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Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

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Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container

⚠ This medicine appears to have been discontinued

The electronic medicines compendium (emc) no longer publishes a Summary of Product Characteristics for this product, which usually means it is no longer marketed in the UK. The patient leaflet below is kept for reference, but the product may not be available.

If you were prescribed this medicine, other products containing Levofloxacin hemihydrate may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.

Active substance: Levofloxacin hemihydrate

Source: electronic medicines compendium (emc)
Official leaflet: Read the PIL on emc

What it is and what it is used for

for

Levofloxacin is an antibiotic of the type called fluoroquinolones (sometimes shortened to quinolones). It works by killing some types of bacteria that can cause infections. When levofloxacin is given in eye drops, it is used in children aged 1 year or over and in adults to treat bacterial infections that affect the front surfaces of the eye. One type of infection in this area is called bacterial conjunctivitis, which is an infection of the covering of the front of the eye (conjunctiva). Oftaquix is not recommended to be used in children aged below 1 year. You must talk to a doctor if you do not feel better or if you feel worse after 5 days.

2.

What you need to know before you take it

e Oftaquix

Do not use Oftaquix if you are allergic to levofloxacin or other quinolones or any of the other ingredients of this medicine (listed in section 6). If you are not sure, ask your doctor or pharmacist first. Warnings and precautions Talk to your doctor, pharmacist or nurse before using Oftaquix if an allergic reaction occurs even after a single dose stop using the medicine if you observe worsening of your eye symptoms during treatment, please contact your doctor as soon as possible if you do not see any sign of recovery within a certain treatment period agreed with your doctor, please contact your doctor as soon as possible 1/6 oftaquix-sd-uk- APPR 20210728 [soln]

–

generally, no types of contact lenses should be worn when the eye is infected.

Tendon swelling and rupture have happened in people taking oral or intravenous fluoroquinolones, particularly in older patients and in those treated concurrently with corticosteroids. Stop taking Oftaquix if you develop pain or swelling of the tendons (tendinitis). Children and adolescents The special warnings and precautions for using this medicine are the same in adults, adolescents and children aged ≥1 year. Other medicines and Oftaquix Tell your doctor or pharmacist if you are using or have recently used or might use any other medicines. In particular, tell your doctor or pharmacist if you are applying any other type of eye drop or eye ointment before you start to use Oftaquix. If you are using other eye drops, you should wait at least 15 minutes between applying Oftaquix and any other type of eye drop. Pregnancy, breast-feeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Oftaquix eye drops should be used during pregnancy only if the potential benefit justifies the potential risk to the growing baby. Although very small amounts of levofloxacin reach the blood and the breast milk, respectively, after instilling eye drops it is very unlikely that the eye drops would harm the growing baby. Your doctor is informed about the potential risk and will advise you whether to take Oftaquix eye drops in this case. Your fertility (ability to become pregnant or to father a child) is not impaired when you apply Oftaquix following its instructions for use. Driving and using machines Oftaquix has minor influence on the ability to drive and use machines. If the eye drops cause blurring of your sight when you use them, you should wait until this clears before driving or operating machinery.

3.

How to take it

Oftaquix

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Oftaquix eye drops are for ocular use and have to be applied to the outer surface of the eye. For patients above 1 year of age, the recommended dose is as follows: DAYS 1 – 2 Use one to two drops in the affected eye(s) every two hours. Use a maximum of 8 times per day. DAYS 3 – 5 Use one to two drops in the affected eye(s). Use a maximum of 4 times per day. In elderly patients no adjustment of the recommended dose is required. 2/6 oftaquix-sd-uk- APPR 20210728 [soln]

The usual total treatment course is five days. Your doctor will advise you how long to apply the drops. If you are putting any other medicine in your eye, you should wait at least 15 minutes between applying the different types of drops. Use in children and adolescents No dosage modification is required in children ≥1 year old and in adolescents. Oftaquix is not recommended to be used in children aged below 1 year. Before applying the drops: If possible, ask someone else to apply the drops for you. Ask them to read these instructions with you before applying the drops. 1) Wash your hands. 2) Open the pouch along the dashed line. 3) Remove one single-dose container from the strip. 4) Put the remaining strip back in the pouch and fold the edge to close the pouch. 5)

Make sure that the solution is in the bottom part of the single dose-container.

