A Flox 200mg Tablet: 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
- Sudden pain, swelling, or inability to move a joint (possible tendon rupture).
- Numbness, tingling, or burning in hands or feet (peripheral neuropathy).
- Severe diarrhea, especially if bloody (possible C. difficile infection).
- Seizures, confusion, or hallucinations.
- Difficulty breathing, swelling of face, lips, or throat (severe allergic reaction).
- Yellowing of skin or eyes, dark urine (liver problems).
- Irregular heartbeat or fainting (QT prolongation).
If experiencing severe symptoms, call emergency services immediately.
What is zantof lb 200mg tablet used for?
This medicine is a combination of Ofloxacin, an antibiotic, and Lactobacillus, a probiotic. It is used to treat various bacterial infections and helps restore gut flora.
- Generic Name: Ofloxacin (200mg) + Lactobacillus (60Million spores)
- Manufacturer: Nexus India
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 zantof lb 200mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ओफ्लोक्सासिन और लैक्टोबैसिलस का संयोजन है। यह बैक्टीरियल संक्रमणों जैसे मूत्र मार्ग संक्रमण, श्वसन तंत्र संक्रमण, त्वचा संक्रमण और कुछ यौन संचारित संक्रमणों के इलाज के लिए उपयोग की जाती है। लैक्टोबैसिलस आंतों में अच्छे बैक्टीरिया को बनाए रखने में मदद करता है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, सिरदर्द, चक्कर आना और पेट में दर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें टेंडन टूटना, तंत्रिका क्षति, दौरे और गंभीर एलर्जी प्रतिक्रियाएं शामिल हो सकती हैं। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। एंटासिड, आयरन या जिंक सप्लीमेंट के साथ इस दवा को न लें; कम से कम 2 घंटे का अंतराल रखें। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। धूप से बचें और सनस्क्रीन का उपयोग करें।
💊 zantof lb 200mg tablet Uses & Benefits
[{"condition":"Urinary tract infections","description":"Used to treat uncomplicated and complicated urinary tract infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Respiratory tract infections","description":"Effective against bacterial bronchitis and pneumonia caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Used for infections such as cellulitis and abscesses caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Sexually transmitted infections","description":"Effective against gonorrhea and chlamydia when caused by susceptible strains.","evidence":"Well-established"},{"condition":"Prostatitis","description":"Used to treat bacterial prostatitis caused by susceptible bacteria.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for severe traveler's diarrhea caused by susceptible bacteria.","evidence":"Limited"},{"condition":"Epididymitis","description":"May be used off-label for epididymitis in certain cases.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Urinary tract infections, Respiratory tract infections, Skin infections, Sexually transmitted infections
📋 Drug Information
| Generic Name(s) | Ofloxacin (200mg) + Lactobacillus (60Million spores) |
| Brand Name | zantof lb 200mg tablet |
| Manufacturer | Nexus India |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| 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
Ofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, enzymes essential for DNA replication, transcription, repair, and recombination. This leads to the inhibition of bacterial cell division and ultimately bacterial death. Lactobacillus, a probiotic, helps maintain the natural gut flora and may reduce the risk of antibiotic-associated diarrhea.
