Drugplain

MOXIFLOXACIN 5 mg/mL

MOXIFLOXACIN · SOLUTION/ DROPS · Proficient Rx LP

10 Recalls on RecordCurrently in Shortage
Plain English

MOXIFLOXACIN is a solution/ drops containing moxifloxacin at 5 mg/mL, taken ophthalmic. Manufactured by Proficient Rx LP.

Key Facts

Brand Name
MOXIFLOXACIN
Generic Name
MOXIFLOXACIN
NDC Code (Product)
82804-055
Manufacturer
Proficient Rx LP
Strength
5 mg/mL
Dosage Form
SOLUTION/ DROPS
Route
OPHTHALMIC
Marketing Status
Application #
ANDA206242
Marketing Start
10/04/2017

Recall History

10 Recalls on Record
Class II10/07/2022

Pharmacy Plus, Inc. dba Vital Care Compounder

Lack of Assurance of Sterility: FDA inspection found the recalled products were produced in a manner than cannot guarantee the sterility of the products purported to be sterile.

OngoingVoluntary: Firm initiated
Class III07/26/2018

Lupin Pharmaceuticals Inc.

Failed Impurities/Degradation Specifications: An out-of-specification result in the related substance test during three month long-term stability study.

TerminatedVoluntary: Firm initiated
Class II10/02/2023

Pine Pharmaceuticals, LLC

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II11/02/2022

Direct Rx

cGMP deviation: discontinue of stability support for product.

TerminatedVoluntary: Firm initiated
Class II05/14/2024

Imprimis NJOF, LLC

Lack of Assurance of Sterility

OngoingVoluntary: Firm initiated
Class II10/02/2023

Pine Pharmaceuticals, LLC

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II05/14/2024

Imprimis NJOF, LLC

Lack of Assurance of Sterility

OngoingVoluntary: Firm initiated
Class II02/20/2024

Denver Solutions, LLC DBA Leiters Health

Presence of Particulate Matter: glass vials from the manufacturer showed signs of glass delamination.

OngoingVoluntary: Firm initiated
Class II04/10/2024

Imprimis NJOF, LLC

Subpotent Drug

OngoingVoluntary: Firm initiated
Class II12/17/2020

Imprimis NJOF, LLC

Lack of assurance of sterility: 13 vials were discovered to have faulty crimps.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

off label use2,157 reports
dyspnoea2,060 reports
asthma1,973 reports
drug ineffective1,953 reports
drug hypersensitivity1,940 reports
pneumonia1,877 reports
vomiting1,730 reports
pain1,596 reports
wheezing1,581 reports
rash1,492 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Moxifloxacin tablets are a fluoroquinolone antibacterial indicated for treating infections in adults 18 years of age and older caused by designated susceptible bacteria, in the conditions listed below: Community Acquired Pneumonia ( 1.1 ) Skin and Skin Structure Infections: Uncomplicated ( 1.2 ) and Complicated ( 1.3 ) Complicated Intra-Abdominal Infections ( 1.4 ) Plague ( 1.5 ) Acute Bacterial Sinusitis ( 1.6 ) Acute Bacterial Exacerbation of Chronic Bronchitis ( 1.7 ) To reduce the development of drug-resistant bacteria and maintain the effectiveness of moxifloxacin tablets and other antibacterial drugs. Moxifloxacin tablets should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. ( 1.8 ) 1.1 Community Acquired Pneumonia Moxifloxacin tablets are indicated in adult patients for the treatment of Community Acquired Pneumonia caused by susceptible isolates of Streptococcus pneumoniae (including multi-drug resistant Streptococcus pneumoniae [MDRSP]) , Haemophilus influenzae, Moraxella catarrhalis, methicillin-susceptible Staphylococcus aureus, Klebsiella pneumoniae, Mycoplasma pneumoniae, or

