satromax o 300 mg/200 mg tablet - Satranidazole (300mg) + Ofloxacin (200mg) medicine

Satrogyl-O Tablet: Comprehensive Medicine Guide

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🏭 Indchemie Health Specialities Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
🤰 Pregnancy Category Not established from the available information. Use only if clearly needed and prescribed by a doctor. Consult your healthcare provider. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • 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
  • Seizures or confusion

If experiencing severe symptoms, call emergency services immediately.

What is satromax o 300 mg/200 mg tablet used for?

This medicine is a combination of Satranidazole and Ofloxacin used to treat mixed infections caused by anaerobic bacteria and protozoa. It works by damaging microbial DNA and inhibiting bacterial replication. It is available as an immediate-release tablet for oral use.

  • Generic Name: Satranidazole (300mg) + Ofloxacin (200mg)
  • Manufacturer: Indchemie Health Specialities Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 satromax o 300 mg/200 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सैट्रानिडाजोल और ऑफ्लोक्सासिन का संयोजन है, जिसका उपयोग एनारोबिक बैक्टीरिया और प्रोटोजोआ के कारण होने वाले मिश्रित संक्रमणों के इलाज के लिए किया जाता है। यह अमीबियासिस, जियार्डियासिस, ट्राइकोमोनिएसिस और बैक्टीरियल वेजिनोसिस जैसी स्थितियों में प्रभावी है। यह दवा सूक्ष्मजीवों के डीएनए को नष्ट करके और बैक्टीरिया के प्रजनन को रोककर काम करती है। इसे डॉक्टर के निर्देशानुसार ही लें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, सिरदर्द, चक्कर आना और मुंह में धातु जैसा स्वाद शामिल हैं। गंभीर दुष्प्रभावों में टेंडन टूटना, तंत्रिका क्षति, दौरे और एलर्जी प्रतिक्रियाएं शामिल हो सकती हैं। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। उपचार के दौरान और अंतिम खुराक के 48 घंटे बाद तक शराब न लें। पर्याप्त पानी पिएं। धूप में जाने से बचें और सनस्क्रीन का उपयोग करें। चक्कर आने पर वाहन न चलाएं। गुर्दे या यकृत की समस्या, मिर्गी या टेंडन विकार हो तो डॉक्टर को बताएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 satromax o 300 mg/200 mg tablet Uses & Benefits

[{"condition":"Amoebiasis (intestinal and hepatic)","description":"Used to treat infections caused by Entamoeba histolytica, including dysentery and liver abscess.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Effective against Giardia lamblia, a common cause of diarrheal illness.","evidence":"Well-established"},{"condition":"Trichomoniasis","description":"Used in combination for treating Trichomonas vaginalis infections.","evidence":"Moderate"},{"condition":"Bacterial vaginosis","description":"Covers anaerobic bacteria associated with bacterial vaginosis.","evidence":"Moderate"},{"condition":"Intra-abdominal infections","description":"Used in combination regimens for mixed aerobic and anaerobic infections.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Pelvic inflammatory disease","description":"Sometimes used as part of a combination regimen, but not a standard first-line option.","evidence":"Limited"}]

Primary treatment for: Mixed anaerobic and protozoal infections

Also treats: Amoebiasis, Giardiasis, Trichomoniasis, Bacterial vaginosis

📋 Drug Information

Generic Name(s)Satranidazole (300mg) + Ofloxacin (200mg)
Brand Namesatromax o 300 mg/200 mg tablet
ManufacturerIndchemie Health Specialities Pvt Ltd
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. Keep in the original container.
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
Take this medicine with food to reduce stomach upset.
2
Avoid alcohol completely during treatment and for 48 hours after.
3
Stay well hydrated throughout the day.
4
Do not drive or operate machinery if you feel dizzy.
5
Complete the full course even if you feel better.
6
Report any tendon pain, numbness, or tingling immediately.
7
Use sunscreen and avoid prolonged sun exposure.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Diarrhea with cramps
This medicine is commonly prescribed for amoebiasis and giardiasis.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Vaginal discharge
May be used for bacterial vaginosis or trichomoniasis.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSatranidazole is rapidly absorbed after oral administration. Ofloxacin is well absorbed from the gastrointestinal tract, with bioavailability approaching 98%.
DistributionBoth components distribute widely into body tissues and fluids. Ofloxacin penetrates well into lung, skin, and soft tissues. Satranidazole distributes into liver, lungs, and other tissues.
Protein BindingSatranidazole is approximately 30% protein-bound. Ofloxacin is about 20-25% protein-bound.
MetabolismSatranidazole is metabolized in the liver, primarily by reduction and conjugation. Ofloxacin undergoes minimal metabolism, with less than 10% metabolized.
Half-LifeThe elimination half-life of Satranidazole is approximately 8-10 hours. Ofloxacin has a half-life of about 5-7 hours.
ExcretionSatranidazole is excreted mainly in urine and feces. Ofloxacin is primarily excreted unchanged in urine (70-80%) and feces (20%).
BioavailabilitySatranidazole oral bioavailability is about 90%. Ofloxacin oral bioavailability is approximately 98%.
Onset of ActionOnset of action for antimicrobial effect is typically within 1-2 hours after oral administration.
Peak Plasma TimePeak plasma concentrations for Satranidazole occur at 2-3 hours; for Ofloxacin, at 1-2 hours.
Duration of ActionThe duration of action depends on the dosing interval, typically 12 hours for this combination.

