Product image of Levofloxacino Pharma Combix (Levofloxacin) supplied by GNH India

Levofloxacino Pharma Combix

Active Ingredient:
Levofloxacin
Origin:
EU

Levofloxacino Pharma Combix (Levofloxacin)

Levofloxacin, the active ingredient in Levofloxacino Pharma Combix, is a fluoroquinolone antibiotic presented as an oral formulation for systemic use. It treats a range of bacterial infections in adults and children as prescribed by a healthcare professional.

GNH India supplies Levofloxacino Pharma Combix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Laboratorios Combix, S.L.U.

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Indications & Clinical Uses

Levofloxacin is a broad‑spectrum fluoroquinolone used to treat bacterial infections affecting various organ systems.

  • Community‑acquired respiratory tract infections: eradicates the causative bacteria and resolves cough, fever and sputum production.
  • Acute bacterial sinusitis: eliminates sinus pathogens and reduces facial pain and congestion.
  • Acute bacterial exacerbation of chronic bronchitis: clears infection and improves breathing function.
  • Skin and soft tissue infections: combats skin‑borne bacteria, promoting wound healing.
  • Urinary tract infections: clears urinary pathogens and alleviates dysuria and frequency.
  • Gonorrhea: treats Neisseria gonorrhoeae infection and prevents complications.

How It Works

  • Levofloxacin inhibits bacterial DNA gyrase (topoisomerase II) and topoisomerase IV, enzymes essential for DNA supercoiling and replication. By binding to these enzymes, it prevents the unwinding and resealing of DNA strands, halting bacterial DNA synthesis and transcription, which leads to bacterial cell death.

Side Effects

Levofloxacin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Diarrhea: loose stools that may be watery.
  • Headache: transient cranial discomfort.
  • Dizziness: sensation of light‑headedness.
  • Rash: mild skin erythema or itching.
  • Abdominal pain: cramping or discomfort.

Serious or Rare Side Effects

  • Tendon rupture: sudden pain and loss of function, especially in the Achilles tendon.
  • QT interval prolongation: risk of cardiac arrhythmias.
  • Severe allergic reactions: anaphylaxis, swelling, or breathing difficulty.
  • Clostridioides difficile infection: severe colitis with watery diarrhea.
  • Hepatic dysfunction: elevated liver enzymes or jaundice.
  • Peripheral neuropathy: tingling or numbness in extremities.

Precautions & Warnings

Levofloxacin requires careful assessment of patient risk factors before prescribing.

  • Renal function: adjust dose in patients with impaired renal clearance.
  • QT interval: avoid in patients with known prolongation or concurrent QT‑prolonging drugs.
  • Tendon health: discontinue if tendon pain, swelling, or inflammation occurs.
  • Photosensitivity: advise patients to limit sun exposure and use protective clothing.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk.
  • Store at ambient temperature: keep below 25 °C in the original packaging, protect from moisture.

Avoid Interactions

Levofloxacin can interact with several medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • Antacids containing aluminum or magnesium: reduce levofloxacin absorption.
  • Warfarin: may increase anticoagulant effect and bleeding risk.
  • Cyclosporine: can raise levofloxacin plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Theophylline: may increase serum theophylline levels, risking toxicity.
  • Corticosteroids: combined use raises the risk of tendon rupture.
  • NSAIDs: may enhance central nervous system stimulation, causing tremor or seizures.

Frequently Asked Questions

Levofloxacino Pharma Combix contains levofloxacin, a fluoroquinolone antibiotic indicated for a range of bacterial infections such as community‑acquired respiratory tract infections, acute bacterial sinusitis, exacerbations of chronic bronchitis, skin and soft‑tissue infections, urinary tract infections, prostatitis and gonorrhea. The specific infection treated is determined by the prescribing clinician based on culture results and clinical presentation.

Levofloxacin exerts its antibacterial effect by binding to bacterial DNA gyrase (topoisomerase II) and topoisomerase IV. These enzymes are essential for DNA supercoiling, replication, and transcription. Inhibition of these targets prevents the unwinding and resealing of DNA strands, leading to halted bacterial DNA synthesis and ultimately bacterial cell death.

The dosage of Levofloxacino Pharma Combix is individualized by the prescriber according to the infection type, severity, patient age, renal function and other clinical factors. Only a qualified healthcare professional can determine the appropriate dose and treatment duration for each patient.

Levofloxacino Pharma Combix is classified as a prescription‑only medication, and its safety in pregnancy or lactation has not been definitively established. It should be used only when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Levofloxacin offers broad‑spectrum coverage against many Gram‑positive and Gram‑negative bacteria, often with once‑daily dosing, which can be advantageous over some beta‑lactams that require multiple daily doses. However, its fluoroquinolone class carries specific safety considerations, such as tendon toxicity and QT prolongation, which may make other classes preferable in certain patient populations.

Levofloxacino Pharma Combix should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keeping the product in a dry, well‑ventilated area helps maintain its stability and potency throughout its shelf life.

Levofloxacino Pharma Combix is supplied as an oral dosage form. The tablets or capsules are taken by mouth with or without food, as directed by the prescribing clinician. Patients should swallow the medication whole and follow any specific instructions regarding timing relative to meals or other medicines.

Serious adverse events linked to levofloxacin include tendon rupture (particularly of the Achilles tendon), QT interval prolongation leading to cardiac arrhythmias, severe allergic reactions such as anaphylaxis, Clostridioides difficile‑associated colitis, hepatic injury, and peripheral neuropathy. Patients should be advised to seek immediate medical attention if they experience sudden tendon pain, palpitations, severe rash or gastrointestinal symptoms.

Levofloxacino Pharma Combix is contraindicated in individuals with a known hypersensitivity to levofloxacin, other fluoroquinolones, or any of the product’s excipients. It should also be avoided in patients with a history of tendon disorders related to fluoroquinolone use, uncontrolled cardiac arrhythmias, or those taking medications that significantly prolong the QT interval without careful monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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