Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Levofloxacin
Drug ID BADD_D01275
Description Levofloxacin is a fluoroquinolone antibiotic and the optical S-(-) isomer of racemic [ofloxacin].[A190663] It reportedly carries 8 to 128-fold more activity against both gram-negative and gram-positive bacteria compared to R-(+)-ofloxacin[A190663] and remains stereochemically stable following administration (i.e. it does not invert to the inactive isomer).[L11638] Levofloxacin, along with other quinolones such as [gatifloxacin] and [moxifloxacin], is a member of the third generation of fluoroquinolones, colloquially referred to as the "respiratory quinolones" due to improved activity against gram-positive bacteria commonly implicated in respiratory infections.[A31453,A190756] Levofloxacin was first approved by the FDA in 1996, and was approved in Canada and several South American countries soon after.[A190663]
Indications and Usage In oral and intravenous formulations, levofloxacin is indicated in adults for the treatment of various infections caused by susceptible bacteria, including infections of the upper respiratory tract, lower respiratory tract, skin, skin structures, urinary tract, and prostate.[L11638,L11692] The oral formulation is also indicated in both adults and children 6 months of age and older for the post-exposure management of inhalational anthrax caused by _Bacillus anthracis_ and for the treatment and/or prophylaxis of plague caused by _Yersinia pestis_.[L11638] In its ophthalmic formulation, levofloxacin is indicated for the treatment of bacterial conjunctivitis caused by susceptible organisms.[L11641] An inhalational solution available in Canada is indicated for the management of cystic fibrosis patients aged 18 years or older with chronic pulmonary _Pseudomonas aeruginosa_ infections.[L11689]
Marketing Status approved; investigational
ATC Code J01MA12; S01AE05
DrugBank ID DB01137
KEGG ID D00588; D08120
MeSH ID D064704
PubChem ID 149096
TTD Drug ID D02RSN
NDC Product Code 0904-6353; 31722-723; 33342-532; 36000-294; 43063-457; 43063-637; 54288-140; 63187-004; 63187-384; 63187-438; 63187-514; 65841-693; 67296-1546; 70518-0968; 70518-3712; 72189-338; 0904-6352; 49587-102; 17478-107; 36000-045; 45865-758; 55154-5898; 63187-833; 63323-355; 68788-8340; 71335-0434; 72578-098; 0781-5791; 80425-0007; 80425-0008; 80425-0009; 82982-034; 53104-7550; 63415-0056; 33342-022; 36000-296; 0143-9720; 50090-4572; 51655-666; 61919-440; 61919-704; 67296-0744; 67296-0897; 67296-1393; 0409-0528; 70771-1079; 71205-058; 55111-281; 65841-691; 65862-537; 68083-416; 68180-242; 68382-989; 69097-287; 0527-1948; 70518-0453; 71335-0794; 53069-0600; 65862-488; 31722-721; 33342-021; 0143-9317; 43063-638; 67296-0972; 67296-0977; 67296-1400; 68071-3236; 68083-415; 70518-0719; 71335-0593; 72578-099; 0904-6351; 65862-536; 0143-9316; 50383-286; 70934-094; 71335-1208; 65862-538; 16571-150; 25021-132; 33342-023; 33342-531; 36000-048; 44567-436; 50090-3314; 51655-947; 55111-279; 63187-925; 67296-1325; 67296-1351; 67296-1535; 68071-4512; 68083-395; 68180-241; 70518-0587; 0781-5790; 0781-5792; 43235-0007; 31722-722; 36000-046; 43063-796; 0143-9721; 51407-428; 67296-0975; 67296-0985; 71205-002; 71205-234; 71335-0380; 72789-085; 72789-248; 17478-106; 0143-9315; 44567-437; 50090-4797; 53002-1350; 55111-280; 55150-156; 55150-157; 63187-003; 68083-414; 68788-6938; 72578-100; 80425-0077; 55525-0001; 36000-295; 44567-435; 50090-3214; 50090-3311; 51407-429; 51655-327; 61919-426; 65841-692; 68083-394; 68180-240; 80425-0076; 65977-0039; 33342-533; 36000-047; 42571-168; 43063-459; 0143-9722; 51407-430; 53002-2350; 55154-5897; 55700-729
UNII 6GNT3Y5LMF
Synonyms Levofloxacin | Ofloxacin, (S)-Isomer | Levofloxacin Anhydrous | Anhydrous, Levofloxacin | Quixin | Levaquin
Chemical Information
Molecular Formula C18H20FN3O4
CAS Registry Number 100986-85-4
SMILES CC1COC2=C3N1C=C(C(=O)C3=CC(=C2N4CCN(CC4)C)F)C(=O)O
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Adverse drug reaction08.06.01.009--Not Available
Autoimmune disorder10.04.04.0030.000177%
Autonomic neuropathy17.05.01.009--Not Available
Disease recurrence08.01.03.0500.000148%Not Available
Obstruction08.01.03.0230.000063%Not Available
Obstructive airways disorder22.03.01.011--Not Available
Cranial nerve paralysis17.04.01.0020.000042%Not Available
Psychotic disorder19.03.01.0020.000506%
Pulmonary function test decreased13.19.01.001--Not Available
Food intolerance14.02.01.0050.000063%Not Available
Hepatobiliary disease09.01.08.003--Not Available
Renal impairment20.01.03.0100.000569%Not Available
Respiratory tract infection22.07.07.001; 11.01.08.017--Not Available
Heparin-induced thrombocytopenia24.01.01.020; 10.02.01.007; 01.08.01.0040.000063%Not Available
Poor quality sleep19.02.05.005; 17.15.04.0020.000063%Not Available
Muscle contracture15.03.05.0240.000211%Not Available
Haemorrhagic diathesis24.07.01.020; 01.01.03.0030.000063%Not Available
Hypophagia19.09.01.004; 14.03.01.006; 07.01.06.0100.000127%Not Available
Pelvic discomfort21.10.01.012; 20.02.03.012; 07.01.06.0200.000042%Not Available
Complex regional pain syndrome17.02.07.010; 12.01.12.0040.000316%Not Available
Oesophageal oedema07.11.02.0020.000084%Not Available
Infusion site extravasation12.07.05.008; 08.02.05.0070.000186%
Chronic kidney disease20.01.03.0170.000148%
Ulcerative keratitis10.02.01.021; 06.04.02.0040.000042%
Spontaneous haematoma24.07.01.054; 01.01.03.0060.000063%Not Available
Suicidal behaviour19.12.01.0060.000042%Not Available
Bronchial hyperreactivity22.03.01.016--Not Available
Tendon pain15.07.01.0090.003833%Not Available
Mixed liver injury09.01.07.0150.000211%Not Available
Treatment failure08.06.01.0170.000675%Not Available
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ADReCS-Target
Drug Name ADR Term Target
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