Before you begin taking a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Apo Moxifloxacin.
Bacterial resistance: Misuse of an antibiotic such as moxifloxacin may lead to the growth of resistant bacteria that will not be killed by the antibiotic. If this happens, the antibiotic may not work for you in the future. Although you may begin to feel better when you first start taking moxifloxacin, you need to take all the medication exactly as directed by your doctor to finish ridding your body of the infection and to prevent resistant bacteria from taking hold. Do not take moxifloxacin or other antibiotics to treat a viral infection such as The Common Cold; antibiotics do not kill viruses, and using them to treat viral infections can lead to the growth of resistant bacteria.
Allergic reactions: In rare cases, some people may develop a severe allergic reaction to Apo Moxifloxacin. Signs of a severe reaction include a severe rash, swollen face, or difficulty breathing. If these occur, get immediate medical attention.
Antibiotic-related diarrhea: As with other antibiotics, moxifloxacin can cause a severe form of diarrhea associated with the condition called pseudomembranous colitis. If you develop severe diarrhea while taking Apo Moxifloxacin, contact your doctor as soon as possible.
Behaviour and movement changes: Rarely, Apo Moxifloxacin can cause movement disorders or behaviour changes such as agitation, anxiety, confusion, depression, tremors, hallucinations, and other mood changes. If you experience any of these, or notice them in a family member who is taking Apo Moxifloxacin, stop taking Apo Moxifloxacin and contact your doctor immediately.
Diabetes: Moxifloxacin may cause changes in blood sugar levels (may cause a loss of blood glucose control) and glucose tolerance may change. People with diabetes may find it necessary to monitor their blood sugar more frequently while using Apo Moxifloxacin.
If you have diabetes or are at risk for developing diabetes, discuss with your doctor how Apo Moxifloxacin may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Moxifloxacin, and whether any special monitoring is needed.
Driving and operating heavy machinery: Moxifloxacin may cause dizziness and drowsiness, impairing your ability to drive or operate machinery, especially when combined with alcohol. Avoid driving, operating machinery, or performing other potentially hazardous tasks until you have determined how you are affected by Apo Moxifloxacin.
Liver problems: Liver disease or reduced liver function may cause Apo Moxifloxacin to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how Apo Moxifloxacin may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Moxifloxacin, and whether any special monitoring is needed.
Apo Moxifloxacin may cause liver problems that in rare cases can be fatal. If you experience symptoms of liver problems (e.g., yellowing of the skin and eyes, abdominal pain, dark urine, pale stools, loss of appetite, itchy skin) while taking Apo Moxifloxacin, contact your doctor immediately. People with a severe reduction in liver function should not use Apo Moxifloxacin.
Neuromuscular disorders: Moxifloxacin, like other antibiotics in this family, can cause increased muscle weakness, including difficulty breathing, for people with Myasthenia Gravis (an autoimmune disorder that causes muscle weakness). If you have myasthenia gravis, discuss with your doctor how Apo Moxifloxacin may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Moxifloxacin, and whether any special monitoring is needed. Generally, moxifloxacin is not recommended for people with myasthenia gravis.
Palpitations and fainting spells: See a doctor as soon as possible if you experience palpitations (irregular or rapid heartbeat) or fainting spells while taking moxifloxacin.
Peripheral Neuropathy: Although rare, moxifloxacin may affect the nerves of the skin and limbs. If you start to feel pain, burning, tingling, numbness, or weakness, stop taking Apo Moxifloxacin and contact your doctor immediately.
QT prolongation: Apo Moxifloxacin can lengthen heartbeat as shown on an electrocardiogram test, also known as QT prolongation. Very rare cases of abnormal heartbeat have been reported in people while on moxifloxacin, but these reports generally involved people who had conditions that predisposed them to abnormal heartbeat, or who have been taking other medications that can increase the risk of developing an abnormal heartbeat.
You are more at risk for this type of abnormal heart rhythm and its complications if you:
- are female
- are older than 65 years of age
- have a family history of sudden cardiac death
- have a history of heart disease or abnormal heart rhythms
- have a slow heart rate
- have congenital prolongation of the QT interval
- have diabetes
- have had a Stroke
- have low potassium, magnesium, or calcium levels
- have nutritional deficiencies
If you have heart disease and abnormal heart rhythms, or if you are taking certain medications (e.g., Verapamil, atazanavir), discuss with your doctor how Apo Moxifloxacin may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Moxifloxacin, and whether any special monitoring is needed.
Seizures: Seizures may rarely occur with Apo Moxifloxacin. If you have a medical condition that increases the risk of seizures, discuss with your doctor how Apo Moxifloxacin may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Moxifloxacin, and whether any special monitoring is needed.
If you have a seizure while taking Apo Moxifloxacin, stop taking the medication and get immediate medical attention.
Sun sensitivity: People who take moxifloxacin may be more likely to experience Sunburn. While taking moxifloxacin, avoid excessive sunlight or artificial ultraviolet light exposure (e.g., sun beds, sunlamps). Stop taking the medication and contact your doctor if sun sensitivity occurs.
Tendonitis: Moxifloxacin may increase the chance of tendon injury. Injury occurs more commonly for seniors who are also taking corticosteroid medications. If there is any new pain in the tendons or joints, stop taking moxifloxacin, avoid physical exercise, and consult your doctor.
Pregnancy: Apo Moxifloxacin should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Apo Moxifloxacin, stop taking it immediately and contact your doctor.
Breast-feeding: It is not known if moxifloxacin passes into breast milk. If you are a breast-feeding mother and are taking Apo Moxifloxacin, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of Apo Moxifloxacin have not been established for children under 18 years of age.
