For Adults
Moxifloxacin
Moxinea contains the active substance moxifloxacin, which belongs to a group of antibiotics called fluoroquinolones. Moxinea has a bactericidal effect on bacteria that cause infections.
Moxifloxacin is used in patients aged 18 and older to treat the following bacterial infections, if they are caused by bacteria susceptible to moxifloxacin. Moxinea can only be used to treat these infections if the use of commonly administered antibiotics is not possible or if they have been ineffective.
Moxinea can also be used to complete treatment if initial intravenous moxifloxacin therapy has been effective, in the following cases:
In case of doubts regarding belonging to the groups mentioned below, the patient should consult a doctor.
Before taking this medication
Do not take antibacterial medications containing fluoroquinolones/quinolones, including Moxinea, if severe side effects have occurred in the past when taking quinolones or fluoroquinolones. In such a situation, inform your doctor as soon as possible.
Before taking Moxinea, consult a doctor:
Moxinea may affect the ECG, especially in women and the elderly. When taking medications that decrease potassium levels in the blood, consult a doctor before starting Moxinea (see sections: "When Not to Take Moxinea" and "Moxinea and Other Medications").
If the patient has epilepsy or conditions that may cause seizures, consult a doctor before starting Moxinea.
If the patient has or has had mental health problems before starting Moxinea, consult a doctor.
If the patient has myasthenia gravis (muscle weakness and in advanced cases, paralysis), taking Moxinea may worsen the symptoms of the disease. If this happens, consult a doctor immediately.
In case of glucose-6-phosphate dehydrogenase deficiency (a rare hereditary disease), inform the doctor, who will assess whether Moxinea is a suitable medication.
If the patient has a complicated upper genital tract infection (e.g., when there is an abscess of the fallopian tube, ovary, or pelvic area), the doctor may consider it necessary to administer the medication intravenously, as taking Moxinea tablets is not appropriate.
To treat mild or moderate upper genital tract infections, the doctor should prescribe an additional antibacterial medication to the patient, in addition to Moxinea. If symptoms do not improve within the first 3 days of treatment, the patient should consult a doctor.
If the patient experiences heart palpitations or irregular heart rhythm while taking Moxinea, they should contact their doctor immediately. The doctor may decide to perform an ECG.
The risk of heart rhythm disorders may increase with increasing doses. Therefore, the recommended dosage of Moxinea should be followed.
There is a small risk of severe, sudden allergic reactions (anaphylactic reaction or anaphylactic shock) even after the first dose of the medication, with symptoms such as chest tightness, dizziness, nausea, or fainting, and dizziness when standing up. If these symptoms occur, stop taking Moxinea and consult a doctor.
Moxinea may cause liver inflammation with a rapid and severe course, which can lead to life-threatening liver failure (including death, see section "4. Possible Side Effects").
Consult a doctor before continuing treatment if symptoms such as sudden deterioration of well-being and/or health, yellowing of the whites of the eyes, dark urine, itching, tendency to bleed, and liver-related disorders of brain function (symptoms of impaired liver function or rapidly progressing and severe liver inflammation) occur.
During moxifloxacin treatment, severe skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis, have been reported.
If a severe rash or any of these skin symptoms occur, stop taking moxifloxacin and consult a doctor or seek immediate medical attention.
Quinolones, including Moxinea, can cause seizures. If seizures occur, stop taking Moxinea and consult a doctor.
Rarely, symptoms of nerve damage (neuropathy) such as pain, burning, tingling, numbness, and/or weakness may occur, especially in the feet and legs or hands and arms. In such cases, stop taking Moxinea and inform the doctor immediately to prevent the development of a potentially irreversible condition.
Even with the first administration of quinolone antibiotics, including Moxinea, mental disorders can occur. In very rare cases, depression or other mental disorders leading to suicidal thoughts, self-harm, or suicide attempts may occur (see section "4. Possible Side Effects"). If such symptoms occur, consult a doctor immediately before continuing treatment.
During or after treatment with antibiotics, including Moxinea, diarrhea may occur.
In case of severe or prolonged diarrhea or blood and/or mucus in the stool, stop taking Moxinea and consult a doctor. In such situations, do not take medications that slow down or stop intestinal movement (peristalsis).
Pain and swelling of the joints and inflammation or rupture of tendons can occur rarely. The risk is increased if the patient is elderly (over 60 years), has undergone organ transplantation, has kidney problems, or is being treated with corticosteroids. Tendon inflammation and ruptures can occur within the first 48 hours of treatment and even several months after stopping Moxinea. At the first signs of tendon pain or inflammation (e.g., in the ankle, wrist, elbow, arm, or knee), stop taking Moxinea, consult a doctor, and rest the affected limb. Avoid unnecessary exercise, as it may increase the risk of tendon rupture.
