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LEVOFLOXACIN
BY
Priyanka .nidumolu
Pharm d -v
INTRODUCTION
• Levofloxacin is a fluoroquinolone antibiotic and the optical S-(-) isomer of racemic
ofloxacin.
• It reportedly carries 8 to 128-fold more activity against both gram-negative and
gram-positive bacteria compared to R-(+)-ofloxacin1 and remains stereochemically
stable following administration (i.e. it does not invert to the inactive isomer).
• Levofloxacin, along with other quinolones such as gatifloxacin and moxifloxacin, is
a member of the third generation of fluoroquinolones, colloquially referred to as
the "respiratory quinolones
INTRODUCTION
• Levofloxacin is used in human medicine to treat various bacterial infections. Its spectrum of
activity includes gram-positive aerobic bacteria, some gramnegative aerobic bacteria,
some anaerobic bacteria, and other organisms (eg, Chlamydia, Mycoplasma, and
Mycobacterium spp).
• It is also more active in vitro against gram-positive bacteria and anaerobes than some other
fluoroquinolones.
• Levofloxacin is available as inexpensive, generic 250-, 500-, or 750-mg tablets.
• According to the manufacturer's information for use of the drug in humans,bioavailability
is approximately 99%, serum protein binding is 24% to 38%, and the drug undergoes
limited metabolism and is not metabolized by cytochrome P450 enzymes.
• It is almost entirely eliminated in the urine, and the pharmacokinetics are not affected by
liver disease. In addition, the tablets can be taken with or without food. However, despite
these favorable properties, clinical use of levofloxacin in veterinary medicine has not been
reported to the authors’ knowledge.
MECANISM OF ACTION
• It inhibits DNA gyrase and topoisomerase-II and topoisomerase-IV
• Which inhibits the super coiling of DNA and decrease the concentration of
DNA
• Results in bactericidal action
FDA APPROVED USES
• Abscess caused by susceptible bacteria
• Acute bacterial exacerbation of chronic bronchitis.
• Acute pyelonephritis caused by E.COLI
• Bacterial conjunctivitis.
• Cellulitis
• Community acquired pneumonia
• Furuncle
• Impetigo
• Inhalational anthrax
FDA approved uses
• Nosocomial infections caused by pseudomonas
• Plague caused by yersinia pestis.
• Pyoderma
• Wound infections
• Acute bacterial sinusitis
• Chronic bacterial prostatitis skin and skin structure infections
• chronic pseudomonas infections
Pharmaco kinetics
Absorption: bioavailability is 99%
Distribution :widely distributed throughout the body. protein binding is 24-
38%
Metabolism: 2 metabolites are created levofloxacin –n-oxide, desmethyl –
levofloxacin
Excreation :excreated through unchanged form in urine.
Adverse drug reactions
• Difficulty in breathing
• Extreme thirst or hunger
• Pale skin
• Blurred vision’
• Yellowing of the skin
• Dark urine
• Light coloured stool

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chinna 21102.pptx

  • 2. INTRODUCTION • Levofloxacin is a fluoroquinolone antibiotic and the optical S-(-) isomer of racemic ofloxacin. • It reportedly carries 8 to 128-fold more activity against both gram-negative and gram-positive bacteria compared to R-(+)-ofloxacin1 and remains stereochemically stable following administration (i.e. it does not invert to the inactive isomer). • Levofloxacin, along with other quinolones such as gatifloxacin and moxifloxacin, is a member of the third generation of fluoroquinolones, colloquially referred to as the "respiratory quinolones
  • 3. INTRODUCTION • Levofloxacin is used in human medicine to treat various bacterial infections. Its spectrum of activity includes gram-positive aerobic bacteria, some gramnegative aerobic bacteria, some anaerobic bacteria, and other organisms (eg, Chlamydia, Mycoplasma, and Mycobacterium spp). • It is also more active in vitro against gram-positive bacteria and anaerobes than some other fluoroquinolones. • Levofloxacin is available as inexpensive, generic 250-, 500-, or 750-mg tablets. • According to the manufacturer's information for use of the drug in humans,bioavailability is approximately 99%, serum protein binding is 24% to 38%, and the drug undergoes limited metabolism and is not metabolized by cytochrome P450 enzymes. • It is almost entirely eliminated in the urine, and the pharmacokinetics are not affected by liver disease. In addition, the tablets can be taken with or without food. However, despite these favorable properties, clinical use of levofloxacin in veterinary medicine has not been reported to the authors’ knowledge.
  • 4. MECANISM OF ACTION • It inhibits DNA gyrase and topoisomerase-II and topoisomerase-IV • Which inhibits the super coiling of DNA and decrease the concentration of DNA • Results in bactericidal action
  • 5. FDA APPROVED USES • Abscess caused by susceptible bacteria • Acute bacterial exacerbation of chronic bronchitis. • Acute pyelonephritis caused by E.COLI • Bacterial conjunctivitis. • Cellulitis • Community acquired pneumonia • Furuncle • Impetigo • Inhalational anthrax
  • 6. FDA approved uses • Nosocomial infections caused by pseudomonas • Plague caused by yersinia pestis. • Pyoderma • Wound infections • Acute bacterial sinusitis • Chronic bacterial prostatitis skin and skin structure infections • chronic pseudomonas infections
  • 7. Pharmaco kinetics Absorption: bioavailability is 99% Distribution :widely distributed throughout the body. protein binding is 24- 38% Metabolism: 2 metabolites are created levofloxacin –n-oxide, desmethyl – levofloxacin Excreation :excreated through unchanged form in urine.
  • 8. Adverse drug reactions • Difficulty in breathing • Extreme thirst or hunger • Pale skin • Blurred vision’ • Yellowing of the skin • Dark urine • Light coloured stool