Each film-coated tablet of Levofloxacin mg Film-coated Tablets contains mg of levofloxacin equivalent to mg of levofloxacin hemihydrate. Name: Levofloxacin hemihydrate; Drug Entry: Levofloxacin. A synthetic fluoroquinolone (fluoroquinolones) antibacterial agent that inhibits the supercoiling. Find patient medical information for Levofloxacin Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings.
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Company contact details Accord-UK Ltd. Views Read Edit View history. Show table of contents Hide table of contents 1. International Drug Price Indicator Guide. Archived Hemihyrate from the original on 14 April In the absence of human data and due to that experimental data suggest a risk of damage by fluoroquinolones to the weight-bearing cartilage of the growing organism, levofloxacin must not be used in breast-feeding women see hemohydrate 4.
Hearing loss Hearing impaired. Concurrent administration of fluoroquinolones with multi-vitamins containing zinc appears to reduce their oral absorption. Levofloxacin is a second-generation fluoroquinolonebeing one of the isomers of ofloxacinwhich was a broader-spectrum conformationally locked analog of norfloxacin ; both Ofloxacin and levofloxaxin were synthesized and developed by scientists at Daiichi Seiyaku.
Prescribers are advised to take into account the local prevalence of resistance in E. Infusion site reaction pain, reddening. If superinfection occurs during therapy, appropriate measures should be taken. Levofloxacin is a synthetic antibacterial agent of the fluoroquinolone class and is the S – enantiomer of the racemic active substance ofloxacin. Peripheral sensory neuropathy see section 4. Phlebitis Hypotension Respiratory, thoracic and hemihdyrate disorders Dyspnoea Lrvofloxacin Pneumonitis allergic Gastro- intestinal disorders Diarrhoea Vomiting Nausea Abdominal pain Dyspepsia Flatulence Constipation Diarrhoea — haemorrhagic which in very rare cases may be indicative of enterocolitis, including pseudomembranous colitis see section 4.
If CDAD is suspected or confirmed, levofloxacin should be stopped immediately and appropriate treatment initiated without delay. Resistance to levofloxacin is acquired through a stepwise process by target site mutations in both type II topoisomerases, DNA gyrase and topoisomerase Hemhydrate.
Mechanism of resistance Resistance to levofloxacin is acquired through a stepwise process by target site mutations in both type II topoisomerases, DNA gyrase and topoisomerase IV. Fungal infection including Candida infection Pathogen resistance. The identification and antimicrobial susceptibility tests on any such isolate must be repeated and if the result is confirmed the isolate must be sent to a hemihydratee laboratory.
J Clin Aesthet Dermatol. An antibiotic against gram-negative organisms. Available data point to a low risk for the unborn child. Levofloxscin to iv form only: Similarly, lung tissue concentrations range from two-fold to five-fold higher than plasma concentrations in the 24 hours after a single dose. Interference with laboratory tests In patients treated with levofloxacin, determination of opiates in urine may give false-positive results.
Biotransformation Levofloxacin is metabolised to a very small extent, the metabolites being desmethyl-levofloxacin and levofloxacin N-oxide. Therefore levofloxacin is not recommended for the treatment of known or suspected MRSA infections unless laboratory results have confirmed susceptibility of the organism to levofloxacin and commonly recommended antibacterial agents for the treatment of MRSA-infections are considered inappropriate.
Retrieved 25 August The risk of tendinitis and tendon rupture is increased in patients aged over 60 years, in patients receiving daily doses of mg and in patients using corticosteroids. Levofloxacin may be used in the treatment of Acute Bacterial Sinusitis and Acute Exacerbation of Chronic Bronchitis when these infections have been adequately hemihydrte.
Effect of other medicinal products on levofloxacin Iron salts, zinc-salts, magnesium- or aluminium-containing antacids, didanosine ,evofloxacin absorption is significantly reduced when iron salts, or magnesium- or aluminium-containing antacids, or didanosine only didanosine formulations with aluminium or magnesium containing buffering agents are administered concomitantly with levofloxacin tablets.
Drugs in pregnancy and lactation: Within each frequency grouping, undesirable effects are presented in order of decreasing seriousness.
Haemodialysis, including peritoneal dialysis and CAPD, are not effective in removing levofloxacin from the body. Levofloxacin and later generation fluoroquinolones are collectively referred to as “respiratory quinolones” to distinguish them from earlier fluoroquinolones which exhibited modest activity toward the important respiratory pathogen Streptococcus pneumoniae.
Archived from the original on 25 August Resistance to fluoroquinolones of E. Peak levels in skin are achieved 3 hours after administration and exceed those in plasma by a factor of 2. As such, the intravenous and oral formulations of levofloxacin are considered interchangeable. Email address already exists, please enter a new valid email address.
Usage of levofloxacin eye drops, along with an antibiotic injection of cefuroxime or penicillin during cataract surgeryhas been found to lower the chance of developing endophthalmitiscompared to hemihyrate drops or injections alone. No pharmacokinetic interactions of levofloxacin were found with theophylline in a clinical study. Administration of levofloxacin or other broad spectrum antibiotics is associated with Clostridium difficile associated diarrhea which may range in severity from mild diarrhea to fatal colitis.
Date of revision of the text. Anaphylactic shock a Anaphylactoid hemihydrrate a see section 4.