Indications
• Acute maxillary sinusitis due to Streptococcus pneumoniae, Haemophilus influenzae,or
Moraxella catarrhalis.
• Acute bacterial exacerbation of chronic bronchitis due to Staphylococcus aureus,
Streptococcus pneumoniae, Haemophilus influenzae, Haemophilus parainfluenzae,
Klebsiella pneumoniae or Moraxella catarrhalis.
• Nosocomial pneumonia due to methicillin-susceptible Staphylococcus aureus,
Pseudomonas aeruginosa, Serratia marcescens, Escherichia coli, Klebsiella pneumoniae,
Haemophilus influenzae, or Streptococcus pneumoniae.
• Community acquired pneumonia due to Staphylococcus aureus, Streptococcus
pneumoniae, Haemophilus influenzae, Haemophilus parainfluenzae, Klebsiella
pneumoniae, Moraxella catarrhalis, Chlamydia pneumoniae, Legionella pneumophila or
Mycoplasma pneumoniae.
• Uncomplicated urinary tract infections due to E. coli, Klebsiella pneumoniae or
Staphylococcus saprophyticus.
• Complicated urinary tract infections due to Enterococcus faecalis, Enterobacter cloacae,
Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, or Pseudomonas aeruginosa.
• Acute pyelonephritis caused by E. coli.
• Uncomplicated & complicated skin and skin structure infections including abscesses,
cellulitis, furuncles, impetigo, and pyoderma, wound infections, due to Staphylococcus
aureus, Streptococcus pyogenes, Proteus mirabilis or Enterococcus faecalis.
• Chronic bacterial prostatitis due to Escherichia coli, Enterococcus faecalis, or
Staphylococcus epidermidis.
Dosage and Administration
Acute sinusitis: 500 mg once daily for 10-14 days
Acute sinusitis: 750 mg once daily for 5 days
Exacerbation of chronic bronchitis: 500 mg once daily for 7 days
Community acquired pneumonia: 500 mg once daily for 7-14 days
Community acquired pneumonia: 750 mg once daily for 5 days
Nosocomial pneumonia: 750 mg once daily for 7-14 days
Uncomplicated urinary tract infections: 250 mg once daily for 3 days
Complicated urinary tract infections and acute pyelonephritis: 250 mg once daily for 10 days
Complicated urinary tract infections and acute pyelonephritis: 750 mg once daily for 5 days
Uncomplicated skin and skin structure infections: 500 mg once daily for 7-10 days
Complicated skin and skin structure infections: 750 mg once daily for 7-14 days
Chronic bacterial prostatitis: 500 mg once daily for 28 days
Contraindication
Levofloxacin is contraindicated in patients with a history of hypersensitivity to Levofloxacin,
quinolone antimicrobial agents, or any other components of this product.
Precautions
The following measures should be taken during administration of Levofloxacin:
While taking Levofloxacin adequate amount of water should be drunk to avoid risk of
crystalluria.
Dose adjustment should be exercised during Levofloxacin ingestion in presence of renal
insufficiency & hepatic insufficiency.
Side Effects
Levofloxacin is generally well tolerated. However, a few side effects can usually be seen. Side
effects include: nausea, vomiting, diarrhoea, abdominal pain, flatulence and rare occurrence of
phototoxicity (0.1%). Side effects that may be seen very rarely include tremors, depression,
anxiety, confusion etc.
Use in Pregnancy & Lactation
Levofloxacin is not recommended for use during pregnancy or nursing, as the effects on the
unborn child or nursing infant are unknown.
Use in Children
From clinical studies, it is evident that Levofloxacin can be used in children aged as low as 6
months.
The usual dose for children in community acquired pneumonia (CAP) is Children aged 6 months
to less than 5 years: 10 mg/kg b.i.d. (up to 500 mg per day) for 10 days.
Children aged 5 years to 16 years: 10 mg/kg q.d. (up to 500 mg per day) for 10 days.
The usual dose for children in recurrent or persistent Acute Otitis Media (AOM) is Children aged
6 months to less than 5 years: 10 mg/kg per day (maximum dose: 500 mg/day) given twice daily
for 10 days.
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