Levofloxacin tablets for infection
Evoxil
مراجعة من قبل الدكتور كولين تايدي، MRCGPآخر تحديث بواسطة Michael Stewart, MRPharmSLast updated 22 May 2023
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Levofloxacin is given to treat a bacterial infection.
It is important to complete the full course of treatment. This is to prevent the infection from coming back.
The most common side effects of levofloxacin are feeling sick (nausea) and diarrhoea. They are usually mild and soon pass.
At a glance
Levofloxacin is an antibiotic used to treat various bacterial infections like chest or urine infections.
It works by killing the bacteria causing the infection.
Common side effects include feeling sick, diarrhoea, headache, and dizziness.
Do not take with antacids, iron, or zinc supplements within two hours of a dose.
Avoid alcohol as it can worsen side effects.
Levofloxacin can make your skin more sensitive to sunlight.
Speak to your doctor if you experience any serious side effects like sudden pain or vision changes.
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تابع القراءة أدناه
About levofloxacin
نوع الدواء | A quinolone antibiotic |
يستخدم لـ | Treating infections |
يُعرف أيضًا باسم | Evoxil® |
متوفر كـ | Tablets, eye drops |
What is levofloxacin used for?
العودة إلى المحتوياتLevofloxacin is a type of antibiotic used to treat bacterial infections such as sinusitis, التهابات الصدر, urine infections, prostatitis, and some skin and soft tissue infections.
It works by killing the bacteria which are the cause of the infection.
Other antibiotics are usually prescribed in preference to levofloxacin. Levofloxacin is reserved for infections which have not improved with other antibiotic treatment. It is also used if other, more preferred, antibiotics cannot be prescribed for some reason.
Levofloxacin is also available as eye drops for the treatment of eye infections. For more information on this use see the leaflet Levofloxacin eye drops.
تابع القراءة أدناه
Side effects of levofloxacin
العودة إلى المحتوياتCommon side effects of levofloxacin are:
الشعور بالغثيان.
Being sick.
الإسهال.
الصداع.
الشعور بالدوار.
Problems sleeping.
You will find a full list in the manufacturer's information leaflet supplied with your medicine.
غالبًا ما تتحسن الآثار غير المرغوب فيها مع تكيف جسمك مع الدواء الجديد، ولكن تحدث مع طبيبك أو الصيدلي إذا استمرت أي من الآثار التالية أو أصبحت مزعجة.
How to manage levofloxacin side effects
العودة إلى المحتوياتCommon levofloxacin side effects (these affect fewer than 1 in 10 people) | ماذا يمكنني أن أفعل إذا واجهت هذا؟ |
Feeling sick or being sick (vomiting) | Stick to simple foods - avoid rich or spicy meals. It may help to take the tablets after food |
إسهال | Drink plenty of water to replace lost fluids. If the diarrhoea is severe or continues to be a problem, speak with your pharmacist or doctor for advice |
صداع | اشرب الكثير من الماء واطلب من الصيدلي أن يوصي بمسكن مناسب للألم. إذا استمرت الصداع، أخبر طبيبك |
الشعور بالدوار | لا تقم بالقيادة ولا تستخدم الأدوات أو الآلات حتى تشعر بتحسن مرة أخرى |
Problems sleeping | إذا كان الأمر مزعجًا، تحدث مع طبيبك |
Temporary changes to liver enzymes | This could be noticed if you have certain blood tests |
مهم: there are also a number of rare but more serious side effects which have been associated with this medicine. Speak with your doctor as soon as possible if you experience the following:
An allergic-type reaction, such as swelling around your face or mouth, a skin rash, or any difficulty breathing.
Sudden pain in the abdomen (tummy), chest or back.
Pain or inflammation in your muscles, tendons or joints (possible tendinopathy).
Any feelings of pain, burning, tingling, numbness or weakness.
Any problems with your vision or eyes, or changes to taste, smell or hearing.
Disordered thinking or thoughts about harming yourself.
Severe tiredness, depressed mood, anxiety, problems with your memory or severe problems sleeping.
