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LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS

LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS

Ask a doctor about a prescription for LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS

Introduction

Patient Information: Summary of Product Characteristics

Levofloxacino Viatris 500 mg film-coated tablets EFG

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information

  1. What is Levofloxacino Viatris and what is it used for
  2. What you need to know before you take Levofloxacino Viatris
  3. How to take Levofloxacino Viatris
  4. Possible side effects
  5. Storage of Levofloxacino Viatris
  6. Pack contents and further information

1. What is Levofloxacino Viatris and what is it used for

Levofloxacino belongs to a group of medicines called antibiotics. Levofloxacino is a type of antibiotic known as a quinolone and works by killing the bacteria that cause infections in your body.

Antibiotics are used to treat bacterial infections and will not work for viral infections such as the common cold or flu.

It is important that you follow the instructions regarding dose, administration interval, and duration of treatment indicated by your doctor.

Do not store or reuse this medication. If you have leftover antibiotic after finishing treatment, return it to the pharmacy for proper disposal. Do not dispose of medications via wastewater or household waste.

Levofloxacino Viatris can be used to treat infections in:

  • The paranasal sinuses.
  • The lungs, in people with long-term respiratory problems or pneumonia.
  • The urinary tract, including the kidneys or bladder.
  • The prostate.
  • The skin and under the skin, including muscles. This is sometimes referred to as "soft tissues".

In some special situations, levofloxacino can be used to reduce the possibility of acquiring a lung infection called anthrax or worsening of such disease after exposure to the anthrax-causing bacteria.

2. What you need to know before you take Levofloxacino Viatris

Do not take Levofloxacino Viatris if:

  • You are allergic to levofloxacino, other quinolone antibiotics such as moxifloxacino, ciprofloxacino, or ofloxacino, or any of the other ingredients of this medicine (listed in section 6).

Signs of an allergic reaction include: skin rash, difficulty swallowing or breathing, swelling of lips, face, throat, or tongue.

  • You have or have had epilepsy.
  • You have ever had tendon problems such as tendinitis related to the use of quinolone medicines. The tendon is the tissue that connects your muscle to your skeleton.
  • You are a child or adolescent in the growth phase.
  • You are pregnant, might be pregnant, or think you might be pregnant.
  • You are breastfeeding.

Do not take this medicine if any of the above applies to you. If in doubt, consult your doctor or pharmacist before taking levofloxacino.

Warnings and precautions

Before starting to take this medicine

You must not take antibacterial medicines that contain fluoroquinolones or quinolones, including levofloxacino, if you have previously experienced a severe side effect with a quinolone or fluoroquinolone. If this is the case, you must inform your doctor as soon as possible.

Consult your doctor or pharmacist before starting to take Levofloxacino Viatris:

  • If you are 60 years old or more.
  • If you have been diagnosed with an aneurysm of a large blood vessel (aortic aneurysm or large peripheral vessel aneurysm).
  • If you have had a previous episode of aortic dissection (tear in the aortic wall).
  • If you have been diagnosed with heart valve insufficiency (regurgitation of the heart valves).
  • If you have a family history of aortic dissections or aneurysms, congenital heart valve disorders, or other risk factors or predisposing conditions (e.g., connective tissue disorders such as Marfan syndrome, Ehlers-Danlos syndrome, Turner syndrome, or Sjögren's syndrome (an autoimmune inflammatory disease), or vascular disorders such as Takayasu arteritis, giant cell arteritis, Behçet's disease, hypertension, atherosclerosis, rheumatoid arthritis (a joint disease), or endocarditis (a heart infection)).
  • You are taking corticosteroids, sometimes called steroids (see section "Other medicines and Levofloxacino Viatris").
  • You have received a transplant.
  • You have had a seizure (convulsions).
  • You have had brain damage due to a stroke or other brain injury.
  • You have kidney problems.
  • You have what is known as "glucose-6-phosphate dehydrogenase deficiency", as you may be prone to serious blood problems when taking this medicine.
  • You have had mental problems.
  • You have ever had heart problems: caution should be exercised when using this type of medicine if you were born with, or have a family history of, prolonged QT interval (seen on an electrocardiogram (ECG), a graphical representation of the heart's electrical activity), have an imbalance in blood salt levels (especially low potassium or magnesium levels in the blood), have a slow heart rate (bradycardia), have a weak heart (heart failure), have a history of heart attack (myocardial infarction), if you are a woman or an elderly person, or are taking other medicines that may cause abnormal changes in the ECG (see section "Other medicines and Levofloxacino Viatris").
  • You are diabetic.
  • You have ever had liver problems.
  • You have myasthenia gravis.
  • You have developed a severe skin rash, blistering, or peeling after taking levofloxacino.

