Zstop O 500mg/200mg Tablet
Active Composition
About Zstop O 500mg/200mg Tablet
Zstop O 500mg/200mg Tablet is a combination antibiotic and antiprotozoal medication used to treat various bacterial and protozoal infections. It contains two active ingredients: Ofloxacin, which is a fluoroquinolone antibiotic, and Nitazoxanide, an antiprotozoal agent. This medication is typically prescribed for infections such as diarrhea caused by bacteria or protozoa. It is important to take this medication as directed by your healthcare provider to ensure effective treatment and prevent resistance. Patients with a history of allergic reactions to similar medications should inform their doctor before starting this treatment.
Clinical Uses
- Bacterial Diarrhea — Caused by bacterial infections in the intestines.
- Protozoal Infections — Infections caused by protozoa, such as Giardia or Cryptosporidium.
Uses & Indications
Primary Uses
Treatment of bacterial diarrhea.
Treatment of protozoal infections.
Secondary Uses
May be used for other infections as determined by a healthcare provider.
Off-label Uses
Not typically used off-label.
How It Works (Mechanism of Action)
Zstop O 500mg/200mg Tablet works by combining the effects of two medications. Ofloxacin inhibits bacterial DNA gyrase, an enzyme necessary for bacterial DNA replication, transcription, and repair. This action stops the growth and multiplication of bacteria.
Nitazoxanide interferes with the pyruvate:ferredoxin oxidoreductase (PFOR) enzyme-dependent electron transfer reaction, which is essential for the anaerobic energy metabolism of protozoa and anaerobic bacteria. This disrupts the energy metabolism of the pathogens, leading to their death.
Key Benefits
- Effective Against Multiple Infections — Targets both bacterial and protozoal infections.
- Combination Therapy — Provides a broader spectrum of action due to the combination of two active ingredients.
How Long Does It Take to Work?
Initial improvement in symptoms may be noticed within a few days of starting treatment. The full course typically lasts 3 to 5 days, depending on the infection. If there is no improvement after 3 days, or if symptoms worsen, consult your doctor.
How to Use
Take the tablet by mouth with a full glass of water.
It can be taken with or without food.
Follow the dosing schedule as prescribed by your doctor.
Do not crush or chew the tablet.
Complete the full course of treatment even if you feel better.
Dosage Guidelines
Adult Dose
Typically, one tablet twice daily for 3 to 5 days.
Pediatric Dose
Consult a doctor for appropriate dosing in children.
Elderly
Use with caution and consult a doctor for dosing.
Administration Instructions
Take at evenly spaced intervals to maintain consistent levels in the body.
Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double the dose to catch up.
Overdose Warning
In case of overdose, symptoms may include nausea, vomiting, dizziness, or confusion. Seek immediate medical attention or contact a poison control center.
Side Effects
Common Side Effects
Nausea
Diarrhea
Headache
Less Common Side Effects
Dizziness
Abdominal pain
Serious Side Effects
Severe allergic reactions
Tendon rupture
When to Seek Immediate Medical Attention
Signs of an allergic reaction such as rash, itching, or swelling.
Severe diarrhea or abdominal pain.
Contraindications — Who Should Not Use This Medicine
- Allergy to Ofloxacin or Nitazoxanide — Patients with known allergies to these components should avoid use.
- History of Tendon Disorders — Especially those related to fluoroquinolone use.
Warnings & Precautions
Drug Interactions
Drug-Drug Interactions
Antacids containing magnesium or aluminum
Warfarin
Antidiabetic medications
Food Interactions
Take with or without food.
Alcohol Interactions
Avoid alcohol to prevent increased side effects.
Disease Interactions
Kidney disease
Liver disease
Storage Instructions
Store at room temperature (15-30°C).
Keep away from moisture.
Protect from light.
Keep out of reach of children.
Check the expiry date before use.
Expert Advice
Complete the full course of treatment.
Do not share your medication with others.
Take at the same time each day for best results.
Inform your doctor of any other medications you are taking.
Report any severe side effects to your doctor immediately.
Do not use if you have a history of tendon disorders.
Consult your doctor if symptoms do not improve within a few days.
Substitute Medicines
Same composition, different brands. Always consult your doctor before switching.
Frequently Asked Questions
Can I take Zstop O with other medications?
How long should I take this medication?
What should I do if I miss a dose?
Sources
The information on this page about Zstop O 500mg/200mg Tablet has been compiled and verified using the following authoritative medical sources and references. This content is AI-assisted and cross-checked against published clinical and pharmacological literature.
- Manufacturer – Zstop O 500mg/200mg Tablet Prescribing Information and Product Monograph
- NHS – Ofloxacin: antibiotic used to treat bacterial infections
- Drugs.com – Nitazoxanide: Uses, Dosage, Side Effects
- DrugBank – Ofloxacin
- MedlinePlus – Nitazoxanide