Contains the active ingredient moxifloxacin (as hydrochloride monohydrate)
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about this medicine. It does not contain
all the available information. It does not take the place of talking to your doctor
All medicines have risks and benefits. Your doctor has weighed the risks of you taking
this medicine against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What this medicine is used for
This medicine contains the active ingredient moxifloxacin, which is an antibiotic
belonging to a group of medicines called quinolones. These antibiotics work by killing
the bacteria that are causing your infection.
Moxifloxacin will not work against infections caused by viruses such as colds or the
It is used to treat infections of the lungs, airways and sinuses in adults. In certain
infections, you may require treatment with moxifloxacin injection followed by a course
of moxifloxacin tablets e.g. severe and complicated skin and skin structure infections.
Even if you have read the Consumer Medicine Information for moxifloxacin injection,
you should read this leaflet as well as it contains information specific to the tablets.
Ask your doctor if you have any questions about why this medicine has been prescribed
Your doctor may have prescribed this medicine for another reason.
This medicine is available only with a doctor's prescription.
There is no evidence that this medicine is addictive.
This medicine should not be used in children and adolescents under 18 years of age.
Before you take this medicine
When you must not take it
Do not take this medicine if you have an allergy to:
moxifloxacin or other medicines belonging to the quinolone family (e.g. ciprofloxacin,
norfloxacin or nalidixic acid)
any of the ingredients listed at the end of this leaflet
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not take this medicine if you have or have had any of the following medical conditions:
a condition called "QTc prolongation", which is a type of abnormal heart rhythm
blood tests that show lower than normal potassium levels
Do not take this medicine if you are taking medicines to treat arrhythmia – fast,
slow or irregular heart beat (e.g. quinidine, procainamide, amiodarone or sotalol).
Do not take this medicine if you are pregnant.
Moxifloxacin is not recommended if you are pregnant.
Do not breastfeed if you are taking this medicine.
Moxifloxacin passes into breast milk and may affect your baby.
Do not take this medicine after the expiry date printed on the pack or if the packaging
is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives
Tell your doctor if you have or have had any of the following medical conditions:
you or someone in your family has a history of heart rhythm problems
you are taking any medicine that might affect heart rhythm (e.g. quinidine, procainamide,
amiodarone, sotalol, erythromycin, tricyclic antidepressants or antipsychotics)
you or someone in your family has a history of aneurysm disease or other vascular
low potassium levels
any condition affecting the brain, particularly if you have ever had a seizure ('fit')
myasthenia gravis (a disease that causes muscle weakness)
severe liver problems
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you get without a prescription from your pharmacy, supermarket or health food
Moxifloxacin may affect the electro-cardiogram (ECG – an electrical record of the
activity of the heart) and may add to the effect of other medicines on the ECG. You
should advise your doctor if you are taking any medicine that might affect the heart
Tell your doctor if you are taking:
warfarin, used to stop blood clots – your doctor should perform INR testing and may
adjust your warfarin dose
medicines used to treat abnormal heart rhythm (e.g. quinidine, procainamide, amiodarone
medicines that can affect the heart rhythm (erythromycin, tricyclic antidepressants
If you are taking any of these medicines, you may need a different dose, or you may
need to take different medicines. Your doctor will advise you if you do.
The following medicines and moxifloxacin may affect each other or increase the chance
of you getting a side effect. These include:
antacids, multivitamins, mineral supplements and other medicines containing iron,
zinc, magnesium, aluminium or calcium
sucralfate, used to treat duodenal or stomach ulcers
didanosine, used to treat viral infections
You can still take these medicines while you are taking moxifloxacin.
However, you must take moxifloxacin at least 2 hours before, or 4 hours after taking
any of these medicines to make sure there is no problem with absorption.
Other medicines not listed above may also interact with moxifloxacin.
How to take this medicine
Follow carefully all directions given to you by your doctor.
Their instructions may be different to the information in this leaflet.
How much to take
Your doctor will tell you how much of this medicine you should take. This will depend
on your condition and whether you are taking any other medicines.
The usual adult dosage for moxifloxacin tablets for most infections is one 400 mg
tablet once daily for 5 to 10 days. However, some types of infections may require
longer treatment. Your doctor will determine the duration of time that you take the
tablets depending on the type of infection you have.
You should not exceed the dose your doctor has prescribed for you. The risk of heart
rhythm problems may increase with an increase in dose.
How to take it
Swallow the tablet whole with water. Do not chew the tablet.
When to take it
Moxifloxacin tablets are usually taken once a day.
Take your medicine at about the same time each day.
Taking it at the same time each day will have the best effect. It will also help you
remember when to take it.
It does not matter if you take your medicine with or without food. It is advisable
to drink plenty of fluids.
Do not take moxifloxacin at the same time as taking antacids (containing magnesium,
calcium or aluminium), multivitamins (containing iron or zinc), sucralfate (a medicine
to treat stomach ulcers) or didanosine (a medicine to treat viral infections).
Taking these medicines at the same time as moxifloxacin can interfere with the absorption
of moxifloxacin tablets and reduce their effectiveness in fighting the infection.
You must take moxifloxacin at least 2 hours before, or 4 hours after taking any of
How long to take it for
The length of treatment with moxifloxacin tablets may vary depending on the type of
infection. The usual duration of treatment is from five to ten days but can be longer.
Your doctor will determine the duration of time that you need to take the tablets.
If you forget to take it
If it is almost time to take your next dose, skip the dose you missed and take your
next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine
as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26) for advice or go to Accident and Emergency at the nearest hospital, if you
think that you or anyone else may have taken too much of this medicine. Do this even
if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are taking this medicine
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking this medicine.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking
It may affect other medicines used during surgery.