Tell your doctor or pharmacist before taking levofloxacino if you are unsure whether any of the above applies to you.

During treatment with this medicine

Rarely, pain and swelling in the joints and inflammation or rupture of tendons may occur. The risk is greater if you are an elderly person (over 60 years old), have received an organ transplant, have kidney problems, or are being treated with corticosteroids. Tendon inflammation and rupture can occur within the first 48 hours of treatment and even up to several months after stopping treatment with levofloxacino. At the first sign of pain or inflammation of a tendon (e.g., in the ankle, wrist, elbow, shoulder, or knee), stop taking levofloxacino, contact your doctor, and rest the affected area. Avoid any unnecessary exercise, as it may increase the risk of tendon rupture.

Rarely, you may experience symptoms of nerve damage (neuropathy) such as pain, burning, tingling, numbness, and/or weakness, especially in the feet and legs or hands and arms. If this happens, stop taking levofloxacino and inform your doctor immediately to prevent the development of a potentially irreversible disorder.

Avoid direct exposure to sunlight and ultraviolet lamps during treatment and for 2 days after treatment with levofloxacino (see also section 3, "Protect your skin from sunlight").

Severe, long-lasting, disabling, and potentially irreversible side effects

Antibacterial medicines that contain fluoroquinolones or quinolones, including levofloxacino, have been associated with very rare but serious side effects, some of which were long-lasting (persisting for months or years), disabling, or potentially irreversible. These include pain in the tendons, muscles, and joints of the upper and lower limbs, difficulty walking, abnormal sensations such as pins and needles, tingling, numbness, burning, or itching (paresthesia), sensory disorders such as decreased vision, taste, smell, and hearing, depression, decreased memory, intense fatigue, and severe sleep disorders.

If you experience any of these side effects after taking levofloxacino, contact your doctor immediately before continuing treatment. You and your doctor will decide whether to continue or stop treatment, also considering the use of an antibiotic from a different class.

Severe skin reactions

Severe skin reactions have been reported, including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug reaction with eosinophilia and systemic symptoms (DRESS) with the use of levofloxacino.

  • SJS/TEN may initially appear as red, target-like spots or circular patches on the trunk, often with blisters in the center. They can also appear as ulcers in the mouth, throat, nose, genitals, and eyes (red, swollen eyes). These severe skin rashes are often preceded by fever and/or flu-like symptoms. The rashes can progress to widespread skin peeling and life-threatening or fatal complications.
  • DRESS initially manifests with flu-like symptoms and a rash on the face, followed by a more widespread rash with elevated body temperature, elevated liver enzymes observed in blood tests, and an increase in a type of white blood cell (eosinophilia) and swollen lymph nodes.

If you develop a severe rash or any of these skin symptoms, stop taking levofloxacino and contact your doctor or seek immediate medical attention.

  • If you experience sudden, severe pain in the abdomen, chest, or back, which can be symptoms of aortic dissection or aneurysm, go to the emergency room immediately. The risk may increase if you are receiving systemic corticosteroid treatment.
  • If you start experiencing sudden onset of shortness of breath, especially when lying down, or if you notice swelling in the ankles, feet, or abdomen, or the appearance of heart palpitations (feeling of rapid or irregular heartbeat), inform your doctor immediately.
  • If you start experiencing sudden, involuntary jerks, muscle spasms, or muscle contractions - consult a doctor immediately, as these could be signs of myoclonus. Your doctor may need to discontinue treatment with levofloxacino and initiate appropriate treatment.
  • If you have nausea, general discomfort, severe pain, continuous or worsening pain in the stomach area, or vomiting, go to the doctor immediately, as it could be a sign of pancreatitis (inflammation of the pancreas).
  • If you experience fatigue, pale skin, bruising, uncontrolled bleeding, fever, sore throat, and a severe deterioration of your general condition, or a feeling that your resistance to infections may be decreased - consult a doctor immediately, as these could be signs of blood disorders. Your doctor should monitor your blood with blood counts. In the case of abnormal blood counts, your doctor may need to discontinue treatment.