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Type of Infection Dose Every 24 hours Duration (days) Community Acquired Pneumonia ( 1.1 ) 400 mg 7 to 14 Uncomplicated Skin and Skin Structure Infections (SSSI) ( 1.2 ) 400 mg 7 Complicated SSSI ( 1.3 ) 400 mg 7 to 21 Complicated Intra-Abdominal Infections ( 1.4 ) 400 mg 5 to 14 Plague ( 1.5 ) 400 mg 10 to 14 Acute Bacterial Sinusitis ( 1.6 ) 400 mg 10 Acute Bacterial Exacerbation of Chronic Bronchitis ( 1.7 ) 400 mg 5 No dosage adjustment in patients with renal or hepatic impairment. ( 8.6 , 8.7 ) 2.1 Dosage in Adult Patients The dose of moxifloxacin is 400 mg (orally) once every 24 hours. The duration of therapy depends on the type of infection as described in Table 1. Table 1: Dosage and Duration of Therapy in Adult Patients a) Due to the designated pathogens [see Indications and Usage (1) ] . b) Sequential therapy (intravenous to oral) may be instituted at the discretion of the physician c) Drug administration should begin as soon as possible after suspected or confirmed exposure to Yersinia pestis . Type of Infection a Dose Every 24 hours Duration b (days) Community Acquired Pneumonia ( 1.1 ) 400 mg 7 to 14 Uncomplicated Skin and Skin Structure Inf

Contraindications

4 CONTRAINDICATIONS Moxifloxacin tablets are contraindicated in persons with a history of hypersensitivity to moxifloxacin or any member of the quinolone class of antibacterials [see Warnings and Precautions (5.8) ] . Known hypersensitivity to moxifloxacin tablets or other quinolones (4, 5.8 )

Drug Interactions

7 DRUG INTERACTIONS Interacting Drug Interaction Multivalent cation-containing products including: antacids, sucralfate, multivitamins Decreased moxifloxacin hydrochloride absorption. Take moxifloxacin tablet at least 4 hours before or 8 hours after these products. ( 2.2 , 7.1 , 12.3 ) Warfarin Anticoagulant effect enhanced. Monitor prothrombin time/INR, and bleeding. ( 6 , 7.2 , 12.3 ) Class IA and Class III antiarrhythmics: Proarrhythmic effect may be enhanced. Avoid concomitant use. ( 5.6 , 7.5 ) Antidiabetic agents Carefully monitor blood glucose. ( 5.12 , 7.3 ) 7.1 Antacids, Sucralfate, Multivitamins and Other Products Containing Multivalent Cations Fluoroquinolones, including moxifloxacin hydrochloride, form chelates with alkaline earth and transition metal cations. Oral administration of moxifloxacin hydrochloride with antacids containing aluminum or magnesium, with sucralfate, with metal cations such as iron, or with multivitamins containing iron or zinc, or with formulations containing divalent and trivalent cations such as didanosine buffered tablets for oral suspension or the pediatric powder for oral solution, may substantially interfere with the absorption of moxifloxa

Adverse Reactions

6 ADVERSE REACTIONS The following serious and otherwise important adverse reactions are discussed in greater detail in the warnings and precautions section of the label: Disabling and Potentially Irreversible Serious Adverse Reactions Including Tendinitis and Tendon Rupture, Peripheral Neuropathy, and Central Nervous System Effects [see Warnings and Precautions (5.1) ] Tendinitis and Tendon Rupture [see Warnings and Precautions (5.2) ] Peripheral Neuropathy [see Warnings and Precautions (5.3) ] Central Nervous System Effects [see Warnings and Precautions (5.4) ] Exacerbation of Myasthenia Gravis [see Warnings and Precautions (5.5) ] QT Prolongation [see Warnings and Precautions (5.6) ] Other Serious and Sometimes Fatal Adverse Reactions [see Warnings and Precautions (5.7) ] Risk of Aortic Aneurysm and Dissection [see Warnings and Precautions (5.9) ] Hypersensitivity Reactions [see Warnings and Precautions (5.8) ] Clostridioides difficile -Associated Diarrhea [see Warnings and Precautions (5.10) ] Blood Glucose Disturbances [see Warnings and Precautions (5.12) ] Photosensitivity/Phototoxicity [see Warnings and Precautions (5.13) ] Development of Drug Resistant Bacteria [see Warnings

Frequently Asked Questions

What is MOXIFLOXACIN used for?

MOXIFLOXACIN contains MOXIFLOXACIN. It is a solution/ drops taken ophthalmic. Consult your doctor for specific uses.

Is MOXIFLOXACIN a controlled substance?

MOXIFLOXACIN is not classified as a controlled substance by the DEA.

What is the generic name for MOXIFLOXACIN?

The generic name for MOXIFLOXACIN is MOXIFLOXACIN. There are 10 other brand versions of MOXIFLOXACIN.

What is the NDC code for MOXIFLOXACIN 5 mg/mL?

The NDC (National Drug Code) for MOXIFLOXACIN 5 mg/mL is 82804-055, listed by Proficient Rx LP.