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Is Levofloxacin safe during pregnancy?

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

Patient's Query

Hello doctor,

I have been prescribed Levofloxacin for five days during my 13th week of pregnancy to treat a UTI. I am sensitive to Levofloxacin and mildly sensitive to Nitrofurantoin. My doctor assured me that it was safe since it had only been for five days, but I felt stressed about it. Please help.

Thank you in advance.
Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Urinary tract infections (UTIs) are common during pregnancy, affecting about eight percent of pregnant women. These infections can range from asymptomatic bacteriuria (presence of bacteria in the urine) to symptomatic acute cystitis (a sudden inflammation of the bladder). UTIs during pregnancy have been linked to adverse outcomes, including preterm delivery and low birth weight.

Since you are pregnant, I suggest taking third-generation Cephalosporin:

  1. Cefixime 400 mg tablet – Take twice a day for seven days.
  2. Cran-Max sachet (cranberry powder extract)– Take twice a day for 20 days, mixed with one glass of water.

These medications are safe during pregnancy and will effectively treat your UTI.

  1. Additionally, take Iberet Folic (Ferrous Sulfate 100 mg, Folic acid 1 mg, vitamin C 50 mg) once a day until delivery to support your health.

Kindly consult your doctor and take medicines accordingly.

I recommend scheduling an obstetric ultrasound at the following stages:

  1. 13 weeks.
  2. 18 to 22 weeks.
  3. 28 weeks.
  4. 32 weeks.
  5. 34 weeks.
  6. 36 weeks.

Be sure to maintain regular antenatal check-ups with your obstetrician and complete baseline investigations, including:

  1. Blood group and cross-matching.
  2. Full blood count (FBC).
  3. Fasting blood sugar.
  4. Viral markers (HBsAg or hepatitis B surface antigen, Anti-HCV or anti-hepatitis C virus).

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I had a urine culture done, and the results show that I am only sensitive to Levofloxacin and Nitrofurantoin, so I cannot take Cefixime.

Thank you.

Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I understand your concerns, and I would recommend the following treatment:

  1. Tablet Nitrofurantoin: Take twice a day for seven days.
  2. Cran Max sachet (cranberry extract): Take twice a day.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answered by Dr. Ali Osman
Medically reviewed by iCliniq medical review team
Published At December 18, 2024
Reviewed At December 18, 2024

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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

Consult other doctors in the same speciality

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

Dr. Ali Osman
Dr. Ali Osman

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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

Consult other doctors in the same speciality
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