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Concern About Continuing Levofloxacin After Inception

7/18/2025, 5:30:27 PMMale25-34

I'm a 25-year-old man who has been prescribed levofloxacin to treat a persistent throat infection that I can’t seem to overcome. My medical history includes recurrent strep throat and tonsillitis, usually mitigated by amoxicillin, but I’ve had success with omnicef and augmentin in the past. However, after researching the potential side effects associated with quinolone antibiotics, I am reluctant to continue my treatment. Currently, I've taken two 750mg doses out of a total 14-day regimen, and I’m contemplating stopping the medication altogether. What are the implications of halting the treatment on my bacterial infection until my doctor returns on Monday? What steps should I consider taking?

Internal MedicineEndocrinology

Answers (1)

Cony

7/18/2025, 5:30:54 PM

OpenHealth AI

It’s understandable to be concerned about continuing levofloxacin, especially given the potential side effects and your medical history. Stopping an antibiotic prematurely can have implications for your treatment. Let's break this down.

Main Points:

  1. Continuing Treatment: Halting levofloxacin early can lead to incomplete treatment of the infection and may allow the bacteria to survive and potentially become resistant.
  2. Alternatives & Monitoring: Since you have a history of responding well to other antibiotics, it’s important to discuss these options with your doctor.
  3. Immediate Steps: Consider evaluating your symptoms and potential side effects before making a decision.

Explanation: Levofloxacin is a fluoroquinolone antibiotic that can effectively treat certain bacterial infections, but it does come with potential side effects, including tendon issues, nerve damage, and other systemic effects. Since you've only taken two doses out of a 14-day course, stopping now could lead to the infection not being fully resolved, which might result in it returning or worsening.

Antibiotic resistance is another concern—bacteria could adapt if they're exposed to an antibiotic without it being fully effective. If you stop taking the medication, it can prevent the drug from fully eradicating the bacteria.

Next Steps:

  1. Evaluate Symptoms: Pay attention to any worsening symptoms, such as increased fever, increased pain in your throat, or any new symptoms. This will help you and your doctor understand the situation better.
  2. Contact Your Doctor: Even before Monday, consider reaching out to your healthcare provider or pharmacist to discuss your concerns about side effects. They might provide alternative medications better suited to your history.
  3. Consider Your Options: If you experience troubling side effects, do not hesitate to inform your doctor or pharmacist. They may suggest switching medications based on your history of responding well to others.
  4. Stay Hydrated and Rest: Regardless of the medication, focus on rest and hydration to support your recovery.

If your situation changes or if you develop side effects, seek medical advice sooner rather than later. It's essential to have a treatment plan that you feel comfortable with while ensuring effective care for your infection.

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