Moxifloxacin (Ophthalmic Route) Side Effects

Description and Brand Names

Drug information provided by: Merative, Micromedex®

US Brand Name

Moxeza
Vigamox

Descriptions

Moxifloxacin eye solution is used to treat infections of the eye, including bacterial conjunctivitis. This medicine belongs to a group of medicines called fluoroquinolone antibiotics. It works by killing bacteria that cause conjunctivitis.

This medicine is available only with your doctor's prescription.

This product is available in the following dosage forms:

Solution

Before Using

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of moxifloxacin eye solution in children younger than 4 months of age. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of moxifloxacin eye solution in the elderly.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Cisapride
Mesoridazine
Pimozide
Piperaquine
Saquinavir
Sparfloxacin
Terfenadine
Thioridazine
Ziprasidone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Alfuzosin
Amiodarone
Amisulpride
Amitriptyline
Apomorphine
Arsenic Trioxide
Asenapine
Astemizole
Atazanavir
Azithromycin
Bedaquiline
Chloroquine
Chlorpromazine
Ciprofloxacin
Citalopram
Clarithromycin
Clomipramine
Clozapine
Crizotinib
Cyclobenzaprine
Dabrafenib
Dasatinib
Delamanid
Desipramine
Disopyramide
Dofetilide
Dolasetron
Domperidone
Donepezil
Doxepin
Droperidol
Ebastine
Eribulin
Erythromycin
Escitalopram
Famotidine
Felbamate
Flecainide
Fluconazole
Fluoxetine
Foscarnet
Fosphenytoin
Galantamine
Gatifloxacin
Gemifloxacin
Granisetron
Halofantrine
Haloperidol
Hydroquinidine
Ibutilide
Iloperidone
Imipramine
Itraconazole
Ivabradine
Ketoconazole
Lapatinib
Lenvatinib
Levofloxacin
Lumefantrine
Mefloquine
Methadone
Mifepristone
Mizolastine
Mobocertinib
Nelfinavir
Nilotinib
Norfloxacin
Octreotide
Ofloxacin
Olanzapine
Ondansetron
Ozanimod
Paliperidone
Panobinostat
Paroxetine
Pasireotide
Pazopanib
Pentamidine
Perphenazine
Pipamperone
Posaconazole
Probucol
Procainamide
Prochlorperazine
Promethazine
Propafenone
Protriptyline
Quetiapine
Quinidine
Quinine
Ranolazine
Rasagiline
Rilpivirine
Risperidone
Ritonavir
Sertindole
Sevoflurane
Sodium Phosphate
Sodium Phosphate, Dibasic
Sodium Phosphate, Monobasic
Solifenacin
Sorafenib
Sotalol
Sunitinib
Tacrolimus
Tamoxifen
Telaprevir
Telavancin
Telithromycin
Tetrabenazine
Tolterodine
Toremifene
Trazodone
Trimipramine
Vandetanib
Vardenafil
Venlafaxine
Vinflunine
Voriconazole
Vorinostat
Warfarin

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Rifampin

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use

Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. This medicine is not for long-term use.

To use the eye drops:

Wash your hands with soap and water before and after using this medicine.
Tilt the head back and pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space.
Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes and apply pressure to the inner corner of the eye with your finger for 1 or 2 minutes to allow the medicine to be absorbed by the eye.
If you think you did not get the drop of medicine into your eye properly, repeat the directions with another drop.
To keep the medicine as germ free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

To help clear up your eye infection completely, keep using this medicine for the full time of treatment, even if your symptoms have disappeared and even if you feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon. Do not miss any doses.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For ophthalmic dosage form (eye drops):
- For bacterial conjunctivitis:
  - Adults and children 4 months of age and older—Put one drop in the affected eye(s) 2 times a day for 7 days.
  - Children younger than 4 months of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions

If your or your child's eye infection does not improve within a few days, or if it becomes worse, check with your doctor.

This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you have a rash, itching, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

Check with your doctor right away if you have blurred or decreased vision, pooling of whitish fluid visible on the colored part of the eye, seeing floating spots before the eyes, or swelling of the eye. These may be symptoms of an eye problem called toxic anterior segment syndrome (TASS).

Do not wear contact lenses while you are using this medicine to avoid further eye irritation.

Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Blurred or decreased vision
change in vision
chest tightness
cough
difficulty swallowing
dizziness
fast heartbeat
hives, itching, skin rash
loss of consciousness
pooling of whitish fluid visible on the colored part of the eye
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
seeing floating spots before the eyes
swelling of the eye
trouble breathing
unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Burning, dry, or itching eyes
dry eye
discharge, excessive tearing
itching of the eye
pain in the eye
red, sore eyes

Less common

Body aches or pain
congestion
fever or chills
general body discomfort
lower back or side pain
painful or difficult urination
runny nose
sore throat
tender, swollen glands in the neck
trouble with swallowing
voice changes

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Portions of this document last updated: Feb. 01, 2024

Original article: https://www.mayoclinic.org/es-es/drugs-supplements/moxifloxacin-ophthalmic-route/side-effects/drg-20064910

Moxifloxacin (Ophthalmic Route)