Topomox

Topomox tablet is indicated for the treatment of acute bacterial sinusitis, acute exacerbation of chronic bronchitis, community acquired pneumonia, uncomplicated & complicated skin and skin structure infections, complicated intra-abdominal infections and pelvic inflammatory disease.

Moxifloxacin is a 4th generation synthetic broad spectrum, fluoroquinolone class of antibacterial drug. It has activity against a wide range of gram-positive, gram-negative, anaerobic and atypical bacteria including Mycoplasma pneumoniae. It acts by inhibiting topoisomerase II (DNA gyrase) and topoisomerase IV which are necessary for bacterial DNA replication, transcription & repair.

Acute bacterial sinusitis : 400 mg once daily 7-10 days. Acute bacterial exacerbation of chronic bronchitis : 400 mg once daily 5-10 days. Community-acquired pneumonia : 400 mg once daily 7-14 days. Uncomplicated skin and skin structure infections : 400 mg once daily 7 days. Complicated skin and skin structure infections : 400 mg once daily 7-21 days. Complicated intra-abdominal infections : 400 mg once daily 5-14 days. Pelvic inflammatory disease : 400 mg once daily 14 days.

Topomox absorption is decreased when administered with antacids, sucralfate, multivitamins, and multivalent cations (e.g. iron or zinc). Topomox may enhance the risk of convulsions with NSAIDs and bleeding with warfarin. So concomitant use of Topomox with them should be avoided.

It is contraindicated in patients with a history of hypersensitivity to Moxifloxacin or other quinolones.

Common side effects of Topomox include nausea, vomiting, diarrhea, headache and dizziness.

US FDA pregnancy category C. Moxifloxacin is not recommended during pregnancy & lactation.

Topomox may cause an increased risk of tendinitis and tendon rupture. It should be discontinued if pain or inflammation in a tendon occurs. It should not be used in patients with known prolongation of the QT interval, patients with uncorrected hypokalemia, and patients with receiving Class IA or Class III antiarrhythmic agents

Keep in a dry place, away from light and heat. Keep out of the reach of children.