Thursday , August 11 2022

Do not use these antibiotics: they damage your muscles and bones



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warn antibiotics severe reactions

Medication Agency alert about some usual use antibiotics, those that contain fluoroquinolones (ciprofloxacin – levofloxacin – moxifloxacin – pefloxacin – prulifloxacin – rufloxacin – norfloxacin – lomefloxacin) i quinolones

"They have reported quinolones and fluoroquinolones with antibiotics – writes Aifa in a communication to doctors – adverse reactions incapacitating, long-term and potentially permanent, mainly at the expense of the system musculoskeletal and the nervous system. As a result, the benefits and risks of all antibiotics of quinolone and fluoroquinolone and their indications in the EU countries have been evaluated. Medications that contain cinoxacin, flumechina, nalidixic acid and pipemidic acid retired of trade ".

The agency recommends not prescribing these medications "for the treatment of minor or self-limiting infections (such as pharyngitis, tonsillitis i bronchitis acute); for the prevention of traveler's diarrhea or recurrent urinary tract infections; for non-bacterial infections, for example, non-bacterial prostatitis (chronic); for mild to moderate infections (including uncomplicated cystitis, acute exacerbation of chronic bronchitis, and chronic obstructive pulmonary disease – COPD, acute bacterial rhinosinusitis and acute otitis media), unless other antibiotics are commonly recommended for these infections are considered inadequate; to patients who have experienced serious adverse reactions to a quinolone or fluoroquinolone antibiotic in the past. "

It is also requested to prescribe these medications "with special caution for the elderly, for patients with disabilities kidney, to patients subjected to a solid organ transplant and to treaties concomitantly with corticosteroids, from the risk of tendinitis and fluoroquinolone-induced tendon rupture may be greater in these patients. The concomitant use of corticoids with fluoroquinolones should be avoided. "

Patients should also report "to stop treatment in the first signs of a serious adverse reaction, such as tendonitis and tendon rupture, muscle pain, muscle weakness, joint pain, joint inflammation, peripheral neuropathy and effects on the system Central nervous see your doctor for more advice. "

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