Zstop O 500mg/200mg Tablet

by Maneesh Pharmaceuticals Ltd · Tablet Schedule H
Generic Name Ofloxacin, Nitazoxanide
Drug Class Antibiotic, Antiprotozoal
Route Oral
Habit Forming No
Prescription Required (Rx)
Strengths 500mg/200mg
MRP
₹58.51
strip of 6 tablets

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

🤰 Pregnancy
Pregnancy Category C. Use only if clearly needed and prescribed by a doctor. Discuss potential risks and benefits with your healthcare provider.
🤱 Breastfeeding
It is not known if this medication passes into breast milk. Consult your doctor before using this medication while breastfeeding.
👶 Children
Consult a healthcare provider for appropriate dosing and safety in children. It is generally used with caution in pediatric patients.
🧓 Elderly
Elderly patients may require dose adjustments due to potential kidney function decline. Use under medical supervision.
🫘 Kidney Disease
Patients with renal impairment may require dose adjustments. Consult your healthcare provider for guidance.
🫁 Liver Disease
Use with caution in patients with liver impairment. Dose adjustments may be necessary.
💉 Diabetes
Monitor blood sugar levels closely, as this medication may affect blood glucose control.
🍷 Alcohol
Avoid alcohol as it may increase the risk of side effects such as dizziness or upset stomach.
🚗 Driving
This medication may cause dizziness. Do not drive or operate machinery until you know how it affects you.

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

Clinical Tips

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?
Always consult your healthcare provider before taking Zstop O with other medications to avoid potential interactions.
How long should I take this medication?
The duration of treatment will depend on the type and severity of the infection; follow your healthcare provider's instructions.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember, but skip it if it's almost time for your next dose. Do not double the 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.

  1. Manufacturer – Zstop O 500mg/200mg Tablet Prescribing Information and Product Monograph
  2. NHSOfloxacin: antibiotic used to treat bacterial infections
  3. Drugs.comNitazoxanide: Uses, Dosage, Side Effects
  4. DrugBankOfloxacin
  5. MedlinePlusNitazoxanide
Last Updated10 Jun 2026
Content Generated10 Jun 2026
⚕️ Medical Disclaimer This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or pharmacist before starting, stopping, or changing any medication. Prices shown are indicative MRP and may vary.
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