Medicine guide

Ofloxacin

3 mg/mL · Solution

  • Prescription only
  • Quinolone Antimicrobial
Active substance
Ofloxacin
Made by
Bausch & Lomb Incorporated

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2023-05-31

What it is

Quinolone Antimicrobial

Used for
  • Otitis Externa in
The label’s usual adult dose

Five drops (0.25 mL, 0.75 mg ofloxacin) instilled into the affected ear once daily for seven days.

Full directions ↓
Do not take it if

Ofloxacin otic solution, 0.3% is contraindicated in patients with a history of hypersensitivity to ofloxacin, to other quinolones, or to any of the components in this medication.

All warnings ↓
Good to know
  • Prescription only
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
38other products contain Ofloxacin — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

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 .
  • Chronic Suppurative Otitis Media in patients 12 years and older with perforated tympanic membranes due to Proteus mirabilis , Pseudomonas aeruginosa and Staphylococcus aureus .
  • Acute Otitis Media in pediatric patients one year and older with tympanostomy tubes due to Haemophilus influenzae , Moraxella catarrhalis , Pseudomonas aeruginosa , Staphylococcus aureus and Streptococcus pneumoniae .

From the official label · 2023-05-31 · DailyMed

How it works

From this product’s own US prescribing label.

Drug concentrations in serum (in subjects with tympanostomy tubes and perforated tympanic membranes), in otorrhea, and in mucosa of the middle ear (in subjects with perforated tympanic membranes) were determined following otic administration of ofloxacin solution.

In two single-dose studies, mean ofloxacin serum concentrations were low in adult patients with tympanostomy tubes, with and without otorrhea, after otic administration of a 0.3% solution (4.1 ng/mL (n=3) and 5.4 ng/mL (n=5), respectively).

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2023-05-31

Do not take it if

Ofloxacin otic solution, 0.3% is contraindicated in patients with a history of hypersensitivity to ofloxacin, to other quinolones, or to any of the components in this medication.

Quoted from the official label, section “Contraindications”.

How to take it

These directions are for this exact strength and form. Another one is different.

  • Otitis Externa:
  • The recommended dosage regimen for the treatment of otitis externa is:
  • For pediatric patients (from 6 months to 13 years old):
  • Five drops (0.25 mL, 0.75 mg ofloxacin) instilled into the affected ear once daily for seven days.
  • For patients 13 years and older:
  • Ten drops (0.5 mL, 1.5 mg ofloxacin) instilled into the affected ear once daily for seven days.
  • The solution should be warmed by holding the bottle in the hand for one or two minutes to
  • avoid dizziness which may result from the instillation of a cold solution.
  • The patient should lie with the affected ear upward, and then the drops should be instilled.
  • This position should be maintained for five minutes to facilitate penetration of the drops into the ear canal.
  • Repeat, if necessary, for the opposite ear.
  • Acute Otitis Media in pediatric patients with tympanostomy tubes:
  • The recommended dosage regimen for the treatment of acute otitis media in pediatric patients (from 1 to 12 years old) with tympanostomy tubes is:
  • Five drops (0.25 mL, 0.75 mg ofloxacin) instilled into the affected ear twice daily for ten days.
  • The solution should be warmed by holding the bottle in the hand for one or two minutes to
  • avoid dizziness which may result from the instillation of a cold solution.
  • The patient should lie with the affected ear upward, and then the drops should be instilled.
  • The tragus should then be pumped 4 times by pushing inward to facilitate penetration of the drops into the middle ear.
  • This position should be maintained for five minutes.
  • Repeat, if necessary, for the opposite ear.
  • Chronic Suppurative Otitis Media with perforated tympanic membranes:
  • The recommended dosage regimen for the treatment of chronic suppurative otitis media with perforated tympanic membranes in patients 12 years and older is:
  • Ten drops (0.5 mL, 1.5 mg ofloxacin) instilled into the affected ear twice daily for fourteen days.
  • The solution should be warmed by holding the bottle in the hand for one or two minutes to
  • avoid dizziness which may result from the instillation of a cold solution.
  • The patient should lie with the affected ear upward, before instilling the drops.
  • The tragus should then be pumped 4 times by pushing inward to facilitate penetration into the middle ear.
  • This position should be maintained for five minutes.
  • Repeat, if necessary, for the opposite ear.

Quoted from the official label, section “Dosage & Administration”.

