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compositionComposition:CIPROFLOXACIN-0.3%W/V+DEXAMETHASONE-0.1%W/V
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Prescription Medicine
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ZOXAN D DROPS 5ML is a combination medicine used to treat eye and ear infections caused by bacteria. It helps by inhibiting the protein synthesis of the bacterial cell and thereby helps fight infection causing bacteria. This medicine is not effective for treating viral infections. Sometimes, you may experience certain common side effects, such as eye discomfort, irritation, eye pain, and stinging sensation

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Veda Maddala , M Pharmacy
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More about the Product

Composition :

CIPROFLOXACIN-0.3%W/V+DEXAMETHASONE-0.1%W/V

Manufacturer/Marketer :

FDC Ltd

Consume Type :

Eye/Ear

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About ZOXAN D DROPS 5ML

ZOXAN D DROPS 5ML is a prescription liquid medication used to treat bacterial infections in the eyes or ears. It targets harmful bacteria while simultaneously calming swelling, redness, and irritation in the affected area. Doctors commonly prescribe this medicine to help clear up localized infections quickly and safely.

You must apply this medicine consistently at the exact times recommended by your doctor to ensure the infection is completely cleared. Skipping doses or stopping treatment early can cause the infection to return. During your treatment, keeping the affected area clean and dry will support your recovery.

Some people may experience mild, temporary burning, stinging, or discomfort in the eye or ear after applying the drops. While these mild issues usually go away quickly, you must seek medical help immediately if you develop severe pain, vision changes, or signs of an allergic reaction.

Before starting this medicine, talk to your doctor or pharmacist if you have a history of viral or fungal infections in your eyes or ears. Do not take this if you have a known allergy to any of the ingredients. It is also important to tell your healthcare provider if you have a damaged or torn eardrum before using ear drops.

Using other eye or ear drops at the same time may interfere with how this medicine works, so always space out different treatments. While there are no direct interactions with alcohol, avoiding smoking can help your body heal faster from infections. If you are pregnant, breastfeeding, or caring for an elderly patient, talk to your doctor or pharmacist before using this medicine.

Uses of ZOXAN D DROPS 5ML

ZOXAN D DROPS 5ML helps treat bacterial infections of the ear and eyes by stopping the growth of bacteria and relieving associated symptoms. Your doctor may recommend it for the following conditions:

  • Outer ear infections: ZOXAN D DROPS 5ML helps clear painful bacterial infections in the ear canal, commonly known as swimmer's ear.
  • Middle ear infections with ear tubes: This medicine treats middle ear infections in children who have tympanostomy tubes in place.
  • Bacterial eye infections: It treats surface-level infections of the eye while reducing the accompanying swelling and redness.

Key Benefits

ZOXAN D DROPS 5ML helps treat bacterial ear and eye infections while relieving the discomfort caused by inflammation. Key benefits include:

  • Quick symptom relief: It rapidly reduces painful swelling, redness, and itching, allowing you to return to your normal routine comfortably.
  • Prevents infection spread: By stopping the growth of bacteria, it prevents the infection from worsening or spreading to deeper tissues.
  • Dual-action therapy: You do not need to use separate drops for swelling and infection, simplifying your daily treatment routine.
Side effects of Zoxan D Drops 5ml
  • Your doctor may recommend lubricating eye drops to reduce irritation and dryness in the eyes, helping to soothe the cornea and prevent additional discomfort.
  • Your doctor may suggest phototherapeutic keratectomy (PTK), a surgical technique that employs ultraviolet radiation to clear corneal deposits and improve vision.
  • Wear protective eyewear like goggles or sunglasses to avoid further eye injuries.
  • Avoid rubbing your eyes because it can worsen the condition.
  • Keep your eyes clean by rinsing them gently with artificial tears or saline solution.
  • Quit smoking, as it can worsen corneal deposits.
  • Antioxidant supplements such as vitamins C and E may help protect the cornea from damage.
  • Inform your doctor if you notice any changes in vision, such as blurred, double, or lost vision.
  • Eat a healthy, well-balanced diet full of vitamins, minerals, and omega-3 fatty acids to help maintain eye health.
  • Wear UV-protecting sunglasses when you are outside or in bright light.
  • Avoid touching or rubbing your eyes it may increase irritation.
  • Seek medical care if you are experiencing extreme eye pain or discomfort.
  • Stay hydrated by drinking plenty of water.
  • Get plenty of rest to help your eyes recover.
  • Eat a balanced diet low in fat and rich in fruits, vegetables, and whole grains.
  • Limit spicy and seasoned foods that can irritate your eyes.
  • Avoid seafood, which can trigger allergies or infections that worsen red eye symptoms.
  • Regularly brush and floss your teeth.
  • Rinse your mouth with water and baking soda a solution to neutralize acid in the mouth. This makes your food taste as it should.
  • Drink plenty of water or non-caffeinated drinks to prevent dry mouth which may lead to altered taste.
  • Try ginger, peppermint, fruit or green teas, lemonade, ginger ale or fruit juice to help mask unpleasant tastes.
  • Try sucking on sugar-free ice pops or ice cubes to prevent dry mouth.

