Exmite OZ Oral Suspension: 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
- 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
- Pain, swelling, or inflammation in tendons
- Seizures or confusion
If experiencing severe symptoms, call emergency services immediately.
What is Tcin OZ Oral Suspension used for?
This medicine is a combination antibiotic containing levofloxacin and ornidazole, used to treat various bacterial and protozoal infections. It works by killing or stopping the growth of microorganisms. Take it exactly as prescribed, with food to reduce stomach upset, and avoid alcohol.
- Generic Name: Levofloxacin (125mg) + Ornidazole (125mg)
- Manufacturer: Extant Pharmaceutical
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Tcin OZ Oral Suspension के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोफ्लोक्सासिन और ओर्निडाजोल का संयोजन है, जिसका उपयोग विभिन्न जीवाणु और प्रोटोज़ोआ संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन पथ, जठरांत्र संबंधी, त्वचा और मूत्र पथ के संक्रमणों में प्रभावी है। यह दवा सूक्ष्मजीवों को मारकर या उनकी वृद्धि रोककर काम करती है। इसे डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, सिरदर्द, चक्कर आना और अनिद्रा शामिल हैं। गंभीर दुष्प्रभावों में टेंडन टूटना, तंत्रिका क्षति, दौरे, गंभीर एलर्जी और यकृत क्षति शामिल हो सकते हैं। यदि आपको कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न छोड़ें और न ही समय से पहले बंद करें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। दवा को भोजन के साथ लें ताकि पेट की परेशानी कम हो। शराब का सेवन न करें। पर्याप्त पानी पिएं। धूप से बचें और सनस्क्रीन का उपयोग करें। यदि टेंडन में दर्द या सूजन हो तो तुरंत डॉक्टर से मिलें।
💊 Tcin OZ Oral Suspension Uses & Benefits
[{"condition":"Bacterial respiratory tract infections","description":"Used to treat infections such as acute sinusitis, acute exacerbation of chronic bronchitis, and community-acquired pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Gastrointestinal infections","description":"Effective against certain bacterial and protozoal infections of the gastrointestinal tract, including amoebiasis and giardiasis.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Used in combination with other antibiotics for complicated intra-abdominal infections caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Prescribed for uncomplicated skin and soft tissue infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"May be used for complicated urinary tract infections and pyelonephritis caused by susceptible bacteria.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Helicobacter pylori eradication","description":"Sometimes used as part of a combination regimen to eradicate Helicobacter pylori, though not a first-line agent.","evidence":"Limited"},{"condition":"Traveler's diarrhea","description":"May be used off-label for traveler's diarrhea caused by susceptible bacteria.","evidence":"Limited"}]
Primary treatment for: Bacterial and protozoal infections
Also treats: Respiratory tract infections, Gastrointestinal infections, Skin infections, Urinary tract infections
📋 Drug Information
| Generic Name(s) | Levofloxacin (125mg) + Ornidazole (125mg) |
| Brand Name | Tcin OZ Oral Suspension |
| Manufacturer | Extant Pharmaceutical |
| Packaging / Form | bottle of 30 ml Oral Suspension (Allopathy) |
| Therapeutic Class | |
| 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. Keep the bottle tightly closed. Do not freeze. Keep out of reach of children. |
| 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
This medicine combines two antimicrobial agents with distinct mechanisms. Levofloxacin, a fluoroquinolone, inhibits bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication, transcription, repair, and recombination. This inhibition leads to the inability of bacteria to replicate and ultimately causes cell death. Ornidazole, a nitroimidazole, enters microbial cells where its nitro group is reduced, forming reactive intermediates that interact with DNA, causing strand breakage and inhibiting nucleic acid synthesis. This dual mechanism provides broad-spectrum activity against both aerobic and anaerobic bacteria as well as certain protozoa.
Mechanism Steps
💡 How to Take Tcin OZ Oral Suspension
Strength: Oral suspension containing levofloxacin 125 mg and ornidazole 125 mg per 5 mL.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 mL to 10 mL orally every 12 hours, or as directed by your doctor. The exact dose and duration depend on the type and severity of the infection, your kidney and liver function, and your overall health. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Shake the bottle well before each use and measure with the provided measuring cup. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal function. Levofloxacin is primarily excreted by the kidneys, and renal function declines with age. Monitor renal function and adjust dose accordingly. Elderly patients are also at higher risk of tendon rupture and central nervous system effects. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For levofloxacin, the dose should be reduced in patients with creatinine clearance less than 50 mL/min. Ornidazole may also require adjustment. Consult your doctor for specific dosing recommendations based on your renal function. |
| Hepatic Impairment | No specific dose adjustment is established for mild to moderate hepatic impairment. However, ornidazole is metabolized in the liver, and caution is advised in patients with severe hepatic impairment. Monitor liver function tests. |
| Maximum Daily Dose | The maximum daily dose should not exceed 500 mg of levofloxacin and 500 mg of ornidazole, but the exact maximum depends on the prescribed regimen. 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 Tcin OZ Oral 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 | |
| NSAIDs | Major | |
| Theophylline | Major | |
| Antiarrhythmics | Major | |
| Corticosteroids | Moderate | |
| Oral hypoglycemics | Moderate | |
| Phenytoin | Moderate | |
| Cyclosporine | Moderate | |
| Caffeine | Minor |
🚨 Major Interactions
- Warfarin
- Antacids, sucralfate, iron, zinc
- NSAIDs
- Theophylline
- Class IA and III antiarrhythmics
⚡ Moderate Interactions
- Corticosteroids
- Oral hypoglycemics
- Phenytoin
- Cyclosporine
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of central nervous system side effects such as dizziness, drowsiness, and confusion. It may also increase the risk of liver damage, especially with ornidazole.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to levofloxacin, ornidazole, or any component of the formulation","History of tendon disorders associated with fluoroquinolone use","Myasthenia gravis","Severe renal impairment (dose adjustment required)","Epilepsy or other seizure disorders","Pregnancy and breastfeeding (unless clearly needed)"]
⚠️ Warnings & Precautions
["Fluoroquinolones, including levofloxacin, have been associated with disabling and potentially irreversible serious adverse reactions, including tendinitis, tendon rupture, peripheral neuropathy, and central nervous system effects. Reserve for infections with no alternative treatment options.","May exacerbate muscle weakness in patients with myasthenia gravis. Avoid in these patients.","Can cause QT interval prolongation. Avoid in patients with known QT prolongation, uncorrected hypokalemia, or those taking antiarrhythmic drugs.","May cause photosensitivity. Avoid excessive sun exposure and use sunscreen.","Can cause blood glucose disturbances, including hypoglycemia. Monitor blood glucose closely in diabetic patients.","Ornidazole may cause a disulfiram-like reaction with alcohol. Avoid alcohol during and for 48 hours after treatment.","May cause dizziness and confusion. Avoid driving or operating machinery until you know how this medicine affects you.","Not effective against viral infections. Do not use for colds or flu.","Complete the full course as prescribed, even if symptoms improve, to prevent resistance."]
