Moxifloxacin works by inhibiting bacterial topoisomerase II (DNA gyrase) and topoisomerase IV, enzymes essential for bacterial DNA replication, transcription, and repair. By targeting these enzymes, Moxibac effectively prevents bacterial growth and division.
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Moxibac ophthalmic solution is prescribed for bacterial conjunctivitis caused by susceptible strains of the following organisms:
Aerobic Gram-positive bacteria: Corynebacterium species, Micrococcus luteus, Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus haemolyticus, Staphylococcus hominis, Staphylococcus warneri, Streptococcus pneumoniae, and Streptococcus viridans group.
Aerobic Gram-negative bacteria: Acinetobacter lwoffii, Haemophilus influenzae, Haemophilus parainfluenzae.
Other organisms: Chlamydia trachomatis.
Intraocular Use: Effective in preventing postoperative bacterial endophthalmitis when administered intraocularly before eye surgery.
Ocular Side Effects (1-6% of patients): Conjunctivitis, dry eyes, eye discomfort, decreased vision, keratitis, redness, pain, itching, subconjunctival hemorrhage, and excessive tearing.
Non-Ocular Side Effects (1-4% of patients): Fever, cough, infections, otitis media, sore throat, rash, and rhinitis.
Eye Drops: Instill one drop into the affected eye, three times daily for 7 days.
No formal drug interaction studies have been conducted with Moxibac ophthalmic solution. However, in vitro studies suggest that Moxibac does not inhibit CYP3A4, CYP2D6, CYP2C9, CYP2C19, or CYP1A2, meaning it is unlikely to interfere with drugs metabolized by these liver enzymes.
Do not use in patients allergic to Moxifloxacin, other quinolones, or any of the components in this medication.
Pregnancy:
No well-controlled studies exist in pregnant women.
Use only if the potential benefits outweigh the risks to the fetus.
Lactation:
While Moxifloxacin levels in human milk have not been specifically studied, it is likely excreted in breast milk.
Exercise caution when using during breastfeeding.
Risk of Superinfection:
Eye Examination:
Contact Lenses:
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