Kuru >> Zvinodhaka Info >> Chii chinonzi Levaquin uye chii chinoshandiswa?

Chii chinonzi Levaquin uye chii chinoshandiswa?

Zvinodhaka Info

Levaquin yakamiswa muna Zvita 2017. Taura nachiremba wako nezve dzimwe nzira dzinosanganisira generic levofloxacin kana imwe fluoroquinolones.

Chii chine hutachiona hwechivi, mabayo, hutachiona hweitsvo, uye chigwadara zvakafanana? Kana hutachiona uhu hukonzerwa nehutachiona, hunogona kurapwa nemushonga unorwisa mabhakitiriya unonziLevaquin. Hutachiona hunowuya mumhando dzose uye hukuru. Vanobatana nemuviri nenzira dzakasiyana siyana, zvichikonzera zvese kubva kuzvirwere zvidiki kusvika kuzvirwere zvakakomba. Ndosaka mishonga inodzikamisa mishonga yakadai seLevaquin uye amoxicillin zvakatemwa zvakanyanya. Vanogona kurwisa mabhakitiriya mune chero chikamu chero chemuviri, ichivaita akakwana ekuwedzera kune chero ehutano mutapi anonyorwa bhokisi rekushandisa.

Asi Levaquin hachisi chishamiso chokurapa-zvese - mushonga wakaomarara nekudyidzana kwechipfuva uye zvimwe zvinokanganisa mhedzisiro. Pane zvakawanda pasi pechiso pano. Shandisa ichi chinyorwa senge yekutanga paLevaquin, gwara rekurapa neruzivo rwese rwakakosha nezve mashandiro aro, mashandisiro, uye zvabuda.

Chii chinonzi Levaquin?

Levaquin mushonga unorapa utachiona hwakasiyana siyana mumapapu, weti, itsvo, matema, uye ganda. Vanoona nezvehutano vanowanzoiraira kuti irape pneumonia, bhakitiriya sinusitis, bronchitis, prostatitis, uye hutachiona hwehutachiona.

Iyo Multipurpose antibiotic inouya nenzira dzakasiyana. Vanopa hutano vanogona kushandisa muromo, intravenous, uye ophthalmic mafomu ekurapa hutachiona hutachiona hwakawanda hwakasiyana masisitimu, sekureva kwaJustin Friedlander, MD, urologist Einstein Healthcare Network .

Chinhu chinoshanda chinhu chinodhaka chinonzi levofloxacin, rudzi rwefluoroquinolone antibiotic. Levaquin izita rechiratidzo rakaburitswa naJohnson & Johnson anotsigira Janssen Pharmaceuticals. Fluoroquinolones inoshanda pama enzymes maviri akapatsanuka akakosha pakuberekana kwebhakitiriya, ichidzivirira masero kuti asawanda. Asi zvinoshanda chete pamabhakitiriya, kwete mavhairasi, saka Levaquin haishande pane dzihwa, furuwenza, kana zvimwe hutachiona hutachiona (senge coronavirus, kana COVID-19).

Kunyange iri mushonga unonyanya kushanda, Levaquin inokonzeresa mhedzisiro inogona kuve nenjodzi, saka haiwanikwe pamusoro pekambani. Inongowanikwa chete kuburikidza nemushonga kuitira kuti mutapi wezvehutano agone kuongorora mamiriro akakodzera uye mamiriro ekushandisa kwayo.

Chii chinonzi Levaquin chinoshandiswa?

Kune uto rose rehutachiona hwakasiyana kunze uko, uye Levaquin inoshanda kurwisa mazhinji acho, kusanganisira E. coli, Staphylococcus, uye Streptococcus. Muchokwadi, levofloxacin uye hama dzayo dzepedyo dzinowanzonzi mweya wekufema fluoroquinolones nekuda kwekugona kwavo kurwisa Streptococcus pneumoniae kunyanya.

