CV: AORTIC ANEURYSM/DISSECTION.
Derm: photosensitivity, rash.
Endo: hyperglycemia, hypoglycemia.
GI: HEPATOTOXICITY, CLOSTRIDIOIDES DIFFICILE-ASSOCIATED DIARRHEA (CDAD), abdominal pain, diarrhea, nausea, ↑ liver enzymes.
GU: vaginitis.
Hemat: eosinophilia.
Local: phlebitis at IV site.
MS: arthralgia, myalgia, tendinitis, tendon rupture.
Neuro: peripheral neuropathy, ELEVATED INTRACRANIAL PRESSURE (INCLUDING PSEUDOTUMOR CEREBRI), SEIZURES, SUICIDAL THOUGHTS, agitation, confusion, depression, dizziness, drowsiness, hallucinations, headache, insomnia, nightmares, paranoia, toxic psychosis, tremor.
Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS).
Skin/Skin Structure Infections
- PO (Adults): 500750 mg every 12 hr for 714 days (immediate-release).
- IV (Adults): 400 mg every 812 hr for 714 days.
Bone and Joint Infections
- PO (Adults): 500750 mg every 12 hr for 48 wk (immediate-release).
- IV (Adults): 400 mg every 812 hr for 48 wk.
Complicated Intra-Abdominal Infections
- PO (Adults): 500 mg every 12 hr for 714 days (immediate-release).
- IV (Adults): 400 mg every 12 hr for 714 days.
Infectious Diarrhea
- PO (Adults): 500 mg every 12 hr for 57 days (immediate-release).
Typhoid Fever
- PO (Adults): 500 mg every 12 hr for 10 days (immediate-release).
Uncomplicated Urethral and Cervical Gonorrhea
- PO (Adults): 250 mg single dose (immediate-release).
Inhalational Anthrax (Post-Exposure)
- PO (Adults): 500 mg every 12 hr for 60 days (immediate-release).
- PO (Children): 15 mg/kg (max = 500 mg/dose) every 12 hr for 60 days (immediate-release).
- IV (Adults): 400 mg every 12 hr for 60 days.
- IV (Children): 10 mg/kg (max = 400 mg/dose) every 12 hr for 60 days.
Plague
- PO (Adults): 500750 mg every 12 hr for 14 days (immediate-release).
- PO (Children): 15 mg/kg (max = 500 mg/dose) every 812 hr for 14 days (immediate-release).
- IV (Adults): 400 mg every 812 hr for 14 days.
- IV (Children): 10 mg/kg (max = 400 mg/dose) every 812 hr for 1021 days.
Chronic Bacterial Prostatitis
- PO (Adults): 500 mg every 12 hr for 28 days (immediate-release).
- IV (Adults): 400 mg every 12 hr for 28 days.
Lower Respiratory Tract Infections
- PO (Adults): 500750 mg every 12 hr for 714 days (immediate-release).
- IV (Adults): 400 mg every 812 hr for 714 days.
Nosocomial Pneumonia
- IV (Adults): 400 mg every 8 hr for 1014 days.
Febrile Neutropenia
- IV (Adults): 400 mg every 8 hr for 714 days.
Urinary Tract Infections
- PO (Adults): Complicated urinary tract infection or acute pyelonephritis 250500 mg every 12 hr for 714 days (immediate-release) or 1000 mg once daily for 714 days (extended-release); Acute uncomplicated cystitis 250 mg every 12 hr for 3 days (immediate-release) or 500 mg once daily for 3 days (extended-release).
- PO (Children 117 yr): Complicated urinary tract infection or pyelonephritis 1020 mg/kg (max = 750 mg/dose) every 12 hr for 1021 days (immediate-release).
- IV (Adults): 200400 mg every 812 hr for 714 days.
- IV (Children 117 yr): Complicated urinary tract infection or pyelonephritis 610 mg/kg (max = 400 mg/dose) every 8 hr for 1021 days.
Acute Bacterial Sinusitis
- PO (Adults): 500 mg every 12 hr for 10 days (immediate-release).
- IV (Adults): 400 mg every 12 hr for 10 days.
Renal Impairment
- PO (Adults): CCr 3050 mL/min 250500 mg every 12 hr (immediate-release); CCr 529 mL/min 250500 mg every 18 hr (immediate-release) or 500 mg once daily (extended-release); Hemodialysis or peritoneal dialysis 250500 mg every 24 hr (immediate-release) (give dose after dialysis session)or 500 mg once daily (extended-release) (give dose after dialysis session).
Renal Impairment
- IV (Adults): CCr 529 mL/min 200400 mg every 1824 hr.
Therapeutic Classification: anti-infectives
Pharmacologic Classification: Fluoroquinolones
Absorption: 70% absorbed after oral administration; IV administration results in complete bioavailability.
Distribution: Widely distributed. High tissue and urinary levels are achieved. Crosses the placenta; enters breast milk.
Metabolism/Excretion: 15% metabolized by the liver, 4050% excreted unchanged by the kidneys.
Half-life: 4 hr.