Albaxo M Oral Suspension: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe or bloody diarrhea
- Sudden tendon pain or swelling
- Numbness, tingling, or burning in hands or feet
- Difficulty breathing, facial swelling, or widespread rash
- Seizures or severe confusion
- Yellowing of skin or eyes, dark urine, or severe abdominal pain
- Irregular heartbeat or fainting
If experiencing severe symptoms, call emergency services immediately.
What is viflox m suspension used for?
This medicine is a prescription oral suspension combining ofloxacin and metronidazole, used for specific mixed bacterial and protozoal infections. It must be taken exactly as directed, and alcohol must be avoided completely.
- Generic Name: Ofloxacin (50mg/5ml) + Metronidazole (100mg/5ml)
- Manufacturer: Semsun Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 viflox m suspension के बारे में (Hindi Summary)
उपयोग: यह दवा ओफ्लोक्सासिन और मेट्रोनिडाजोल का संयोजन है, जिसका उपयोग कुछ विशिष्ट जीवाणु और परजीवी संक्रमणों के इलाज के लिए किया जाता है। यह आमतौर पर दस्त, पेट के संक्रमण और कुछ स्त्री रोग संबंधी संक्रमणों में डॉक्टर द्वारा निर्धारित की जाती है। यह दवा वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है। इसे डॉक्टर के निर्देशानुसार ही लें और कोर्स पूरा करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, पेट दर्द, दस्त, सिरदर्द, चक्कर आना और मुँह में धातु जैसा स्वाद शामिल हैं। कुछ लोगों को एलर्जी, त्वचा पर चकत्ते, या गंभीर मामलों में टेंडन में दर्द या टूटन, तंत्रिका समस्याएँ, और दौरे पड़ सकते हैं। शराब के साथ लेने पर गंभीर प्रतिक्रिया हो सकती है। कोई भी गंभीर लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, अपने आप मात्रा न बढ़ाएँ या घटाएँ। हर बार उपयोग से पहले बोतल को अच्छी तरह हिलाएँ। दवा को मापने के लिए दिए गए कप या सिरिंज का ही उपयोग करें। उपचार के दौरान और आखिरी खुराक के 48 घंटे बाद तक शराब बिल्कुल न लें। चक्कर आने पर वाहन न चलाएँ। गुर्दे या जिगर की बीमारी, दिल की धड़कन की समस्या, या टेंडन की समस्या हो तो डॉक्टर को बताएँ। कोर्स पूरा करें, बीच में न छोड़ें।
💊 viflox m suspension Uses & Benefits
[{"condition":"Bacterial and protozoal diarrhea (mixed infections)","description":"This medicine may be prescribed for specific infectious diarrheas when both ofloxacin-sensitive bacteria and metronidazole-sensitive organisms are suspected or confirmed.","evidence":"Conditionally established; use depends on local resistance patterns and clinical judgment."},{"condition":"Bacterial vaginosis","description":"Metronidazole component is effective against anaerobic bacteria associated with bacterial vaginosis, and ofloxacin may cover certain co-infecting bacteria.","evidence":"Metronidazole is well-established for bacterial vaginosis; the combination is not a standard first-line regimen."},{"condition":"Pelvic inflammatory disease (PID)","description":"In some settings, a combination of a fluoroquinolone and metronidazole may be used for PID, but this specific oral suspension is not a standard regimen for PID.","evidence":"Limited for this specific formulation; specialist use only."},{"condition":"Intra-abdominal infections","description":"The combination may cover mixed aerobic and anaerobic bacteria in selected intra-abdominal infections, but this suspension is not a typical choice for serious intra-abdominal infections.","evidence":"Not established for this specific oral suspension."}]
Off-label uses: [{"condition":"Giardiasis","description":"Metronidazole is a standard treatment for giardiasis; ofloxacin is not typically used, so this combination is not a standard off-label choice.","evidence":"Not established for this combination."},{"condition":"Amebiasis","description":"Metronidazole is effective for amebiasis, but adding ofloxacin is not routinely recommended.","evidence":"Not established for this combination."}]
Primary treatment for: Mixed bacterial and protozoal infections (e.g., infectious diarrhea)
Also treats: Bacterial vaginosis, Pelvic inflammatory disease (selected cases), Intra-abdominal infections (selected cases)
📋 Drug Information
| Generic Name(s) | Ofloxacin (50mg/5ml) + Metronidazole (100mg/5ml) |
| Brand Name | viflox m suspension |
| Manufacturer | Semsun Pharma Pvt Ltd |
| 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. Protect from light and moisture. Do not freeze. Keep the bottle tightly closed. Shake well before each use. |
| Shelf Life | Typically 24 months from the date of manufacture, but refer to the product label for the exact expiry date. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information for this specific combination suspension. Always follow local guidelines and clinician advice. |
| ICMR Guideline | Not established from the available information for this specific combination suspension. ICMR guidelines may recommend specific antibiotics for individual infections; consult a doctor. |
👨⚕️ 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 inhibits bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication, repair, and transcription, leading to bacterial cell death. Metronidazole enters anaerobic organisms and is reduced to reactive intermediates that damage DNA, causing strand breakage and inhibition of nucleic acid synthesis. The combination targets both aerobic and anaerobic bacteria as well as certain protozoa, depending on susceptibility.