Kazhinji kazhinji, levofloxacin inobata:

Chisingaperi bronchitis
Hutachiona mabayo
Zvakaomarara uye zvisinganetsi urinary turakiti hutachiona
Hutsvo hutachiona (kunge pyelonephritis)
Zvirwere zveprostate
Zvirwere zveganda
Sinus zvirwere

Dzimwe nguva, vatapi vezvehutano vanozoisawo levofloxacin yezvirwere zvemukati-dumbu, post-exposure anthrax, mamwe marudzi echirwere, uye diarrhea inotapukira inokonzerwa nechirwere cheE. Coli. Uyezve, yakaratidza kumwe kubata pakurapa zvimwe zvirwere zvepabonde, kunyanya chlamydia .

Tora iyo SingleCare kadhi rekudzikisa

Nekudaro, iyo njodzi yematambudziko akakomba aLevaquin haina kukosha kune madiki mamiriro. Muchokwadi, iyo Kudya neDrug Administration (FDA) yakataurwa , fluoroquinolones inofanirwa kuchengetedzwa kuti ishandiswe nevarwere… vasina dzimwe nzira dzekurapa.

Unoda akanakisa mutengo paLevaquin?

Wana machenjedzo emitengo

Levaquin dosages

Muitiro wezuva nezuva weLevaquin unowanikwa mu250, 500, kana 750 mg mahwendefa emuromo. Tora Levaquin negirazi rizere remvura. Iyo dosi inogona kusiyanisa zvakanyanya zvichibva parudzi rwemamiriro, manejimendi nzira, zera remurwere, huremu hwevarwere, uye mimwe mishonga.

Semushonga unorwisa mabhakitiriya akasimba zvine mutsindo, levofloxacin ichatanga kushanda mukati memaawa mashoma, asi zvinogona kutora mazuva maviri kusvika matatu zviratidzo zvisati zvatanga kuvandudzika. Tora iyo yakazara nzira yemishonga inorwisa mabhakitiriya sezvakarairwa nemupi mupi wezvehutano, kunyangwe iwe uchinzwa zvirinani mushure memazuva mashoma.

Pazasi pane maitiro yakakurudzirwa neDFA kune vanhu vakuru vane renal function.

Kuongorora	Standard muyero
Nosocomial mabayo	750 mg zuva nezuva kwemazuva 7-14
Nharaunda-yakawana pneumonia	500 mg zuva nezuva kwemazuva 7-14 kana 750 mg zuva nezuva kwemazuva mashanu (zvichienderana nehutachiona huri pasi)
Kuwedzera kwebhakitiriya kwechirwere chisingaperi	500 mg zuva nezuva kwemazuva manomwe
Acute bacterial sinusitis (sinus hutachiona)	750 mg zuva nezuva kwemazuva mashanu kana 500 mg zuva nezuva kwemazuva gumi nemana
Chirwere chebhakitiriya prostatitis (chirwere cheprostate)	500 mg zuva nezuva kwemazuva makumi maviri nemasere
Yakaomarara UTI	750 mg zuva nezuva kwemazuva mashanu kana 250 mg zuva nezuva kwemazuva gumi (zvichienderana nehutachiona huri pasi)
Anthrax	500 mg zuva nezuva kwemazuva makumi matanhatu
Denda	500 mg zuva nezuva kwemazuva gumi nemana kusvika gumi nemana

Yambiro

Vakadzi vane nhumbu kana kuyamwisa vanofanirwa kubvunza kune avo vezvehutano vasati vatora Levaquin. Iko hakuna kuve nekuve kwakaringana kana kwakanyatso kudzorwa-kudzidza mumadzimai ane nhumbu. Levofloxacin inopinda mumukaka wemukaka, saka kuyamwisa hakukurudzirwe panguva yekurapwa neLevaquin. Vanamai vanonwisa mvura vanogona kufunga kupomba uye kurasa mukaka wemuzamu panguva yekurapwa neLevaquin uye nemamwe mazuva maviri (akaenzana nehafu hafu yeupenyu) mushure mekupedzisira dosi.

