severe symptoms, call emergency services immediately.

What is ofspan m suspension used for?

This medicine is a combination antibiotic containing Ofloxacin and Metronidazole, used to treat bacterial and protozoal infections like infectious diarrhea and amoebiasis. It works by killing the microorganisms causing the infection.

  • Generic Name: Ofloxacin (50mg) + Metronidazole (100mg)
  • Manufacturer: Pharmatech Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ofspan m suspension के बारे में (Hindi Summary)

उपयोग: यह दवा ओफ्लोक्सासिन और मेट्रोनिडाजोल का संयोजन है, जिसका उपयोग बैक्टीरियल और प्रोटोज़ोअल संक्रमणों जैसे संक्रामक दस्त और अमीबियासिस के इलाज के लिए किया जाता है। यह संक्रमण पैदा करने वाले सूक्ष्मजीवों को मारकर काम करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, सिरदर्द, चक्कर आना और मुँह में धातु जैसा स्वाद शामिल हैं। गंभीर दुष्प्रभावों में टेंडन टूटना, तंत्रिका क्षति, दौरे और गंभीर एलर्जी प्रतिक्रियाएँ शामिल हो सकती हैं।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। उपचार के दौरान और अंतिम खुराक के 48 घंटे बाद तक शराब से पूरी तरह बचें। पर्याप्त पानी पिएं। धूप से बचें और सनस्क्रीन का उपयोग करें। चक्कर आने पर वाहन न चलाएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 ofspan m suspension Uses & Benefits

[{"condition":"Infectious diarrhea","description":"Used to treat diarrhea caused by susceptible bacteria and protozoa.","evidence":"Well-established"},{"condition":"Amoebiasis","description":"Effective against Entamoeba histolytica infections.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Treats Giardia lamblia infection.","evidence":"Well-established"},{"condition":"Bacterial vaginosis","description":"May be used in combination for mixed infections.","evidence":"Limited"}]

Off-label uses: [{"condition":"Pelvic inflammatory disease","description":"Sometimes used as part of a regimen, but not FDA-approved for this indication.","evidence":"Limited"}]

Primary treatment for: Infectious diarrhea

Also treats: Amoebiasis, Giardiasis

📋 Drug Information

Generic Name(s)Ofloxacin (50mg) + Metronidazole (100mg)
Brand Nameofspan m suspension
ManufacturerPharmatech Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not freeze. Keep the bottle tightly closed.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Shake the bottle well before each dose to ensure uniform suspension.
2
Take with food to reduce stomach upset.
3
Avoid alcohol completely during treatment and for 48 hours after.
4
Complete the full course even if symptoms improve.
5
Stay well hydrated, especially if you have diarrhea.
6
Report any tendon pain, numbness, or tingling immediately.
7
Do not use for viral infections like cold or flu.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Diarrhea
This medicine is commonly prescribed for infectious diarrhea.
Likely Use
✅
Abdominal pain
May be used if caused by susceptible organisms.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionOfloxacin is well absorbed from the gastrointestinal tract after oral administration. Metronidazole is also rapidly and completely absorbed. Food may delay absorption slightly but does not significantly affect overall bioavailability.
DistributionOfloxacin distributes widely into body tissues and fluids, including lung, skin, and urine. Metronidazole distributes widely, including into cerebrospinal fluid, saliva, and breast milk.
Protein BindingOfloxacin is approximately 20-30% protein bound. Metronidazole is less than 20% protein bound.
MetabolismOfloxacin undergoes limited metabolism in the liver. Metronidazole is metabolized in the liver by cytochrome P450 enzymes, primarily CYP2C9 and CYP3A4.
Half-LifeOfloxacin half-life is approximately 4-5 hours. Metronidazole half-life is approximately 6-8 hours.
ExcretionOfloxacin is primarily excreted unchanged in urine. Metronidazole and its metabolites are excreted in urine and feces.
BioavailabilityOfloxacin oral bioavailability is approximately 85-95%. Metronidazole oral bioavailability is approximately 80-100%.
Onset of ActionOnset of action is typically within 1-2 hours after oral administration.
Peak Plasma TimeOfloxacin peak plasma concentration occurs 1-2 hours after oral dose. Metronidazole peak occurs 1-2 hours after oral dose.
Duration of ActionDuration of action is approximately 12-24 hours, depending on the pathogen and infection site.

