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Floxal

Ask a doctor about a prescription for Floxal

5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Floxal

Package Leaflet: Information for the Patient

Warning! Keep the leaflet! Information on the immediate packaging in a foreign language.

Floxal (Trafloxal), 3 mg/g eye ointment
Ofloxacin
Floxal and Trafloxal are different trade names for the same drug.

You should carefully read the contents of the leaflet before using the medicine, as it contains important information for the patient.

  • You should keep this leaflet, so that you can read it again if you need to.
  • In case of any doubts, you should consult a doctor or pharmacist.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist. See section 4.

Table of Contents of the Leaflet:

  • 1. What is Floxal and what is it used for
  • 2. Important information before using Floxal
  • 3. How to use Floxal
  • 4. Possible side effects
  • 5. How to store Floxal
  • 6. Contents of the pack and other information

1. What is Floxal and what is it used for

Floxal contains the active substance ofloxacin, which belongs to a group of antibacterial drugs called fluoroquinolones. The drug has antibacterial effects on certain aerobic and anaerobic bacteria.
The drug is used in infections of the anterior segment of the eye, caused by microorganisms sensitive to ofloxacin, such as chronic conjunctivitis, keratitis, corneal ulcer, and chlamydial infection.

2. Important information before using Floxal

When not to use Floxal

Warnings and precautions

Before starting to use Floxal, the patient should discuss it with their doctor or pharmacist, especially in the following situations:

In case of a skin rash or any other allergic reaction to Floxal eye ointment, the patient should stop using the medicine and contact their doctor.
The doctor will then decide on the appropriate treatment.
During the use of Floxal eye ointment, the patient should avoid excessive exposure to sunlight or ultraviolet radiation (e.g., quartz lamps, solarium, etc.) due to the possibility of photosensitivity reactions.
Prolonged use of Floxal may lead to the multiplication of pathogenic microorganisms that are resistant to this medicine. In such a case, the doctor will decide on the appropriate treatment.
Tendonitis and tendon rupture have occurred in patients taking fluoroquinolones orally or intravenously, especially in older patients and those treated with corticosteroids at the same time. The patient should stop using Floxal eye ointment if they experience pain or swelling of the tendon (tendinitis).

Children and adolescents

The use of Floxal is not recommended in children under 1 year of age, as its safety and efficacy in this age group have not been established.

Floxal and other medicines

The patient should tell their doctor or pharmacist about all the medicines they are currently using or have recently used, as well as any medicines they plan to use.
If Floxal eye ointment is used at the same time as other ointments or eye drops, the patient should keep a 15-minute interval between the administration of the medicines. Floxal eye ointment should be used last.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before using this medicine.
The doctor will decide whether the patient can use Floxal eye ointment.
Ofloxacin has not affected fertility in animals.

Driving and using machines

Immediately after using the ointment, the patient may experience temporary, transient blurred vision. Until this symptom completely disappears, patients should not operate machines or drive vehicles.

Floxal eye ointment contains lanolin

The medicine may cause local skin reactions (e.g., contact dermatitis).

3. How to use Floxal

This medicine should always be used as directed by the doctor or pharmacist. In case of doubts, the patient should consult their doctor or pharmacist.
Recommended dose
On average, 1 cm of squeezed ointment (0.12 mg of ofloxacin) into the conjunctival sac 3 times a day (in the case of chlamydial infection, 5 times a day).
Apply to the conjunctival sac of the infected eye.
Instructions for administering the medicine:

  • 1. Wash your hands thoroughly.
  • 2. Remove the protective cap.
  • 3. Point the tube downwards with the nozzle (with the cannula) and hold it with your thumb and index finger.
  • 4. Tilt your head back.
  • 5. Gently pull down the lower eyelid with your index finger to create a "pocket" between the eyeball and the eyelid, where the ointment will be inserted.

and then:

  • 6. Bring the tip of the tube close to the eye, without touching the tip of the tube to the eye, eyelid, or surrounding areas.
  • 7. Gently squeeze the tube to express the ointment.
  • 8. Looking up, insert 1 cm of ointment into the eye. If this is not successful, repeat the procedure.
  • 9. Several times, gently open and close the eye to spread the ointment over the entire surface of the eye.
  • 10. Close the eyelid and press the inner corner of the eye at the base of the nose with your finger. This will help minimize the risk of the medicine entering the entire body.
  • 11. If the ointment is to be administered to both eyes, the above steps should be repeated for the second eye.
  • 12. Immediately after use, replace the cap and screw the tube tightly.

Having someone else help or using a mirror may make it easier to administer the medicine.
Floxal eye ointment is a sterile medicine. To avoid contamination, do not touch the tip of the tube with your fingers or touch the surface of the eye or any other surface.
Using contaminated eye ointment can lead to serious eye damage, including vision loss.

Duration of treatment

Treatment with Floxal should not last longer than 2 weeks.
In case of worsening of the infection or lack of improvement after a few days, the patient should contact their doctor.

Using more than the recommended dose of Floxal

In case of using a larger dose of the medicine than recommended, the patient should rinse their eye with clean water.
In case of accidental ingestion of the medicine, the patient should immediately contact their doctor.

Missing a dose of Floxal

In case of missing a dose of Floxal, the patient should use the medicine as soon as possible.
However, if it is almost time for the next dose, the patient should skip the missed dose and continue using the medicine according to the doctor's instructions. The patient should not use a double dose to make up for the missed dose. If the patient misses several doses, they should inform their doctor and follow their instructions.