Mechanism Steps
💡 How to Take viflox m suspension
Strength: Oral suspension containing ofloxacin 50 mg per 5 ml and metronidazole 100 mg per 5 ml.
Dosage Information
| Adult Dosage | The adult dose of this medicine must be individualized by a qualified clinician based on the specific infection, its severity, the patient's age, weight, renal and hepatic function, and local resistance patterns. A typical adult dose might be 10 ml of the suspension twice daily, but this is only an example and not a recommendation. Always follow the prescription provided by your doctor. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information for this specific combination suspension. Fluoroquinolones are generally avoided in children due to potential effects on cartilage development. Consult a pediatrician for appropriate treatment. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal function, as both ofloxacin and metronidazole are eliminated by the kidneys. They are also at higher risk of tendon rupture, CNS effects, and drug interactions. Close monitoring is advised. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. Ofloxacin dose should be reduced according to creatinine clearance. Metronidazole may also require adjustment in severe renal disease. Consult a clinician for specific dosing. |
| Hepatic Impairment | Dose adjustment may be necessary in patients with severe liver disease, especially for metronidazole. Monitor liver function tests. Consult a clinician for specific dosing. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the individual patient's condition and renal function. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of viflox m 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 | |
| Alcohol | Major | |
| Theophylline | Major | |
| QT-prolonging drugs | Major | |
| Corticosteroids | Moderate | |
| Caffeine | Moderate | |
| Oral hypoglycemics | Moderate | |
| Phenytoin | Moderate | |
| Cyclosporine | Moderate |
🚨 Major Interactions
- Alcohol
- Warfarin
- Antacids, sucralfate, iron, zinc, calcium
- QT-prolonging drugs (e.g., amiodarone, sotalol, some antipsychotics)
- Theophylline
⚡ Moderate Interactions
- Caffeine
- Corticosteroids
- Oral hypoglycemics
- Phenytoin
- Cyclosporine
🍷 Alcohol Interaction
Alcohol must be strictly avoided while taking this medicine and for at least 48 hours after the last dose. Metronidazole can cause a disulfiram-like reaction with alcohol, leading to severe nausea, vomiting, flushing, headache, and rapid heartbeat. Alcohol may also worsen dizziness and liver-related side effects.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to ofloxacin, metronidazole, or other fluoroquinolones or nitroimidazoles","History of tendon disorders associated with fluoroquinolone use","Myasthenia gravis","Severe renal impairment without dose adjustment","First trimester of pregnancy (relative contraindication for metronidazole)","Use of disulfiram within the past two weeks","Alcohol consumption during treatment"]
⚠️ Warnings & Precautions
["May cause dizziness and confusion; avoid driving or operating machinery until you know how it affects you.","Can cause tendon inflammation or rupture, especially in older adults, transplant recipients, and those on corticosteroids.","May worsen muscle weakness in patients with myasthenia gravis.","Can cause peripheral neuropathy; report numbness or tingling promptly.","May cause severe skin reactions; stop and seek medical help if rash develops.","Can cause photosensitivity; avoid prolonged sun exposure.","May cause superinfections; report new or worsening symptoms.","Use with caution in patients with epilepsy or CNS disorders.","May prolong QT interval; use caution in patients with cardiac disease.","Do not use for viral infections; it is ineffective and promotes resistance."]
🤱 Lactation Safety
Both ofloxacin and metronidazole pass into breast milk. Metronidazole may cause diarrhea or thrush in a nursing infant. Breastfeeding is generally not recommended while taking this medicine, or milk should be pumped and discarded during treatment and for 24-48 hours after the last dose. Consult your doctor for specific guidance.