Other warnings

  • NOT FOR OPHTHALMIC USE.
  • NOT FOR INJECTION.
  • Serious and occasionally fatal hypersensitivity (anaphylactic) reactions, some following the first dose, have been reported in patients receiving systemic quinolones, including ofloxacin.
  • Some reactions were accompanied by cardiovascular collapse, loss of consciousness, angioedema (including laryngeal, pharyngeal or facial edema), airway obstruction, dyspnea, urticaria, and itching.
  • If an allergic reaction to ofloxacin is suspected, stop the drug.
  • Serious acute hypersensitivity reactions may require immediate emergency treatment.
  • Oxygen and airway management, including intubation, should be administered as clinically indicated.
  • General:
  • As with other anti-infective preparations, prolonged use may result in over-growth of nonsusceptible organisms, including fungi.
  • If the infection is not improved after one week, cultures should be obtained to guide further treatment.
  • If otorrhea persists after a full course of therapy, or if two or more episodes of otorrhea occur within six months, further evaluation is recommended to exclude an underlying condition such as cholesteatoma, foreign body, or a tumor.
  • The systemic administration of quinolones, including ofloxacin at doses much higher than given or absorbed by the otic route, has led to lesions or erosions of the cartilage in weight-bearing joints and other signs of arthropathy in immature animals of various species.
  • Young growing guinea pigs dosed in the middle ear with 0.3% ofloxacin otic solution showed no systemic effects, lesions or erosions of the cartilage in weight-bearing joints, or other signs of arthropathy.
  • No drug-related structural or functional changes of the cochlea and no lesions in the ossicles were noted in the guinea pig following otic administration of 0.3% ofloxacin for one month.
  • No signs of local irritation were found when 0.3% ofloxacin was applied topically in the rabbit eye.
  • Ofloxacin was also shown to lack dermal sensitizing potential in the guinea pig maximization study.

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

  • In nursing women, a single 200 mg oral dose resulted in concentrations of ofloxacin in milk which were similar to those found in plasma.
  • It is not known whether ofloxacin is excreted in human milk following topical otic administration.
  • Because of the potential for serious adverse reactions from ofloxacin in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

Other medicines

Specific drug interaction studies have not been conducted with ofloxacin otic solution, 0.3%.

Quoted from the official label, section “Drug Interactions”.

Use in children

  • Safety and efficacy have been demonstrated in pediatric patients of the following ages for the listed indications:
  • six months and older: otitis externa with intact tympanic membranes
  • one year and older: acute otitis media with tympanostomy tubes
  • twelve years and older:
  • chronic suppurative otitis media with perforated tympanic membranes Safety and efficacy in pediatric patients below these ages have not been established. Although no data are available on patients less than age 6 months, there are no known safety concerns or differences in the disease process in this population that will preclude use of this product. No changes in hearing function occurred in 30 pediatric subjects treated with ofloxacin otic and tested for audiometric parameters. Although quinolones, including ofloxacin, have been shown to cause arthropathy in immature animals after systemic administration, young growing guinea pigs dosed in the middle ear with 0.3% ofloxacin otic solution for one month showed no systemic effects, quinolone-induced lesions, erosions of the cartilage in weight-bearing joints, or other signs of arthropathy.

Quoted from the official label, section “Pediatric Use”.

Side effects

  • Subjects with Otitis Externa In the phase III clinical trials performed in support of once-daily dosing, 799 subjects with otitis externa and intact tympanic membranes were treated with ofloxacin otic solution.
  • The studies, which served as the basis for approval, were 020 (pediatric, adolescents and
  • adults), 016 (adolescents and
  • adults) and 017 (pediatric).
  • The following treatment-related adverse events occurred in two or more of the subjects:
  • Incidence Rate Adverse Event Studies 002/003* BID (N=229) Studies 016/017* QD (N=310) Study 020* QD (N=489) Application Site Reaction 3% 16.8% 0.6% Pruritus 4% 1.2% 1.0% Earache 1% 0.6% 0.8% Dizziness 1% 0.0% 0.6% Headache 0% 0.3% 0.2% Vertigo 1% 0.0% 0.0% * Studies 002/003 (BID) and 016/017 (QD) were active-controlled and comparative.
  • Study 020 (QD) was open and non-comparative.
  • An unexpected increased incidence of application site reaction was seen in studies 016/017 and was similar for both ofloxacin and the active control drug (neomycin-polymyxin B sulfate-hydrocortisone).
  • This finding is believed to be the result of specific questioning of the subjects regarding the incidence of application site reactions.
  • In once daily dosing studies, there were also single reports of nausea, seborrhea, transient loss of hearing, tinnitus, otitis externa, otitis media, tremor, hypertension and fungal infection.
  • In twice daily dosing studies, the following treatment-related adverse events were each reported in a single subject:
  • dermatitis, eczema, erythematous rash, follicular rash, hypoaesthesia, tinnitus, dyspepsia, hot flushes, flushing and otorrhagia.
  • Subjects with Acute Otitis Media with Tympanostomy Tubes (AOM TT) and Subjects with Chronic Suppurative Otitis Media (CSOM) with Perforated Tympanic Membranes:
  • In phase III clinical trials which formed the basis for approval, the following treatment-related adverse events occurred in 1% or more of the 656 subjects with non-intact tympanic membranes in AOM TT or CSOM treated twice daily with ofloxacin otic solution:
  • Adverse Event Incidence (N=656) Taste Perversion Earache Pruritus Paraesthesia Rash Dizziness 7% 1% 1% 1% 1% 1% Other treatment-related adverse reactions reported in subjects with non-intact tympanic membranes included:
  • diarrhea (0.6%), nausea (0.3%), vomiting (0.3%), dry mouth (0.5%), headache (0.3%), vertigo (0.5%), otorrhagia (0.6%), tinnitus (0.3%), and fever (0.3%).
  • The following treatment-related adverse events were each reported in a single subject:
  • application site reaction, otitis externa, urticaria, abdominal pain, dysaesthesia, hyperkinesia, halitosis, inflammation, pain, insomnia, coughing, pharyngitis, rhinitis, sinusitis, and tachycardia.
  • Post-Marketing Adverse Events Cases of uncommon transient neuropsychiatric disturbances have been included in spontaneous post-marketing reports.
  • A causal relationship with ofloxacin otic solution, 0.3% is unknown.
  • To report SUSPECTED ADVERSE REACTIONS, contact Bausch & Lomb Incorporated at 1-800-553-5340 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Quoted from the official label, section “Adverse Reactions”.