Levofloxacin inowanikwa kune vakwegura varwere (makumi matanhatu nemashanu zvichikwira), asi inogona kuramba iri musystem yavo kwenguva refu nekuda kwekuderera kweitsvo. Mune zviitiko izvi, vatapi vezvehutano vanowanzo deredza muyero kuti vagare. Iyi antibiotic yanga isiri FDA-inogamuchirwa kune vana vari pasi pemakore gumi nemasere ekuberekwa kunze kwekunge iri inhalational anthrax kana denda nekuda kwemhedzisiro yayo uye iyo mukana wekuvandudza mabhakitiriya asingagone nemishonga .

Levaquin kudyidzana

Kunyangwe apo neapo ichishandiswa mukubatanidza kurapa, Levaquin haifanire kutorwa pamwe chete nemimwe mishonga, sezvo inogona kukonzeresa kusangana kwevanodhaka. Usatora Levaquin panguva imwe chete ne:

Antacids, Carafate ( sucralfate ), simbi cations (simbi), uye multivitamini : Izvi zvinogona kudzvinyirira levofloxacin yemudumbu nzira yekumwa. Zvigadzirwa zvemukaka uye zvimwe zvekudya zvine calcium zvine hupfumi zvinogona kuita zvakafanana.
Videx ( didanosine ): Uyu mushonga weHIV unogona zvakare kudzivirira levofloxacin yekugaya yemudumbu.
Coumadin ( warfarin ): Levaquin inogona kusimudzira mhedzisiro yewarfarin, ichiwedzera njodzi yekubuda ropa.
Antidiabetic vamiririri: Mukubatana neLevaquin, izvi zvinokonzeresa kushanduka kwezinga reropa reropa.
Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs): Marwadzo anodzora senge ibuprofen kana aspirin inogona kuwedzera njodzi yepakati sisitimu yekusimudzira uye kushushikana kwekugwinha.
Kwayedza : Mukutarisa kwekiriniki, uyu mushonga wakabatana nemamwe fluoroquinolones kuwedzera njodzi yepakati sisitimu mhedzisiro, kusanganisira kubatwa.

Uku ndiko kusangana kwakanyanya, asi runyorwa urwu harusi rwese rwunosanganisira. Varwere vanofanirwa kuzivisa avo vanoraira mupi wezvehutano nezve chero mimwe mishonga yavari kutora.

Ndeipi mhedzisiro yeLevaquin?

Janssen akarohwa nematare edzimhosva uye akawedzera kuongororwa pamusoro pemhedzisiro yaLevaquin. Uye kunyangwe hazvo zvakanaka kuchengeta mhedzisiro mupfungwa, varwere vanonyatso tevera zano rezvehutano rehunyanzvi uye vanomhan'ara chero zvinonetsa ipapo havafanirwe kurasikirwa nehope pamusoro pavo. Levofloxacin anowanzoitika mhedzisiro anonyanya kusanganisira gastrointestinal uye neurologic nhengo, anodaro Dr. Friedlander, saka chero munhu anozvitora anofanira kunge akatarisa:

Kusvotwa kana kurutsa
Manyoka
Kuzvimbirwa
Kutemwa nemusoro
Dzungu
Kupererwa nechido
Kunetseka kurara

Hazvina kutyisa, handiti? Zvese izvi mhedzisiro mhedzisiro iyo inowanzoonekwa pamazita emhando dzakasiyana dzemishonga. Asi, zvinosuruvarisa, handiwo mugumo. Mumakore mashoma apfuura, Levaquin anga ari pasi peiyo media microscope yevamwe vashoma, zvimwezvakakomba mhedzisiro.

Yakakomba mhedzisiro uye matambudziko

Kushandiswa kweLevaquin kwakabatana ne tendinitis (kuzvimba kwetendon) pamwe nekupwanya, kubvarura, uye kutsemuka, kazhinji kacho mutsipa weAchilles, kuseri kwechidzitiro. Varwere vane nhoroondo yetendinitis, kukuvara, kana mamwe matambudziko etendon vanofanirwa kungwarira nezve kutora Levaquin.