Stopping the use of Floxal

Floxal should be used as directed by the doctor.
In case of any further doubts about the use of this medicine, the patient should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Floxal can cause side effects, although not everybody gets them.

If any of the following side effects occur, the patient should stop using the medicine and contact their doctor immediately:

  • allergic reaction with swelling localized in the face, lips, mouth, tongue, and/or throat (angioedema). This may cause a feeling of constriction in the throat, difficulty swallowing, and breathing - this side effect has been reported very rarely;
  • shortness of breath - this side effect has been reported very rarely;
  • allergic reactions affecting the whole body (anaphylactic reaction, including anaphylactic shock) - this side effect has been reported very rarely;
  • allergic reactions affecting the eye, including eye itching and eyelid itching - the frequency of this side effect is unknown;
  • during the use of Floxal, potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) have been reported, initially appearing as reddish spots or oval patches on the torso, often with blisters in the center - the frequency of this side effect is unknown.

In addition, the following side effects may occur:

Common (may affect up to 1 in 10 people)

  • eye irritation;
  • feeling of discomfort in the eye.

Frequency not known (cannot be estimated from the available data)

  • keratitis;
  • conjunctivitis;
  • blurred vision;
  • photophobia;
  • eye swelling;
  • eyelid swelling;
  • feeling of a foreign body in the eye;
  • increased tearing;
  • dry eye;
  • eye pain;
  • eye redness;
  • deposits in the cornea (especially in cases of pre-existing corneal disease);
  • facial swelling;
  • swelling around the eyes (including eyelid swelling);
  • nausea.

Reporting side effects

If the patient experiences any side effects, including any side effects not listed in the leaflet, they should tell their doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181 C, 02-222 Warsaw, phone: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl.
By reporting side effects, it is possible to gather more information on the safety of the medicine.

5. How to store Floxal

The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Store in a temperature below 25°C, in the original packaging.
Any remaining ointment should be discarded 1 month after first opening the tube.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines they no longer need. This will help protect the environment.

6. Contents of the pack and other information

What Floxal contains

The active substance of the medicine is ofloxacin.
1 g of eye ointment contains 3 mg of ofloxacin.
The other ingredients are: light liquid paraffin, lanolin, white petrolatum.

What Floxal looks like and contents of the pack

Floxal is available as an eye ointment.
The available packaging of the medicine is: a tube containing 3 g of ointment, placed in a cardboard box.
For more detailed information, the patient should contact the marketing authorization holder or parallel importer.

Marketing authorization holder in Belgium, the country of export:

Bausch & Lomb Pharma sa/nv
Bvd. Lambermontlaan 430
1030 Brussels
Belgium

Manufacturer:

Dr. Gerhard Mann Chem.-Pharm. Fabrik GmbH
Brunsbütteler Damm 165/173
D-13581 Berlin (Spandau)
Germany

Parallel importer:

InPharm Sp. z o.o.
ul. Strumykowa 28/11
03-138 Warsaw

Repackaged by:

InPharm Sp. z o.o. Services sp. k.
ul. Chełmżyńska 249
04-458 Warsaw
Marketing authorization number in Belgium, the country of export:BE156825

Parallel import authorization number: 218/23

Date of leaflet approval: 04.10.2023

[Information about the trademark]

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Marketing authorisation holder (MAH)
    Bausch & Lomb Pharma sa/nv
  • Alternatives to Floxal
    Dosage form: Ointment, 3 mg/g
    Active substance: ofloxacin
    Prescription required
    Dosage form: Drops, 3 mg/ml (0.3%)
    Active substance: ofloxacin
    Prescription required
    Dosage form: Drops, 3 mg/ml
    Active substance: ofloxacin
    Prescription required

Alternatives to Floxal in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Floxal in Украина

Dosage form: капли, 3 мг/1 мл, по 0,5 мл в тубе-капельнице
Active substance: Офлоксацин
Manufacturer: Farma Stul'n GmbH
Prescription required
Dosage form: капли, 3 мг/мл в 5 мл флаконе
Active substance: Офлоксацин
Manufacturer: TOV "FARMEKS GRUP
Prescription required
Dosage form: капли, 3 мг/мл; 10 мл
Active substance: Офлоксацин
Manufacturer: FARMIGEA S.P.A.
Prescription required
Dosage form: мазь, 0,3 % по 3 г в тубе
Active substance: Офлоксацин
Prescription required
Dosage form: капли, 0,3 % в 5 мл флаконе
Active substance: Офлоксацин
Prescription required

Alternative to Floxal in Испания

Dosage form: ГЛАЗНЫЕ КАПЛИ, 3 мг/мл
Active substance: Офлоксацин
Manufacturer: Brill Pharma S.L.
Prescription required
Dosage form: ГЛАЗНЫЕ КАПЛИ, 30 мг/мл
Active substance: Офлоксацин
Manufacturer: Abbvie Spain, S.L.U.
Prescription required
Dosage form: ГЛАЗНЫЕ КАПЛИ, 5 мг/мл
Active substance: моксифлоксацин
Prescription required
Dosage form: ГЛАЗНЫЕ КАПЛИ, 5 мг/мл
Active substance: моксифлоксацин
Prescription required
Dosage form: ГЛАЗНЫЕ КАПЛИ, 3,5 мг ципрофлоксацина гидрохлорида
Active substance: Ципрофлоксацин
Manufacturer: Ntc S.R.L.
Prescription required

Online doctors for Floxal

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Floxal – subject to medical assessment and local rules.

5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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