If you become pregnant or start to breastfeed while taking this medicine, tell your
If you develop an allergic reaction (e.g. skin rash) while taking this medicine, even
following a single dose, stop taking it and tell your doctor.
Tell your doctor immediately if you get diarrhoea.
Do this even if it occurs several weeks after you have stopped taking this medicine.
Diarrhoea may mean that you have a serious condition affecting your bowel. You may
need urgent medical care. Do not take any medications for diarrhoea without checking
with your doctor.
Tell your doctor immediately if you feel any discomfort, pain, swelling or inflammation
of a tendon.
Medicines like moxifloxacin have been reported to cause tendon damage (especially
the Achilles tendon). This may occur even within the first 48 hours of treatment and
up to several months after completing treatment with moxifloxacin. Elderly patients,
patients taking a type of medicine called corticosteroids, patients with reduced kidney
function or that have received solid organ transplants are more at risk.
Tell your doctor immediately if you experience palpitations (fast or irregular heart
beat) or fainting spells during the period of treatment.
Tell your doctor if you experience symptoms of depression or self-endangering behaviour.
This medicine should be discontinued.
Tell your doctor if you develop photosensitivity (getting sunburnt very easily).
Avoid exposure to ultraviolet radiation and sunlight. Protect your skin when you are
in the sun, especially between 10am and 3pm. If you are outdoors, wear protective
clothing and use a 30+ sunscreen.
Tell your doctor if you develop pain, burning, tingling, numbness or weakness in any
part of the body.
If you are about to have any blood tests, tell your doctor that you are taking this
It may interfere with the results of some tests.
Keep all your doctor's appointments so that your progress can be checked.
Your doctor may do some tests from time to time to make sure the medicine is working
and to prevent unwanted side effects.
Things you must not do
Do not take this medicine to treat any other complaints unless your doctor tells you
Do not give your medicine to anyone else, even if they have the same condition as
Do not stop taking your medicine or lower the dosage without checking with your doctor
first, especially if you are feeling better.
If you do not complete the full course prescribed by your doctor, some of the bacteria
causing your infection may not be killed. These bacteria may continue to grow and
multiply so that your infection may not clear up completely or it may return.
Things to be careful of
Be careful when driving or operating machinery until you know how this medicine affects
Moxifloxacin tablets may cause dizziness or faintness in some patients. The ability
to drive and/or operate machinery may be impaired. If you drink alcohol, dizziness
or faintness may be worse.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking this medicine.
All medicines can have side effects. Sometimes they are serious but most of the time
they are not.
Do not be alarmed by the following lists of side effects. You may not experience any
Tell your doctor if you notice any of the following and they worry you:
dizziness or light headedness
stomach pains, diarrhoea
thrush in the mouth (sore creamy yellow raised patches in mouth) or in the vagina
(itching, burning or thick white discharge)
These are the more common side effects of this medicine. They are usually mild and
Tell your doctor as soon as possible if you notice any of the following:
palpitations or fainting spells
watery or bloody diarrhoea, even if it occurs several weeks after finishing your tablets
pain, swelling or rupture of a tendon
fits (seizures, convulsions)
visual disturbances or changes in vision (specialist consult needed)
pain, burning, tingling, numbness or weakness that starts or worsens on this medicine
changes in your mood or thoughts that worry you
The above list includes serious side effects and you may need medical attention.
In isolated instances, some serious side effects may be long-lasting (greater than
30 days) and disabling, such as tendonitis, tendon rupture, musculoskeletal disorders
and other reactions affecting the nervous system including mental health disorders
and disturbances of sense.
If any of the following happen, tell your doctor immediately or go to Accident and
Emergency at your nearest hospital:
temporary visual impairment
sudden abdominal, chest or back pain
symptoms of an allergic reaction including cough, shortness of breath, wheezing or
difficulty breathing; swelling of the face, lips, tongue, throat or other parts of
the body; rash, itching or hives on the skin
The above list includes very serious side effects. You may need urgent medical attention
This medicine may cause rapid and severe inflammation of the liver, which can lead
to life-threatening liver failure including fatal cases. Tell your doctor immediately
if you suddenly feel unwell or sick and develop symptoms such as:
yellowing of the skin and in the whites of your eyes, also called jaundice
pain in liver area
tendency to bleed
If you develop a skin reaction or blistering and/or peeling of the skin and/or mucosal
reactions contact your doctor immediately before you continue the treatment.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may occur in some patients.
Some of these side-effects may also be long-lasting and disabling in some patients.
If this occurs, speak to your doctor or pharmacist.
Storage and disposal
Keep your medicine in its original packaging until it is time to take it.
If you take your medicine out of its original packaging it may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 30°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink.
Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep this medicine where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed,
ask your pharmacist what to do with any medicine that is left over.
What Moxifloxacin APOTEX tablets looks like
400 mg film coated tablets: Reddish brown coloured, modified capsule-shaped, biconvex,
film coated tablet engraved "APO" one side and "MX 400" on the other side. AUST R
Blister pack of 5 tablets.
Each tablet contains 400 mg moxifloxacin as the active ingredient.
It also contains the following inactive ingredients:
pregelatinised maize starch
iron oxide red
This medicine is gluten-free, lactose-free, sucrose-free, tartrazine-free and free
of other azo dyes.
Apotex Pty Ltd
16 Giffnock Avenue
Macquarie Park NSW 2113
Tel: (02) 8877 8333
APOTEX is registered trade mark of Apotex Inc.
This leaflet was last updated in December 2019.