Antibiotic Avelox for Pneumonia...anybody ever have to take this? - AuthenticForum
 
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Old 11-26-2008, 05:28 PM
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Antibiotic Avelox for Pneumonia...anybody ever have to take this?

I have Bi-Lateral Pneumonia (both lungs are infected)...and it sucks big time. I've been in bed for about 7 days. But what sucks more is the anti-biotic I am taking for it (Avelox) is causing all these awful side effects. Splitting headache, nervousness, anxiety, I can't eat, etc.

Has anyone ever experienced this before with Avelox or any other anti-biotic? Any ideas on how to combat it? I HAVE to take two remaining pills over the next two days or I risk having to be admitted to the hospital. Arrg!
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Old 11-27-2008, 02:48 AM
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Poor you! Walking pneumonia, how in the hell did you get that?
Avelox is the hard stuff, how long have you been on it for? Have you told your physician about your side effects? You can take this medication with food, which might help with the nausea. Make sure you don't take antacids with in two hours. Drink LOTS of water. Your physician may be able to prescribe some Zofran for the nausea and maybe something for your nerves and the headache, or he/she could change the antibiotic to something else. Not sure why Avelox was chosen, did they do a sputum culture? It kills pretty much anything and I wouldn't let someone prescribe it to me without also giving me a prescription for some Diflucan.

I hope you feel better soon, what a yucky way to spend Thanksgiving.
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Old 11-27-2008, 10:06 AM
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Thanks Sunshine! Before you answered, you could hear crickets in here!

I have absolutely no clue how I got this! The only thing I can think of is that about a month ago, my Aunt was in the hospital and I visited her several times.

I've been on Avelox since last Friday...they gave it me intravenously in the ER and then wrote a prescription for 7 more. I have to take another today and then one tomorrow, and I dread it! They didn't do a culture, not sure why...just the x-rays (I've had two so far...one in the ER and another a few days later - pneumonia was not better, but not worse). I asked my doc if she could switch to something else and she said no! She wanted to admit me to the hospital, but I refused...the original doc in the ER scared me to death telling me that I could catch MORE stuff in the hospital and if I could try to get better at home, to do so. So I didn't push her about switching the Avelox.

I HAVE been taking Zofran. It's not so much the nausea as the nervousness and anxiety! I walked out of the ER with Avelox, Zofran, Ativan, Percocet, Albuterol, Ibuprofen 600mg! You'd think the Ativan and Percs would help the side effects right? Nope! UGH! I feel like a walking pharmaceutical experiment.

I was thinking the same thing this morning about the Diflucan. I should have asked for it. No symptoms yet, but just my luck during the holiday...

I guess I'm in the home stretch now, unless my next x-ray shows that I'm not getting better.

Do you know how long it takes to get over this? My husband has been home taking care of me, not sure how long that can happen!
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Old 11-29-2008, 12:50 AM
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They didn't prescribe any mucolytics?
I would think the nervousness/anxiety would be more of a side effect from the albuterol.
Hang on in there, everyone has a different recovery time.
I would high recommend you ambulate more and do deep breathing exercises to help with lung expansion.
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Old 11-29-2008, 03:21 AM
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No mucolytics...
I have only used the Albuterol a few times when absolutely necessary, because it makes me even more anxious...so it's not that. I've since done a search on this drug and a LOT of people have had crazy scary side effects. I am so glad I took my last pill yesterday. If I have to go on another one, I am not going on that again.

As far as ambulating more...yesterday I made it to the couch for the first time and watched a few movies! That's progress!
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Old 11-30-2008, 05:34 AM
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My fiancee has taken that for sinusitis and a little bit of fluid in the lung and has never had the kind of side effects you mention.

Whenever you look things up on the internet you'll find more scary stories because that's the only time people will post about a drug - when they notice any side effects.

Your doctor has a good reason for prescribing a specific antibiotic, I would not go around questioning his or her judgment based on what you read on the internet.

Hope you get better soon!
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Old 11-30-2008, 06:05 AM
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Umm, I never said anything about questioning my Doctor's judgment, although I think that all patients with a working brain should always question their Doctor's judgment. One has to be responsible for their own health care and Doctor's are not perfect.

Furthermore, I am not questioning this antibiotic based on what I read on the internet, I have personally experienced major side effects.

Thank you for the well wishes.
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Old 11-30-2008, 06:53 AM
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I've since done a search on this drug and a LOT of people have had crazy scary side effects. I am so glad I took my last pill yesterday. If I have to go on another one, I am not going on that again.
I must have presumed that you read it off the net because of that quote.

