ACCFLOX-MS SYRUP

ACCFLOX-MS Suspension

1. What is visible on the package

• Brand: ACCFLOX-MS
• Form: Oral Suspension
• Pack size: 60 mL
• Ingredients named on the front:
  • Ofloxacin
  • Metronidazole
  • Simethicone
• The box and bottle carry the same branding.
• The liquid appears dark reddish/brown.
• The packaging uses a green-and-white design.
• A picture of a small child appears on the front, indicating that this particular suspension is marketed in a pediatric presentation; the picture itself does not establish that it is appropriate for every child.
• The bottle has a red screw cap.

2. What the three medicines do

Ofloxacin

• An antibiotic belonging to the fluoroquinolone group.
• Acts against susceptible bacteria by interfering with bacterial DNA replication.

Metronidazole

• Has antibacterial and antiprotozoal activity.
• Can be used against certain anaerobic bacteria and parasites such as Giardia and Entamoeba.

Simethicone

• Is not an antibiotic.
• Helps relieve gas, bloating and abdominal fullness by acting on gas bubbles.

Combinations containing these three ingredients are marketed for certain gastrointestinal infections and associated gas/bloating. Cafoli

3. Important distinction from the first two medicines

The three bottles you've shown are not equivalent medicines:

So Accflox-MS is fundamentally different from the two Accid products. It contains antimicrobial drugs, rather than simply being an antacid.

4. Strength — an important point

I can clearly read the names of the three active ingredients on your photograph, but the quantities per 5 mL are not legible enough on this particular image to state them as the exact strength of your bottle.

Several Indian products with this same three-drug combination are listed as ofloxacin 50 mg + metronidazole 120 mg + simethicone 10 mg per 5 mL, but formulations can differ, so the actual bottle's side/back label should be used to confirm the strength. 1mg

5. Why the dose matters particularly here

This is not a medicine I would recommend dosing from the photograph alone, especially because the package is presented as a pediatric suspension. Ofloxacin dosing can depend on the child's weight, age, infection and kidney function, and antibiotics should be used for an appropriate diagnosed/suspected infection rather than ordinary uncomplicated diarrhea.

Possible adverse effects reported with this combination include nausea, vomiting, abdominal pain/cramps, diarrhea, headache, dizziness, loss of appetite and metallic taste. 1mg

If you send a clear photograph of the back/side of this ACCFLOX-MS box, I can extract the exact mg/5 mL, prescribed dose instructions, age restrictions, warnings, manufacturer, batch number, manufacturing date and expiry date from your specific pack.