Other medicines and Levofloxacino Viatris

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. This is because levofloxacino can affect the way other medicines work. Also, some medicines can affect the way levofloxacino works.

In particular, tell your doctor if you are taking any of the following medicines, as it increases the possibility of experiencing side effects when taking them with levofloxacino:

  • Corticosteroids, sometimes called steroids, used for inflammation. You may be more likely to experience tendon inflammation and/or rupture.
  • Warfarin, used to thin the blood. You may be more likely to experience bleeding. Your doctor may need to perform periodic blood tests to check if your blood is clotting correctly.
  • Theophylline, used for respiratory problems. You may be more likely to experience a seizure (convulsions) if taken with levofloxacino.
  • Non-steroidal anti-inflammatory drugs (NSAIDs), used for pain and inflammation, such as acetylsalicylic acid (aspirin), ibuprofen, fenbufen, ketoprofen, indomethacin. You may be more likely to experience a seizure (convulsions) when taken with levofloxacino.
  • Ciclosporin, used after organ transplants. You may be more likely to experience the side effects of ciclosporin.
  • Medicines that affect your heart rhythm. This includes medicines used for abnormal heart rhythm (antiarrhythmics such as quinidine, hydroquinidine, disopyramide, sotalol, dofetilide, ibutilide, and amiodarone), for depression (tricyclic antidepressants such as amitriptyline and imipramine), for psychiatric disorders (antipsychotics), and for bacterial infections (macrolide antibiotics such as erythromycin, azithromycin, and clarithromycin).
  • Probenecid, used for gout. If you have kidney problems, your doctor may want to give you a lower dose.
  • Cimetidine, used for ulcers and heartburn. If you have kidney problems, your doctor may want to give you a lower dose.

Do not take levofloxacino at the same time as the following medicines, as it may affect the way levofloxacino works:

  • Iron tablets (for anemia), zinc supplements, antacids that contain aluminum or magnesium (for acidity or heartburn), didanosine, or sucralfate (for stomach ulcers). See section 3 "If you are already taking iron tablets, zinc supplements, antacids, didanosine, or sucralfate" below.

Opiate tests in urine

Urine tests may show "false positive" results for the presence of strong painkillers called "opioids" in patients taking levofloxacino. Inform your doctor that you are taking levofloxacino if you have been prescribed a urine test.

Tuberculosis test

This medicine may cause a "false negative" result in some laboratory tests used to detect the bacteria that cause tuberculosis.

Pregnancy and breastfeeding

Do not takethis medicine if:

  • You are pregnant, might be pregnant, or plan to become pregnant.
  • You are breastfeeding or plan to breastfeed.

Driving and using machines

Some side effects such as dizziness, drowsiness, altered balance (vertigo), or visual disturbances may occur. Some of these side effects can affect your ability to concentrate or slow your reaction time. If this happens, do not drive or operate any machinery that requires a high level of attention.

3. How to Take Levofloxacino Viatris

Follow the administration instructions for this medication exactly as indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

How to Take this Medication

  • Take this medication by mouth.
  • Swallow the tablets whole with a little water.
  • The tablets can be taken during or between meals.

Protect Your Skin from the Sun

Do not expose your skin directly to the sun (even when cloudy) while taking this medication and for two days after stopping it, as your skin will become much more sensitive to the sun and may burn, sting, or even blister if you do not take the following precautions:

  • Make sure to use high-protection sun creams.
  • Always wear a hat and clothing that covers your arms and legs.
  • Avoid ultraviolet (UVA) lamps.

If You Are Already Taking Iron Tablets, Zinc Supplements, Antacids, Didanosine, or Sucralfate

  • Do not take these medications at the same time as levofloxacino. You should take these medications at least two hours before or two hours after taking levofloxacino.

What Dose Should You Take

  • Your doctor will decide what amount of levofloxacino you should take.
  • The dose will depend on the type of infection you have and where the infection is located in your body.
  • The duration of treatment will depend on the severity of your infection.
  • If you think the effect of the medication is too weak or strong, do not change the dose yourself, ask your doctor.