In any case, I think it is important to have your physician communicate to you clearly what the treatment plan is and having you participate actively in it, and that is a different thing from challenging his/her choice of treatment.

I'm not saying that you roll over and let them do whatever they want to you, but when it comes to medication, unless you are a pharmacist or have a known drug allergy or adverse drug reaction to a particular category of drugs, I would not tell the doctor "I will not take it". Bear in mind, I have no idea what you do, but again I am assuming you do not work in that line, I could be wrong of course.

I studied a little about pharmacology but what I remember is that different classes of antibiotics have different uses. Even if they are in the same category, different generations within may also target different kinds of bacteria. The next time you fall sick and require antibiotics you may not even need to take avelox, but since it is indicated for community acquired pneumonia, your doc most likely prescribed it after weighing the pro's and con's e.g. one tablet twice a day or one tablet once daily, length it has to be taken for, drug compatibility with the other meds etc. You were probably not prescribed diflucan precisely because 7 days is a relatively short length of time to be on an antibiotic. I personally would not take an antifungal unless I was on long term abx or had an existing infection.



Anyway this is just my 2 cents worth, I hope you do not take this the wrong way because it is advice I would have given to anyone, including my own mother, who thinks medication is something she can pick and choose. Best wishes.
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Old 11-30-2008, 07:15 AM
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Originally Posted by jeaneology View Post
I've since done a search on this drug and a LOT of people have had crazy scary side effects. I am so glad I took my last pill yesterday. If I have to go on another one, I am not going on that again.
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Originally Posted by edamame View Post
I must have presumed that you read it off the net because of that quote.

Key word: "I've SINCE done a search."

Yes, it is important that my physician communicate clearly the treatment plan, and if it ever includes Avelox again, I will actively participate by saying "when hell freezes!" If that is challenging then so be it.

Here's the thing, I've been on the planet long enough, I know my body well, and I do not need to work in the line of medicine or rely on the internet to know what severe side affects feel like. KWIM?

I don't think anyone said anything about taking Diflucan without an infection.
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Old 11-30-2008, 08:16 AM
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Originally Posted by sunshine2103 View Post
Not sure why Avelox was chosen, did they do a sputum culture? It kills pretty much anything and I wouldn't let someone prescribe it to me without also giving me a prescription for some Diflucan.
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Originally Posted by jeaneology View Post

I was thinking the same thing this morning about the Diflucan. I should have asked for it. No symptoms yet, but just my luck during the holiday...
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Originally Posted by jeaneology View Post

I don't think anyone said anything about taking Diflucan without an infection.
My bad, I was assuming you wanted to ask diflucan as a prophylaxis since long term abx causes greater susceptibility to fungal infections.

Quote:
Originally Posted by jeaneology View Post

Here's the thing, I've been on the planet long enough, I know my body well, and I do not need to work in the line of medicine or rely on the internet to know what severe side affects feel like. KWIM?
I'm not trying to undermine the side effects you get with any drug, you asked if anyone had experience with this drug, my fiancee has taken it and I administer it intravenously almost daily at the hospital I work at, I've never witnessed side effects as you mentioned (although I am aware everyone reacts differently to drugs). All I did was suggest that Albuterol might be the most likely suspect for the "nervousness" side effect. Additionally, it is also notorious for commonly causing headaches, tremors, loss of appetite and oral thrush.

However since you've taken your last dose, I suppose we can now observe whether it was indeed the avelox that was causing all the symptoms you mentioned, but if your headaches and anxiety continue you might want to have another talk with your physician.

So please don't take it the wrong way, you asked for thoughts and I shared mine. I will shut up now and let you rest in peace Get well soon.
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Old 11-30-2008, 08:22 AM
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Don't let me RIP...I'm not dead yet! Still fighting...

Are you an ER nurse?
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Old 11-30-2008, 08:49 AM
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^ lol wrong choice of words I shoulda said "recover in peace" LOL, I think if I had said that to someone irl I woulda gotten slapped in the face!

I work in general surgery, we get a lot of post op patients who get pneumonia mainly because the pain after major surgery prevents them from getting out of bed and ambulating... I would imagine coughing is a very painful experience for them too, so the combination of not re-expanding the lungs fully and having secretions stay at the bottom of the lung contributes to getting pneumonia.

Keep up with the deep breathing exercises and I'm sure you'll be better in no time
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Old 11-30-2008, 08:53 AM
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Nervousness and anxiety are MOST DEFINITELY a side effect from Avelox. Fluoroquinolone antibiotics are the worst for causing the weirdest side effects. I took Cipro in 2004 and it was horrific. You may want to read other people's experiences with Avelox here: Avelox side effects : Medications.com

This site is another good source of info about Avelox: Antibiotics.org - Antibiotic Cipro, Levaquin and Avelox Side Effects Support Site

Many people have experienced anxiety and panic attacks while taking Avelox. Don't expect the side effects to clear up quickly after discontinuation. It took awhile before I was back to normal after stopping Cipro. Also, don't expect your doctor to acknowledge that whatever you are experiencing is related to Avelox.