Elderly patients with kidney function disorders should drink plenty of fluids, as dehydration can increase the risk of kidney failure.
If vision worsens or other vision disorders occur during Moxinea treatment, seek immediate ophthalmological attention (see section "Driving and Operating Machines" and section "4. Possible Side Effects").
Fluoroquinolone antibiotics can disrupt blood sugar levels, causing both hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar), potentially leading to loss of consciousness (hypoglycemic coma) in severe cases (see section 4. Possible Side Effects). If you have diabetes, closely monitor your blood sugar levels.
Disorders of blood sugar levels in patients treated with Moxinea occur mainly in the elderly who take oral antidiabetic medications that lower blood sugar levels (e.g., sulfonylureas) or insulin. Hypoglycemic coma due to significant lowering of blood sugar levels has been reported. In diabetic patients, monitor blood sugar levels (see section "4. Possible Side Effects").
Quinolone antibiotics can increase skin sensitivity to sunlight and UV radiation. During Moxinea treatment, avoid prolonged sun exposure, strong sunlight, and use of sunbeds or other UV radiation sources.
The efficacy of Moxinea (infusion solution) in treating severe burns, deep tissue infections, diabetic foot infections, or osteomyelitis has not been established.
Long-term, disabling, and potentially irreversible serious side effects
Fluoroquinolone/quinolone antibacterial medications, including Moxinea, are associated with very rare but serious side effects, some of which are long-term (lasting months or years), causing disability or potentially being irreversible. These include tendon, muscle, and joint pain in the upper and lower limbs, walking difficulties, sensory disturbances such as pins and needles, tingling, burning, itching, numbness, or pain (paresthesia), sensory disturbances including impaired vision, taste, and smell, as well as hearing, depression, memory disorders, severe fatigue, and severe sleep disorders.
In case of any of these side effects after taking Moxinea, consult a doctor immediately before continuing treatment. You and your doctor will decide whether to continue treatment, also considering an antibiotic from a different class.
Moxinea should not be given to children or adolescents under 18 years of age, as its efficacy for this age group has not been established.
Inform your doctor or pharmacist about all medications you are currently taking or have recently taken, as well as any medications you plan to take.
When taking Moxinea, be aware that:
Inform your doctor if you are taking other medications that may decrease potassium levels in the blood (e.g., certain diuretics, laxatives, and enemas in large doses) or slow down the heart rate, as they may increase the risk of severe heart rhythm disorders when taking Moxinea.
All medications containing magnesium or aluminum, such as antacids used for digestive disorders, and all medications containing iron or zinc, or didanosine, or any medication containing sucralfate (for stomach disorders) may reduce the effectiveness of Moxinea tablets. Therefore, maintain a 6-hour interval between taking Moxinea tablets and other medications.
Concomitant administration of activated charcoal and Moxinea tablets reduces the effectiveness of Moxinea. Therefore, it is not recommended to take both medications together.
When taking medications that reduce blood clotting (oral anticoagulants such as warfarin), your doctor may order blood clotting tests.
Moxinea can be taken with or without food, including dairy products.
Do not take Moxinea during pregnancy and breastfeeding.
If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult a doctor or pharmacist before taking this medication.
Animal studies do not show a harmful effect of this medication on fertility.
Moxinea may cause dizziness and a feeling of fainting, as well as sudden, transient loss of vision or short-term fainting. In case of such symptoms, do not drive vehicles or operate any machines.
Moxinea contains colorants: orange yellow (E110), lake, crimson lake (E124), lake, which may cause allergic reactions.
Moxinea contains sodium.
This medication contains less than 1 mmol of sodium (23 mg) per film-coated tablet, i.e., it is essentially "sodium-free".
Always take Moxinea exactly as your doctor has told you. If you are not sure, consult your doctor or pharmacist again.
The usual dose for adults is one 400 mg film-coated tablet once daily.
Moxinea tablets are taken orally. Swallow the tablet whole (to avoid the bitter taste), with a large amount of fluid. Moxinea can be taken with or without food.
It is recommended to take Moxinea at the same time every day.
No dose adjustment is necessary for elderly patients, those with low body mass, or patients with impaired renal function.
The duration of treatment depends on the type of infection. Unless otherwise prescribed by your doctor, the recommended treatment duration with Moxinea is:
The following are the recommended total treatment durations for patients who are taking Moxinea tablets to complete treatment started with moxifloxacin infusion solution.