Directions for Use

  • Follow your doctor's instructions on the dosage and duration of treatment.
  • For eye use: Wash your hands, tilt your head back, pull down your lower eyelid, and instil the prescribed number of drops into the eye.
  • For ear use: Lie on your side or tilt your head so the ear faces up, pull the ear upward and outward, and instil the prescribed number of drops into the ear.
  • To avoid contamination, do not touch the tip of the container.

How ZOXAN D DROPS 5ML Works

ZOXAN D DROPS 5ML contains ciprofloxacin and dexamethasone, a combination of an antibiotic and a corticosteroid that work together to treat your condition. Each component plays a distinct role in clearing the infection and making you feel comfortable. The antibiotic component, ciprofloxacin, works by stopping bacterial growth. It targets and blocks specific enzymes that bacteria need to repair and multiply themselves, causing the bacteria to die off. The steroid component, dexamethasone, works by calming the body's immune response. It blocks the release of natural substances that cause swelling, redness, and itching, providing quick relief from inflammation.
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Alcohol

Caution

No interaction was found. However, it is advisable not to take or limit alcohol as a precautionary measure.

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Pregnancy

Caution

If you are planning to become pregnant or are already pregnant, please consult your doctor before using ZOXAN D DROPS 5ML.

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Breast Feeding

Caution

If you are a nursing mother, please notify your doctor before beginning ZOXAN D DROPS 5ML.

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Driving

Caution

ZOXAN D DROPS 5ML may cause blurred vision temporarily after using the drops in the eye. Before driving or operating any machinery, wait until your vision is clear.

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Liver

Caution

Limited information is available about the usage of ZOXAN D DROPS 5ML in patients with liver disease. Please consult your physician.

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Kidney

Caution

Limited information is available about the usage of ZOXAN D DROPS 5ML in patients with kidney disease. Please consult your physician.

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Children

Caution

ZOXAN D DROPS 5ML should be used in children above one year only if prescribed by the doctor.

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Heart

Safe if prescribed

ZOXAN D DROPS 5ML is generally safe for individuals with heart problems. It acts locally with minimal systemic absorption, so it typically do not affect heart function. However, if you have a history of allergic reactions or are taking other medications that impact heart rhythm, it's best to consult your doctor before use.

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Geriatrics

Caution

ZOXAN D DROPS 5ML can be used in geriatric patients, but with caution. Older adults may be more prone to side effects like dryness, irritation, or increased intraocular pressure, so regular monitoring by a healthcare provider is recommended.

What if I have taken an overdose of ZOXAN D DROPS 5ML

If you think you have used more than the prescribed dose of ZOXAN D DROPS 5ML, accidentally swallowed the medicine, or applied far more than directed, seek immediate medical attention. Symptoms of an overdose may vary depending on the amount used (or swallowed) and the individual. Prompt medical evaluation is recommended in all suspected cases.

Diet & Lifestyle Advise

  • Keep ears dry: If you are treating an ear infection, wear earplugs or a shower cap while bathing to prevent water from entering the ear canal.
  • Avoid swimming: Stay out of pools, lakes, and oceans until your doctor confirms that your ear or eye infection has completely cleared.
  • Avoid wearing contact lenses: Do not wear contact lenses while treating an eye infection. Wait until your infection is gone and your doctor says it is safe to wear them again.
  • Do not touch or rub: Avoid scratching, rubbing, or touching your infected eye or ear, as this can delay healing or spread the infection.
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How Soon It Starts Working

The time required for ZOXAN D DROPS 5ML to start to work: The onset time of ZOXAN D DROPS 5ML has not been clinically established. The time for which the effects of ZOXAN D DROPS 5ML last: The duration of ZOXAN D DROPS 5ML’s effect is clinically not established.

