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ofloxacin

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Brand names: Floxin, Ocuflox

Fluoroquinolone Antibiotic Rx

Ofloxacin ear drops are an antibiotic medicine. They fight bacteria to treat ear infections.

Drug Pricing (NADAC)

Generic Price

$1.09/unit

Generic Available

Yes (16 manufacturers)

Pricing data from NADAC (CMS), effective December 25, 2024. Compare all drug costs →

What it does

This medicine treats ear infections caused by certain bacteria.

Common side effects

Application site reaction, Itching, Taste changes

Key warnings

You should not take this medicine if you are allergic to ofloxacin or other quinolone antibiotics, or any of the ingredients in the drops.

How It Works

Ofloxacin belongs to a class of drugs called fluoroquinolone antibiotics. It works by stopping the growth of bacteria. This helps to clear up the infection in your ear.

How to Take It

For outer ear infections, children 6 months to 13 years old should get 5 drops in the affected ear once a day for 7 days. People 13 years and older should get 10 drops in the affected ear once a day for 7 days. For middle ear infections, children 1 to 12 years old should get 5 drops in the affected ear twice a day for 10 days. People 12 years and older should get 10 drops in the affected ear twice a day for 14 days.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or breastfeeding. It is not known if ofloxacin ear drops will harm an unborn baby or pass into breast milk.

Missed Dose

If you miss a dose, use it as soon as you remember. Then, continue with your regular dosing schedule.

Storage

Store at room temperature (68º to 77°F) and protect from light.

Side Effects (from patient reports)

Based on 2,798 FDA adverse event reports.

Drug not working
345
Eye pain
345
Using the drug for something it's not approved for
306
Headache
284
Pain
278
Tiredness
257
Feeling sick to your stomach
251
Joint pain
247
Diarrhea
243
Sudden kidney damage
242

FDA Adverse Event Report Analysis

Detailed analysis of 7,063 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 1999–2025.

Total Reports

7,063

Death-Related Reports

597

Hospitalization Reports

2,611

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 3,528 (54%)
Male 2,983 (46%)

Age Distribution

0–17 268
18–44 951
45–64 1,398
65–74 1,126
75+ 1,159

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 345
2 EYE PAIN 345
3 OFF LABEL USE 306
4 HEADACHE 284
5 PAIN 278
6 FATIGUE 257
7 NAUSEA 251
8 ARTHRALGIA 247
9 DIARRHOEA 243
10 ACUTE KIDNEY INJURY 242
11 ANXIETY 208
12 RENAL FAILURE 206
13 DYSPNOEA 203
14 PYREXIA 203
15 CHRONIC KIDNEY DISEASE 194

Reactions in Death Reports

DEATH 139
RENAL FAILURE 44
CARDIO-RESPIRATORY ARREST 34
SEPTIC SHOCK 34
TOXIC EPIDERMAL NECROLYSIS 34
ACUTE KIDNEY INJURY 31
DIARRHOEA 31
PNEUMONIA 31
DYSPNOEA 30
SEPSIS 28

Reactions in Hospitalization Reports

PYREXIA 150
ACUTE KIDNEY INJURY 146
PAIN 127
NAUSEA 110
DYSPNOEA 109
DIARRHOEA 107
PNEUMONIA 107
ARTHRALGIA 104
RENAL FAILURE 103
DRUG INEFFECTIVE 96

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take this medicine if you are allergic to ofloxacin or other quinolone antibiotics, or any of the ingredients in the drops.

Known Drug Interactions

70% increase Ciprofloxacin Similar to cimetidine. albuterol, systemic and inhaled mebendazole amoxicillin medroxyprogesterone ampicillin, with or without sulbactam methylprednisolone atenolol metronidazole azithromycin metoprolol caffeine, dietary ingestion nadolol cefaclor nifedipine co-trimoxazole (trimethoprim and sulfamethoxazole) nizatidine diltiazem norfloxacin dirithromycin ofloxacin enflurane omeprazole famotidine prednisone, prednisolone felodipine ranitidine finasteride rifabutin hydrocortisone roxithromycin isoflurane Sorbitol (purgative doses do not inhibit theophylline absorpti...

Mechanism: Ofloxacin can stop your liver from breaking down theophylline as fast as it should. This can lead to a significant increase in the amount of theophylline in your system.

What to do: Your doctor may need to lower your theophylline dose while you take this antibiotic. Seek medical help immediately if you feel very restless or have a seizure.

In all case studies to date (cimetidine, ciprofloxacin, digoxin, norfloxacin, ofloxacin, and ranitidine), dosing the concomitant medication 2 hours before sucralfate eliminated the interaction.

Mechanism: Sucralfate interferes with how your body absorbs ofloxacin, which can stop the antibiotic from working correctly.

What to do: You should take ofloxacin at least 2 hours before taking sucralfate. This helps make sure the antibiotic is fully absorbed into your system.

Common Questions

How do I warm the ear drops?
Hold the bottle in your hand for 1 to 2 minutes.
How long should I lie down after putting in the drops?
Lie with the affected ear upward for 5 minutes.
Can I use these drops if my eardrum is perforated?
Yes, this medicine can be used if you have a perforated eardrum.
How many times should I pump the tragus?
Pump the tragus 4 times by pushing inward.
What should I do if I get dizzy after using the drops?
Warm the drops before using them to avoid dizziness.
Can I use these drops for an eye infection?
No, these drops are only for ear infections.
What if my symptoms don't improve after using the drops?
Contact your doctor if your symptoms do not improve.
Can I use these drops if I am allergic to ciprofloxacin?
You should not use these drops if you are allergic to ciprofloxacin or other quinolones.
How long should I use these drops?
Use these drops for as long as your doctor tells you to, even if you feel better.
Can I share these ear drops with someone else?
No, do not share your ear drops with anyone else.
What are the common side effects of ofloxacin?
The most commonly reported side effects of ofloxacin include Application site reaction, Itching, Taste changes. Based on 2,798 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does ofloxacin interact with other medications?
Yes, ofloxacin has 2 known drug interactions. Notable interactions include theophylline, sucralfate. Always inform your doctor about all medications you are taking.
What drug class is ofloxacin?
ofloxacin belongs to the Fluoroquinolone Antibiotic drug class. It requires a prescription (Rx). This medicine treats ear infections caused by certain bacteria.
Is ofloxacin safe during pregnancy?
Tell your doctor if you are pregnant or breastfeeding. It is not known if ofloxacin ear drops will harm an unborn baby or pass into breast milk. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has ofloxacin been recalled?
There is 1 recall associated with ofloxacin products. CGMP Deviations:. Check the recalls section below for full details and affected products.

Active Recalls

Class II October 13, 2022

CGMP Deviations:

Akorn, Inc.

Related Medications in Fluoroquinolone Antibiotic

Other drugs grouped near ofloxacin — same-class peers and common alternatives.

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Medication Guides

Related Health & Safety Data

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What the FDA Data Shows for ofloxacin

The FDA label for ofloxacin (sold under brand names such as Floxin, Ocuflox) classifies it as a prescription-only medication in the Fluoroquinolone Antibiotic class. This medicine treats ear infections caused by certain bacteria. Official labeling lists 3 commonly reported side effects, including Application site reaction, Itching, Taste changes.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 2,798 voluntary reports. The database also lists 2 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated major severity. NADAC pricing from CMS shows a generic unit cost of $1.09.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: June 23, 2023

All federal data sources used on this page