Package Leaflet: Information for the User
Moxifloxacino Kern Pharma 400 mg Film-Coated Tablets EFG
Read this package leaflet carefully before you start taking this medicine because it contains important information for you.
Moxifloxacino Kern Pharma contains moxifloxacino as the active ingredient, which belongs to the group of antibiotics known as fluoroquinolones. Moxifloxacino Kern Pharma acts by eliminating bacteria that cause infections.
Antibiotics are used to treat bacterial infections and are not effective for treating viral infections such as the flu or a cold.
It is essential to follow the instructions regarding the dose, administration interval, and treatment duration indicated by your doctor.
Do not store or reuse this medication. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not dispose of the medication through the drain or in the trash.
Moxifloxacino Kern Pharma is indicated for patients 18 years of age and older for the treatment of bacterial infections when moxifloxacino is active against certain bacteria. Moxifloxacino Kern Pharma should only be used to treat these infections when standard antibiotics cannot be used or have not been effective.
Treatable infections are: sinusitis, sudden worsening of chronic inflammation of the airways, or pneumonia acquired outside the hospital (except for severe cases).
Mild to moderate upper genital tract infections in females (inflammatory pelvic disease), including fallopian tube infection and uterine mucous membrane infection. For this type of infection, Moxifloxacino Kern Pharma tablets are not sufficient as a single treatment, so your doctor will also prescribe another antibiotic for the treatment of mild to moderate upper genital tract infections.
If the following diseases have shown improvement during initial treatment with Moxifloxacino Kern Pharma solution for infusion, your doctor may prescribe Moxifloxacino Kern Pharma tablets to complete the treatment: pneumonia acquired outside the hospital, skin and soft tissue infections.
Moxifloxacino Kern Pharma tablets should not be used to initiate treatment for any type of skin and soft tissue infection or for severe pneumonia.
Consult your doctor if you are unsure if you belong to one of the patient groups described below.
Do not take Moxifloxacino Kern Pharma
Warnings and Precautions
Before starting to take this medication
Do not take fluoroquinolone or quinolone antibacterial medications, including moxifloxacino, if you have experienced a severe reaction to a quinolone or fluoroquinolone in the past. If this is the case, inform your doctor as soon as possible.
Consult your doctor or pharmacist before starting to take Moxifloxacino Kern Pharma.
Consult an ophthalmologist immediately if you experience any vision changes or have any eye problems.
During treatment withthismedication:
If you experience any of these side effects after taking moxifloxacino Kern Pharma, contact your doctor immediately before continuing treatment. You and your doctor will decide whether to continue or discontinue treatment, considering also the use of another class of antibiotic.
Severe skin reactions
Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis (NET), generalized acute pustular psoriasis (PEGA), and drug reaction with eosinophilia and systemic symptoms (DRESS or hypersensitivity syndrome), have been reported with the use of moxifloxacino.
If you develop a severe skin rash or any of these skin symptoms, stop taking moxifloxacino and contact your doctor or seek immediate medical attention.
Children and adolescents
Do not give this medication to children and adolescents under 18 years old because its efficacy and safety have not been established (see sectionDo not take Moxifloxacino Kern Pharma).
Other medications and Moxifloxacino Kern Pharma
Inform your doctor or pharmacist if you are using,have used recently, or may need to use any other medication.
With Moxifloxacino Kern Pharma, you should be aware of the following:
Use of Moxifloxacino Kern Pharma with food and drinkandbeverages
The effect ofthismedicationis not altered by food, including dairy products.
Pregnancy, lactation, and fertility
Do not usethismedicationduring pregnancy or if you are breastfeeding.
If you are pregnant or breastfeeding, think you may be pregnant, or intend to become pregnant, consult your doctor or pharmacist before using this medication.
Animal studies do not indicate that your fertility may be altered by taking this medication.
Driving and operating machinery
Moxifloxacinomay cause dizziness or vertigo or a brief loss of consciousness, you may experience a sudden and temporary loss of vision. If you experience these symptoms, do not drive vehicles or operate machinery.
Moxifloxacino Kern Pharma contains sodium
This medication contains less than 1 mmol of sodium (23 mg) per coated tablet, which is essentially “sodium-free”.
Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.
The recommended dose in adults is one 400 mg film-coated tablet, once a day.
Moxifloxacino tablets are for oral use. Take the tablet whole without chewing (to mask the bitter taste) and with plenty of liquid.This medication can be taken with or without food. It is recommended to take the tablet approximately at the same time every day.
No dose adjustment is necessary in elderly patients, in patients with low body weight, or in patients with kidney problems.
The duration of treatment depends on the type of infection. Unless your doctor has told you otherwise, the duration of treatment with Moxifloxacino Kern Pharma is as follows:
When moxifloxacino is used to complete a treatment initiated with moxifloxacino solution for infusion, the recommended durations are:
Most patients with pneumonia changed from intravenous to oral treatment after 4 days.
Most patients with soft tissue infections changed from intravenous to oral treatment after 6 days.
