Product image of Levoxigram (Levofloxacin) supplied by GNH India

Levoxigram

Active Ingredient:
Levofloxacin
Origin:
EU

Levoxigram (Levofloxacin)

Levofloxacin, the active ingredient in Levoxigram, is a fluoroquinolone antibiotic presented as an oral tablet for systemic use. It treats a range of bacterial infections, including respiratory, urinary, and skin infections, and is prescribed for adult patients when indicated.

GNH India supplies Levoxigram as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality‑controlled manufacturing, regulatory compliance, and reliable global distribution. Our supply chain adheres to EU standards, providing consistent product availability for healthcare providers across multiple regions.

Manufacturer / TM Owner

Aesculapius Farmaceutici S.R.L.

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Indications & Clinical Uses

Levoxigram is a fluoroquinolone antibiotic indicated for several bacterial infections affecting different organ systems.

  • Community‑acquired pneumonia: eradicates pathogenic bacteria in the lungs, improving respiratory function and reducing fever.
  • Acute bacterial sinusitis: clears sinus infection, relieving congestion, facial pain and discharge.
  • Acute exacerbations of chronic bronchitis: reduces bacterial load, aiding recovery of airway function.
  • Complicated urinary tract infections: eliminates uropathogens, helping restore normal urinary health.
  • Skin and soft‑tissue infections: treats bacterial cellulitis and wound infections, promoting healing.

How It Works

  • Levofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, enzymes essential for DNA replication, transcription, and repair. By binding to these enzymes, it prevents the supercoiling and separation of DNA strands, leading to bacterial cell death and effective eradication of susceptible Gram‑positive and Gram‑negative organisms.

Side Effects

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

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Diarrhea: loose stools, often self‑limiting.
  • Headache: transient cranial discomfort.
  • Dizziness: occasional light‑headedness.
  • Rash: mild skin erythema.
  • Photosensitivity: increased sunburn risk.

Serious or Rare Side Effects

  • Tendon rupture: especially Achilles tendon, requiring immediate medical attention.
  • QT interval prolongation: may precipitate cardiac arrhythmias.
  • Severe hypersensitivity: including Stevens‑Johnson syndrome.
  • Central nervous system effects: seizures or psychosis.
  • Hepatotoxicity: elevated liver enzymes or jaundice.
  • Peripheral neuropathy: persistent numbness or tingling.

Precautions & Warnings

Before prescribing Levoxigram, clinicians should consider several safety factors.

  • Assess renal function: dose adjustment may be required in impaired clearance.
  • Review cardiac history: avoid in patients with known QT prolongation.
  • Evaluate tendon health: contraindicated in patients with recent tendon injury or steroid use.
  • Monitor for hypersensitivity: discontinue at first sign of severe allergic reaction.
  • Caution in elderly: increased risk of CNS and tendon adverse events.
  • Store at ambient temperature: keep below 25°C in the original packaging, protected from moisture and direct sunlight.

Avoid Interactions

Levofloxacin can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Antacids containing aluminum or magnesium: reduce levofloxacin absorption.
  • Warfarin: may increase anticoagulant effect, raising bleeding risk.
  • NSAIDs (e.g., ibuprofen): can heighten seizure potential.
  • Cyclosporine: increased risk of nephrotoxicity.
  • Theophylline: may raise plasma theophylline levels, causing toxicity.

Moderate Interactions (Monitor Closely)

  • Diuretics (e.g., furosemide): may enhance QT prolongation.
  • Corticosteroids: combined use may increase tendon rupture risk.
  • Antidiabetic agents: monitor blood glucose as levofloxacin can affect glycemic control.

Frequently Asked Questions

Levoxigram, containing levofloxacin, is prescribed for several bacterial infections such as community‑acquired pneumonia, acute bacterial sinusitis, exacerbations of chronic bronchitis, complicated urinary tract infections, and skin or soft‑tissue infections. It is used in adult patients when a fluoroquinolone is appropriate based on culture results or clinical judgment.

Levofloxacin blocks bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication and transcription. By binding to these targets, it prevents DNA supercoiling and strand separation, leading to bacterial cell death. This mechanism gives it activity against a broad spectrum of Gram‑positive and Gram‑negative organisms.

The exact dose of Levoxigram is set by the prescribing clinician based on the infection type, severity, patient weight, renal function, and local resistance patterns. Dosage may be adjusted for impaired kidney function or specific patient populations, and the prescriber will follow approved labeling guidelines.

Levofloxacin is generally classified as contraindicated in pregnancy and should be avoided unless the potential benefit outweighs the risk to the fetus. It is also not recommended during breastfeeding because it can be excreted in milk. Clinicians should consider alternative agents when treating pregnant or lactating patients.

To request Levoxigram, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and assist with import documentation.

Levoxigram (levofloxacin) is a third‑generation fluoroquinolone with a broad spectrum covering many respiratory and urinary pathogens. Compared with older agents like ciprofloxacin, it offers enhanced activity against Streptococcus pneumoniae and better lung penetration, often allowing once‑daily dosing. However, safety considerations such as tendon risk are similar across the class.

Levoxigram tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original blister pack or container, protect from moisture, heat, and direct sunlight. Do not store in bathrooms or near sources of humidity to maintain product stability.

Levoxigram is taken orally, usually with a full glass of water. It can be taken with or without food, but antacids containing aluminum or magnesium should be spaced at least two hours apart to avoid reduced absorption. Patients should follow the prescriber’s instructions regarding timing and duration of therapy.

Serious adverse events include tendon rupture (especially the Achilles tendon), QT interval prolongation leading to arrhythmias, severe hypersensitivity reactions such as Stevens‑Johnson syndrome, central nervous system effects like seizures, and hepatic injury. Patients should seek immediate medical attention if they experience sudden tendon pain, palpitations, rash, or neurological symptoms.

Levoxigram should be avoided in individuals with a known hypersensitivity to levofloxacin or other fluoroquinolones, those with a history of tendon disorders related to fluoroquinolone use, patients with prolonged QT interval, and patients taking medications that significantly increase the risk of tendon injury. Caution is also advised for those with severe renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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