Kune zvakare mukana wekuti Levaquin inogona kukonzera kukuvara kwemitsipa (peripheral neuropathy) mumaoko, makumbo, maoko, nemakumbo, ayo anoratidza semarwadzo, kushaya simba, kutsva, kurira, kana kugwinha. Central central system mhedzisiro senge kubatwa, kujeka musoro, kudedera, kuvhiringidzika, kufungidzira, uye mamwe matambudziko ehutano hwepfungwa anogona futi.

Levaquin inogona kudzikamisa matambudziko emoyo sekuwedzera kwekurova kwemoyo, isina kujairika moyo mutinhimira, uye aortic aneurysms kana misodzi. Iyo yekupedzisira inogona kukonzeresa kamwe kamwe chipfuva, mudumbu, uye musana kurwadziwa. Pamusoro pezvo, shuga yakadzika kana yakakwira yeropa ingangoita, saka vanhu vane chirwere cheshuga vanofanirwa kungwarira.

Vamwe vanhu vanotora Levaquin vanogona zvakare kuwana kunzwisisika kukuru kune chezuva, zvichitungamira mukutsva kwezuva kwakanyanya, mablisters, uye mapundu eganda mushure mekungoburitswa kwenguva pfupi pasina ganda rezuva. Paunenge uchitora Levaquin, dzivisa zuva (uye kuchenesa mabhedha) kana zvichibvira. Kana iwe uri muzuva kwenguva pfupi, pfeka sunscreen uye ngowani uye mbatya dzinovhara ganda.

Vamwe vanogona kusangana nezvinetso zvechiropa zvinoratidzirwa nekutsvukirira kweganda kana vachena vemeso, weti yakasviba, kurutsa, kurwadziwa nemudumbu, uye zvituru zvine ruvara.

Uye chero munhu ane akajairika mamiriro myasthenia gravis vanogona kuona mamiriro avo achiwedzera nekurapwa kweLevaquin. Zvimwe zvezviratidzo izvi zvinosanganisira kushaya simba kwemhasuru, kudonhedza maziso, kunetseka kumedza, uye kuona kwakapetwa kana kuona kaviri.

Pamusoro pezvese izvo, Levaquin inogona kukonzeresa kugadzikana uko kunosanganisira kuputika, mikoko, kuzvimba, kuvaviwa, uye - mune yakanyanya - anaphylaxis.

Mhedzisiro, ingave yakajairika kana yakatonyanya kukura, inogona kuitika maawa kusvika mavhiki mushure mekuratidzwa uye inogona kunge iri yechigarire, anodaro Dr. Friedlander, achidonongodza 2016 FDA yambiro.

Irwo runyoro rwakasimba kwazvo rwezvinogona kuitika zvinokanganisa, uye zvinogona kuita sekutyisa, asi rangarira kuti izvi zvakajairika. Izvo zvakanaka chete kuzvichengeta mundangariro, kunyanya kune chero munhu ane mamiriro akambovapo anogona kuwirirana neRevaquin kurapwa.

Pane zvimwe zvinotsiva Levaquin?

Levaquin haisi iyo chete fluoroquinolone antibiotic kunze uko. Muchokwadi, kune mashoma mamwe emishonga ekurapa ayo anogona kubata akafanana mamiriro emamiriro. Nekudaro, vanopa hutano vane nzira dzakasiyana dzekurapa uye nzira dzekurwisa hutachiona hutachiona. Mamwe mashoma anowanzoshandiswa-anoshandiswa Levaquin dzimwe nzira dzinosanganisira:

Saipurasi ( ciprofloxacin ): Uyu ndiwo mumwe wemishonga yakaenzana yaLevva. Iwo akasiyana madhiragi, asi sezvo ari ese ari maviri fluoroquinolones, ivo vanorapa mazhinji emamiriro akafanana uye vanopa mhedzisiro yakafanana (zvese zvakajairika uye zvakakomba). Vanopa hutano vanogona zvakare kushandisa Cipro kurapa typhoid fever uye mamwe marudzi egonorrhea.
Avelox ( iclipusavza ): Avelox ndeimwe fluoroquinolone yakafanana chaizvo neLevaquin. Ose madhiragi anogona kubata akasiyana hutachiona hutachiona. Kunyangwe zvakadaro, varwere vanotora Avelox panjodzi yakawanda yemhedzisiro yakaipa. Avelox inowanikwa mune generic fomu, se moxifloxacin.
Bactrim (sulfamethoxazole / trimethoprim): Bactrim mishonga inorwisa mabhakitiriya inoshandiswa kurapa nzeve nzeve, UTI, manyoka emufambi, chisingaperi bronchitis, uye mamwe marudzi amabayo. Zvisinei, inobva kune rimwe boka rezvinodhaka kupfuura Levaquin uye haripi njodzi imwechete yemigumisiro yakakomba sekutsemuka kwetendon kana aortic aneurysm. Varwere vane sulfa allergies havafanirwe kutora Bactrim.
Zithromax ( azithromycin ): Uyu ndiwo mumwe mushonga unorwisa mabhakitiriya kubva kune rimwe boka remishonga, rinonzi macrolide antibiotics. Zithromax (Z-Pak) inowanzo bata strep huro, hutachiona nzeve, bhakitiriya conjunctivitis, bhakitiriya sinusitis, uye zvimwe hutachiona hutachiona. Asi seBactrim, mhedzisiro yaro haina kusimba zvakanyanya kupfuura Levaquin.
Keflex ( cephalexin ): Keflex yakanyanya kufanana nepenicillin kupfuura iyo Levaquin, asi inorayirwa zvimwe zvezvirwere zvakafanana, sebronchitis, mabayo, uye UTIs. Keflex inogona zvakare kubata tonsillitis uye laryngitis.
Generic levofloxacin : Uyu ndiwo mushonga mumwe chete saLevaquin, kunze kwezita rechiratidzo. Levaquin iri kunze kwekugadzira, asi generic levofloxacin ichiri kuwanikwa kuburikidza nemushonga.

Levaquin akamiswa here?

Ehe. Muna Zvita 2017, Janssen Pharmaceuticals yakadhonza Levaquin uye imwe fluoroquinolone inonzi Floxin Otic nzeve inodonha kubva mukugadzirwa. Janssen akati zvinoenderana nesarudzo yake yekumisa Levaquin pane kuwanikwa kwakawanda kwesarudzo, zvisinei, paive nematare akati wandei pamusoro pemhedzisiro yakaipa. Mhosva idzi dzakabva kuvarwere veLevaquin vakawana imwe yemhedzisiro yakakomba yakataurwa pamusoro apa mushure mekutora mushonga, kunyanya aortic aneurysms uye tendon rupture. Vanoti makambani aya akatengesa mishonga iyi zvisineyi kuti ingangove nenjodzi.

Pamberi pematare aya, iyo FDA yakanga yaburitsa nhema bhokisi yambiro yeLevaquin, pamwe neCipro, Avalox, uye mamwe fluoroquinolones, yambiro yakapihwa mhedzisiro yakaipa kwazvo. Ndiyo yambiro yakasimba iyo FDA ichaburitsa isati yarambidza zvachose mushonga. Vanokwikwidza vakananga seCipro, Avalox, uye mamwe fluoroquinolones achiri pamusika, uye generic levofloxacin ichiri kuwanikwa zviri nyore.

Panguva yekumiswa kwayo muna2017, pakanga paine Levaquin yakakwana yakatogadzirwa uye kutumirwa kuti igare kusvika 2020. Saka, mwedzi yakati wandei inotevera ingangove yekupedzisira yatinoona yezita-zita Levaquin, kunyange ichizorarama kuburikidza nevakwikwidzi vayo vepedyo. uye generic shamwari.