How It Works

Ofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication, transcription, repair, and recombination. Metronidazole enters susceptible organisms and is reduced by ferredoxin-like electron transport proteins, forming reactive intermediates that damage DNA and cause cell death.

Mechanism Steps

1
Ofloxacin uptake: Ofloxacin enters bacterial cells and binds to DNA gyrase and topoisomerase IV.
2
Inhibition of DNA replication: Binding prevents supercoiling of DNA, leading to inhibition of replication and transcription.
3
Metronidazole activation: Metronidazole is reduced by anaerobic organisms, creating reactive radicals.
4
DNA damage: Reactive metabolites cause strand breakage and cell death.

💡 How to Take ofspan m suspension

Strength: Each 5 mL contains Ofloxacin 50 mg and Metronidazole 100 mg.

1Shake the bottle well before each use.
2Measure the dose using the provided measuring cup or syringe.
3Take with or without food, but consistently.
4Swallow the suspension directly; do not mix with other liquids unless instructed.
5Wash the measuring cup after each use.
6Complete the full course as prescribed.

Dosage Information

Adult DosageThe usual adult dose is 5-10 mL of the suspension orally every 12 hours, or as directed by your doctor. The dose may vary depending on the type and severity of infection. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal function. Use with caution due to increased risk of tendon rupture and CNS effects.
Renal ImpairmentDose adjustment is required in patients with renal impairment. Consult your doctor for specific guidance.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary.
Maximum Daily DoseThe maximum daily dose should not exceed 20 mL of the suspension per day, unless otherwise directed by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Dairy products
Separate by 2 hours
Calcium may reduce absorption of ofloxacin.
Alcohol
Avoid
Can cause disulfiram-like reaction.

⏰ What to Do If You Miss a Dose

📌 Less than 6 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 6 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of ofspan m suspension

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food. Consult doctor if persistent.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if severe or bloody.
Headache (Common (5-10%))
Usually resolves. Consult doctor if severe.
Metallic taste (Common (5-10%))
Usually temporary. Chew sugar-free gum or rinse mouth.

🚨 Serious Side Effects

Tendon rupture (Rare (<0.1%))
Seek immediate medical attention if you experience sudden pain, swelling, or inability to move a joint.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or burning in hands or feet to your doctor immediately.
Seizures (Rare (<0.1%))
Seek emergency care if seizures occur.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Seek medical attention if you develop severe, persistent diarrhea.

⚠️ Rare Side Effects

Blood dyscrasias
Report unusual bruising or bleeding.
Hepatitis
Report yellowing of skin or eyes, dark urine.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Antacids Major
Cimetidine Moderate
Lithium Moderate

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Antacids containing aluminum or magnesium

⚡ Moderate Interactions

  • Cimetidine
  • Lithium

🍷 Alcohol Interaction

Avoid alcohol completely during treatment and for at least 48 hours after the last dose. Alcohol can cause a disulfiram-like reaction with metronidazole, leading to severe nausea, vomiting, flushing, and rapid heartbeat.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to ofloxacin, metronidazole, or other fluoroquinolones","History of tendon disorders with fluoroquinolones","Myasthenia gravis","Pregnancy (especially first trimester for metronidazole)","Severe hepatic impairment"]

⚠️ Warnings & Precautions

["May cause tendon rupture, especially in elderly and those on corticosteroids.","May cause peripheral neuropathy.","May exacerbate myasthenia gravis.","Avoid alcohol during treatment.","May cause photosensitivity; avoid excessive sun exposure.","May cause dizziness; avoid driving until you know how it affects you.","Complete the full course to prevent resistance."]