It is essential to complete the full treatment course, even if you feel better after a few days. If you stop taking the medication too early, the infection may not be completely cured, and the disease may recur or worsen, and bacteria may develop resistance to the antibiotic.
Do not exceed the recommended dose or prolong treatment (see section "2. Important Information Before Taking Moxinea", "During Treatment with Moxinea").
If you have taken more than one prescribed tablet per day, seek medical attention immediately and, if possible, take all remaining tablets, packaging, and this leaflet to show your doctor or pharmacist.
If you forget to take a tablet at the usual time, take it as soon as you remember on the same day. If you miss a dose for one day, take your usual dose (one tablet) the next day.
Do not take a double dose to make up for a missed dose.
In case of doubts about taking the medication, consult a doctor or pharmacist.
If you stop taking the medication too early, the infection may not be completely cured. If you need to stop treatment early, consult your doctor.
In case of further doubts about taking this medication, consult a doctor or pharmacist.
Like all medications, Moxinea can cause side effects, although not everybody gets them.
The most serious side effectsobserved during Moxinea treatment are listed below:
In case of the following side effects:
serious skin rashes, including Stevens-Johnson syndrome and toxic epidermal necrolysis. They may appear as red, target-like patches or circular patches, often with central blisters on the torso, skin peeling, mouth, throat, nose, genital, and eye ulcers (red and swollen eyes), and may be preceded by fever and flu-like symptoms. Rashes can lead to widespread skin peeling and life-threatening complications or death (very rare side effects, potentially life-threatening),
red, scaly, widespread rash with bumps under the skin and blisters, accompanied by fever at the beginning of treatment (acute generalized exanthematous pustulosis) (frequency of this side effect is "unknown"),
Stop Moxinea treatment and consult a doctor immediately, as emergency medical attention may be necessary.
Additionally, if
If Moxinea treatment causes abnormal heart rhythm, irregular heartbeat (torsade de pointes), or cardiac arrest (very rare side effect), consult a doctor immediately and stop Moxinea treatment.
In case of muscle weakness, consult a doctor immediately.
If you have diabetes and experience changes in blood sugar levels (rare or very rare side effect), consult a doctor immediately.
If an elderly patient with impaired renal function experiences decreased urine output, swelling of the feet, ankles, or hands, nausea, drowsiness, shortness of breath, or confusion (these may be symptoms of renal failure; rare side effect), consult a doctor immediately.
Other side effects observed during Moxinea treatment, with probable frequency, include:
Common(may occur in up to 1 in 10 people):
Uncommon(may occur in up to 1 in 100 people):
Rare(may occur in up to 1 in 1,000 people):
Very Rare(may occur in up to 1 in 10,000 people):
In addition, very rare side effects have been reported during Moxinea treatment, also described with other quinolone antibiotics: increased sodium levels in the blood, increased calcium levels in the blood, decreased red blood cell count (hemolytic anemia), muscle reactions with muscle cell damage, increased skin sensitivity to sunlight and UV radiation.
Very rare cases of long-term (months or years) or permanent side effects of Moxinea, such as tendon inflammation, tendon rupture, joint pain, limb pain, walking difficulties, sensory disturbances such as pins and needles, tingling, burning, itching, numbness, or pain (neuropathy), depression, fatigue, sleep disorders, memory disorders, as well as impaired hearing, vision, taste, and smell, have been associated with quinolone and fluoroquinolone antibiotics, in some cases regardless of pre-existing risk factors.
Patients taking fluoroquinolones have reported cases of aortic dilatation and aortic aneurysm or aortic dissection, which can be fatal, as well as cases of heart valve regurgitation. See also section 2.
If you experience any side effects, including those not listed in this leaflet, inform your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181 C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of this medication.
Keep the medication out of the reach and sight of children.
Do not take Moxinea after the expiration date stated on the carton and blister pack "Expiration Date (EXP)". The expiration date refers to the last day of the month.
Moxinea does not require special storage conditions.
Medications should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medications that are no longer needed. This will help protect the environment.
Each film-coated tablet contains 436.8 mg of moxifloxacin hydrochloride, equivalent to 400 mg of moxifloxacin.
The other ingredients are:
Dark red, film-coated, elongated, and convex tablet with "MOXI" embossed on one side and "400" on the other.
Moxinea film-coated tablets are available in PVC/PVDC/Aluminum blisters, in cartons containing 5, 7, 10, or 100 film-coated tablets.
Not all pack sizes may be marketed.
SOLINEA Sp. z o.o. Sp. K.
Elizówka 65
Hala I
21-003 Ciecierzyn
Poland
Bluepharma - Indústria Farmacêutica, S.A.
08-06-2017
10-09-2021
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