Drug Interaction Report

Ofloxacin and Toremifene: Interaction Details

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Toremifene

Fareston Fareston®
+

Ofloxacin

Floxin® Ocuflox
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by
Updated Aug 8, 2026
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Interaction severity
Major
Potentially serious — often needs a change or close monitoring.
How we grade severity & evidence

Severity levels

  • Contraindicated: These should generally not be used together.
  • Major: Potentially serious — often needs a change or close monitoring.
  • Moderate: Can be significant — usually manageable with monitoring.
  • Minor: Usually limited clinical impact.

Evidence grades

  • Established: Well documented — supported by controlled studies or strong clinical data.
  • Probable: Good supporting evidence, though not definitively proven.
  • Suspected: Some evidence suggests this interaction, but it is not well established.
  • Possible: Limited or conflicting evidence; the interaction may occur.
  • Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 386 documented Ofloxacin interactions, 277 are rated major — including this one.
Worried about symptoms right now? Contact your pharmacist or prescriber, or call Poison Control at 1-800-222-1222 (US). Call 911 for an emergency.
Onset
unspecified
Evidence
theoretical
Severity
Major

What happens

An increased risk of QT interval prolongation, ventricular tachycardia or an increased risk of torsade de pointes

Interaction Deep Dive

Avoid concomitant use of toremifene with other drugs that prolong QT interval as it may result in increased risk of QT interval prolongation. Prolongation of QT interval can result in a type of ventricular tachycardia called torsade de points, which may result in syncope, seizure, and/or death. If coadministered, closely monitor for prolongation of QT interval1.

Why it happens (mechanism)

Additive QT interval prolongation

Common questions

Can I take Ofloxacin and Toremifene together?

An increased risk of QT interval prolongation, ventricular tachycardia or an increased risk of torsade de pointes Always confirm with your pharmacist or prescriber before making any change.

How serious is the Ofloxacin and Toremifene interaction?

It is rated major. Potentially serious — often needs a change or close monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

Questions for your pharmacist

  • Does my dose of Ofloxacin or Toremifene need adjusting while I take them together?
  • What symptoms should prompt me to call you or my prescriber right away?
  • Does the timing of my doses matter for this combination?
  • Is there a safer alternative to one of these medications for me?

References (1)

  1. Product Information: Toremifene Citrate oral tablets, toremifene citrate oral tablets. Novadoz Pharmaceuticals LLC. (per DailyMed), Piscataway, NJ, 2025. DailyMed
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Beyond drug–drug

These medications also interact with supplements

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major · moderate · minor — check everything you take with our drug–supplement interaction checker.

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This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.