Product image of Levoxa (Levofloxacin Hemihydrate) supplied by GNH India

Levoxa

Active Ingredient:
Levofloxacin Hemihydrate
Origin:
EU

Levoxa (Levofloxacin Hemihydrate)

Levofloxacin, the active ingredient in Levoxa, is a fluoroquinolone antibiotic presented as an oral dosage form for oral use. It treats a range of bacterial infections in adults.

GNH India supplies Levoxa as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Levoxa is a fluoroquinolone antibiotic used to treat infections caused by susceptible bacteria in various organ systems.

  • Urinary tract infection: effective in eradicating susceptible uropathogens and relieving urinary symptoms.
  • Respiratory tract infection: clears bacterial pathogens responsible for acute bronchitis and pneumonia.
  • Skin and soft tissue infection: resolves cellulitis and wound infections caused by susceptible organisms.
  • Sinusitis: reduces bacterial load and alleviates sinus inflammation.
  • Prostatitis: eliminates causative bacteria and improves prostate-related discomfort.

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 DNA unwinding and transcription, leading to bacterial cell death. The drug exhibits concentration‑dependent bactericidal activity against a broad spectrum of Gram‑negative and Gram‑positive organisms.

Side Effects

Levoxa may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Nausea
  • Diarrhea
  • Headache
  • Dizziness

Serious or Rare Side Effects

  • Tendon rupture or tendinitis
  • QT interval prolongation leading to cardiac arrhythmias
  • Severe allergic reactions such as anaphylaxis

Precautions & Warnings

Before prescribing Levoxa, clinicians should consider several safety factors.

  • Renal function: dose adjustment may be required in patients with impaired renal clearance.
  • History of tendon disorders: avoid use in patients with previous tendon injury or those on corticosteroids.
  • Cardiac risk: monitor ECG in patients with known QT prolongation or electrolyte disturbances.
  • Concomitant antacids or multivitamins: separate administration by at least 2 hours to ensure absorption.
  • Pregnancy and lactation: use only when the potential benefit justifies the potential risk to the fetus or infant.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Levoxa can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Ciprofloxacin: additive risk of QT prolongation.
  • Warfarin: potentiates anticoagulant effect, increasing bleeding risk.
  • Theophylline: may raise serum theophylline concentrations, leading to toxicity.

Moderate Interactions (Monitor Closely)

  • Antacids containing aluminum or magnesium: reduce levofloxacin absorption; separate dosing.
  • NSAIDs: may increase risk of central nervous system stimulation.
  • Glucocorticoids: heightened risk of tendon rupture when combined with levofloxacin.

Frequently Asked Questions

Levoxa, containing levofloxacin, is indicated for adult patients with urinary tract infections, respiratory tract infections such as pneumonia, skin and soft‑tissue infections, acute bacterial sinusitis, and prostatitis caused by susceptible bacteria.

Levofloxacin blocks bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication and transcription. Inhibiting these targets prevents bacterial cells from multiplying, leading to rapid bactericidal activity against a broad range of Gram‑negative and Gram‑positive organisms.

The specific dosage of Levoxa is determined by the prescribing clinician based on the infection type, severity, patient age, renal function, and other clinical factors. Healthcare professionals set the appropriate dose and treatment duration for each individual case.

Levoxa is classified as a pregnancy‑category drug with limited data. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus. Likewise, breastfeeding mothers should consult their physician, as levofloxacin can be excreted in breast milk.

To request Levoxa, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Levoxa (levofloxacin) is the L‑isomer of ofloxacin, offering higher potency and better tissue penetration than many older fluoroquinolones. It provides a broader spectrum against Gram‑negative pathogens and requires once‑daily dosing for many infections, which can improve patient adherence compared with agents that need multiple daily doses.

Levoxa should be stored at room temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Levoxa is taken orally, usually as a tablet or oral suspension, with or without food. The exact form and dosing schedule are prescribed by the treating physician, who will also advise on any necessary timing adjustments with other medications.

Serious risks include tendon rupture or tendinitis, especially in older adults or those on corticosteroids; QT interval prolongation that can lead to cardiac arrhythmias; and severe allergic reactions such as anaphylaxis. Patients should be monitored for these events and advised to seek immediate medical attention if they occur.

Levoxa is contraindicated in patients with a known hypersensitivity to levofloxacin, other fluoroquinolones, or any of the product’s excipients. It should also be avoided in individuals with a history of tendon disorders related to fluoroquinolone use, and in patients with significant QT prolongation unless benefits clearly outweigh risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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