Adults and Elderly

Paranasal Sinus Infection

  • One 500 mg levofloxacino tablet, once a day.

Lung Infection, in People with Long-Term Respiratory Problems

  • One 500 mg levofloxacino tablet, once a day.

Pneumonia

  • One 500 mg levofloxacino tablet, once or twice a day.

Urinary Tract Infection, Including Kidneys or Bladder

  • Half or one 500 mg levofloxacino tablet, per day.

Prostate Infection

  • One 500 mg levofloxacino tablet, once a day.

Skin and Soft Tissue Infections, Including Muscles

  • One 500 mg levofloxacino tablet, once or twice a day.

Adults and Elderly with Kidney Problems

Your doctor may give you a lower dose.

Children and Adolescents

This medication should not be given to children or adolescents.

If You Take More Levofloxacino Viatris Than You Should

If you accidentally take more tablets than you should, inform your doctor or get immediate medical help. Take the medication with you so the doctor knows what you have taken. You can also call the Toxicology Information Service on phone 91 562 04 20, indicating the medication and the amount ingested. The effects that may appear are: epileptic seizures (convulsions), confusion, dizziness, decreased consciousness, tremors, heart disorders that can cause irregular heartbeats, as well as discomfort (nausea) or stomach burning.

If You Forget to Take Levofloxacino Viatris

If you forget to take a dose, take it as soon as you remember, unless it is almost time for your next dose. Do not take a double dose to make up for forgotten doses.

If You Stop Treatment with Levofloxacino Viatris

Do not stop your treatment with levofloxacino, even if you feel better. It is important that you complete the treatment that your doctor has prescribed. If you stop taking them too soon, the infection may come back, your condition may worsen, or the bacteria may become resistant to the medication.

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone will experience them. They are usually mild to moderate and tend to disappear in a short time.

Stop Treatment with Levofloxacino and Contact a Doctor or Go to the Hospital Immediately if You Notice the Following Side Effects:

Rare(may affect up to 1 in 1,000 people)

  • If you have an allergic reaction. The signs may include: skin rash, difficulty swallowing or breathing, swelling of lips, face, throat, or tongue, rapid decrease in blood pressure (with symptoms such as shallow breathing, dizziness, and weak pulse).

Stop Treatment with Levofloxacino and Contact a Doctor Immediately if You Notice the Following Serious Side Effects, as You May Need Urgent Medical Treatment:

Rare(may affect up to 1 in 1,000 people)

  • Pain and inflammation in the tendons or ligaments, which could lead to rupture. The Achilles tendon is the most frequently affected.
  • Epileptic seizures (convulsions).
  • Widespread rash, high body temperature, elevated liver enzymes, blood abnormalities (eosinophilia), swollen lymph nodes, and other organs involved (drug reaction with eosinophilia and systemic symptoms, also known as DRESS or drug hypersensitivity syndrome). See also section 2.
  • Syndrome associated with alterations in water elimination and low sodium levels (SIADH).
  • Decreased blood sugar levels (hypoglycemia) or decreased blood sugar levels leading to coma (hypoglycemic coma). This is important for diabetic patients.

Frequency Not Known(cannot be estimated from available data)

  • Severe skin rashes, including Stevens-Johnson syndrome and toxic epidermal necrolysis. These can appear on the trunk as red, target-shaped patches or circular spots, often with blisters in the center, skin peeling, ulcers in the mouth, throat, nose, genitals, and eyes, and may be preceded by flu-like symptoms. See also section 2.
  • Changes in mood and thoughts with a risk of having suicidal thoughts or actions.
  • Lack of appetite, nausea, vomiting, yellowing of skin and eyes, dark urine, fever, itching, or painful stomach. These may be signs of liver problems, which can include acute liver failure.
  • Watery diarrhea, which may contain blood, possibly with stomach cramps and fever. These could be signs of a serious intestinal problem.
  • Abnormally fast heartbeat, irregular heartbeat with life-threatening risk, including cardiac arrest, alteration of heart rhythm (called "prolongation of the QT interval", observed in the ECG, a graphical representation of the heart's electrical activity).
  • Burning, tingling, pain, or numbness. These may be signs of what is called "neuropathy".
  • Nausea, general discomfort, upset, or stomach pain. These could be signs of an inflamed pancreas (acute pancreatitis). See section 2.