How It Works

Satranidazole is a nitroimidazole that enters susceptible microorganisms and undergoes reductive activation, producing reactive intermediates that damage DNA and inhibit nucleic acid synthesis. Ofloxacin is a fluoroquinolone that inhibits DNA gyrase and topoisomerase IV, enzymes essential for bacterial DNA replication, transcription, repair, and recombination. Together, they provide broad coverage against anaerobic bacteria and protozoa.

Mechanism Steps

1
Satranidazole uptake and activation: Satranidazole diffuses into susceptible microorganisms where its nitro group is reduced by ferredoxin-like proteins, generating reactive cytotoxic intermediates.
2
DNA damage by Satranidazole: The reactive intermediates bind to DNA, causing strand breakage and inhibiting DNA synthesis, leading to cell death.
3
Ofloxacin binding to DNA gyrase: Ofloxacin binds to the DNA gyrase-DNA complex, stabilizing it and blocking the resealing of DNA strands, which halts replication.
4
Inhibition of topoisomerase IV: Ofloxacin also inhibits topoisomerase IV, preventing decatenation of daughter DNA molecules, further disrupting bacterial cell division.
5
Bacterial cell death: The combined actions lead to irreversible DNA damage and bacterial death.

💡 How to Take satromax o 300 mg/200 mg tablet

Strength: Satranidazole 300 mg + Ofloxacin 200 mg immediate-release tablet.

1Take this medicine orally with a full glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food to reduce stomach upset.
4Take at evenly spaced intervals as prescribed.
5Do not take with antacids or dairy products; separate by 2 hours.

Dosage Information

Adult DosageThe usual adult dose is one tablet twice daily or as prescribed by your doctor. The exact dose and duration depend on the type and severity of infection, your kidney and liver function, and other medications you are taking. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate.
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. Consult your doctor.
Renal ImpairmentDose adjustment is required in patients with renal impairment. Ofloxacin dose should be reduced based on creatinine clearance. Consult your doctor for specific guidance.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be needed. Monitor liver function. Consult your doctor.
Maximum Daily DoseThe maximum daily dose is generally two tablets (Satranidazole 600 mg + Ofloxacin 400 mg) per day, but must be individualized by a clinician.

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.
Caffeine
Limit intake
May increase stimulant effects.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of satromax o 300 mg/200 mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if persistent.
Metallic taste (Common (5-10%))
Usually temporary. Chewing sugar-free gum may help.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if severe.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if severe or bloody.

🚨 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.
Severe allergic reactions (Rare (<0.1%))
Get emergency help if you have rash, hives, swelling of face or throat, or difficulty breathing.
QT prolongation (Rare (<0.1%))
Inform your doctor if you have palpitations or fainting spells.

⚠️ Rare Side Effects

Blood dyscrasias
Report unusual bruising or bleeding.
Photosensitivity
Avoid sun exposure and use sunscreen.
Hepatotoxicity
Report yellowing of eyes or skin, dark urine, or abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Antacids Major
Theophylline Major
NSAIDs Major
Corticosteroids Moderate
Oral hypoglycemics Moderate
Phenytoin Moderate
Caffeine Minor
Iron supplements Minor
Alcohol Major

🚨 Major Interactions

  • Warfarin
  • Antacids containing aluminum or magnesium
  • Theophylline
  • NSAIDs