Mechanism Steps
💡 How to Take zantof lb 200mg tablet
Strength: Ofloxacin 200mg + Lactobacillus 60 million spores immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet (Ofloxacin 200mg) twice daily, or as prescribed by your doctor. The dose and duration depend on the type and severity of the infection, your kidney function, and other factors. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| 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. Use with caution due to increased risk of tendon rupture and CNS effects. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For creatinine clearance 20-50 mL/min, the usual dose may be given once daily. For creatinine clearance <20 mL/min, the dose may need further reduction. Consult your doctor. |
| Hepatic Impairment | No specific dose adjustment is required for hepatic impairment, but use with caution and monitor liver function. |
| Maximum Daily Dose | The maximum recommended daily dose is 400mg of ofloxacin. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of zantof lb 200mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Antacids | Major | |
| Warfarin | Major | |
| Theophylline | Major | |
| NSAIDs | Major | |
| Corticosteroids | Major | |
| Caffeine | Moderate | |
| Cyclosporine | Moderate | |
| Probenecid | Moderate | |
| Oral hypoglycemics | Moderate | |
| Iron supplements | Minor |
🚨 Major Interactions
- Antacids, sucralfate, iron, zinc
- Warfarin
- Theophylline
- NSAIDs
- Corticosteroids
⚡ Moderate Interactions
- Caffeine
- Cyclosporine
- Probenecid
- Oral hypoglycemics
🍷 Alcohol Interaction
Alcohol may increase the risk of central nervous system side effects such as dizziness, drowsiness, and confusion. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to ofloxacin or other fluoroquinolones","Myasthenia gravis","Pregnancy and breastfeeding (unless clearly needed)","Children under 18 years (except specific indications)","History of tendon disorders with fluoroquinolones"]
⚠️ Warnings & Precautions
["Tendon rupture risk, especially in elderly and those on corticosteroids","Peripheral neuropathy may occur","Central nervous system effects including seizures","May exacerbate myasthenia gravis","Photosensitivity reactions","QT prolongation risk","Clostridium difficile-associated diarrhea","Avoid in patients with known QT prolongation","Use with caution in renal impairment","May affect blood glucose levels in diabetics"]
🤱 Lactation Safety
Ofloxacin is excreted in breast milk. It is not recommended during breastfeeding unless clearly needed. Consult your doctor.
💊 Overdose Management
In case of overdose, seek immediate medical attention. Symptoms may include nausea, vomiting, dizziness, and seizures. Treatment is symptomatic and supportive. Hemodialysis may be considered in severe cases.
⏰ 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 the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop early, even if you feel better. Complete the full course to prevent the infection from returning and to reduce the risk of antibiotic resistance. Take the tablet with a full glass of water, with or without food. Avoid taking antacids, iron, or zinc supplements within 2 hours before or after this medicine, as they can reduce its absorption. Do not consume alcohol while taking this medicine, as it may increase the risk of central nervous system side effects. Inform your doctor if you have kidney or liver problems, diabetes, or a history of tendon disorders. Avoid excessive sun exposure and use sunscreen, as this medicine can make your skin more sensitive to sunlight. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, kidney problems, and CNS effects. Dose adjustment may be needed based on renal function. Use with caution.
🤰 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.
🏥 Post-Surgery Considerations
Inform your surgeon if you are taking this medicine before surgery. It may interact with other medications used during surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may interact with antibiotics prescribed after dental procedures.
💚 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. Gentle activities like walking are usually safe.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal daily activities with caution.
🛑 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 recurrence of infection and antibiotic resistance. If you experience serious side effects, contact your doctor immediately.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of antibiotic resistance, tendon problems, and peripheral neuropathy. It should only be used for the prescribed duration. Regular monitoring of kidney and liver function may be required if used for prolonged periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help restore gut flora during and after antibiotic therapy.
Evidence: Well-establishedHelps flush out bacteria from the urinary tract.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may reduce the effectiveness of live bacterial vaccines like typhoid vaccine. Consult your doctor about vaccination 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 moisture. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 2-3 days, but it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. If it upsets your stomach, take it with a meal.
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 the dose.
A: This medicine is not recommended during pregnancy unless clearly needed. Consult your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for zantof lb 200mg tablet
View AllAlternative brands with exact same active ingredient:
-
a flox 200mg tabletAdventure Life Sciences Pvt Ltd ₹28.50 30.5% CHEAPER
-
ofdon 200mg tabletDonnel Healthcare Pvt Ltd ₹28.60 30.2% CHEAPER
-
menflox lb 200mg tabletMen-Care Pharmaceuticals ₹35.00 14.6% CHEAPER
-
ofay 200mg tabletAzine Healthcare Pvt Ltd ₹39.80 2.9% CHEAPER
-
netflox tabletChemida Labs Pvt Ltd ₹40.00 2.4% CHEAPER
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 infections. It does not treat viral infections. - Myth: I can stop taking this medicine once I feel better.
Fact: You must complete the full course as prescribed to prevent the infection from returning and to avoid antibiotic resistance. - Myth: This medicine is safe to take with antacids.
Fact: Antacids can reduce the absorption of this medicine. Take it at least 2 hours before or after antacids.
🔄 Alternative Options
Generic Alternatives
- Ofloxacin 200mg + Lactobacillus 60 million spores tablet