What if you forget to take ZOXAN D DROPS 5ML

If you miss a dose, apply it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose and return to your regular schedule. Do not apply a double dose to make up for a missed one.

Storage

•Store ZOXAN D DROPS 5ML at controlled room temperature, ideally between 20°C and 25°C (68°F to 77°F).•Protect the bottle from direct light, keep it tightly closed when not in use, and do not freeze.

Drug Warnings

  • Inspect the liquid: Always check the liquid before use; do not use it if it has changed colour, looks cloudy, or contains visible particles.
  • Maintain dropper hygiene: Never let the tip of the dropper touch any surface, including your fingers, eye, or ear, to prevent contamination.
  • Finish the course: Do not stop using the drops early, even if your symptoms disappear, to prevent the infection from returning.
  • Do not share: Never share your drops with anyone else, as this can spread infections.
  • Remove contacts first: If using eye drops, remove contact lenses before application and wait at least 15 minutes before reinserting them.

Drug-Drug Interactions

verifiedApollotooltip
  • Other eye or ear drops: Using other topical drops at the same time may wash out ZOXAN D DROPS 5ML or reduce its effectiveness. Always wait at least 10 to 15 minutes between applying different drops.
Ciprofloxacin + DexamethasoneAmiodarone
Critical
Ciprofloxacin + DexamethasoneRanolazine
Critical

Drug-Drug Interactions

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Ciprofloxacin + DexamethasoneAmiodarone
Critical
How does the drug interact with Zoxan D Drops 5ml:
Taking Zoxan D Drops 5ml with amiodarone increases the risk of an irregular heart rhythm, and reduces the effects of Dexamethasone. Additionally, it causes tendinitis, which is an inflammation of the tissue connecting muscle to bone, and tendon rupture, which is an injury to the soft tissues that connect muscles and joints.

How to manage the interaction:
Taking Zoxan D Drops 5ml with amiodarone is not recommended, as it can lead to an interaction, it can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath, pain, swelling, or inflammation of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb. Do not discontinue any medications without consulting a doctor.
Ciprofloxacin + DexamethasoneRanolazine
Critical
How does the drug interact with Zoxan D Drops 5ml:
Taking Zoxan D Drops 5ml with Ranolazine reduces the effects of Dexamethasone. Additionally, it can cause tendinitis, which is an inflammation of the tissue connecting muscle to bone, and tendon rupture, which is an injury to the soft tissues that connect muscles and joints.

How to manage the interaction:
Co-administration of Zoxan D Drops 5ml with Ranolazine is not recommended as it can lead to an interaction, it can be taken if advised by a doctor. However, if you experience pain, swelling, or inflammation of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb, consult a doctor. Do not stop using any medications without a doctor's advice.
Ciprofloxacin + DexamethasoneTheophylline
Severe
How does the drug interact with Zoxan D Drops 5ml:
Co-administration of Zoxan D Drops 5ml together with theophylline can cause tendinitis (a condition in which the tissue connecting muscle to bone becomes inflamed) and tendon rupture (injuries to the soft tissues that connect muscles and joints), it can also increase the blood levels of theophylline leading to side effects.

How to manage the interaction:
Although taking Zoxan D Drops 5ml together with theophylline can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, if you experience nausea, vomiting, diarrhoea, lack of appetite, headache, tremors (shaking of hands & legs), confusion, restlessness, sleeplessness, seizures(fits), irregular heartbeat, pain, swelling, or inflammation of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
Ciprofloxacin + DexamethasoneOxycodone
Severe
How does the drug interact with Zoxan D Drops 5ml:
Co-administration of Zoxan D Drops 5ml together with Oxycodone can cause tendinitis (a condition in which the tissue connecting muscle to bone becomes inflamed) and tendon rupture (injuries to the soft tissues that connect muscles and joints), it can also alter the blood levels of Oxycodone leading to side effects.

How to manage the interaction:
Although taking Zoxan D Drops 5ml together with Oxycodone can cause an interaction, it can be taken if a doctor has suggested it. However, if you experience, pain, or swelling of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb, dizziness, confusion, and/or shallow or difficult breathing, watery eyes, sneezing, yawning, excessive sweating, fever, chills, flushing, restlessness, anxiety, body aches, involuntary twitching and kicking, abdominal cramping, consult a doctor. Avoid tasks that require mental attention, such as operating machinery or driving, and proceed with caution while rising from a seated or lying down posture. Do not stop using any medications without consulting a doctor.
Ciprofloxacin + DexamethasoneOlaparib
Severe
How does the drug interact with Zoxan D Drops 5ml:
Co-administration of Zoxan D Drops 5ml together with Olaparib can cause tendinitis (a condition in which the tissue connecting muscle to bone becomes inflamed) and tendon rupture (injuries to the soft tissues that connect muscles and joints), it can also alter the blood levels of Olaparib leading to side effects.