⚡ Moderate Interactions

  • Corticosteroids
  • Oral hypoglycemics
  • Phenytoin

🍷 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 Satranidazole, leading to severe nausea, vomiting, flushing, and rapid heartbeat. It may also increase the risk of liver toxicity and CNS side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Satranidazole, Ofloxacin, or other nitroimidazoles/fluoroquinolones","History of tendon disorders with fluoroquinolones","Myasthenia gravis","Pregnancy (unless clearly needed)","Breastfeeding","Severe renal impairment (for Ofloxacin component)","Epilepsy or CNS disorders"]

⚠️ Warnings & Precautions

["Avoid alcohol during and for 48 hours after treatment.","May cause dizziness; avoid driving until you know how it affects you.","Avoid excessive sun exposure; use sunscreen.","Inform your doctor if you have kidney or liver disease.","Do not use for viral infections like common cold.","Complete the full course as prescribed.","Report any signs of tendon pain or neuropathy immediately."]

🤱 Lactation Safety

Satranidazole and Ofloxacin may pass into breast milk. Breastfeeding is not recommended while taking this medicine. Consult your doctor for guidance.

💊 Overdose Management

Overdose may cause severe nausea, vomiting, dizziness, and seizures. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion.

⏰ 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 to prevent a disulfiram-like reaction. Stay well hydrated. Avoid excessive sunlight and use sunscreen. Do not drive or operate machinery if you feel dizzy. Inform your doctor if you have kidney or liver problems, epilepsy, or tendon disorders. Do not share this medicine with others.

👴 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. Monitor renal function closely.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthetics and other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with certain antibiotics or anesthetics used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hand hygiene to prevent infections.
🥗
Drink boiled or purified water.
😴
Eat freshly cooked food.
💧
Avoid sharing personal items.
🧘
Get adequate rest to support recovery.

🏋️ Exercise Considerations

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

🥗 Diet Recommendations

Stay well hydrated.
Include probiotics like yogurt to support gut health.
Avoid spicy and oily foods that may worsen stomach upset.
Eat small, frequent meals if nauseous.

💼 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 rest as needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Complete the full course even if you feel better. If you experience serious side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use may increase the risk of tendon rupture, peripheral neuropathy, and liver toxicity. Regular monitoring of liver and kidney function is advised. Use only for the prescribed duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Metronidazole + Ofloxacin

Alternative combination with similar coverage.

Evidence: Well-established
Tinidazole + Ofloxacin

Another alternative combination.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, inform your doctor about recent vaccinations.

📦 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 moisture. If traveling across time zones, adjust dosing intervals as advised by your doctor. Check customs regulations for carrying prescription medicines. Always carry enough supply for the entire trip.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with persistent diarrhea and abdominal cramps
He was diagnosed with amoebiasis and prescribed this medicine. After 3 days, his symptoms improved significantly. He was advised to avoid alcohol and complete the 5-day course. He reported mild nausea initially, which subsided when taken with food.
💡 Lesson: Taking the medicine with food reduces nausea, and completing the course prevents relapse.
👤 A 28-year-old woman with bacterial vaginosis
She was prescribed this medicine for 7 days. She experienced a metallic taste and mild dizziness. Her doctor advised her to avoid driving and to stay hydrated. Her symptoms resolved completely after the course.
💡 Lesson: Temporary side effects like metallic taste and dizziness are common but manageable with precautions.

💬 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 other medicines?

A: Inform your doctor about all medicines you take, especially antacids, warfarin, and theophylline.

Q: Is it safe in pregnancy?

A: Use only if clearly needed and prescribed by your doctor. Consult your healthcare provider.

🤔 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 satromax o 300 mg/200 mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Satrogyl-O can cure any diarrhea.
    Fact: It is only effective against specific bacterial and protozoal infections. It does not treat viral diarrhea.
  • Myth: You can stop taking it once you feel better.
    Fact: You must complete the full course to prevent recurrence and resistance.

🔄 Alternative Options

Generic Alternatives

  • Satranidazole + Ofloxacin combination generics

Brand Alternatives

  • Satrogyl-O
  • Satrogyl OZ

📊 Comparison with Similar Medicines

[{"medicine":"Satranidazole + Ofloxacin","composition":"Satranidazole 300 mg + Ofloxacin 200 mg","class":"Nitroimidazole + Fluoroquinolone","primary_use":"Mixed anaerobic and protozoal infections"},{"medicine":"Metronidazole + Ofloxacin","composition":"Metronidazole 400 mg + Ofloxacin 200 mg","class":"Nitroimidazole + Fluoroquinolone","primary_use":"Similar infections"}]

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