Consult an eye specialist immediately if your vision deteriorates or you have any other eye problems while taking levofloxacino.

Tell Your Doctor if Any of the Following Side Effects Worsen or Last More Than a Few Days:

Frequent(may affect up to 1 in 10 people)

  • Sleep problems.
  • Headache, dizziness.
  • Discomfort (nausea, vomiting) and diarrhea.
  • Increased levels of some liver enzymes in the blood.

Uncommon(may affect up to 1 in 100 people)

  • Changes in the number of other bacteria or fungi, infection by a fungus called Candida, which may require treatment.
  • Changes in the number of white blood cells, which are shown in blood test results (leukopenia, eosinophilia).
  • Stress (anxiety), confusion, nervousness, drowsiness, tremors, feeling of dizziness (vertigo).
  • Difficulty breathing (dyspnea).
  • Changes in taste, loss of appetite, stomach upset or indigestion (dyspepsia), stomach pain, feeling of bloating (flatulence) or constipation.
  • Itching and skin rash, intense itching or hives (urticaria), excessive sweating (hyperhidrosis).
  • Joint or muscle pain.
  • Abnormal values in blood tests due to liver (increased bilirubin) or kidney (increased creatinine) problems.
  • General weakness.

Rare(may affect up to 1 in 1,000 people)

  • Appearance of bruises and easy bleeding, due to a decrease in the number of platelets in the blood (thrombocytopenia).
  • Decrease in the number of white blood cells in the blood (neutropenia).
  • Exaggerated immune response (hypersensitivity).
  • Mental disorders, such as seeing or hearing things that are not real (hallucinations) or feeling threatened (paranoia).
  • Depression, mental disorders, feeling of restlessness (agitation), abnormal dreams or nightmares.
  • Feeling of tingling in hands and feet (paresthesia).
  • Ear disorders (tinnitus) or vision disorders (blurred vision).
  • Abnormally fast heartbeat (tachycardia) or decreased blood pressure (hypotension).
  • Muscle weakness. This is important in people with myasthenia gravis (a rare nervous system disease).
  • Changes in kidney function and, occasionally, kidney failure, which can be a consequence of an allergic reaction in the kidney called interstitial nephritis.
  • Fever.
  • Red patches, clearly delimited with or without blisters, which develop a few hours after administration of levofloxacino and heal with residual post-inflammatory hyperpigmentation; they usually recur in the same area of the skin or mucous membrane after subsequent exposure to levofloxacino.
  • Memory impairment.

Frequency Not Known(cannot be estimated from available data)

  • Decrease in red blood cells (anemia): this can cause the skin to become pale or yellowish, due to damage to red blood cells; decrease in the number of all types of blood cells (pancytopenia).
  • The bone marrow stops producing new blood cells, which can cause fatigue, reduced ability to fight infections, and uncontrolled bleeding (bone marrow failure).
  • Fever, sore throat, and persistent general malaise. This may be due to a decrease in the number of white blood cells (agranulocytosis).
  • Increased blood sugar levels (hyperglycemia). This is important in people with diabetes.
  • Changes in smell, loss of smell or taste (parosmia, anosmia, ageusia).
  • Feeling very excited, euphoric, agitated, or enthusiastic (mania).
  • Movement and gait disorders (dyskinesia, extrapyramidal disorders).
  • Temporary loss of consciousness or posture (syncope).
  • Temporary loss of vision, eye inflammation.
  • Hearing problems or hearing loss.
  • Difficulty breathing or wheezing (bronchospasm).
  • Pulmonary allergic reactions.
  • Increased skin sensitivity to sunlight and ultraviolet light (photosensitivity), darker skin areas (hyperpigmentation).
  • Inflammation of the blood vessels that carry blood throughout the body due to an allergic reaction (vasculitis).
  • Inflammation of the tissue inside the mouth (stomatitis).
  • Muscle rupture and muscle destruction (rhabdomyolysis).
  • Redness and swelling of the joints (arthritis).
  • Pain, including back, chest, and limb pain.
  • Sudden, involuntary jerks, muscle spasms, or muscle contractions (myoclonus).
  • Porphyria crisis in patients with porphyria (a very rare metabolic disease).
  • Persistent headache with or without blurred vision (benign intracranial hypertension).