How to manage the interaction:
Although taking Zoxan D Drops 5ml together with Olaparib can evidently cause an interaction, it can be taken if a doctor has suggested it. However, if you experience, pain, swelling of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb, paleness, dizziness, unusual bruising or bleeding, fever, chills, diarrhoea, sore throat, muscle aches, shortness of breath, blood in phlegm, weight loss, body sores, and pain or burning during urination, consult a doctor. Do not stop using any medications without consulting a doctor.
Ciprofloxacin + DexamethasoneBempedoic acid
Severe
How does the drug interact with Zoxan D Drops 5ml:
Taking Zoxan D Drops 5ml with bempedoic acid may cause tendinitis (a condition in which the tissue connecting muscle to bone becomes inflamed) and tendon rupture (injuries to the soft tissues that connect muscles and joints).

How to manage the interaction:
Although there is an interaction, Zoxan D Drops 5ml can be taken with bempedoic acid if prescribed by the doctor. However, if you experience pain, inflammation, or swelling of a tendon area such as the back of the ankle, biceps, shoulder, hand, or thumb, consult a doctor. Do not discontinue any medications without a doctor's advice.
Ciprofloxacin + DexamethasoneInsulin degludec
Severe
How does the drug interact with Zoxan D Drops 5ml:
Taking Zoxan D Drops 5ml with insulin degludec can result in hyperglycemia (high blood sugar) and, less frequently, hypoglycemia (low blood sugar), as well as tendinitis (inflammation of the tissue that connects muscle to bone) and tendon rupture (damage to the soft tissues that connect muscles and joints).

How to manage the interaction:
There could be a possible interaction between Zoxan D Drops 5ml and insulin degludec but can be taken if prescribed by a doctor. However, consult a doctor immediately if you experience headache, dizziness, confusion, tremors, nausea, hunger, weakness, excessive sweating, rapid heartbeat, increased thirst, increased hunger, increased urination, pain, swelling of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb. Do not stop using any medications without consulting a doctor.
Ciprofloxacin + DexamethasoneBosutinib
Severe
How does the drug interact with Zoxan D Drops 5ml:
Taking Zoxan D Drops 5ml with bosutinib may cause tendinitis (a condition in which the tissue connecting muscle to bone becomes inflamed) and tendon rupture (injuries to the soft tissues that connect muscles and joints).

How to manage the interaction:
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Ciprofloxacin + DexamethasoneVoclosporin
Severe
How does the drug interact with Zoxan D Drops 5ml:
Using Zoxan D Drops 5ml with Voclosporin can increase can speed up the metabolism of voclosporin leading to its reduced effectiveness.

How to manage the interaction:
Although taking Zoxan D Drops 5ml together with Voclosporin can cause an interaction, it can be taken if a doctor has suggested it. If you experience any unusual symptoms, it's important to contact the doctor right away. Do not stop using any medications without talking to a doctor.
Ciprofloxacin + DexamethasoneMifepristone
Severe
How does the drug interact with Zoxan D Drops 5ml:
Taking Zoxan D Drops 5ml with mifepristone increases the risk of an irregular heart rhythm, and reduces the levels of Dexamethasone, which may make Dexamethasone less effective in treating your condition. Additionally, it causes tendinitis, which is an inflammation of the tissue connecting muscle to bone, and tendon rupture, which is an injury to the soft tissues that connect muscles and joints.

How to manage the interaction:
Co-administration of Zoxan D Drops 5ml with mifepristone can cause an interaction. However, they can be taken together if prescribed by the doctor. However, if you experience, pain, swelling, or inflammation of a tendon area such as the back of the ankle, shoulder, biceps, hand, or thumb, dizziness, shortness of breath, heart palpitations, muscle weakness, muscle cramps, numbness or tingling, and/or swelling in the legs or feet, consult a doctor. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No clinically significant food interactions are known with ZOXAN D DROPS 5ML when used as directed. 

