Therapy / Class:
Therapy:
Ofloxacin: Antibacterial
Ornidazole: Antiprotozoal/Antimicrobial
Racecadotril: Anti-Secretory Agent
Class:
Ofloxacin: Fluoroquinolone Antibiotic
Ornidazole: Nitroimidazole Derivative
Racecadotril: Thiorphan Derivative
Spectrum of Coverage:
Aerobic Gram-positive microorganisms
- Staphylococcus aureus (methicillin-susceptible strains)
- Streptococcus pneumoniae (penicillin-susceptible strains)
- Streptococcus pyogene
Aerobic Gram-negative microorganisms
- Citrobacter (diversus) koseri
- Enterobacter aerogenes
- Escherichia coli
- Haemophilus influenzae
- Klebsiella pneumoniae
- Neisseria gonorrhoeae
- Proteus mirabilis
- Pseudomonas aeruginosa
Gram-positive anaerobes
- Clostridium species
- Eubacterium species
- Peptococcus species
- Peptostreptococcus species
Gram-negative anaerobes
- Bacteroides fragilis group (B. fragilis, B. distasonis, B. ovatus, B. thetaiotaomicron, B.vulgatus)
- Fusobacterium species
Protozoal parasites
- Entamoeba histolytica
- Trichomonas vaginalis
- Giardia lamblia (Giardia intestinalis)
Mechanism of Action:
Ofloxacin: Bactericidal at concentrations equal to or slightly greater than inhibitory concentrations. It inhibits bacterial topoisomerase IV & DNA gyrase (both of which are type II topoisomerases), enzymes required for DNA replication, transcription, repair, and recombination.
Ornidazole: It is a newer 5-nitroimidazole class of antibiotic with superior efficacy and longer duration of action. It has an antibacterial effect like that of metronidazole and other 5-nitroimidazoles. It kills susceptible microorganisms by interfering with DNA functioning. It acts selectively against microorganisms with enzyme systems capable of reducing the nitro group and catalyzing the interaction between ferredoxin proteins and nitro compounds. After the drug penetrates the microbial cell, the mechanism of its action is based on reducing the nitro group under the influence of the microorganism’s nitroreductases and the activity of the reduced nitroimidazole. The reduction products create compounds with DNA causing it to degrade and disrupt the DNA replication and transcription processes. Furthermore, the drug’s metabolism products have cytotoxic properties and disrupt cellular respiration processes.
Racecadotril: It rapidly converted in the body to thiorphan, a potent enkephalinase inhibitor. Enkephalins are endogenous opioid peptides secreted by myenteric and sub mucosal neurons in the digestive tract. The enkephalins by activating the δ opioid receptor, inhibit the secretion of Cl– and fluids thus reducing the loss of fluids and electrolytes during diarrhea. The antisecretory mechanisms are independent of effects on intestinal motility, differentiating this compound from μ-opiate receptor agonists like loperamide and diphenoxylate.
Indications:
Indications:
- Acute Watery Diarrhoea
- Amoebic Dysentery
- Mixed Intra-Abdominal Infections
Dosage & Administration:
- 5ml to 10ml (Depending severity of condition) BID for 3-5 Days
HOW SUPPLIED: OFLOPEDIA-OR is available as Suspension in pack of 30ml.
References:
- F1000Research 2018, 7(F1000 Faculty Rev):193 Last updated: 15 FEB 2018
- Med J Armed Forces India. 2008 Oct; 64(4): 361–362.
- BMC Infect Dis. 2011; 11: 32.
- The Pharma Innovation Journal 2019; 8(8): 228-234