levofloxacin (oral) (cont.)
What happens if I miss a dose (Levaquin, Levaquin Leva-Pak)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Levaquin, Levaquin Leva-Pak)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include loss of balance or coordination, drooping eyelids, weakness, decreased activity, trouble breathing, sweating, tremors, or seizure (convulsions).
What should I avoid while taking levofloxacin (Levaquin, Levaquin Leva-Pak)?
You may be taking certain other medicines that should not be taken at the same time as levofloxacin. Avoid taking the following medicines within 2 hours before or after you take levofloxacin. These other medicines can make levofloxacin much less effective when taken at the same time:
- antacids that contain magnesium or aluminum (such as Maalox, Mylanta, or Rolaids), or the ulcer medicine sucralfate (Carafate);
- didanosine (Videx) powder or chewable tablets; or
- vitamin or mineral supplements that contain iron or zinc.
Avoid exposure to sunlight or tanning beds. Levofloxacin can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Call your doctor if you have severe burning, redness, itching, rash, or swelling after being in the sun.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking levofloxacin and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.
What other drugs will affect levofloxacin (Levaquin, Levaquin Leva-Pak)?
Tell your doctor about all other medicines you use, especially:
- a blood thinner such as warfarin (Coumadin, Jantoven);
- insulin or oral diabetes medication;
- theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl);
- an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), moxifloxacin (Avelox), or pentamidine (NebuPent, Pentam);
- an antidepressant such as amitriptylline (Elavil, Vanatrip, Limbitrol), clomipramine (Anafranil), or desipramine (Norpramin);
- anti-malaria medications such as chloroquine (Aralen) or mefloquine (Lariam);
- medicine to prevent or treat nausea and vomiting such as dolasetron (Anzemet), droperidol (Inapsine), or ondansetron (Zofran);
- medicines to treat psychiatric disorders, such as clozapine (FazaClo, Clozaril), haloperidol (Haldol), pimozide (Orap), ziprasidone (Geodon), and others;
- migraine headache medicine such as sumatriptan (Imitrex, Treximet);
- narcotic medication such as methadone (Methadose, Diskets, Dolophine);
- an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), indomethacin (Indocin), meloxicam (Mobic), and others; or
- a steroid medicine (prednisone and others).
This list is not complete and other drugs may interact with levofloxacin. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about levofloxacin.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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