CIPROFLOXACIN-0.3%W/V+DEXAMETHASONE-0.1%W/VCalcium rich foods, Caffeine containing foods/drinks
Moderate

Drug-Food Interactions

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CIPROFLOXACIN-0.3%W/V+DEXAMETHASONE-0.1%W/VCalcium rich foods, Caffeine containing foods/drinks
Moderate
Common Foods to Avoid:
Almonds, Bok Choy, Calcium-Fortified Soy Milk, Cheese, Kale, Milk, Ragi, Seasame Seeds, Tofu Set With Calcium, Yogurt, Cocoa, Coffee, Dark Chocolate, Energy Drinks With Caffeine, Green Tea, Kola Nut, Tea, Tiramisu

How to manage the interaction:
Using caffeine together with ciprofloxacin may increase the effects of caffeine. Taking dairy products such as milk, yogurt, or calcium-fortified foods can make the medication less effective. Avoid taking caffeine with ciprofloxacin, as it causes effects. Contact your doctor if you experience headaches, tremors, restlessness, nervousness, insomnia, and increased blood pressure or heart rate. Avoid taking milk, yogurt, or calcium-fortified foods. You could interrupt the feeding for 1 hour before and 2 hours after the ciprofloxacin dose. Do not stop using any medications without talking to your doctor.

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FAQs

ZOXAN D DROPS 5ML is a combination of antibiotic and steroid medication used to treat bacterial eye and ear infections. An ear infection occurs when bacteria invade the middle or outer ear, causing pain and inflammation.
ZOXAN D DROPS 5ML contains ciprofloxacin and dexamethasone. Ciprofloxacin kills the bacteria by inhibiting their growth. Dexamethasone works by inhibiting the chemicals such as prostaglandins that cause inflammation. Thereby, ZOXAN D DROPS 5ML helps treat ear/eye infections.
Please do not stop using ZOXAN D DROPS 5ML until the course advised by the doctor has been completed. If you discontinue ZOXAN D DROPS 5ML suddenly, your symptoms may reappear.
Wearing contact lenses during treatment is not recommended unless advised by the doctor. Remove contact lens before instilling the drops into the eye and wait at least 15 minutes before reinserting them.
You are not recommended to use ZOXAN D DROPS 5ML for more than the prescribed duration. Talk to your doctor if the irritation persists despite using ZOXAN D DROPS 5ML for a week or if it worsens.
ZOXAN D DROPS 5ML starts working within a few hours of use. However, it may take a few days to show its complete effectiveness.
ZOXAN D DROPS 5ML is a combination of an antibiotic and a steroid used to treat bacterial infections in the eyes and ears. It helps to kill the bacteria that cause infection and reduces swelling, redness, and pain.
Consult the doctor before using ZOXAN D DROPS 5ML if you are pregnant or breastfeeding. The doctor will prescribe the medication only if the benefits outweigh the risks.
ZOXAN D DROPS 5ML should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.
If you miss a dose of ZOXAN D DROPS 5ML, use it as soon as possible. However, if it is almost time for the next dose, skip the missed one and use the scheduled dose. Do not double the dose.
The side effects of ZOXAN D DROPS 5ML include stinging sensation, dysgeusia (taste disorder), irritation, local burning sensation and discomfort. Consult the doctor if any of these symptoms persist or worsen.
You must only use this medicine in the specific area (eye or ear) that your doctor prescribed it for. Never use ear drops in your eyes, as they are not formulated to be safe or sterile enough for eye tissues. Talk to your doctor or pharmacist if you are unsure about your prescription.
Yes, a brief stinging or burning sensation can occur immediately after applying the drops. This is usually mild and goes away within a minute or two. If the burning is severe or does not go away, stop using the drops and talk to your doctor.
This medicine is strictly for topical use in the eyes or ears and must never be swallowed. If someone accidentally swallows the drops, seek immediate medical attention or contact a poison control center.
You should avoid swimming and getting water in your ears while treating an ear infection. Water can introduce new bacteria and slow down your recovery. Talk to your doctor about when it is safe to resume swimming.
No, this medicine is only effective against bacterial infections and will not treat viral or fungal infections. Using it for a viral infection can delay proper treatment and potentially make the infection worse. Talk to your doctor for an accurate diagnosis.

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Country of origin

India

Manufacturer/Marketer address

FDC LIMITED, B-8, MIDC Area, Waluj - 431 136, Dist. Aurangabad, Maharashtra
Other Info - ZOX0007
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