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Levaquin (Levofloxacin)

Anti Depressants » Antibiotics » Levaquin (Levofloxacin)

Levaquin (Levofloxacin) is a fluoroquinolone antibiotic used to treat bacterial infections (e.g. urinary tract infections skin infections or respiratory tract infections).

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About Levaquin (Levofloxacin):

Product Type: Antibiotics

Brand name: Levaquin Generic name: Levofloxacin What is the most important information I should know about Levaquin? • Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Levaquin will not treat a viral infection such as the common cold or flu. • Take Levaquin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent crystals from forming in the urine. • Take Levaquin on an empty stomach 1 hour before or 2 hours after meals. • Levaquin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. • Do not give this medicine to a child younger than 18 years old. Levaquin may interfere with bone development in a child. • There are certain medicines you should not take within the 2 hours before or after you take Levaquin. This includes antacids that contain magnesium or aluminum (Tums or Rolaids) the ulcer medicine sucralfate (Carafate) didanosine (Videx) and vitamin or mineral supplements that contain iron or zinc. Taking these other medicines too close to your dose of Levaquin can make the antibiotic much less effective. What is Levaquin? • Levaquin is in a group of antibiotics called fluoroquinolones (flor-o-KWIN-o-lones). Levaquin fights bacteria in the body. • Levaquin is used to treat bacterial infections that cause bronchitis pneumonia chlamydia gonorrhea skin infections urinary tract infections and infections of the prostate. • Levaquin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Levaquin? • Before taking Levaquin tell your doctor if you have: kidney disease; seizures or epilepsy; a personal or family history of Long QT syndrome; or a history of head injury or brain tumor. • If you have any of these conditions you may not be able to use Levaquin or you may need a dosage adjustment or special tests during treatment. • FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. • Levaquin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. • Do not give this medicine to a child younger than 18 years old. Levaquin may interfere with bone development in a child. How should I take Levaquin? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. • Take Levaquin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent crystals from forming in the urine. • Take Levaquin on an empty stomach 1 hour before or 2 hours after meals. • Measure the liquid form of Levaquin with a special dose-measuring spoon or cup not a regular table spoon. If you do not have a dose-measuring device ask your pharmacist where you can get one. • Take Levaquin at evenly spaced intervals. Follow your doctor's instructions. • Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Levaquin will not treat a viral infection such as the common cold or flu. • To be sure this medication is not causing harmful effects your blood may need to be tested on a regular basis. Your kidney function may also need to be tested. It is important that you not miss any scheduled visits to your doctor. • This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Levaquin. • Store this medication at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. What happens if I miss a dose? • Take the missed dose as soon as you remember. If you are more than 2 hours late in taking your medicine skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have taken too much of this medicine. Symptoms of an Levaquin overdose may include loss of balance or coordination drooping eyelids weakness decreased activity trouble breathing sweating tremors or seizure (convulsions). What should I avoid while taking Levaquin? • There are certain medicines you should not take within the 2 hours before or after you take Levaquin. This includes antacids that contain magnesium or aluminum (Tums or Rolaids) the ulcer medicine sucralfate (Carafate) didanosine (Videx) and vitamin or mineral supplements that contain iron or zinc. Taking these other medicines too close to your dose of Levaquin can make the antibiotic much less effective. • Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Levaquin can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. • Antibiotic medicines can cause diarrhea which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to. • Levaquin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. What are the possible side effects of Levaquin? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. • Stop using Levaquin and call your doctor at once if you have any of these serious side effects: seizure (convulsions); confusion hallucinations (seeing things that are not there); a red blistering peeling skin rash; urinating less than usual or not at all; tremors or shaking; easy bruising or bleeding unusual weakness; unusual thoughts or behavior; nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); sudden pain or swelling near your joints (especially in your arm or ankle); numbness burning pain or tingly feeling; or diarrhea that is watery or bloody. • Continue using Levaquin and talk with your doctor if you have any of these less serious side effects: feeling restless or anxious; nausea vomiting diarrhea stomach pain; headache drowsiness dizziness; sleep problems (insomnia); vaginal itching or discharge; or mild skin itching. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Levaquin? • Before taking Levaquin tell your doctor if you are taking any of the following drugs: bepridil (Vascor) cisapride (Propulsid); droperidol (Inapsine); methadone (Methadose); pentamidine (NebuPent Pentam); theophylline (Theo-Dur Theolair Slo-Phyllin Slo-Bid Elixophyllin); a blood thinner such as warfarin (Coumadin); cyclosporine (Neoral Sandimmune Gengraf); insulin or an oral diabetes medication such as glipizide (Glucotrol) glyburide (Micronase Diabeta Glynase) and others; aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin Advil) diclofenac (Voltaren) indomethacin naproxen (Aleve Naprosyn) piroxicam (Feldene) nabumetone (Relafen) etodolac (Lodine) and others; antibiotics such as clarithromycin (Biaxin) or erythromycin (Ery-Tab Erythrocin E.E.S); medicines to treat psychiatric disorder such as pimozide (Orap) haloperidol (Haldol) or thioridazine (Mellaril); or heart rhythm medicine such as amiodarone (Cordarone Pacerone) dofetilide (Tikosyn) disopyramide (Norpace) procainamide (Procan) quinidine (Cardioquin Quinaglute) or sotalol (Betapace). • If you are using any of these drugs you may not be able to use Levaquin or you may need dosage adjustments or special tests during treatment. • There may be other drugs not listed that can affect Levaquin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor

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What should I discuss with my healthcare provider before taking Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Before taking Anafranil tell your doctor if you have liver disease kidney disease asthma thyroid disease diabetes stomach or intestinal problems high blood pressure or heart disease had a heart attack in the last 6 weeks an enlarged prostate or difficulty urinating glaucoma or seizures. • You may not be able to take Anafranil or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above. • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby. How should I take Anafranil? • Take Anafranil exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass (8 oz) of water. • Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Store Anafranil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Anafranil overdose include seizures confusion drowsiness agitation hallucinations and low blood pressure (dizziness fatigue fainting). What should I avoid while taking Anafranil? • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea headache and malaise. 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