Indications |
Oral Acute bacterial exacerbation of chronic bronchitis Adult: 320 mg once daily for 5 days.
Oral Community-acquired pneumonia Adult: 320 mg once daily for 7 days.
Special Populations: Renal insufficiency: No dosage adjustment is required in patients with CrCl >40 mL/min. Dosage should be halved in patients with CrCl under 40 mL/min and those receiving haemodialysis or continuous peritoneal dialysis. |
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Contraindications |
Hypersensitivity. Patients receiving class IA or III antiarrhythmics. | ||||||||
Warnings / Precautions |
History of prolongation of QT interval, uncorrected electrolyte disorders, CNS diseases such as epilepsy. Maintain adequate hydration. Increased risk of rash when treatment duration is prolonged. Children <18 yr. Pregnancy, lactation. | ||||||||
Adverse Reactions |
Diarrhoea, nausea, vomiting; headache, dizziness; rash, urticaria. May cause elevation of liver enzymes. | ||||||||
Overdose Reactions |
Treatment is symptomatic. Stomach may be emptied by inducing vomiting or gastric lavage. | ||||||||
Drug Interactions |
Lower bioavailability if coadministered with multivalent cation preparations e.g. aluminum, magnesium, or iron salts. May potentiate QT prolongation when used with drugs that affect the QT interval e.g. cisapride, erythromycin, antipsychotics and TCAs. May increase prothrombin time when used with warfarin or its derivatives. Increased plasma levels when used with probenecid. See Below for More gemifloxacin Drug Interactions |
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Mechanism of Actions |
Gemifloxacin inhibits DNA gyrase and DNA topoisomerase IV. DNA gyrase is needed for DNA replication and transcription, DNA repair, recombination and transposition. Topoisomerase IV facilitates separation of intertwined, replicated DNA before cell division occurs. Gemifloxacin forms a ternary complex with gyrase and topoisomerase IV, which blocks DNA replication, thus resulting in DNA release, chromosomal disruption and cell death. Absorption: Rapidly absorbed from the GI tract; absolute bioavailability: About 71%. Distribution: Widely distributed into body tissues including bronchial mucosa and lungs. 55-73% bound to plasma proteins. Metabolism: Limited hepatic metabolism. Excretion: Elimination half-life: 7 hr. As unchanged drug and metabolites in the faeces and urine. |
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Administration |
May be taken with or without food. |
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Storage Conditions |
Oral: Store between 15-30°C. | ||||||||
ATC Classification |
J01MA15 - gemifloxacin ; Belongs to the class of fluoroquinolones. Used in the systemic treatment of infections. | ||||||||
Storage |
Oral: Store between 15-30°C. | ||||||||
Available As |
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Gemifloxacin
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Gemifloxacin Containing Brands
Gemifloxacin is used in following diseases
Drug - Drug Interactions of Gemifloxacin
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