Professional Quotes

Quotes from doctors and other professional sources

Quinolone Induced Mitochondrial DNA Damage

The loss in mtDNA was associated with a delayed loss in mitochondrial function. Here, we report that the 4-quinolone drug ciprofloxacin is cytotoxic to a variety of cultured mammalian cell lines at concentrations that deplete cells of mtDNA. The IC50 values for ciprofloxacin varied from 40 to 80 micrograms/ml depending on the cell line tested. Cytotoxicity required continuous exposure of cells to drug for 2-4 days, which corresponded to approximately three or four cell doublings. Shorter times of drug exposure did not cause significant cytotoxicity.

— JW Lawrence, DC Claire, V Weissig, TC Rowe, Department of Pharmacology and Therapeutics, University of Florida College of Medicine

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Safety results of Levofloxacin in pediatric patients

Of the 712 [pediatric] subjects evaluable for safety, 275 (52%) levofloxacin-treated subjects experienced one or more adverse event... Serious adverse events were reported in 33 (6%) levofloxacin-treated subjects...Two serious adverse events in levofloxacin-treated subjects resulted in fatal outcomes.

— John Bradley, M.D., Children’s Hospital and Health Center, San Diego, CA

A Study to Compare the Efficacy and Safety of Levofloxacin in the Treatment of Children With Community-Acquired Pneumonia in the Hospital or Outpatient Setting Source: http://download.veritasmedicine.com/PDF/CR002392_CSR.pdf

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Only appropriate in children for anthrax

The risk-benefit assessment indicates that levofloxacin is only appropriate in pediatric patients for treatment of inhalational anthrax (post-exposure).

— Ortho McNeil

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Long term changes after single dose

We observed ultrastructural changes in rat tendons several months after a single oral dose of a fluoroquinolone. I have no doubt what we found in rats corresponds to the clinical symptoms observed in patients during [fluoroquinolone] treatment.

— Dr. Ralf Stahlmann

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Multi-System Worsening Long Term damage

Fluoroquinolone antibiotics have damaged many people. I know of this severe damage on a personal level since I suffered such and adverse reaction to the fluoroquinolone antibiotic Levaquin myself 22 months ago. Since then I have had daily pain and disability of my nervous and musculoskeletal systems and for several months had endocrine and gastrointestinal problems as well.

— Todd Plumb, MD

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Possibly higher rates of neurotoxicity with levofloxacin

"Thus, this trend may reflect... a previously unrecognized tendency toward greater neurotoxicity with levofloxacin."

— JS Cohen, MD

Cohen JS (December 2001). "Peripheral Neuropathy Associated with Fluoroquinolones" (PDF). Ann Pharmacother 35 (12): 1540–7. doi:10.1345/aph.1Z429. PMID 11793615. http://fqvictims.org/fqvictims/News/neuropathy/Neuropathy.pdf

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"Indiscriminate use" of fluoroquinolones

The newest fluoroquinolones may benefit some patients, but their ease of use may promote indiscriminate use. The risk/benefit ratio of the fluoroquinolones should be carefully considered, and these drugs should be prescribed cautiously, since better-tolerated, less expensive drugs can usually be prescribed instead.

— Jerome Z. Litt, MD

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Spontaneous Achilles tendon rupture

We report two cases of tendon rupture associated with ciprofloxacin. One patient had a complete rupture of an Achilles tendon 6 months after taking the medication. The other case involved a partial rupture of the subscapularis tendon. Both ruptures occurred with minimal mechanical stress on the tendons, suggesting that the fluoroquinolone increased the susceptibility to rupture...

— J. Michael Casparian, MD, Michael Luchi, MD, Department of Medicine, University of Kansas

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Permanent tendon damage from low dosages

One day after juvenile rats were given a single dose of ofloxacin and pefloxacin, their Achilles tendons showed alterations of the collagen, edema, and an inflammatory infiltrate...

— J. Michael Casparian, MD, Michael Luchi, MD, Department of Medicine, University of Kansas

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Ototoxicity of quinolones

Ciprofloxacin belongs to the Quinolone class of drugs, all of which can be quite ototoxic. Ciprofloxacin can cause severe hearing loss, loud tinnitus, ataxia, dizziness, nystagmus, vertigo and ear pain. Thus, it is a drug to be taken with caution. Since I’ve had a number of people tell me of their woes after taking Ciprofloxacin, the ototoxic side effects must be relatively common.

— Neil Bauman, Ph.D.

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