إذا شعرت بأي أعراض أخرى تعتقد أنها قد تكون بسبب الأقراص، تحدث مع طبيبك أو الصيدلي للحصول على النصيحة.
تابع القراءة أدناه
Who should not take levofloxacin tablets
العودة إلى المحتوياتSome medicines aren’t suitable for certain health conditions or may require extra care. Before taking levofloxacin, it is important to let your doctor know:
إذا كنتِ حاملاً، تحاولين الإنجاب، أو تقومين بالرضاعة الطبيعية.
If you are under 18 years of age.
If you have ever experienced a problem with your tendons, called tendonitis.
إذا كان لديك أي مشاكل في طريقة عمل الكلى لديك.
If you have epilepsy or any other condition that causes fits.
If you have ever had mental health problems.
If you have a heart condition, or if you have been told you have an unusual heartbeat.
If you have aortic aneurysm or a family history of aneurysm disease.
If you have a condition causing tired and weak muscles, called myasthenia gravis.
If you know you have glucose 6-phosphate dehydrogenase (G6PD) deficiency. This is a genetic disorder which causes problems after eating foods such as fava beans.
إذا كنت تتناول أي أدوية أخرى. يشمل ذلك أي أدوية تتناولها والتي يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.
If you have ever had an allergic reaction to any medicine, especially to another quinolone antibiotic such as norfloxacin, ofloxacin, ciprofloxacin, moxifloxacin, or nalidixic acid.
How to take levofloxacin tablets
العودة إلى المحتوياتRead the information leaflet in the pack before starting, as it explains levofloxacin and its possible side effects.
Take levofloxacin exactly as your doctor tells you. The usual dose is 500 mg daily, but it may be 250 mg once daily or 500 mg twice daily depending on your infection. Check the label for your correct dose.
You can take it before or after meals. If taking once a day, take it in the morning. If more than once a day, space doses about 12 hours apart.
Swallow tablets with water. You can split them along the score line if needed, but do not crush or chew.
Avoid antacids, iron, or zinc supplements for two hours before and after each dose, as they reduce how well the medicine works.
If you forget a dose, take it when you remember unless the next dose is due then skip the missed dose. Don’t take two doses at once.
Finish the full course even if you feel better, unless your doctor tells you to stop. Most courses last 7–14 days. See your doctor if you still feel unwell after finishing the treatment.
تحقيق أقصى استفادة من علاجك
العودة إلى المحتوياتRemember to keep any routine appointments with your doctor. This is so your progress can be monitored.
Levofloxacin can make your skin more sensitive to sunlight. Use sunscreen and avoid sunbeds, especially in strong sunlight.
Check with a pharmacist before taking any other medicines. Avoid NSAID painkillers, such as ibuprofen, while on levofloxacin.
Some people develop thrush (النظافة الفموية أو vaginal) after taking a course of antibiotics. If you think you have thrush, speak with your doctor or pharmacist for advice.
This antibiotic may stop the oral typhoid vaccine from working. If you are having any vaccinations, make sure the person treating you knows that you are taking this medicine.
Levofloxacin may make you feel light-headed and impair your ability to concentrate. Make sure your reactions are normal before you drive and before you use tools or machines.
If you have diabetes, you may need to check your blood sugar (glucose) levels more regularly, as levofloxacin can affect the levels of sugar in your blood.
How to store levofloxacin
العودة إلى المحتوياتاحفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.
احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.
معلومات هامة عن جميع الأدوية
معلومات هامة عن جميع الأدوية
لا تأخذ أبدًا أكثر من الجرعة الموصوفة. إذا كنت تشك في أنك أو شخص آخر قد تناول جرعة زائدة من هذا الدواء، اذهب إلى قسم الحوادث والطوارئ في مستشفى منطقتك. خذ العبوة معك، حتى لو كانت فارغة.
هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.
إذا كنت ستخضع لعملية جراحية أو أي علاج للأسنان، أخبر الشخص الذي يقوم بالعلاج بالأدوية التي تتناولها.
لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.
إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.