💊 Overdose Management
Overdose of this medicine may cause severe nausea, vomiting, dizziness, and potentially seizures or cardiac arrhythmias. There is no specific antidote. Treatment is supportive and symptomatic, including monitoring of vital signs, ECG, and electrolytes. In case of overdose, seek emergency medical attention immediately. Do not induce vomiting unless instructed by a healthcare professional.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if less than half the dosing interval has passed. If more than half the interval has passed, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, and do not skip doses or stop early even if you feel better. Shake the bottle well before each use to ensure the medicine is evenly mixed. Measure the dose with the provided measuring cup or syringe, not with a household spoon. Avoid all alcohol during treatment and for at least 48 hours after the last dose, because this medicine can cause a severe reaction with alcohol. Do not drive or operate heavy machinery if you feel dizzy or confused. Inform your doctor if you have kidney or liver problems, heart rhythm disorders, or a history of tendon problems. Do not share this medicine with others, and keep it out of reach of children. If you experience severe diarrhea, tendon pain, numbness, or an allergic reaction, seek medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, peripheral neuropathy, CNS effects, and renal impairment. Dose adjustment based on renal function is often necessary. Close monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Both ofloxacin and metronidazole are generally avoided in pregnancy unless clearly needed. Discuss alternative treatments.
🏥 Post-Surgery Considerations
This medicine may be used after surgery if a mixed bacterial infection is suspected, but it is not a routine postoperative antibiotic. Follow your surgeon's instructions.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may interact with other medications used during dental procedures, and alcohol-containing mouthwashes should be avoided.
💚 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 injury. 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 fatigue, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Take sick leave if needed to rest and recover.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects such as tendon pain, severe diarrhea, allergic reactions, or seizures, stop immediately and seek medical attention. Otherwise, complete the full prescribed course.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of antibiotic resistance, superinfections, and rare but serious effects such as peripheral neuropathy, tendon damage, and liver or kidney problems. It should only be used for the prescribed duration. Regular monitoring may be needed if prolonged therapy is required.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Using specific antibiotics based on culture and sensitivity results can be more effective and reduce resistance.
Evidence: Well-establishedMay help prevent antibiotic-associated diarrhea, but should be taken separately from antibiotics.
Evidence: ModerateEssential for managing dehydration from diarrhea.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics may reduce the effectiveness of live bacterial vaccines such as typhoid vaccine. Consult your doctor about vaccination timing while on this medicine.
📦 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
✅ DO
Shake well before each use
❌ DON'T
Do not use if the suspension has changed color or consistency
✈️ 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, continue your dosing schedule as close to the original times as possible, but consult your doctor for specific advice. Check customs regulations for carrying prescription medicines. Do not store in checked luggage that may be exposed to extreme temperatures.
💰 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 you must complete the full prescribed course to ensure the infection is fully treated.
A: No, you should complete the full course even if symptoms improve, to prevent relapse and antibiotic resistance.
A: Avoid alcohol completely, and separate this medicine from antacids, iron, zinc, or calcium supplements by at least 2 hours.
A: Fluoroquinolones are generally avoided in children. Consult a pediatrician for appropriate treatment.
🤔 Common Patient Concerns
🔄 Substitutes for viflox m suspension
View AllAlternative brands with exact same active ingredient:
-
agroflox m syrupAgron Remedies Pvt Ltd ₹10.37 70.4% CHEAPER
-
Alfox M SyrupAlliaance Biotech ₹12.50 64.3% CHEAPER
-
oflostar m suspensionCadila Pharmaceuticals Ltd ₹13.76 60.7% CHEAPER
-
g met suspensionEmcure Pharmaceuticals Ltd ₹14.09 59.7% CHEAPER
-
okaflox m suspensionCipla Ltd ₹15.75 55% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any diarrhea.
Fact: This medicine is only effective for specific bacterial and protozoal infections. It does not work for viral diarrhea and should not be used indiscriminately. - Myth: I can stop taking this medicine once I feel better.
Fact: You must complete the full prescribed course to prevent relapse and resistance, even if symptoms improve. - Myth: It is safe to drink alcohol while taking this medicine.
Fact: Alcohol can cause a severe disulfiram-like reaction with metronidazole. Avoid alcohol completely during and for 48 hours after treatment. - Myth: This medicine is safe for children.
Fact: Fluoroquinolones are generally avoided in children due to potential cartilage effects. Consult a pediatrician.
🔄 Alternative Options
Generic Alternatives
- Ofloxacin oral suspension
- Metronidazole oral suspension
- Ofloxacin tablets
- Metronidazole tablets