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Lomefloxacin
Before using lomefloxacin, patients should consult with their healthcare provider, especially if they are pregnant, breastfeeding, or have any underlying medical conditions. Special considerations include:
- Pregnancy and Breastfeeding: Lomefloxacin is not recommended during pregnancy due to potential risks to the fetus. It also passes into breast milk, so it is advised to avoid its use while breastfeeding unless absolutely necessary.
- Medical Conditions: Inform your doctor if you have a history of kidney disease, liver problems, or any history of seizures, as lomefloxacin may exacerbate these conditions.
- Monitoring Parameters: Regular monitoring of kidney function is important, particularly in patients with pre-existing renal issues.
- Potential Misuse or Dependency: While lomefloxacin is not addictive, misuse or stopping it abruptly can result in the return of bacterial infections. Always follow your doctor's instructions regarding dosage.
Lomefloxacin is primarily used for the treatment of:
- Bacterial Infections: It is prescribed to treat a range of bacterial infections, such as acute bacterial exacerbation of chronic bronchitis and urinary tract infections (UTIs).
- Off-Label Uses: Although not officially approved for other conditions, lomefloxacin has been used off-label for other bacterial infections under medical supervision, including infections of the gastrointestinal system.
Lomefloxacin should not be used in the following conditions:
- Severe Renal Impairment: Due to its renal excretion, patients with severe kidney dysfunction are at risk of accumulating harmful levels of the drug.
- Pregnancy and Children Under 12: Lomefloxacin is contraindicated during pregnancy due to potential harm to the fetus, and is not recommended for children under 12 due to concerns regarding joint and tendon development.
- Hypersensitivity to Fluoroquinolones: Patients with a known allergy to fluoroquinolone antibiotics should avoid using lomefloxacin.
Patients with these conditions should not take lomefloxacin unless otherwise directed by their healthcare provider.
Common side effects of lomefloxacin include:
- Mild:
- Nausea, diarrhea, and abdominal discomfort
- Headache or dizziness
- Increased sensitivity to sunlight
- Serious:
- Tendonitis or tendon rupture, especially in older adults
- Neurological effects like confusion, seizures, or hallucinations
- Muscle pain or weakness, potentially indicating tendon or joint damage
To reduce the risk of side effects:
- Drink plenty of fluids to stay hydrated and help prevent kidney-related issues.
- Limit sun exposure and wear protective clothing when outdoors.
- Contact your doctor if you experience any severe symptoms such as muscle pain, tendon inflammation, or signs of an allergic reaction.
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Lomefloxacin is a fluoroquinolone antibiotic that works by inhibiting bacterial DNA gyrase and topoisomerase IV, two enzymes necessary for bacterial DNA replication, repair, and transcription. This disruption leads to the breakdown of bacterial DNA and eventually bacterial cell death. Lomefloxacin exhibits a broad spectrum of activity against both gram-positive and gram-negative bacteria. The drug is well-absorbed when taken orally, with peak plasma levels reached in 1-3 hours. Its half-life is about 8 hours, which allows for once-daily dosing in most cases.
Lomefloxacin can interact with various medications and substances:
- Drug Interactions:
- Antacids, Sucralfate, or Iron Supplements: These can reduce the absorption of lomefloxacin. It’s recommended to take lomefloxacin 2 hours before or 2 hours after taking such substances.
- Warfarin: Caution is advised when using lomefloxacin with blood thinners like warfarin, as it may increase the risk of bleeding.
- Corticosteroids: Using corticosteroids with lomefloxacin increases the risk of tendon damage.
- Food and Lifestyle:
- Sunlight Exposure: Lomefloxacin can increase sensitivity to sunlight, so patients should avoid prolonged sun exposure or use sunscreen.
- Alcohol: Alcohol can increase the risk of dizziness or drowsiness while on lomefloxacin, so it's advised to limit alcohol consumption.
It’s important to inform your healthcare provider of all medications, supplements, and lifestyle habits to avoid harmful interactions.
The usual adult dosage for lomefloxacin is:
- Acute Bacterial Exacerbation of Chronic Bronchitis: 400 mg once daily for 10 days.
- Urinary Tract Infections: 400 mg once daily for 3 days.
- Prostatitis: 400 mg once daily for 14 to 30 days, depending on severity.
Lomefloxacin should be taken orally with a full glass of water. It is recommended to drink plenty of fluids throughout treatment to avoid crystallization in the urine.
Lomefloxacin is contraindicated for children under 12 years of age due to concerns about its effects on developing joints and tendons. The safety and efficacy of lomefloxacin in pediatric populations have not been established. For pediatric treatment, alternative antibiotics should be considered under the guidance of a healthcare provider.
For patients with renal impairment, dosage adjustments are necessary:
- Mild to Moderate Renal Impairment: The dose should be reduced, and serum creatinine should be monitored regularly.
- Severe Renal Impairment: Lomefloxacin is contraindicated in patients with severe renal dysfunction, as it can accumulate in the body and cause toxicity.
Renal function should be regularly assessed during treatment to prevent adverse effects.
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