You should also know that Avelox, Cipro and Levaquin now bear the FDA's Black Box warning due to it's potential to cause tendon rupture and tendonitis. FDA News Release

Also, watch out for severe watery diarrhea. Quinolones are notorious for causing Clostridium Difficile.
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Old 11-30-2008, 09:20 AM
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I would think nausea and vomiting would be the most common side effects of flouroquinolones. Tendonitis is rare, something like 1 in 10,000? And I think CD toxin is a little hard to catch out of hospital as it tends to be more of a nosocomial infection - her ER physician was right in telling her not to be warded.

Cipro would have been a "safer" choice but I can't say as OP may have been given atrovent in the ER as it is commonly given with albuterol, hence the choice for the avelox prescription instead.
We can't really know for sure since we weren't there at the consult.
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Old 11-30-2008, 01:06 PM
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Oh yes!! I have bad asthma and I will occasionally be put on this. BE WARNED........of any of antibiotics I've ever taken, this one gave me one nasty yeast infection.
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Old 11-30-2008, 02:18 PM
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Quote:
Originally Posted by shelley View Post
Nervousness and anxiety are MOST DEFINITELY a side effect from Avelox. Fluoroquinolone antibiotics are the worst for causing the weirdest side effects. I took Cipro in 2004 and it was horrific. You may want to read other people's experiences with Avelox here: Avelox side effects : Medications.com

This site is another good source of info about Avelox: Antibiotics.org - Antibiotic Cipro, Levaquin and Avelox Side Effects Support Site

Many people have experienced anxiety and panic attacks while taking Avelox. Don't expect the side effects to clear up quickly after discontinuation. It took awhile before I was back to normal after stopping Cipro. Also, don't expect your doctor to acknowledge that whatever you are experiencing is related to Avelox.

You should also know that Avelox, Cipro and Levaquin now bear the FDA's Black Box warning due to it's potential to cause tendon rupture and tendonitis. FDA News Release

Also, watch out for severe watery diarrhea. Quinolones are notorious for causing Clostridium Difficile.
Yes, after I started experiencing nervousness, anxiety, heart palpitations, among other things, I looked it up on the web and found that very site. Of course, that didn't make me feel any better!

You're right, my Doc didn't want to acknowledge the side effects. She just put me on other stuff to counteract the side effects!

But no Clostridium Difficile here, I'm taking too much Percoset for that!

The Tendonitis thing is very scary. I have to ask my Dr. about that. In some cases, people were warned not to exercise for 6 weeks after finishing their dose.

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Originally Posted by edamame View Post
Cipro would have been a "safer" choice but I can't say as OP may have been given atrovent in the ER as it is commonly given with albuterol, hence the choice for the avelox prescription instead.
We can't really know for sure since we weren't there at the consult.
I'd hardly call me trip to the ER a "consult." It was me nearly delirious from fever and pain and the Dr. making decisions without my input.

Personally, I think the Dr. in the ER was trying to cover all bases with the Avelox. He had to get something in me right away intravenously because my fever was 103.5 and that's what he picked. They should have done a sputum culture to figure out which antibiotic to send me home with, IMO.

There was no Atrovent. Albuterol is a non-issue, I've used it twice in 10 days.

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Oh yes!! I have bad asthma and I will occasionally be put on this. BE WARNED........of any of antibiotics I've ever taken, this one gave me one nasty yeast infection.
Oh yay, something else to look forward to...
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Old 11-30-2008, 04:01 PM
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Originally Posted by edamame View Post
I would think nausea and vomiting would be the most common side effects of flouroquinolones. Tendonitis is rare, something like 1 in 10,000? And I think CD toxin is a little hard to catch out of hospital as it tends to be more of a nosocomial infection - her ER physician was right in telling her not to be warded.

Cipro would have been a "safer" choice but I can't say as OP may have been given atrovent in the ER as it is commonly given with albuterol, hence the choice for the avelox prescription instead.
We can't really know for sure since we weren't there at the consult.
I developed C. Diff after five days of Cipro. I was NOT hospitalized during this time. I was a perfectly healthy 24 year old. It is dangerous to suggest that you won't develop it unless you are hospitalized. Anyone can develop C. Diff once the antibiotic alters their intestinal flora. The number of healthy people contracting C. Diff is alarming. Also, Percocet will not protect you from C. Diff.

