Product image of Levofloxacina Combino (Levofloxacin) supplied by GNH India

Levofloxacina Combino

Active Ingredient:
Levofloxacin
Origin:
EU

Levofloxacina Combino (Levofloxacin)

Levofloxacin, the active ingredient in Levofloxacina Combino, is a fluoroquinolone antibiotic presented as an intravenous solution for intravenous use. It provides broad‑spectrum antibacterial activity against Gram‑negative and Gram‑positive pathogens and is prescribed for serious infections in adult and pediatric patients when oral therapy is unsuitable.

GNH India supplies Levofloxacina Combino as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The company emphasizes strict quality assurance and adherence to global regulatory standards throughout the supply chain.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Levofloxacin is a fluoroquinolone antibiotic used to treat a range of serious bacterial infections.

  • Complicated urinary tract infection: eradicates susceptible Gram‑negative and Gram‑positive organisms, achieving clinical cure.
  • Intra‑abdominal infection: provides coverage against common intra‑abdominal pathogens, facilitating resolution of infection.
  • Community‑acquired bacterial pneumonia: eliminates causative bacteria, improving respiratory function and recovery.
  • Skin and soft‑tissue infection: targets Gram‑positive and Gram‑negative skin pathogens, leading to healing.
  • Bacterial prostatitis: penetrates prostatic tissue to eradicate infecting organisms and relieve symptoms.

How It Works

  • Levofloxacin inhibits bacterial DNA gyrase (topoisomerase II) and topoisomerase IV, enzymes essential for DNA replication, transcription, and repair. By stabilizing the DNA‑enzyme complex, it prevents the resealing of DNA strands, leading to bacterial cell death. This mechanism confers broad‑spectrum activity against both Gram‑negative and Gram‑positive organisms.

Side Effects

Levofloxacina Combino may cause a range of adverse reactions.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Diarrhea: loose stools, sometimes watery.
  • Headache: transient cranial discomfort.
  • Dizziness: sensation of light‑headedness.
  • Rash: skin erythema or itching.
  • Elevated liver enzymes: mild hepatic enzyme rise.

Serious or Rare Side Effects

  • Tendon rupture: especially Achilles tendon, may occur without warning.
  • QT interval prolongation: risk of cardiac arrhythmias.
  • Severe allergic reaction: anaphylaxis, angioedema, or Stevens‑Johnson syndrome.
  • Clostridioides difficile infection: severe colitis after antibiotic exposure.
  • Peripheral neuropathy: numbness or tingling in extremities.
  • Seizures: especially in patients with CNS disorders.

Precautions & Warnings

When using Levofloxacina Combino, consider the following precautions.

  • Renal impairment: monitor kidney function and adjust dose if necessary.
  • History of tendon disorders: avoid use in patients with prior tendon injury or inflammation.
  • QT prolongation risk: obtain baseline ECG and monitor cardiac rhythm.
  • Concomitant corticosteroids: increased risk of tendon rupture; use with caution.
  • Pregnancy and lactation: only prescribe if benefits outweigh potential risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levofloxacina Combino can interact with several medicines.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may increase CNS stimulation.
  • Other QT‑prolonging agents (e.g., macrolides, antiarrhythmics): additive risk of cardiac arrhythmias.
  • Systemic corticosteroids: heightened risk of tendon rupture.

Moderate Interactions (Monitor Closely)

  • Antacids containing magnesium or aluminum: reduce levofloxacin absorption; separate dosing by at least 2 hours.
  • Warfarin: may enhance anticoagulant effect; monitor INR closely.
  • Theophylline: increased plasma concentrations; watch for toxicity signs.

Frequently Asked Questions

Levofloxacina Combino is an intravenous formulation of levofloxacin, a fluoroquinolone antibiotic. It is employed in hospital settings to treat serious bacterial infections such as complicated urinary tract infections, intra‑abdominal infections, community‑acquired pneumonia, skin and soft‑tissue infections, and bacterial prostatitis when rapid, high‑concentration therapy is required.

Levofloxacin works by inhibiting bacterial DNA gyrase (topoisomerase II) and topoisomerase IV, enzymes that are essential for DNA replication, transcription, and repair. This inhibition prevents the resealing of DNA strands, leading to bacterial cell death and providing broad‑spectrum antibacterial activity.

The dosage of Levofloxacina Combino is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and other clinical factors. Healthcare professionals calculate the appropriate infusion rate and total daily amount for each individual case.

Safety data for levofloxacin during pregnancy and lactation are limited. The product should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Physicians should discuss the risk‑benefit profile with pregnant or nursing patients before prescribing.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After verification of trade or institutional credentials, the sales team will provide pricing, availability, shipping details (including cold‑chain handling if needed), and required import documentation.

Levofloxacina Combino contains levofloxacin, which is the L‑isomer of ofloxacin and generally offers higher potency and better tissue penetration than older fluoroquinolones such as ciprofloxacin. It provides a broader spectrum against Gram‑positive organisms while maintaining activity against Gram‑negative pathogens, making it a preferred choice for many severe infections.

The product must be stored refrigerated at 2 °C to 8 °C. It should be kept in its original container, protected from light, and must not be frozen or shaken. Prior to administration, the solution should be inspected for particulate matter and used within the time frame recommended by the manufacturer.

Levofloxacina Combino is given by intravenous infusion. The infusion rate and duration are set by the prescribing clinician, typically over 30 minutes to 1 hour, depending on the infection severity and patient tolerance. Administration should follow aseptic technique and be monitored for any infusion‑related reactions.

Serious adverse events include tendon rupture (especially the Achilles tendon), QT interval prolongation leading to arrhythmias, severe hypersensitivity reactions such as anaphylaxis or Stevens‑Johnson syndrome, Clostridioides difficile‑associated colitis, peripheral neuropathy, and seizures in patients with pre‑existing CNS disorders.

Patients with a known hypersensitivity to levofloxacin, other fluoroquinolones, or any component of the formulation should avoid the product. It is also contraindicated in individuals with a history of tendon disorders related to fluoroquinolone use, those with significant QT prolongation, and patients with severe renal impairment without appropriate dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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