Levofloxacin

Other names: Levaquin

Categories: Prescription Medication

Description:

Levofloxacin, a respiratory fluoroquinolone, is a broad-spectrum antibiotic commonly used for moderate to severe community-acquired pneumonia (CAP) or in patients with comorbidities. It provides excellent coverage against both typical and atypical pathogens, including Streptococcus pneumoniae, Haemophilus influenzae, Legionella pneumophila, Mycoplasma pneumoniae, and Chlamydophila pneumoniae. Due to its broad spectrum, it is often reserved for cases where other antibiotics (e.g., beta-lactams or macrolides) are ineffective or contraindicated.

Potential severe side effects include QT prolongation (risk of arrhythmias), tendinitis/tendon rupture (higher risk in elderly), peripheral neuropathy, and Clostridium difficile infection (diarrhea)

Treatment For:

Pneumonia, Outpatient Community Acquired

AI generated Summary: Based on the single review provided, Levofloxacin appears to be an effective treatment for moderate to severe community-acquired pneumonia, especially for patients with comorbidities or penicillin allergies. However, the reviewer cautions that potential side effects such as QT prolongation, tendon toxicity, and C. difficile diarrhea should be considered when weighing the risks and benefits of prescribing this medication.

Reviews

Average rating: 4/5

Physician ( 1 )

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Average rating: 4.00/5

Total Reviews: 1

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All Physician Healthcare provider (non-physician) Healthcare Consumer (Patients & Caregivers)

Dr. Curbside

February 28, 2025

4.0

Levofloxacin is a powerful, broad-spectrum antibiotic that provides excellent coverage for both typical and atypical pathogens in moderate to severe community-acquired pneumonia, making it a reliable option for patients with comorbidities or penicillin allergies. However, given potential side effects which include QT prolongation, tendon toxicity, C Diff. diarrhea, I consider the risk/benefit when prescribing.

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