Nelson OrigaPharm.D. Candidate TTUHSC Schoolof Pharmacy
List examples of fluoroquinolones Describe common uses fluoroquinolones Describe drug-drug and drug-food interactions Name common side effects of fluoroquinolones Educate a patient on fluoroquinolones
Ciprofloxacin Cipro®
Common dose 500mg PO q 12 hours
Levofloxacin Levaquin®
common dose 500mg -750mg PO, IV q 24 hours
Moxifloxacin Avelox®
Norfloxacin Noroxin®
Ofloxacin Floxin®
Besifloxacin Besivance®
Gemifloxacin Factive®
Pneumonia
UTI
Prostatitis
GI and Abdominal Infection
Susceptible gram-/+, atypical, mycobacteria
Antacids Multivitamins Dairy products Juice-Ca++
Ca
Cipro + Zanaflex = ↓BP + ↑Sedation
Levaquin
↑ Drowsiness
Watch
Warfarin: Increased effect NSAIDs: ↑CNS Stimulation and Seizures Sucralfate: ↓ Absorption of Cipro, Levaquin Methadone: ↑ Levels of methadone Amiodarone: Faster heart beat
GI: Nausea, vomiting, diarrhea Rash with prolonged use and with NSAIDs Headache, lightheadness,dizziness aggravated by
NSAIDs Achilles tendon rupture if >60yo + Steroids QT interval increase → increased heart rhythm
Tendonitis Tendon rupture Myasthenia gravis
Take with adequate amount of fluids Take full course of therapy even if you feel better Monitor any bothersome side effects such as
diarrhea and report to MD Monitor signs/symptoms for improvement Take dairy products, MV, Antacids separately
Cipro 250mg @ $0.13 500mg @ $0.06
Levaquin 250mg @ $0.10
500mg @ $0.18 750mg @ $0.27
Thanks: Dr. Raj
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