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Drug interactions

Ofloxacin + Polysaccharide iron

Severity: Moderate

Ofloxacin and Polysaccharide iron: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Oral iron preparations bind ofloxacin in the gut, which reduces its absorption and may lead to subtherapeutic antibiotic levels and treatment failure. The effect is clinically important for oral dosing of both agents.

What this interaction means in plain words

Ofloxacin and Polysaccharide iron can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: High

Why it happens

Chelation of ofloxacin by polyvalent iron cations in the gastrointestinal tract, reducing absorption.

What to do

Give ofloxacin at least 2 hours before or 2 hours after the iron product. Avoid concurrent dosing.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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Frequently asked questions

Can I take Ofloxacin with Polysaccharide iron?

MediHelp rates the interaction as moderate. Ofloxacin and Polysaccharide iron can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Oral iron preparations bind ofloxacin in the gut, which reduces its absorption and may lead to subtherapeutic antibiotic levels and treatment failure. The effect is clinically important for oral dosing of both agents.

How serious is the interaction between Ofloxacin and Polysaccharide iron?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give ofloxacin at least 2 hours before or 2 hours after the iron product. Avoid concurrent dosing.

What other medicines interact with Ofloxacin?

MediHelp also lists interactions of Ofloxacin with, for example, Thioridazine, Adagrasib, Amiodarone. The full list is on the Ofloxacin page.

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