The actual risk is .5% to 16% for tendon rupture. It just depends on which citation you choose to reference and what year it was published. Forty percent of people that take a fluroquinolone experience some form of ADR.
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Old 11-30-2008, 05:33 PM
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Oh wow, that sucks Shelley.

BTW, I already have tendonitis in my elbow...

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Old 11-30-2008, 05:45 PM
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Don't lift anything or do any serious exercise for awhile, ok?
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Old 11-30-2008, 06:26 PM
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Your doctor has a good reason for prescribing a specific antibiotic, I would not go around questioning his or her judgment based on what you read on the internet.
As much respect as I have for the medical community (I plan to be a part of it soon) ...we should absolutely question their judgement. Right now, my MIL is getting on her third medication for a misdiagnosed UTI, turned yeast infection. They gave her another antibiotic for the yeast infection, which is not effective at all on a FUNGAL infection...it's ridiculous. She has spent the last three days in bed, throwing up from all the side effects of these antibiotics that are doing no good. My mom had a horrible side effect to Lipitor (muscle atropy...she couldn't get out of bed for a MONTH). My mom works out 5 days a week, and is in better shape than most. The doctor refused to believe it was Lipitor causing this; as soon as she stopped taking the Lipitor, she recovered in two days. Ironically, her cholesterol wasn't even high enough to warrant treatment after all.

I agree the internet is not the place to turn, but to blindly accept the doctor's recommendations because they have "good reason" can be very dangerous.
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Old 11-30-2008, 06:44 PM
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Don't lift anything or do any serious exercise for awhile, ok?
Ok...

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As much respect as I have for the medical community (I plan to be a part of it soon) ...we should absolutely question their judgement. Right now, my MIL is getting on her third medication for a misdiagnosed UTI, turned yeast infection. They gave her another antibiotic for the yeast infection, which is not effective at all on a FUNGAL infection...it's ridiculous. She has spent the last three days in bed, throwing up from all the side effects of these antibiotics that are doing no good. My mom had a horrible side effect to Lipitor (muscle atropy...she couldn't get out of bed for a MONTH). My mom works out 5 days a week, and is in better shape than most. The doctor refused to believe it was Lipitor causing this; as soon as she stopped taking the Lipitor, she recovered in two days. Ironically, her cholesterol wasn't even high enough to warrant treatment after all.

I agree the internet is not the place to turn, but to blindly accept the doctor's recommendations because they have "good reason" can be very dangerous.
I totally agree. Sorry to hear about your MIL and Mom...
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Old 11-30-2008, 08:04 PM
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As much respect as I have for the medical community (I plan to be a part of it soon) ...we should absolutely question their judgement. Right now, my MIL is getting on her third medication for a misdiagnosed UTI, turned yeast infection. They gave her another antibiotic for the yeast infection, which is not effective at all on a FUNGAL infection...it's ridiculous. She has spent the last three days in bed, throwing up from all the side effects of these antibiotics that are doing no good. My mom had a horrible side effect to Lipitor (muscle atropy...she couldn't get out of bed for a MONTH). My mom works out 5 days a week, and is in better shape than most. The doctor refused to believe it was Lipitor causing this; as soon as she stopped taking the Lipitor, she recovered in two days. Ironically, her cholesterol wasn't even high enough to warrant treatment after all.

I agree the internet is not the place to turn, but to blindly accept the doctor's recommendations because they have "good reason" can be very dangerous.
This is exactly what I'm talking about. You have to be our own advocate.
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Old 11-30-2008, 08:32 PM
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^ Ironically, I was the one who caught both mistakes.

Another funny story (or two): after I delivered Emaan, I started to feel the twinges and pains of the almost 1 cm kidney stone they eventually removed. My OB was going to prescribe an antibiotic for a kidney infection he was sure I had. He told me I probably got the kidney infection from the epidural catheter. What's wrong with this picture? I didn't have an epidural, nor a catheter...I had my baby IN THE CAR!!! Yep, this was the same OB who was on call that night and treated me.

After #5 was born, that OB thought I had a uti (it was another kidney stone), and prescribed Macrobid. Macrobid is counter-indicated for the last 4 weeks of pregnancy and for nursing neonates because it can cause hemolysis in the newborn (anemia). Thank goodness the pharmacist caught it and I nevertook it. It wouldn't have helped my kidney stone anyway.

You can't be too careful.
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Old 12-01-2008, 04:59 PM
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That is ridiculous! Thank God for pharmacists.
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Old 12-01-2008, 07:09 PM
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Seriously! How Scary!
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