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Two medicines, side by side

Ofloxacin vs tobramycin

Ofloxacin and tobramycin are both labeled for bacterial infections. Drugs@FDA records approvals of ofloxacin since 1990 and of tobramycin since 1975. Pharmacies paid $1.24 per mL (Ofloxacin 0.3% eye drops) and $1.08 per mL (Tobramycin 300 mg/5 mL ampule) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, ofloxacin is a quinolone antimicrobial and tobramycin an aminoglycoside antibacterial.

Check it at the source: the ofloxacin FDA label on DailyMed (effective July 18, 2024); the tobramycin FDA label on DailyMed (effective November 1, 2023).

Highlights of the ofloxacin record

Ofloxacin (Ocuflox) · label of July 18, 2024

Used for

From the label: indications

Ofloxacin otic solution, 0.3% is indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the specific conditions listed below: Otitis Externa in adults and pediatric patients, 6 months and older, due to Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. […]

On the market

Earliest approval on file
December 28, 1990
Generic labelers
30 labelers
Pharmacy cost
$1.24 per mL

Supply and safety

Shortage
No current entry
Recalls
5

Highlights of the tobramycin record

Tobramycin (Tobi) · label of November 1, 2023

Used for

From the label: indications

Tobramycin ophthalmic solution, 0.3% is a topical antibiotic indicated in the treatment of external infections of the eye and its adnexa caused by susceptible bacteria. Appropriate monitoring of bacterial response to topical antibiotic therapy should accompany the use of tobramycin ophthalmic solution. Clinical studies have shown tobramycin to be safe and effective for use in children.

On the market

Earliest approval on file
June 11, 1975
Generic labelers
40 labelers
Pharmacy cost
$1.08 per mL

Supply and safety

Shortage
A presentation being discontinued
Recalls
8

Source: FDA drug labels via openFDA (Ofloxacin label of July 18, 2024, Tobramycin label of November 1, 2023); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do ofloxacin and tobramycin differ on the record?

In FDA's classes, ofloxacin is a quinolone antimicrobial and tobramycin an aminoglycoside antibacterial.

Generics: ofloxacin since 2002; tobramycin since 1976 (Drugs@FDA).

OfloxacinTobramycin
Labeled forBacterial infectionsBacterial infections, Urinary tract infections
Pharmacologic classQuinolone AntimicrobialAminoglycoside Antibacterial
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)December 28, 1990June 11, 1975
First generic approvedJanuary 16, 2002October 1, 1976
Generic labelers (NDC)30 labelers40 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.24 per mL (Ofloxacin 0.3% eye drops)$1.08 per mL (Tobramycin 300 mg/5 mL ampule)
12-month price change-23%-26%
Boxed warningNoNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded58
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)7,26324,368
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to ofloxacin
every medicine labeled for the same conditions