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levofloxacin ophthalmic (Iquix, Quixin)

 

Classes: Quinolones, Ophthalmic

Dosing and uses of Iquix, Quixin (levofloxacin ophthalmic)

 

Adult dosage forms and strengths

ophthalmic solution

  • 0.5%

 

Bacterial Conjunctivitis

Solution 0.5%

1-2 gtt in affected eye(s) q2hr on days 1-2, while awake, up to 8 times/day, THEn

1-2 gtt q4hr; not to exceed four times daily on days 3-7

 

Pediatric dosage forms and strengths

ophthalmic solution

  • 0.5%
  • 1.5%

 

Bacterial Conjunctivitis

Ophth soln 0.5%

<1 year: Safety & efficacy not established

1 year or older: 1-2 gtt in affected eye(s) q2hr on days 1-2, while awake, up to 8 times/day, THEN 1-2 gtt q4hr; not to exceed QID on days 3-7

 

Iquix, Quixin (levofloxacin ophthalmic) adverse (side) effects

Frequency not defined

Transient decrease in vision

Transient ocular burning

Ocular pain or discomfort

Foreign body sensation

Headache

Fever

Pharyngitis

Photophobia

Allergic reactions

Lid edema

Ocular dryness

Ocular itching

 

Warnings

Contraindications

Hypersensitivity to quinolones or any component

 

Cautions

May result in overgrowth of nonsusceptible organisms, including fungi

Some pts may require slit-lamp biomicroscopy & fluorescein staining

serious hypersensitivity reactions with systemic use of fluoroquinolones reported; use caution

Safety and efficacy on children

 

Pregnancy and lactation

Pregnancy category: C

Lactation: May be distributed into milk; use caution

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Iquix, Quixin (levofloxacin ophthalmic)

Mechanism of action

Inhibits DNA topoisomerase (ATP-hydrolyzing), a type II DNA topoisomerase commonly referred to as DNA-gyrase, in susceptible organisms; promotes breakage of DNA strands, inhibits relaxation of supercoiled DNA; inhibits DNA repair and recombination

 

Pharmacokinetics

Absorption: Minimal with ophthalmic use