🤱 Lactation Safety
Levofloxacin is excreted in breast milk and may cause serious adverse effects in the nursing infant. Ornidazole also passes into breast milk. Breastfeeding is not recommended while taking this medicine. Consult your doctor for alternatives.
💊 Overdose Management
In case of overdose, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, dizziness, and seizures. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis may be considered for levofloxacin overdose, but it is not effective for ornidazole.
⏰ 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 treatment early, even if you feel better, as this can lead to antibiotic resistance. Shake the bottle well before each use to ensure the medicine is evenly mixed. Measure the dose with the provided measuring cup or spoon, not a household spoon. Take this medicine with food to reduce stomach upset. Avoid alcohol while taking this medicine, as it may increase the risk of side effects. Drink plenty of water throughout the day. Avoid excessive sunlight and wear protective clothing, as this medicine can make your skin more sensitive to sunlight. Inform your doctor if you have kidney or liver problems, as dose adjustments may be needed. Do not take antacids, iron supplements, or multivitamins containing zinc within 2 hours before or after taking this medicine, as they can reduce its absorption. If you experience pain, swelling, or inflammation in your tendons, stop taking this medicine and contact your doctor immediately. Do not drive or operate heavy machinery if you feel dizzy or confused. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and heat. Do not use this medicine after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, central nervous system effects, and renal impairment. Dose adjustment may be needed based on kidney function. Monitor closely for side effects.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed. Discuss alternative treatments.
🏥 Post-Surgery Considerations
This medicine may be prescribed after surgery to prevent or treat infections. Follow your surgeon's instructions carefully. Monitor for signs of infection and report any unusual symptoms.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may interact with certain medications used during dental work. Your dentist may recommend postponing elective procedures until you complete the course.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while taking this medicine, as it may increase the risk of tendon rupture. If you experience joint or tendon pain, stop exercising and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, confusion, or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to take rest and avoid stressful activities during treatment.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Complete the full course as prescribed, even if you feel better. If you experience serious side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of antibiotic resistance, tendon damage, peripheral neuropathy, and liver or kidney problems. It should only be used for the prescribed duration. Regular monitoring of liver and kidney function may be required if used for prolonged periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help prevent antibiotic-associated diarrhea.
Evidence: Well-establishedSupports recovery from infection.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may reduce the effectiveness of live bacterial vaccines such as typhoid vaccine. Avoid vaccination with live organisms during treatment. Consult your doctor for timing of 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
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid temperature extremes. Store at room temperature and protect from light. If crossing time zones, adjust dosing times gradually under medical advice. Check customs regulations for carrying prescription medicines. Always carry enough for your trip and a few extra days in case of delays.
💰 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, taking it with food can help reduce stomach upset.
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: This medicine is not recommended during pregnancy unless clearly needed. Consult your doctor.
A: No, avoid alcohol as it can increase side effects and may cause a disulfiram-like reaction.
🤔 Common Patient Concerns
🔄 Substitutes for Tcin OZ Oral Suspension
View AllAlternative brands with exact same active ingredient:
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levorax oz suspensionRax Health Care Pvt Ltd ₹30.00 27.3% CHEAPER
-
levotum oz oral suspensionProfic Organic Ltd ₹32.81 20.5% CHEAPER
-
lecom oz suspensionLifecom Pharmaceuticals Pvt Ltd ₹35.62 13.6% CHEAPER
-
levobus-oz oral suspensionGlobus Remedies Ltd ₹42.19 2.3% COSTLIER
-
Sanflox OZ Oral SuspensionKenrox Healthcare Pvt. Ltd ₹42.19 2.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure viral infections like the flu.
Fact: This medicine is an antibiotic and is only effective against bacterial and protozoal infections. It does not treat viral infections. - Myth: You can stop taking this medicine once you feel better.
Fact: You must complete the full course as prescribed, even if symptoms improve, to prevent the infection from returning and to avoid antibiotic resistance. - Myth: It is safe to drink alcohol while taking this medicine.
Fact: Alcohol should be avoided as it can increase the risk of side effects and may cause a disulfiram-like reaction with ornidazole.
🔄 Alternative Options
Generic Alternatives
- Levofloxacin and Ornidazole oral suspension
Brand Alternatives
- Exmite OZ Oral Suspension