Antimicrobials
LevoFLOXacin

LevoFLOXacin

High
Excellent
Non-formulary

Dosing

General Information

Levofloxacin is non-formulary at MSH. Levofloxacin will be automatically substituted to Moxifloxacin for non-UTI indications or to Ciprofloxacin for UTI indications.

  • Lower respiratory infection (CAP, HAP)
  • Intraabdominal infection

Monitor QTc in patients with increased risk

  • QTc prolongation
  • Dysglycemia
  • Rash
  • Tendinopathy and rupture
  • GI upset
  • Weakness exacerbation in myasthenia gravis
  • CNS toxicity including confusion, psychosis
  • Other QTc prolonging agents
  • Divalent cations - Decreased absorption (ex: calcium, magnesium)
  • NSAIDs - Increase seizure risk
  • Warfarin - Increased INR

Antimicrobial class: Fluoroquinolone

Pregnancy category: C

Average serum half life: 7 hours

Biliary penetration: Therapeutic

Lung penetration: Therapeutic

Urine penetration: Therapeutic