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What Causes Muscle Weakness,joint Pain,diarrhoea,itchy Skin After Taking Levofloxicin?

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Posted on Wed, 22 Apr 2015
Question: Hello Doctor,
I had pain in groin and testicles . Doc did ultrasound and urine analysis and found normal and said prostate also normal. Tried treatment with ibuprofen and didnt help and now he is suspecting infection in uthera and prescribed levofloxicin 500 mg once a day for 7 days. I started dose from 2 days and after second today morning I am feeling week and pains in joints. And also motion is happening multiple times. And also i feel my urine is plane i mean looks like water and also feeling a itching in different parts of body. Is it is allergic reaction of levofloxicin ?
1. Do i have to stop the dose.?
2. How log does this levofloxicin takes to go out of body ?
doctor
Answered by Dr. Dr. Rovena (2 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello,

Welcome to Healthcare Magic.

I read careful your query.

You are having muscle weakness,pain in joints ,diarrhea,itching skin after taking Levofloxicin.
Most likely these are side effects of the treatment.It doesn't seem to be an allergic reaction to the drug.
If the symptoms persist or get worse you should stop the treatment and consult your doctor.The doctor can prescribe you another antibiotic to treat the infection.

Usually Levofloxicin is out of the system 1-2 days after the last dose (30-40 hours ).


Hope it helps.
Let me know if you have any other question or doubts to clarify.I will be happy to help.

Kind regards,
Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (1 hour later)
Hello Doc Do i need seperate treament for these side effects ? i hv stopled drug and does these go away once levofloxin clears up ? As my doctor is on leave tilk monday is it fine to wait till then or i hv to go for emergency ?
doctor
Answered by Dr. Dr. Rovena (10 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hello.

No,you don't need a treatment for these symptoms.They will go away gradually after you stop the medication.
Considering your symptoms, there is no emergency so you can wait to see the doctor.
Drink plenty of fluids to prevent dehydration from diarrhea.If the itchiness is persistent you can take Benadryl at bedtime.

Take care.
Dr.Rovena


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (8 hours later)
Hello Doc, I also have headache and couldnt sleep fully every 1-2 hours i got up and slept again. Is this is also side effect ? As its been its been 30 hours already i stopped medication. Do i have to wait for one more day untill antibiotic clears up from body to get rid of this headache ? or any other home treatment would help. ? Can i try probiotic yogurt to handle stomach bloating ? I read in forums this bloating is usially due to bacteria imbalance ans can be solved with probiotic
doctor
Answered by Dr. Dr. Rovena (2 hours later)
Brief Answer:
give it some time.

Detailed Answer:
Hello again.

Yes, Levofloxacin can cause sleep problems (insomnia).
You can take Ibuprofen or Tylenol for the headache.Take a hot shower ,chamomile tea before sleep.
You should give it some days for the symptoms to improve.
You can take probiotic for stomach bloating.It is safe and won't cause any problem.
Avoid eating fatty ,processed ,spicy foods.Eat small frequent meals ,instead of 3 major ones.
Drink plenty of water.

Hope it helps.
Take care.

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (43 minutes later)
Hello Doctor,

Thank you for your reply. CUrrently I saty in germany and I dont get medicines without prescription and No doctors will be available durin gholidays so i need detailed idea so asking you more questions.

Update : I see today motion improved and its not aften as yesterday.
1) But i see stool feels like jelly or we can say soft. Doest it due to excess water consumption ? I am drinking lot of water to keep myself hydrated. I will start probiotic yogurt now.

2.For headache , I have 2 tablets with me ibuprofen 600mg and diclofenac 50mg , which one you want me take and what is dosage ?

3. Headache : above forehead and full top part feels pain and also right ear.

Does this headache due to antibiotic is sever problem or it can be as one of side effect ? Does this head ache also subsides slowly with time with pain killers ? or any special assesment is needed. ?


doctor
Answered by Dr. Dr. Rovena (1 hour later)
Brief Answer:
detailed below.

Detailed Answer:
Hello again,

Most likely the diarrhea was due to the antibiotic.After stopping the antibiotic ,it will improve gradually in few days.
The soft stools are not related to the water intake.Taking probiotic will balance the bacterial flora and improve the symptoms.

-Ibuprofen and Dicofenac are both NSAIDs (non steroidal anti-inflammatory drugs) so they will give the same effect.
You can take Diclofenac 50 mg every 6-8 hours if necessary or you can take Ibuprofen 200 mg every 6 hours.
NSAIDs are available over the counter so you can by them without a prescription.

-The headache can be a common side effect but it is not serious.Since you have stopped the antibiotic is will go away in few days.There is no need for specific investigations.
Your symptoms doesn't seem of great concern so try not to worry.

If the symptoms doesn't seem to improve in few days or it they get worse with time ,you may need to consult your physician and get examined because they might not be related to the antibiotic.
In this cause you would need a complete evaluation.

Take care,
Dr.Rovena


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (3 hours later)
Hello Doctor,

Thank you for the respose. I have bought a probiotic yougurt. It is with L.Casei
It contains 1 Billion per 100g. and Instruction says ´dosage according to ur doctor.

So now how much amout of yogurt or say Lactobacillus casei i have to consume per day ? Any Limit ?
doctor
Answered by Dr. Dr. Rovena (32 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hello.

The recommended dose for probiotics in adult is 10 to 20 billion colony-forming units per day but there is no upper limit.They are also available in capsules.
If these dose is not improving your symptoms you may increase it to 50 billion c.f.u a day or more.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (42 hours later)
Hello Doc, Thank you for your suggestion now i am on diclofenac , probiotic yogurt and chamomile tea and thank you i can see the improvement buy still little headache and burning sensation in kneews is there. and as doctor has prescribed antibiotic for suspecting infection in uthera. Is there any way or possibility to know in advance about reaction or affect of antibiotic before taking ? becuase if i say this antibiotoc casued problem doc might suggest different one so i am scared of antibiotic now. please let me know if their is any possibility to checl it ?
doctor
Answered by Dr. Dr. Rovena (1 hour later)
Brief Answer:
there is no way to predict this.

Detailed Answer:
Hello again.

I am glad you are feeling better.

It is impossible to know or to predict if a drug is going to cause side effects or not.
You should know that the incidence of having side effects form a drug is low so most likely you won't have any problem.
Your doctor will give you an antibiotic form a different class of antibiotics.

Take care.
Dr.Rovena
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Rovena

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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What Causes Muscle Weakness,joint Pain,diarrhoea,itchy Skin After Taking Levofloxicin?

Brief Answer: detailed below. Detailed Answer: Hello, Welcome to Healthcare Magic. I read careful your query. You are having muscle weakness,pain in joints ,diarrhea,itching skin after taking Levofloxicin. Most likely these are side effects of the treatment.It doesn't seem to be an allergic reaction to the drug. If the symptoms persist or get worse you should stop the treatment and consult your doctor.The doctor can prescribe you another antibiotic to treat the infection. Usually Levofloxicin is out of the system 1-2 days after the last dose (30-40 hours ). Hope it helps. Let me know if you have any other question or doubts to clarify.I will be happy to help. Kind regards, Dr.Rovena Murati