6)

To open the container, twist off the tab

7)

Tilt your head backwards while seated, or lie down on your back. Place the tip of the container close to your eye.

8)

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9) 10)

11)

Pull the lower eyelid downwards and look up. Press the container slightly and let one drop fall into the space between the lower eyelid and the eye.

Close your eye for a moment. Press the inner corner of the eye with your index finger for about one minute. Thus you can prevent the eye drop from draining down the tear duct.

If another drop is needed, and when both eyes are to be treated, repeat steps 8 to 11. Oftaquix eye drops should not be injected into the interior part of the eyeball. For single use only. The eye drops should be used immediately after first opening the single dose container. The contents of one single-dose container are sufficient for both eyes. Discard container with any remaining solution after single use. If you use more Oftaquix than you should If you use more Oftaquix than you should, flush the eye(s) with water and tell your doctor or pharmacist. If you forget to use Oftaquix If you forget to use the eye drops, put in the next dose as soon as you remember. Do not take a double dose to make up for a forgotten dose. If you swallow Oftaquix by accident The amount of levofloxacin in the provided amount of single-dose containers is too small to cause side effects. However, if you are concerned, tell your doctor or pharmacist, who will advise you on any necessary measures. If you stop using Oftaquix earlier than instructed, it may delay the healing process. If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

4.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. About one in ten people have a side effect when using Oftaquix. Most of these affect only the eye and may not last very long. If you have any severe or persistent side effect you should stop using these eye drops and seek urgent advice from your doctor. It is possible, even though rare, to develop an allergic reaction to Oftaquix even after just one dose. You notice this because your eyes may become red or itchy, or the lids may be swollen. If this should happen, stop using Oftaquix and contact your doctor immediately. 4/6 oftaquix-sd-uk- APPR 20210728 [soln]

Common side effects (may affect up to 1 in 10 users) burning feeling in the eye decreased vision or mucus in the eye. Uncommon side effects (may affect up to 1 in 100 users) stinging or irritation of the eyes painful eyes dry or sore eyes swelling or redness (bloodshot eyes) of the conjunctivae (front covering of the eye) sensitivity to light itchy eyes sticky eyelids headache rash around the eye stuffed or runny nose. Rare side effects (may affect up to 1 in 1,000 users) allergic reactions such as skin rash. Very rare side effects (may affect less than 1 in 10,000 users) • swelling and tightness in the throat • breathing difficulty. Additional side effects in children and adolescents Frequency, type and severity of side effects in children and adolescents are expected to be the same as in adults. Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5.

How to store it

Oftaquix

Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the single dose container, pouch and carton after "EXP". The expiry date refers to the last day of that month. This medicine does not require any special temperature storage conditions. Oftaquix containers must be stored in the original pouch in order to protect from light. You can use Oftaquix 3 months after first opening the pouch. Discard any unused single dose container after that time. Discard the opened single dose container with any remaining solution after first use immediately. Do not use this medicine if you notice insoluble parts in the solution. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

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6.

Contents of the pack and other information

What Oftaquix contains –

–

The active substance is levofloxacin. 1 ml contains 5.12 mg of levofloxacin hemihydrate equivalent to 5 mg of levofloxacin. One single-dose container (0.3 ml) contains 1.5 mg of levofloxacin. The other ingredients are sodium chloride, diluted sodium hydroxide solution or diluted hydrochloric acid and water for injections.

What Oftaquix looks like and contents of the pack –

Oftaquix is a clear, light yellow to light greenish-yellow solution, free of visible particulate matter. Single-dose containers of strip of ten are packed in paper-coated, aluminium-polyethylene foil pouch. One single-dose container contains 0.3 ml of solution. Pack sizes: 10 x 0.3 ml, 20 x 0.3 ml, 30 x 0.3 ml and 60 x 0.3 ml. Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder Santen Oy Niittyhaankatu 20 33720 Tampere Finland Manufacturer Santen Oy Kelloportinkatu 1 33100 Tampere Finland This medicinal product is authorised in the Member States of the EEA under the following names: Oftaquix: Denmark, Finland, Iceland, Italy and Sweden Oftaquix sine: Germany Oftaquix Unit Dose: United Kingdom (Northern Ireland) This leaflet was last revised in 06/2021

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Frequently asked questions about Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container

How do I take Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container?

Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container comes as eye drops containing 5mg/ml. Always follow the dose your doctor or pharmacist has given you, and read the leaflet that comes with the medicine.

