Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
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.
for Oxalux eye drops contains the active ingredient levofloxacin, an antibiotic of the type called fluoroquinolones (sometimes shortened to quinolones). It works by killing some types of bacteria that can cause infections. When Oxalux 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). Oxalux eye drops are 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.
e Oxalux eye drops Do not use Oxalux eye drops 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.
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Warnings and precautions Talk to your doctor, pharmacist or nurse before using Oxalux eye drops 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 generally, no types of contact lenses should be worn when the eye is infected.
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Children and adolescents The special warnings and precautions for using this medicine are the same in adults, adolescents and children aged 1 year and above. Other medicines and Oxalux eye drops Tell your doctor or pharmacist if you are using, 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 Oxalux eye drops. If you are using other eye drops, you should wait at least 15 minutes between applying Oxalux eye drops 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. Oxalux 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 applying 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 use Oxalux eye drops in this case. Your fertility (ability to become pregnant or to father a child) is not reduced when you apply Oxalux eye drops following the instructions for use. Driving and using machines Oxalux eye drops have 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.
Oxalux eye drops Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Oxalux eye drops are for ocular use. DO NOT allow the single-dose container to touch the eye or areas around the eye. It could cause injury to your eye. It may be contaminated with bacteria that can cause infections leading to serious damage of the eye, even loss of vision. To avoid possible contamination of the single-dose container, wash your hands before using this medicine and keep the tip of the single-dose container away from contact with any surface. A new single-dose container should be opened immediately prior to each use; there is enough solution in each container for both eyes if your doctor has told you to use the drops in both eyes For patients aged 1 year and over, 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.
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DAYS 3 – 5 Use one to two drops in the affected eye(s). Use a maximum of 4 times per day.
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In elderly patients no adjustment of the recommended dose is required. The usual total treatment course is five days. Your doctor will advise you how long to apply the drops for. 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 aged 1 year or over and in adolescents. Oxalux eye drops are not recommended to be used in children aged below 1 year. Instructions for use 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. 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. continued
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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) Hold the container between your thumb and index finger. 8) Tilt your head backwards while seated, or lie down on your back.
9) Place the tip of the container close to your eye. DO NOT allow any part of the container to touch your eye or any area around your eye. 10) Pull the lower eyelid downwards and look up.
11) Press the container slightly and let one drop fall in the space between the lower eyelid and the eye. 12) Close your eye for a moment. Press the inner corner of the eye with your index finger for about one minute. This prevents the eye drop from draining down the tear duct.
If another drop is needed, and when both eyes are to be treated, repeat steps 9 to 12. Oxalux 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 Oxalux eye drops than you should If you use more Oxalux eye drops than you should, flush the eye(s) with water and tell your doctor or pharmacist. If you forget to use Oxalux eye drops 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 Oxalux eye drops by accident The amount of levofloxacin in the provided bottle 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 Oxalux eye drops 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.
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 Oxalux eye drops. 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. Very rarely this medicine can cause severe allergic reactions. The following symptoms can occur even after just one dose of Oxalux eye drops: swelling and tightness in the throat breathing difficulties. In rare cases other allergic reactions can develop. Symptoms of such reactions are: worsening of redness and itching of the eyes increased or sudden swelling of eyelids. Stop using Oxalux eye drops and contact a doctor immediately if any of these symptoms occurs.
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Common side effects (may affect up to 1 in 10 users)
feeling in the eye
Uncommon side effects (may affect up to 1 in 100 users) swelling or redness sensitivity to light stinging or irritation of itchy eyes (bloodshot eyes) of the the eyes sticky eyelids conjunctivae (front covering painful eyes headache of the eye) or eyelid dry or sore eyes
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Rare side effects (may affect up to 1 in 1,000 users)
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around the eye
Very rare side effects (may affect less than 1 in 10,000 users)
and tightness in the throat
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.
Oxalux eye drops 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. Oxalux eye drops containers must be stored in the original pouch in order to protect from light. You can use Oxalux eye drops 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.
What Oxalux eye drops contain The active substance is levofloxacin. 1 ml contains 5.12 mg of levofloxacin hemihydrate equivalent to 5 mg of levofloxacin. The other ingredients are sodium chloride, hydrochloric acid and water for injections. What Oxalux eye drops look like and contents of the pack Oxalux eye drops is a clear, light yellow to light greenish-yellow solution. Single-dose containers in a strip of five are packed in a plastic/aluminium pouch. One single-dose container contains 0.5 ml of solution. Pack size: 20 x 0.5 ml. Marketing Authorisation Holder Manufacturer Kestrel Ophthalmics Ltd, Genetic SpA, Unit 9, Cabot Business Village, Pharmaceutical Manufacturing Site, Holyrood Close, Creekmoor, Nucleo Industriale, Poole, BH17 7BA, Contrada, Canfora, United Kingdom 84084, Fisciano (SA), Italy
Other formats To request a copy of this leaflet in Braille, large print or audio please call 01202 696963 This leaflet was last revised in June 2020 PL 25617/0002 35104080-01
Oxalux Unit Dose 5 mg/ml eye drops 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.
The active substance in Oxalux Unit Dose 5 mg/ml eye drops in single-dose container is levofloxacin hemihydrate.
Medicines with the same active substance, strength and form include: Eyflox 5mg/ml eye drops, solution, Oftaquix 5 mg/ml eye drops, solution, Oftaquix Unit Dose 5 mg/ml eye drops, solution in single dose container. In total there are 4 equivalent products. They are interchangeable only if your prescriber or pharmacist says so.
This leaflet reproduces the patient information leaflet approved for Oxalux Unit Dose 5 mg/ml eye drops 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.
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.
The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.
Levofloxacin Unit Dose 5 mg/ml eye drops are indicated for the topical treatment of bacterial external ocular infections in patients =:J1 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.
Levofloxacin eye drops are indicated in adults, children aged =:J1 year to 12 years and adolescents aged 12 to 18 years.
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.
Levofloxacin eye drops are 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 =:J1 year.
The safety and efficacy of Levofloxacin in children aged =:J1 year have been established. The safety and efficacy of Levofloxacin 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.
Hypersensitivity to the active substance levofloxacin, to other quinolones or to any of the excipients listed in section 6.1.
Levofloxacin 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.
Systemic fluoroquinolones have been associated with hypersensitivity reactions, even following a single dose. If an allergic reaction to levofloxacin occurs, discontinue the medication.
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.
Paediatric population
The special warnings and precautions for use are the same in adults and children aged =:J1 year.
Specific drug interaction studies have not been conducted with Levofloxacin 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 Levofloxacin Unit Dose 5 mg/ml eye drops.
Paediatric population
No interaction studies have been performed.
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. Levofloxacin Unit Dose 5 mg/ml eye drops should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Breastfeeding
Levofloxacin is excreted in human milk. However, at therapeutic doses of Levofloxacin no effects on the suckling child are anticipated. Levofloxacin 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).
Levofloxacin 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.
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 (Levofloxacin 5 mg/ml Eye Drops and Levofloxacin 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 (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.
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.
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 Levofloxacin 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 anything about Oxalux Unit Dose 5 mg/ml eye drops 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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