الإبلاغ عن الآثار الجانبية لدواء أو لقاح
إذا واجهت آثارًا جانبية، يمكنك الإبلاغ عنها عبر الإنترنت من خلال Yellow Card website.
الأسئلة الشائعة
العودة إلى المحتوياتHow long does it take for levofloxacin to work?
Levofloxacin usually starts to work within a few hours, with most people noticing an improvement in their symptoms after 1-3 days. Always finish your course of treatment even if you are feeling better.
Is levofloxacin safe to take during pregnancy?
Levofloxacin is generally not recommended during pregnancy as it may affect developing cartilage and joints in the baby. Doctors usually only prescribe levofloxacin if no safer option is available and the infection is serious.
Can you drink alcohol while taking levofloxacin?
It is recommended that you avoid drinking alcohol while taking levofloxacin. Alcohol doesn't stop levofloxacin from working, but it can make side effects such as nausea, dizziness, or stomach upset worse and it may slow down your body’s recovery.
Is levofloxacin a penicillin?
No, levofloxacin is not a penicillin. It is a fluoroquinolone antibiotic, which works differently from penicillin-type antibiotics and is used to treat infections when other antibiotics may not be suitable.
What bacteria does levofloxacin kill?
Levofloxacin kills a wide range of bacteria, including both Gram-positive and Gram-negative bacteria. It is a broad-spectrum antibiotic which means it works against many different bacteria.
What should you avoid while taking levofloxacin?
When taking levofloxacin, you should avoid having dairy products at the time of dose, antacids and supplements - especially iron, calcium, and zinc - within 2 hours before or after your dose, and large amounts of alcohol.

غير متأكد من خلط الأدوية؟
تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.
الأسئلة الشائعة
Why is levofloxacin only prescribed if other antibiotics haven't worked or can't be used?
Levofloxacin is an antibiotic, but it's typically reserved for situations where other treatments haven't been effective or aren't suitable. This approach helps ensure it remains an option for more stubborn infections, or for patients who can't take more common antibiotics for specific reasons.
Can levofloxacin make my skin more sensitive to the sun?
Yes, levofloxacin can increase your skin's sensitivity to sunlight. It's advisable to use sunscreen and avoid sunbeds, especially in strong sunlight, to protect your skin during treatment.
What should I do if I get thrush after taking levofloxacin?
Some individuals may develop thrush (either oral or vaginal) after completing a course of antibiotics. If you suspect you have thrush, you should speak with your doctor or pharmacist for advice on how to manage it.
Does levofloxacin affect driving or operating machinery?
Levofloxacin may cause light-headedness and could impair your ability to concentrate. Therefore, you should ensure that your reactions are normal and you feel well before driving a car or operating any tools or machines.
What foods or supplements should I avoid while taking levofloxacin?
While taking levofloxacin, you should avoid antacids, iron supplements, and zinc supplements for two hours before and two hours after each dose. These can reduce how effectively the medicine works.
Can I split the levofloxacin tablets if I find them difficult to swallow?
Yes, you can split the tablets along the score line if necessary. However, it's important not to crush or chew them.
I have diabetes; will levofloxacin affect my blood sugar?
If you have diabetes, levofloxacin can affect your blood sugar levels. You may need to check your blood sugar more frequently than usual while you are taking this medicine.
قراءة إضافية ومراجع
- Manufacturer's PIL, Levofloxacin 250 mg and 500 mg Film-coated Tablets; Ipca Laboratories UK Ltd, The electronic Medicines Compendium. Dated January 2021.
تابع القراءة أدناه
About the authorView full bio

مايكل ستيوارت، MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewerView full bio

الدكتور كولين تايدي، MRCGP
General Practitioner, Medical Author
MBBS, MRCGP, MRCP (Paediatrics), DCH
Dr Colin Tidy is an NHS Doctor, based in Oxfordshire.
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تمت كتابة المعلومات على هذه الصفحة ومراجعتها من قبل أطباء مؤهلين.
Next review due: 21 Nov 2027
22 May 2023 | أحدث إصدار

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