Levofloxacin |
| Biological
agents targetted |
Anthrax |
| Generally
effective against |
More
effective against Gram-negative organisms than Gram-positive ones,
but active against a number of important pathogens in both groups. |
| Available
forms |
Oral
tablets, injection |
| Indications
and usage |
Recommended
for use against against a wide variety of infections when susceptibility
is demonstrated. May be safe for use for patients taking theophylline,
warfarin, or cyclosporin. Specific dosage regimes are at the discretion
of the attending physician acting on information from the manufacturer
and the national authority for drug safety and use. Suggested dosages
for specific agents may be on the individual agent pages, |
| Contraindications |
Generally
should not be given to people under 18 years of age. Any adverse reaction
to other quinolones. |
| Drug
interactions |
Antacids
containing divalent cations inhibit efficient absorption of Levofloxacin. |
| Adverse
reactions and side effects
NOTE:
all such reactions are rare. |
Animal
experiments indicate that levofloxacin may interfere with bone or
cartilage in very young animals. In adults, nausea, diarrhea, headache
and constipation are the commonest side effects.
Levofloxacin
is not carcinogenic or teratogenic in standard tests. |
| Mode
of action |
Levofloxacin
inhibits an enzyme called DNA gyrase that is an essential component
of the mechanism that passes genetic information onto daighter cells
when a cell divides. |
| Structure |
 |
| Chemical
names |
(-)-(S)-9-fluoro-2,3-dihydro-3-methyl-10-(4-methyl-1-piperazinyl)-7-oxo-7H-pyrido[1,2,3-de]-1,4-benzoxazine-6-carboxylic
acid hemihydrate
Levofloxacin
is the optically pure S-isomer of the racemic mixture marketed as
ofloxacin. |
| CAS
Registry number |
100986-85-4 |
Synonyms
and trade names
(known and reported, not all may be current.) |
| Trade
Name |
Country |
| Cravit |
Unknown |
| Floxacin |
United
States |