What to discuss with your doctor

  • Avoid contaminating the applicator tip with material from the fingers or other sources.
  • This precaution is necessary if the sterility of the drops is to be preserved.
  • Systemic quinolones, including ofloxacin, have been associated with hypersensitivity reactions, even following a single dose.
  • Discontinue use immediately and contact your physician at the first sign of a rash or allergic reaction.
  • Otitis Externa:
  • Prior to administration of ofloxacin otic, the solution should be warmed by holding the bottle in the hand for one or two minutes to
  • avoid dizziness which may result from the instillation of a cold solution.
  • The patient should lie with the affected ear upward, and then the drops should be instilled.
  • This position should be maintained for five minutes to facilitate penetration of the drops into the ear canal.
  • Repeat, if necessary, for the opposite ear (see DOSAGE AND ADMINISTRATION ).
  • Acute Otitis Media and Chronic Suppurative Otitis Media:
  • Prior to administration of ofloxacin otic, the solution should be warmed by holding the bottle in the hand for one or two minutes to
  • avoid dizziness which may result from the instillation of a cold solution.
  • The patient should lie with the affected ear upward, and then the drops should be instilled.
  • The tragus should then be pumped 4 times by pushing inward to facilitate penetration of the drops into the middle ear.
  • This position should be maintained for five minutes.
  • Repeat, if necessary, for the opposite ear (see DOSAGE AND ADMINISTRATION ).

Quoted from the official label, section “Patient Counseling Information”.

What it looks like and how it is packed

  • Ofloxacin otic solution, 0.3% is supplied in plastic dropper bottles in the following sizes:
  • NDC 24208-410-05 5 mL NDC 24208-410-10 10 mL

Quoted from the official label, section “How Supplied”.

What is in it

  • Ofloxacin otic solution, 0.3% is a sterile aqueous anti-infective (antibacterial) solution for otic use.
  • Chemically, ofloxacin has three condensed 6-membered rings made up of a fluorinated carboxyquinolone with a benzoxazine ring.
  • The chemical name of ofloxacin is:
  • (±)-9-fluoro-2,3-dihydro-3-methyl-10-(4-methyl-1-piperazinyl)-7-oxo- 7H -pyrido [1,2,3- de ]-1,4-benzoxazine-6-carboxylic acid.
  • The empirical formula of ofloxacin is C 18 H 20 FN 3 O 4 and its molecular weight is 361.38.
  • The structural formula is: Each mL contains: Active: ofloxacin 0.3% (3 mg/mL);
  • Inactives: sodium chloride (0.9%), and purified water.
  • Hydrochloric acid and/or sodium hydroxide may be added to adjust the pH 6.5±0.5.
  • Preservative: benzalkonium chloride (0.0025%). chem

Quoted from the official label, section “Description”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

The stored label for this product has no list of inactive ingredients. The list on the pack is the one to check.

Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.

Every version of this medicine (33)

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Details

Made byBausch & Lomb Incorporated
Active substanceOfloxacin
Used inAntibiotics, antivirals and antifungals taken into the body
Strength3 mg/mL
FormSolution
RouteAuricular (otic)
Packs1 BOTTLE, DROPPER in 1 CARTON / 5 mL in 1 BOTTLE, DROPPER · 1 BOTTLE, DROPPER in 1 CARTON / 10 mL in 1 BOTTLE, DROPPER
NDC24208-410

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

Other strengths and forms

39 products are sold under this name. Grouped by form; a number on a strength means several companies make it.

Same active substance

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