🤱 Lactation Safety

Ofloxacin and metronidazole are excreted in breast milk. Consult your doctor before breastfeeding. Temporary discontinuation may be advised.

💊 Overdose Management

Seek emergency medical attention. Treatment is symptomatic and supportive. There is no specific antidote. Monitor vital signs and provide supportive care.

⏰ 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 double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop early. Avoid alcohol completely during treatment and for at least 48 hours after the last dose, as it can cause a disulfiram-like reaction. Stay well hydrated. Avoid excessive sunlight and use sunscreen. Do not drive or operate machinery if you experience dizziness. Inform your doctor if you have kidney or liver problems, or if you are pregnant or breastfeeding. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of tendon rupture, CNS effects, and renal impairment. Dose adjustment may be needed based on kidney function.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy. This medicine is generally avoided during pregnancy unless clearly needed. Use effective contraception during treatment.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthetics and increase risk of bleeding.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with certain antibiotics used in dentistry.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hand hygiene to prevent infections.
🥗
Drink plenty of fluids to stay hydrated.
😴
Eat a balanced diet to support recovery.
💧
Get adequate rest.
🧘
Avoid sharing personal items like towels.

🏋️ Exercise Considerations

Avoid strenuous exercise or heavy lifting during treatment, especially if you experience joint pain or tendon discomfort. Consult your doctor before resuming intense activities.

🥗 Diet Recommendations

Include probiotics like yogurt to support gut health.
Avoid spicy and oily foods that may worsen diarrhea.
Stay well hydrated with oral rehydration solutions.
Eat light, easily digestible meals.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue. Avoid driving or operating heavy machinery until you know how it affects you. Take sick leave if needed to rest and recover.

🛑 When to Stop This Medicine

Do not stop taking this medicine early unless your doctor advises. Complete the full course to prevent resistance. If you experience serious side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use may lead to antibiotic resistance, fungal overgrowth, and rare but serious effects like peripheral neuropathy or tendon damage. Regular monitoring of liver and kidney function may be needed if used for prolonged periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral rehydration therapy

Essential for managing dehydration from diarrhea.

Evidence: Well-established
Probiotics

May help restore gut flora during and after antibiotic treatment.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Antibiotics may reduce the effectiveness of live bacterial vaccines like typhoid vaccine. Consult your doctor about timing.

📦 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

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying prescription medicines. Keep it in your carry-on luggage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute diarrhea
He was prescribed this medicine for infectious diarrhea. After 2 days, his symptoms improved significantly. He completed the 5-day course as advised and avoided alcohol. He reported mild nausea initially, which subsided when he took it with food.
💡 Lesson: Taking the medicine with food reduces nausea, and completing the course prevents relapse.
👤 A 28-year-old woman with amoebiasis
She experienced abdominal pain and loose stools. Her doctor prescribed this medicine. She noticed a metallic taste but continued the course. Her symptoms resolved within a week. She was advised to follow up for stool examination.
💡 Lesson: Metallic taste is a common, temporary side effect. Follow-up testing ensures complete eradication.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 1-2 days, but complete the full course as prescribed.

Q: Can I take it with food?

A: Yes, taking it with food can reduce stomach upset.

Q: What if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for ofspan m suspension

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any diarrhea.
    Fact: It only works for specific bacterial or protozoal infections. Viral diarrhea will not respond.
  • Myth: You can stop taking it once you feel better.
    Fact: You must complete the full course to prevent resistance and relapse.

🔄 Alternative Options

Generic Alternatives

  • Ofloxacin + Metronidazole oral suspension

📊 Comparison with Similar Medicines

[{"medicine":"Ofloxacin + Metronidazole","composition":"Ofloxacin 50mg + Metronidazole 100mg per 5mL","uses":"Infectious diarrhea, amoebiasis","notes":"Current medicine"},{"medicine":"Ofloxacin + Ornidazole","composition":"Ofloxacin 50mg + Ornidazole 125mg per 5mL","uses":"Similar indications","notes":"Ornidazole has longer half-life"}]

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