Question

Choose ONE medication that treats ONE condition below and answer the questions that follow as if you were answering them for a patient. Be as thorough as possible but yet understandable to the patient.

Conditions: Bacterial infection; UTIs; peptic ulcers; Hypertension; Asthma; high cholesterol; congestive heart failure.

A patient asks you:

1. What is the name of the medication?

2. Why do I need to take it?

3. What are the possible side effects of that medication?

Answer 1

Bacterial infection:

1. What is the name of the medication?

Antibiotic: Fluoroquinolones such as ciprofolxacin (Cipro), levofloxacin (Levaquin), and ofloxacin (Floxin)

2. Why do I need to take it?

Anti-infection agents are utilized to treat or avoid bacterial diseases, and some of the time protozoan contaminations. (Metronidazole is compelling against various parasitic maladies). At the point when a contamination is associated with being in charge of an ailment yet the dependable pathogen has not been distinguished, an empiric treatment is embraced. This includes the organization of an expansive range anti-infection in light of the signs and manifestations introduced and is started pending research facility comes about that can take a few days.

At the point when the dependable pathogenic microorganism is now known or has been recognized, complete treatment can be begun. This will for the most part include the utilization of a tight range anti-toxin. The decision of anti-microbial given will likewise be founded on its cost. Distinguishing proof is basically vital as it can diminish the cost and harmfulness of the anti-toxin treatment and furthermore lessen the likelihood of the rise of antimicrobial protection from keep away from surgery, anti-infection agents might be given for non-entangled intense a ruptured appendix.

Anti-infection agents might be given as a preventive measure (prophylactic) and this is normally restricted to in danger populaces, for example, those with a debilitated safe framework (especially in HIV cases to forestall pneumonia), those taking immunosuppressive medications, growth patients and those having surgery. Their utilization in surgical systems is to help avoid disease of entry points. They have an essential part in dental anti-infection prophylaxis where their utilization may avoid bacteremia and subsequent infective endocarditis. Anti-infection agents are likewise used to forestall contamination in instances of neutropenia especially disease related

3. What are the possible side effects of that medication?

Genuine symptoms and notices include:

•           Levaquin and in addition different anti-toxins in the fluoroquinolone class of anti-microbials, has been related with tendinitis and even burst of ligaments, especially the Achilles ligament.

•           Fluoroquinolones have neuromuscular blocking movement and can decline muscle shortcoming in people with myasthenia gravis.

The most often detailed reactions are:

•           Nausea or regurgitating

•           Diarrhea

•           Headache

•           Constipation

Less regular reactions include:

•           Difficulty dozing

•           Dizziness

•           Abdominal torment

•           Rash

•           Abdominal gas

•           Itching

Uncommon unfavorably susceptible responses have been depicted are:

•           Hives

•           Anaphylaxis (stun)

What are the genuine symptoms unfavorable impacts of Levaquin?

Conceivable genuine reactions of Levaquin include:

•           Peripheral neuropathy

•           Central sensory system impacts

•           Hypoglycemia

•           Hyperglycemia

•           Clostridium difficile-related the runs (CDAD)

•           Abnormal heart thumps

•           Liver brokenness

•           Sun affectability

Different genuine reactions and unfriendly occasions of Levaquin include:

•           Levaquin ought to be utilized with alert in patients with focal sensory system maladies, for example, seizures, in light of the fact that uncommon seizures have been accounted for in patients accepting Levaquin.

•           Levaquin ought to be kept away from in kids and youths under 18 years old, as protected use in these patients has not been set up.

•           Many anti-toxins, including Levaquin, can adjust the typical microscopic organisms in the colon and energize abundance of a bacterium in charge of the improvement of aggravation of the colon, (C. difficile or pseudomembranous colitis). Patients who create indications of pseudomembranous colitis subsequent to beginning Levaquin (looseness of the bowels, fever, stomach torment, and potentially stun) should contact their doctor instantly.

•           Patients taking Levaquin can create affectability of the skin to coordinate daylight (photosensitivity) and ought to evade introduction to daylight or utilize sunblock.

•           Fluoroquinolones decline low blood glucose levels when joined with sulfonylureas (for instance, glyburide [Micronase, Diabeta, Glynase, Prestab]).

•           Because of genuine reactions connect with fluoroquinolones, they ought not be utilized for treating uncomplicated urinary tract contaminations, intense bacterial intensification of endless bronchitis or intense bacterial sinusitis unless there are no different options.