It is essential to complete the treatment, even if you start feeling better after a few days.
Do not exceed the recommended dose and duration of treatment.
If you take more Moxifloxacino Kern Pharma than you should
If you take more than one of the recommended tablets per day, consult your doctor immediately and, if possible, bring the remaining medication, the packaging, or this leaflet to show your doctor or pharmacist what you have taken.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
If you forget to take Moxifloxacino Kern Pharma
In case of forgetting a dose, take the tablet as soon as you remember on the same day. If you miss a dose, take the normal dose (one tablet) the next day. Do not take two tablets to make up for the missed dose.
If you are unsure of what to do, consult your doctor or pharmacist.
If you interrupt the treatment with Moxifloxacino Kern Pharma
If you interrupt the treatment too soon, your infection may not be completely cured, the infection may recur, or your condition may worsen, and it may also cause bacterial resistance to the antibiotic. Consult your doctor if you plan to stop taking the tablets before completing the full treatment.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them. During treatment with moxifloxacino, the following side effects have been observed. The evaluation of side effects has been based on the following frequency data:
Frequent: between 1 and 10 in every 100 patients.
Infrequent: between 1 and 10 in every 1,000 patients.
Rare: between 1 and 10 in every 10,000 patients.
Very rare: in fewer than 1 in 10,000 patients.
Unknown: cannot be estimated from available data.
Infections
Frequent:Infections caused by resistant bacteria or fungi, for example, oral and vaginal infections caused by Candida.
Blood and lymphatic system disorders
Infrequent:Low red blood cell count, low white blood cell count, low levels of certain white blood cells (neutrophils), decreased or increased levels of certain blood cells necessary for blood clotting, increased levels of certain white blood cells (eosinophils), decreased blood clotting.
Very rare:Increased blood clotting, significant decrease in certain white blood cells (agranulocytosis).
Decreased number of red and white blood cells and platelets (pancytopenia)
Endocrine disorders
Very rare:Syndrome associated with alterations in water elimination and low sodium levels (SIADH).
Allergic reactions
Infrequent:Allergic reactions.
Rare:Severe, sudden, and generalized allergic reaction, including rarely life-threatening shock (for example, difficulty breathing, low blood pressure, rapid pulse), swelling (including possible swelling of the airways that can be life-threatening).
Abnormal laboratory test results
Infrequent:Increased blood lipids (fats)
Rare:Increased blood glucose, increased uric acid in the blood.
Very rare:Coma due to severe decrease in blood sugar levels (hypoglycemic coma)
Mental health disorders
Infrequent:Anxiety, restlessness/agitation
Rare:Mood instability, depression (in very rare cases leading to self-harm, such as suicidal thoughts or attempts), hallucinations.
Very rare:Depersonalization disorder (feeling not oneself), dementia (possibly leading to self-harm, such as suicidal thoughts or attempts).
Nervous system
Frequent:Headache, dizziness.
Infrequent:Prickling and/or numbness sensation, alteration of taste (in very rare cases, loss of taste), confusion and disorientation, sleep disorders (predominantly insomnia), tremors, sensation of vertigo (feeling of spinning and falling), somnolence.
Rare:Skin sensation disorders, olfactory alterations (including loss of smell), abnormal dreams, concentration disorders, speech alteration, total or partial loss of memory, balance and coordination disorders (due to dizziness).
Very rare:Increased skin sensitivity.
Eye disorders
Infrequent:Eye disorders, including double vision and blurred vision.
Very rare:Transient loss of vision.
Ear disorders
Rare:Tinnitus/ringing in the ears, hearing loss (including deafness, usually reversible).
Cardiovascular system(see section 2 “What you need to know before starting to take Moxifloxacino Kern Pharma)
Frequent:Change in heart rhythm (ECG), in patients with low potassium levels in the blood.
Infrequent:Change in heart rhythm (ECG), palpitations, irregular and rapid heart rate, severe heart rhythm alterations, angina pectoris.
Rare:Abnormally fast heart rate, fainting.
Very rare:Heart rhythm alterations, irregular heart rate that can be life-threatening, cardiac arrest.
Vascular system
Infrequent:vasodilation.
Rare:Hypertension, hypotension.
Respiratory system
Infrequent:Respiratory difficulty, including asthma-like states.
Gastrointestinal system
Frequent:Nausea, vomiting, abdominal and stomach pain, diarrhea.
Infrequent:Decreased appetite and food intake, flatulence and constipation, gastrointestinal discomfort (indigestion/heartburn), stomach inflammation (gastritis), increased levels of a certain digestive enzyme in the blood (amylase).
Rare:Difficulty swallowing, mouth inflammation, severe diarrhea with blood and/or mucous (antibiotic-associated colitis, including pseudomembranous colitis) that, in very rare cases, can be life-threatening.
Liver
Frequent:Increased levels of certain liver enzymes in the blood (transaminases).
