Levaquin/Levofloxacin IS USED FOR:

Treating infections caused by certain bacteria. It may also be used to prevent or slow anthrax after exposure.

Levaquin/Levofloxacin is a quinolone antibiotic. It works by killing sensitive bacteria.

DO NOT USE Levaquin/Levofloxacin IF:

• you are allergic to any ingredient in Levaquin/Levofloxacin or any other quinolone antibiotic (eg, Cipro/ciprofloxacin)
• you are taking cisapride or certain antiarrhythmics (eg, Pacerone/amiodarone, procainamide, quinidine, Betapace/sotalol)
• you have a certain type of irregular heartbeat (QT prolongation; long QT syndrome) or low blood potassium levels

Contact your doctor or health care provider right away if any of these apply to you.

POSSIBLE SIDE EFFECTS OF Levaquin/Levofloxacin :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; dizziness; gas; lightheadedness; nausea; stomach pain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; chest pain; confusion; dark urine; decreased or painful urination; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; hoarseness; joint or muscle pain or weakness; mental or mood changes (eg, depression, anxiety, paranoia); new or worsening nightmares, restlessness, or trouble sleeping; red, swollen, blistered, or peeling skin; seizures; severe diarrhea; severe or persistent dizziness, lightheadedness, tiredness, or weakness; severe sunburn; shortness of breath; stomach pain/cramps; suicidal thoughts or actions; symptoms of high or low blood sugar (eg, increased thirst, hunger, or urination; fast breathing; flushing; dizziness; fainting; increased sweating; vision changes); symptoms of nerve problems (eg, unusual pain, burning, tingling, or numbness; changes in perception or heat or cold; decreased sensation of touch); tremors; unusual bruising or bleeding; vaginal discharge, irritation, or odor; wheezing; yellowing of the skin or eyes.

IMPORTANT SAFETY INFORMATION:

• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Levaquin/Levofloxacin while you are pregnant. Levaquin/Levofloxacin is found in breast milk. Do not breast-feed while taking Levaquin/Levofloxacin.
• Diabetes patients - Levaquin/Levofloxacin may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Levaquin/Levofloxacin only works against bacteria; it does not treat viral infections (eg, the common cold).
• Tendon problems have been reported with Levaquin/Levofloxacin. Some of these problems have been severe. Contact your doctor right away if you develop pain or swelling of a joint or tendon.
• Levaquin/Levofloxacin may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Levaquin/Levofloxacin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Use Levaquin/Levofloxacin with caution in the ELDERLY; they may be more sensitive to its effects, especially tendon problems and irregular heartbeat.
• Levaquin/Levofloxacin may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Levaquin/Levofloxacin.
• Levaquin/Levofloxacin may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Levaquin/Levofloxacin. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Long-term or repeated use of Levaquin/Levofloxacin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• If you are scheduled to receive a typhoid vaccine while you are taking Levaquin/Levofloxacin , talk with your doctor. Levaquin/Levofloxacin may decrease the effectiveness of the vaccine.
• Lab tests, including liver function, kidney function, and complete blood counts, may be performed while you use Levaquin/Levofloxacin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Be sure to use Levaquin/Levofloxacin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Levaquin/Levofloxacin should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed. Children may also be more sensitive to joint and tendon problems.

BEFORE USING Levaquin/Levofloxacin :

Some medical conditions may interact with Levaquin/Levofloxacin. Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have narrowed or hardened blood vessels in the brain, increased pressure in the brain, nervous system problems, or a history of seizures (eg, epilepsy)
• if you have allergies to medicines, foods, or other substances
• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you or a family member have a history of fast, slow, or irregular heartbeat; chest pain; angina; or heart attack
• if you have other heart problems (eg, heart failure, enlarged heart), diabetes, kidney problems, tendon problems (eg, inflammation), or Alzheimer disease
• if you sunburn easily or you will be in the sun for a prolonged period of time

Some MEDICINES MAY INTERACT with Levaquin/Levofloxacin. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Serotonin norepinephrine reuptake inhibitors (SNRIs) (eg, Cymbalta/duloxetine) because the risk of their side effects may be increased by Levaquin/Levofloxacin
• Insulin or oral diabetes medicines (eg, glyburide) because the risk of high or low blood sugar may be increased
• Antiarrhythmics (eg, Pacerone/amiodarone, Betapace/sotalol, procainamide, quinidine), arsenic, astemizolecisapride, dofetilide, droperidol, haloperidol, imidazoles (eg, Nizoral/ketoconazole), macrolides (eg, Eryc/erythromycin), methadone, paliperidone, phenothiazines (eg, Thorazine/chlorpromazine), pimozide, ranolazine, serotonin receptor antagonists (eg, dolasetron), telithromycin, terfenadine, or Geodon/ziprasidone because the risk of serious heart problems, including irregular heartbeat, may be increased
• Anticoagulants (eg, Coumadin/warfarin) because the risk of bleeding may be increased
• Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, Motrin/ibuprofen) or Uniphyl sr/theophylline because the risk of serious side effects, including seizures, may be increased
• Corticosteroids (eg, Sterapred/prednisone) because the risk of tendon problems may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Levaquin/Levofloxacin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

HOW TO USE Levaquin/Levofloxacin :

Use Levaquin/Levofloxacin as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
• Levaquin/Levofloxacin is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Levaquin/Levofloxacin at home, a health care provider will teach you how to use it. Be sure you understand how to use Levaquin/Levofloxacin. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Levaquin/Levofloxacin works best if it is used at the same time each day.
• To clear up your infection completely, use Levaquin/Levofloxacin for the full course of treatment. Keep using it even if you feel better in a few days.
• An extra patient leaflet is available with Levaquin/Levofloxacin. Talk to your pharmacist if you have questions about this information.
• Do not miss any doses of Levaquin/Levofloxacin. If you miss a dose of Levaquin/Levofloxacin , use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
• Drinking extra fluids while you are taking Levaquin/Levofloxacin is recommended. Check with your doctor for instructions.
• Do not use Levaquin/Levofloxacin if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.

Ask your health care provider any questions you may have about how to use Levaquin/Levofloxacin.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.