The administration of antibiotics containing quinolones and fluoroquinolones has been associated with very rare cases of long-lasting (even months or years) or permanent adverse reactions, such as tendon inflammation, tendon rupture, joint pain, limb pain, difficulty walking, abnormal sensations, such as pinching, tingling, burning, itching, numbness, or pain (neuropathy), depression, fatigue, sleep disorders, memory loss, and decreased hearing, vision, taste, and smell, in some cases regardless of the presence of pre-existing risk factors.

There have been reports of increased size and weakening or tearing of the aortic wall (aneurysms and dissections), which could lead to rupture and be fatal, and heart valve problems in patients who have received fluoroquinolones. See also section 2.

Reporting of Side Effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Levofloxacino Viatris

Keep this medication out of sight and reach of children.

This medication does not require special storage conditions, but it is preferable to store this medication in its original packaging in a dry place.

Do not use this medication after the expiration date that appears on the packaging and blister after CAD or EXP. The expiration date is the last day of the month indicated.

Medications should not be thrown down the drain or into the trash. Deposit the packaging and medications you no longer need at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Levofloxacino Viatris

  • The active ingredient is levofloxacino hemihydrate.
  • One film-coated tablet contains 500 mg of levofloxacino (as levofloxacino hemihydrate).
  • The other ingredients are:
  • Core: microcrystalline cellulose (E-460), crospovidone (E-1202), hydroxypropylcellulose (E-463), magnesium stearate (E-470b).
  • Coating: hydroxypropylcellulose (E-463), macrogol 3350, macrogol 400, and titanium dioxide (E-171).

Appearance of the Product and Package Contents

Levofloxacino Viatris are film-coated tablets. The tablet is white or almost white, capsule-shaped, biconvex, and film-coated, with the inscriptions "LVO" and "500" separated by a score line on one side and the inscriptions "G" and "G" separated by another score line on the other side.

The packaging contains blisters of 1, 2, 3, 5, 7, 8, 10, 14, 16, 50, and 200 tablets, and bottles containing 50 and 500 tablets.

Not all pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Viatris Limited

Damastown Industrial Park

Mulhuddart, Dublin 15

Dublin

Ireland

Manufacturer

McDermott Laboratories Ltd. t/a Gerard Laboratories

35/36 Baldoyle Industrial Estate

Grange Road, Dublin 13

Ireland

or

Mylan Hungary Kft.

H-2900 Komárom

Mylan utca 1

Hungary

or

Pharma Pack Hungary Kft.

Vasút utca 13, Budaörs, 2040

Hungary

or

Mylan Germany GmbH

Benzstrasse 1, Bad Homburg v. d.

Hoehe, Hessen, 61352

Germany

You can request more information about this medication by contacting the local representative of the marketing authorization holder:

Viatris Pharmaceuticals, S.L.U.

C/ General Aranaz, 86

28027 - Madrid

Spain

This Medication is Authorized in the Member States of the European Economic Area with the Following Names:

Belgium: Levofloxacine Viatris 500 mg film-coated tablets

Spain: Levofloxacino Viatris 500 mg film-coated tablets EFG

Ireland: Tavager 500 mg film-coated tablets

Netherlands: Levofloxacine Viatris 500 mg film-coated tablets

Portugal: Levofloxacina Mylan 500 mg film-coated tablets

United Kingdom: Levofloxacin 500 mg film-coated tablets

Czech Republic: Levofloxacin Viatris 500 mg film-coated tablets

Sweden: Levofloxacine Viatris 500 mg film-coated tablets

This leaflet does not contain all the information about your medication. If you have any questions or are unsure about something, consult your doctor or pharmacist.

Date of the Last Revision of this Leaflet:June 2024

Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) (https://www.aemps.gob.es/).

About the medicine

How much does LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS cost in Spain ( 2025)?

The average price of LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS in November, 2025 is around 1.87 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

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Online doctors for LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for LEVOFLOXACIN VIATRIS 500 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

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Doctor

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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€69
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5.0(1)
Doctor

Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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€60
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Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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€60
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5.0(33)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.
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€59
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Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€54
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5.0(10)
Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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€65
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0.0(3)
Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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€55
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Doctor

Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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€50
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5.0(3)
Doctor

Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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€50
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Doctor

Sergio Correa

General medicine7 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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€40
Today13:00
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