Infrequent:Liver function alteration (including increased levels of a liver enzyme in the blood, LDH), increased bilirubin in the blood, increased levels of a liver enzyme in the blood (gamma-glutamyltransferase and/or alkaline phosphatase).
Rare:Jaundice (yellow discoloration of the white of the eyes or skin), liver inflammation.
Very rare:Fulminant liver inflammation with life-threatening risk of liver failure (including fatal cases).
Skin
Themost serious side effectsobserved during treatment with moxifloxacino are listed below:
Infrequent:Itching, rash, urticaria, dry skin, skin rashes.
Very rare:vasculitis (the signs may be red patches on the skin, usually on the legs or effects such as joint pain).
Severe skin eruptions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. These may appear on the trunk as red spots in the shape of a target or circular patches often with blisters in the center, skin peeling, mouth, throat, nose, genital, and eye ulcers and may be preceded by fever and flu-like symptoms (with possible life-threatening risk).
Unknown:Increased skin sensitivity to sunlight or UV radiation (see also section 2. Warnings and precautions).
Clearly demarcated erythematous patches with/without blisters that appear in the hours following moxifloxacino administration and disappear with residual post-inflammatory hyperpigmentation; they usually reappear in the same skin or mucous location with subsequent exposure to moxifloxacino.
Musculoskeletal system
Infrequent:Joint and muscle pain.
Rare:Tendon inflammation (tendinitis), muscle cramps, muscle contractures, muscle weakness.
Very rare:Tendon rupture, joint inflammation, muscle stiffness, worsening of myasthenia gravis symptoms.
Unknown:Muscle weakness, sensitivity or pain, particularly if you also feel unwell, have a fever, or your urine is dark. These symptoms may be caused by abnormal muscle breakdown that can be life-threatening and cause kidney problems (a condition called rhabdomyolysis).
Kidneys
Infrequent:Dehydration.
Rare:Kidney alterations (including increased results in laboratory tests for the kidneys, such as urea and creatinine), kidney failure.
General side effects
Infrequent:Uncomfortable feeling (mainly weakness or fatigue), back, limb, pelvic, and chest pain, sweating.
Rare:Swelling (of hands, feet, ankles, lips, mouth, and throat).
The administration of quinolone and fluoroquinolone antibiotics has been associated with very rare cases of long-lasting or permanent adverse reactions (including months or years), such as tendon inflammation, tendon rupture, joint pain, limb pain, difficulty walking, abnormal sensations, such as pinching, tingling, burning, numbness, or pain (neuropathy), depression, fatigue, sleep disorders, memory decrease, and hearing, vision, taste, and smell decrease, in some cases regardless of the presence of pre-existing risk factors.
Additionally, very rare cases of the following side effects have been reported, described after treatment with other quinolone antibiotics and that may also occur during treatment withmoxifloxacino: increased levels of sodium and calcium in the blood, reduced count of a certain type of red blood cells (hemolytic anemia), problems associated with the nervous system, such as pain, burning, tingling, numbness, and/or weakness in the limbs.
Cases of increased size and weakening or tearing of the aortic wall (aneurysms and dissections) that could produce a rupture and be fatal, and heart valve insufficiency in patients who have received fluoroquinolones have been reported. See also section 2.
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it ispossibleside effects that do not appear in this leaflet. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicinal Products for human use: http://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keepthismedicineout of sight and reach of children.
Do not usethismedicineafter the expiration date that appears on the packaging after “CAD”. The expiration date is the last day of the month indicated.
No specialconservationconditions are required.
Medicines should not be disposed of through drains or in the trash. Dispose of packaging and medicines you no longer need at the SIGREcollection point at the pharmacy.If in doubt, ask your pharmacist how to dispose of packaging and medicines you no longer need. By doing so, you will help protect the environment.
Composition of Moxifloxacino Kern Pharma
Appearance of the product and content of the container
Film-coated tablets of pink color, oblong and biconvex.
Each standard container contains blisters of aluminum/aluminum of 5 or 7 film-coated tablets.
Each clinical container contains blisters of aluminum/aluminum of 100 film-coated tablets.
Holder of the marketing authorization
Kern Pharma, S.L.
Venus, 72 - Pol. Ind.Colón II
08228 Terrassa - Barcelona
Spain
Responsible for manufacturing
Pharmathen Internacional S.A.
Industrial Park Sapes,
Rodopi Prefecture, Block N 5, 69300 Rodopi
Ellas -Greece
or
Pharmaten S.A.
Dervenakion, 6 Pallini, 15351 Attiki
Greece
Last review date of this leaflet:April 2024
The detailed and updated information of this medicine is available on the website of the Spanish Agency of Medicaments and Sanitary Products (AEMPS)http://www.aemps.gob.es/.
Средняя цена на Moxifloxacino kern pharma 400 mg comprimidos recubiertos con pelicula efg в июль, 2025 года составляет около 13.58 евро. Финальная стоимость может зависеть от региона, конкретной аптеки и рецептурного статуса. Для точной информации лучше проверить онлайн или в ближайшей аптеке.
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