What is the active substance in Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container?

The active substance in Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container is levofloxacin hemihydrate.

Are there equivalent medicines to Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container?

Medicines with the same active substance, strength and form include: Eyflox 5mg/ml eye drops, solution, Oftaquix 5 mg/ml eye drops, solution, Oxalux Unit Dose 5 mg/ml eye drops in single-dose container. In total there are 4 equivalent products. They are interchangeable only if your prescriber or pharmacist says so.

Where does this information come from?

This leaflet reproduces the patient information leaflet approved for Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container, as published on the electronic medicines compendium (emc). The version printed inside your medicine’s packaging is the one that applies to you.

Can I get Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container without a prescription?

Whether a medicine is available over the counter or on prescription only depends on its licence. Check the leaflet, or ask your pharmacist — they can tell you straight away.

About this leaflet

The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.

Medical disclaimer: This page is for information only and does not replace advice from your doctor or pharmacist. Always read the leaflet supplied with your medicine. If you are unwell, call NHS 111; in an emergency, call 999.

Medicines with the same active substance: Levofloxacin hemihydrate (12 medicines)
See every medicine containing this substance, or browse the full A–Z of active substances.
⚕For healthcare professionals — Summary of Product Characteristics (SmPC)Full SmPC: dosage, interactions, contraindications, warnings+
Technical information intended for healthcare professionals (doctors and pharmacists). The Summary of Product Characteristics (SmPC) is the official document approved by the MHRA/EMA. It does not replace the patient leaflet or a doctor’s advice.

4.1. Therapeutic indications

Oftaquix Unit Dose 5 mg/ml eye drops are indicated for the topical treatment of bacterial external ocular infections in patients ≥1 year of age caused by levofloxacin susceptible microorganisms (see also sections 4.4 and 5.1).

Considerations should be given to official guidance on the appropriate use of antibacterial agents.

Oftaquix Unit Dose 5 mg/ml eye drops are indicated in adults, children aged ≥1 year to 12 years and adolescents aged 12 to 18 years.

4.2. Posology and method of administration

Posology

For all patients instil one to two drops in the affected eye(s) every two hours up to 8 times per day while awake for the first two days and then four times daily on days 3 through 5.

If different topical ocular medications are used concomitantly, at least a 15-minute interval is required between instillations.

The duration of treatment depends on the severity of the disorder and on the clinical and bacteriological course of infection. The usual treatment duration is 5 days.

Safety and efficacy in the treatment of corneal ulcer and ophthalmia neonatorum has not been established.

Oftaquix Unit Dose is not recommended for use in children below age 1 year due to a lack of data on safety and efficacy.

Use in the elderly

No adjustment of dosage is required.

Paediatric population

The posology is the same in adults and children aged ≥1 year.

The safety and efficacy of Oftaquix in children aged ≥1 year have been established.

The safety and efficacy of Oftaquix in children < 1 year have not yet been established.

No data are available.

Method of administration

Ocular use.

For single use only.

The contents of one single-dose container are sufficient for both eyes.

The eye drops, solution should be used immediately after first opening the single dose container.

The used single dose container should be discarded.

4.3. Contraindications

Hypersensitivity to the active substance levofloxacin, to other quinolones or to any of the excipients listed in section 6.1.

4.4. Special warnings and precautions for use

Oftaquix Unit Dose 5 mg/ml eye drops must not be injected sub-conjunctivally. The solution should not be introduced directly into the anterior chamber of the eye.

As with other anti-infectives, prolonged use may result in overgrowth of non-susceptible organisms, including fungi. If worsening of infection occurs, or if a clinical improvement is not noted within a reasonable period, discontinue use and institute alternative therapy. Whenever clinical judgement dictates, the patient should be examined with the aid of magnification, such as slit-lamp biomicroscopy, and, where appropriate, fluorescein staining.

Patients with external bacterial ocular infections should not wear contact lenses.

Systemic fluoroquinolones have been associated with hypersensitivity reactions, even following a single dose. If an allergic reaction to levofloxacin occurs, discontinue the medication.

Tendon inflammation and rupture may occur with systemic fluoroquinolone therapy including levofloxacin, particularly in older patients and those treated concurrently with corticosteroids. Therefore, caution should be exercised and treatment with Oftaquix should be discontinued at the first sign of tendon inflammation (see section 4.8).

