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Levaquin (Levofloxacin)

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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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These may be early symptoms of muscle or liver problems. • Do not take Atorvastatin without first talking to your doctor if you have liver disease. • Alcohol and Atorvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined. • Do not take Atorvastatin if you are pregnant could become pregnant during treatment or if you are breast-feeding a baby. What is Atorvastatin? • Atorvastatin is an HMG CoA reductase inhibitor. Atorvastatin blocks the production of cholesterol (a type of fat) in the body. • Atorvastatin is used to reduce the amounts of LDL (bad) cholesterol total cholesterol triglycerides (another type of fat) and apolipoprotein B (a protein needed to make cholesterol) in your blood. Atorvastatin is also used to increase the level of HDL (good) cholesterol in your blood. These actions are important in reducing the risk of hardening of the arteries which can lead to heart attacks stroke and peripheral vascular disease. • Atorvastatin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Atorvastatin? • Do not take Atorvastatin without first talking to your doctor if you have liver disease. • Before taking Atorvastatin tell your doctor if you drink alcoholic beverages have a chronic muscular disease require major surgery or have a blood disorder. • You may not be able to take Atorvastatin or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Atorvastatin is in the FDA pregnancy category X. This means that Atorvastatin is known to cause birth defects if it is taken during pregnancy. Do not take Atorvastatin if you are pregnant or could become pregnant during treatment. • It is not known whether Atorvastatin passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. How should I take Atorvastatin? • Take Atorvastatin 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 of water. • Atorvastatin can be taken with or without food. • Atorvastatin is usually taken once a day. Try to take your dose at the same time each day. Follow your doctor's instructions. • Your doctor may want to monitor your liver function with blood tests before starting treatment with Atorvastatin at twelve weeks after both the start of your treatment and any increase in dose and periodically (every 6 months) thereafter. Depending on the results of these tests your doctor can determine how much monitoring you will require. • Grapefruit and grapefruit juice may interact with Atorvastatin. 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. • Eat a low-fat low-cholesterol diet. To realize beneficial effects from Atorvastatin avoid fatty high-cholesterol foods. • It is important to take Atorvastatin regularly to get the most benefit. • Do not stop taking Atorvastatin without first talking to your doctor. Atorvastatin may need to be taken on a long-term basis for the treatment of high cholesterol. • Your doctor may want you to have blood tests or other medical evaluations during treatment with Atorvastatin to monitor progress and side effects. • Store Atorvastatin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next dose skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • The symptoms of an Atorvastatin overdose are not known. What should I avoid while taking Atorvastatin? • Alcohol and Atorvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined. • Grapefruit and grapefruit juice may interact with Atorvastatin. 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. What are the possible side effects of Atorvastatin? • Rare cases of muscle problems and liver problems have been associated with the use of Atorvastatin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain tenderness or weakness especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes abdominal pain unexplained fatigue dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems. • If you experience any of the following serious side effects stop taking Atorvastatin and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); decreased urine or rust-colored urine; or blurred vision. • Other less serious side effects may be more likely to occur. Continue to take Atorvastatin and talk to your doctor if you experience headache; upset stomach or flatulence; or a rash. • 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 Atorvastatin? • Do not take Atorvastatin without first talking to your doctor if you are taking any of the following medicines: cyclosporine (Sandimmune Neoral); gemfibrozil (Lopid) clofibrate (Atromid-S) or fenofibrate (Tricor); niacin (Nicolar Nicobid Slo-Niacin others); erythromycin (E-Mycin E.E.S. Ery-Tab others) or clarithromycin (Biaxin); cholestyramine (Questran) or colestipol (Colestid); hormonal birth control (pills patches or implants); or an antifungal medication such as itraconazole (Sporanox) fluconazole (Diflucan) or ketoconazole (Nizoral). • You may not be able to take Atorvastatin or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Atorvastatin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products. Generic Atorvastatin (Lipitor) Atropic Rovator Trovatin Cardyl Sotis Torvast Tozalip Xavator 10mg 120 tabs 10mg 180 tabs 20mg 60 tabs 10mg 60 tabs 40mg 240 tabs 10mg 240 tabs 20mg 90 tabs 20mg 120 tabs 40mg 30 tabs 10mg 480 tabs 40mg 120 tabs 20mg 240 tabs 40mg 60 tabs 20mg 30 tabs 40mg 90 tabs Lipitor Atorvastatin