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I took Levofloxacin for a sinus infection, and my legs became sore. Should I ask for another antibiotic?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been prescribed Levaquin 500 mg (Levofloxacin) for sinus infection, and I am scared to have a heart problem or tendon rupture. I took Levaquin 750 mg one time, and my legs became sore. Should I ask for another antibiotic?

Answered by Dr. Rahul Ramji Kackar

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Do not take Levofloxacin (Levaquin). The benefit of Levaquin is that it covers atypical organisms. The same benefit can also be obtained from macrolide antibiotics like Azithromycin (Azithrocin). If you get a heart problem with Levaquin, I would suggest getting an ECG (electrocardiogram) to rule out any QT prolongation. Amoxicillin with Clavulanic acid (Augmentin) or 2nd generation Cephalosporins will be a good option for sinus infection.

Patient's Query

Thank you doctor,

I am allergic to Penicillins, and I do not have any heart problems. I have taken Levaquin before, and I am just nervous about taking it now because of harmful side effects. Are there any other antibiotics I could take?

Answered by Dr. Rahul Ramji Kackar

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

True, it is sometimes difficult to tolerate Quinolones. Your concern is valid if you have noticed leg sore in the past after taking Levaquin (Levofloxacin), and I will not suggest it. If you are allergic to Penicillins, do not take Amoxycillin (Amoxil); go for 2nd generation Cephalosporins. They do have a close structure to Penicillins. A Doxycycline (Doryx) is a good option just to avoid direct sun exposure.

Medically reviewed by iCliniq medical review team
Published At March 21, 2021
Reviewed At June 20, 2024

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

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