Paediatric population

The special warnings and precautions for use are the same in adults and children aged ≥1 year.

4.5. Interaction with other medicinal products and other forms of interaction

Specific drug interaction studies have not been conducted with Oftaquix Unit Dose 5 mg/ml eye drops.

Since maximum plasma concentrations of levofloxacin after ocular administration are at least 1000 times lower than those reported after standard oral doses, interactions mentioned for systemic use are unlikely to be clinically relevant when using Oftaquix Unit Dose 5 mg/ml eye drops.

Paediatric population

No interaction studies have been performed.

4.6. Fertility, pregnancy and lactation

Pregnancy

There are no adequate data from the use of levofloxacin in pregnant women. Animal studies do not indicate direct or indirect harmful effects with respect to reproductive toxicity (see section 5.3). The potential risk for humans is unknown. Oftaquix Unit Dose 5 mg/ml eye drops should be used during pregnancy only if the potential benefit justifies the potential risk to the foetus.

Breastfeeding

Levofloxacin is excreted in human milk. However, at therapeutic doses of Oftaquix no effects on the suckling child are anticipated. Oftaquix Unit Dose 5 mg/ml eye drops should be used during lactation only if the potential benefit justifies any potential risk to the nursing child.

Fertility

Levofloxacin caused no impairment of fertility in rats at exposures considerably in excess of the maximum human exposure after ocular administration (see section 5.3).

4.7. Effects on ability to drive and use machines

Oftaquix Unit Dose 5 mg/ml eye drops have minor influence on the ability to drive and use machines.

If there are any transient effects on vision, the patient should be advised to wait until this clears before driving or operating machinery.

4.8. Undesirable effects

Approximately 10% of patients can be expected to experience adverse reactions. The reactions are usually graded as mild or moderate, are transient, and are generally restricted to the eye.

The following undesirable effects assessed as definitely, probably or possibly related to treatment were reported during clinical trials and post-marketing experience with levofloxacin containing eye drops (Oftaquix 5 mg/ml eye drops and Oftaquix Unit Dose 5 mg/ml eye drops in single-dose container):

Immune system disorders

Rare (≥1/10,000 to <1/1,000): Extra-ocular allergic reactions, including skin rash.

Very rare (<1/10,000): Anaphylaxis.

Nervous system disorders

Uncommon (≥1/1,000 to <1/100): Headache.

Eye disorders

Common (≥1/100 to <1/10): Ocular burning, decreased vision and mucous strand.

Uncommon (≥1/1,000 to <1/100): Lid matting, chemosis, conjunctival papillary reaction, lid oedema, ocular discomfort, ocular itching, ocular pain, conjunctival injection, conjunctival follicles, ocular dryness, lid erythema, and photophobia.

No corneal precipitates were observed in clinical studies.

Respiratory, thoracic and mediastinal disorders

Uncommon (≥1/1,000 to <1/100): Rhinitis.

Very rare (<1/10,000): Laryngeal oedema.

Additional adverse reactions that have been seen with the systemic use of the active substance (levofloxacin), and may potentially occur also with Oftaquix:

Ruptures of the shoulder, hand, Achilles, or other tendons that required surgical repair or resulted in prolonged disability have been reported in patients receiving systemic fluoroquinolones. Studies and post marketing experience with systemic quinolones indicate that a risk of these ruptures may be increased in patients receiving corticosteroids, especially geriatric patients and in tendons under high stress, including Achilles tendon (see section 4.4).

Paediatric population

Frequency, type and severity of adverse reactions in children are expected to be the same as in adults.

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

4.9. Overdose

The total amount of levofloxacin in the provided amount of single-dose container of eye drops is too small to induce toxic effects after an accidental oral intake. If considered necessary, the patient can be observed clinically and supportive measures can be undertaken. After a local overdose with Oftaquix Unit Dose 5 mg/ml eye drops, the eyes can be flushed with clean (tap) water at room temperature.

Paediatric population

Actions to be taken in case of overdose are the same in adults and in children aged ≥1 year.

💬 Ask about this leaflet

Ask anything about Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container. The assistant answers only from this leaflet — if the leaflet does not cover it, it will say so. It does not give medical advice.

Answers come from the patient leaflet published on the electronic medicines compendium (emc). They are not medical advice. Ask a pharmacist or your GP if you are unsure. For urgent help call NHS 111, or 999 in an emergency.

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