Do not use Moxifloxacino Qualigen during pregnancy or if you are breastfeeding.
If you are pregnant or breastfeeding, or if you think you may be pregnant, consult your doctor or pharmacist before using this medicine.
Studies in animals do not suggest that this medicine affects your fertility.
Driving and the use of machines
Moxifloxacino Qualigen may cause dizziness or vertigo or a brief loss of vision. You may experience a sudden, temporary loss of vision. If you experience these symptoms, do not drive vehicles or operate machinery.
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 doseinadults is one 400 mg film-coated tablet, once a day.
Moxifloxacino Qualigen tablets are for oral use. Take the tablet whole without chewing (to mask the bitter taste) and with plenty of liquid. Moxifloxacino Qualigen 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 Qualigen is as follows:
If Moxifloxacino Qualigen is used to complete a course of therapy initiated with moxifloxacino solution for infusion, the duration of treatment is:
Most patients with pneumonia switch to oral treatment with Moxifloxacino Qualigen at 4 days.
Most patients with severe skin and soft tissue infections have a mean duration of intravenous treatment of around 6 days.
It is essential to complete the treatment, even if you start feeling better after a few days. If you interrupt the treatment too soon, the infection may not be completely cured, the infection may recur, your condition may worsen, and you may also develop antibiotic resistance.
Do not exceed the recommended dose and duration of treatment (see section2. What you need to know before starting to take Moxifloxacino Qualigen).
If you take more Moxifloxacino Qualigen than you should
If you take more than the prescribed daily tablet, consult your doctor immediately and, if possible, bring the remaining medication, the packaging, or this leaflet to show the doctor or pharmacist what you have taken.
Incase of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 0420, indicating the medication and the amount ingested.
If you forget to take Moxifloxacino Qualigen
In case of forgotten 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 a double dose to compensate for the missed doses.
If you are unsure of what to do, consult your doctor or pharmacist.
If you interrupt the treatment with Moxifloxacino Qualigen
If you interrupt the treatment too soon, your infection may not be completely cured. Consult your doctor if you plan to stop taking the tablets before completing the treatment.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Themost serious side effectsobserved during treatment with Moxifloxacino Qualigen are listed below:
If you notice
Below, other side effects observed during treatment with Moxifloxacino Qualigen are listed according to the probability that they present:
:
Infections
Frequent: Infections caused by resistant bacteria or fungi, e.g., oral and vaginal infections caused byCandida.
Blood and lymphatic system disorders
Rare: Low white blood cell count, low red 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).
Allergic reactions
Rare: Allergic reactions.
Very rare: Severe, sudden, and generalized allergic reaction, including rarely life-threatening shock (e.g., difficulty breathing, decreased blood pressure, rapid pulse), swelling (including possible swelling of the airways that can be life-threatening).
Abnormal laboratory test results
Rare: Increased blood lipids (fats).
Very rare: Increased blood glucose, increased uric acid in the blood.
Mental health disorders
Rare: Anxiety, restlessness/agitation.
Very rare: Emotional instability, depression (in very rare cases leading to self-harm, such as suicidal thoughts or attempts), hallucinations.
Very rare: Feeling of loss of personality (not being oneself), dementia (possibly leading to self-harm, such as suicidal thoughts or attempts).
Nervous system
Frequent: Headache, dizziness.
Rare: Tingling and/or numbness, alteration of taste (in very rare cases, loss of taste), confusion, disorientation, sleep disorders (predominantly insomnia), tremors, sensation of vertigo (feeling of spinning and falling), somnolence.
Very rare: Abnormal skin sensation, alterations of smell (including loss of smell), abnormal dreams, balance and coordination disorders (due to dizziness), convulsions, concentration disorders, alteration of speech, total or partial loss of memory, problems associated with the nervous system, such as pain, burning, tingling, numbness, and/or weakness in the limbs.
Very rare: Increased skin sensitivity.
Eye
Rare: Eye disorders, including double vision and blurred vision.
Very rare: Transient loss of vision.
Ear
Very rare: Ringing in the ears, hearing loss (including deafness, usually reversible).
Cardiovascular system(see section2. What you need to know before starting to take Moxifloxacino Qualigen)
Frequent: Change in heart rhythm (ECG) in patients with low potassium levels in the blood.
Rare: Change in heart rhythm (ECG), palpitations, irregular and rapid heart rate, severe alteration of heart rhythm, angina pectoris.
Very rare: Abnormal heart rhythm, irregular heart rate that can be life-threatening, cardiac arrest.
Vascular system
Rare: Vasodilation.
Very rare: Hypertension, hypotension.
Respiratory system
Rare: Respiratory difficulty, including asthma-like states.
Gastrointestinal system
Frequent: Nausea, vomiting, abdominal and stomach pain, diarrhea.
Rare: Decreased appetite and food intake, flatulence, constipation, gastric discomfort (indigestion/heartburn), stomach inflammation, increased levels of a certain digestive enzyme in the blood (amylase).
Very rare: Difficulty swallowing, mouth inflammation, severe diarrhea with blood and/or mucus (antibiotic-associated colitis, including pseudomembranous colitis) that, in very rare cases, can lead to life-threatening complications.
Liver
Frequent: Increased levels of certain liver enzymes in the blood (transaminases).
Rare: Alteration of liver function (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).
Very rare: Jaundice (yellowing of the whites of the eyes or skin), liver inflammation.
Very rare: Fulminant liver inflammation with life-threatening risk of liver failure (including fatal cases).
Skin
Rare: Itching, rash, urticaria, dry skin.
Very rare: Alterations of the skin and mucous membranes (painful vesicles in the mouth/nose or penis/vagina) or Stevens-Johnson syndrome (toxic epidermal necrolysis) with possible life-threatening risk.
Swelling of blood vessels (the signs may be red patches on the skin, usually on the legs or effects such as joint pain) (very rare side effect).
Musculoskeletal system
Rare: Joint and muscle pain.
Very rare: Tendon pain and inflammation (tendinitis), muscle cramps, muscle contractures, muscle weakness. Very rare: Tendon rupture, joint inflammation, muscle stiffness, worsening of myasthenia gravis symptoms.
Kidneys
Rare: Dehydration.
Very rare: Kidney alterations (including increased levels of kidney function tests, such as urea and creatinine), kidney failure.
General side effects
Rare: Discomfort (mainly weakness or fatigue), back, limb, pelvic, and chest pain, sweating.
Very 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 pinpricks, tingling, numbness, burning, or pain (neuropathy), depression, fatigue, sleep disorders, memory decline, and hearing, vision, taste, and smell loss, 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 with Moxifloxacino Qualigen: increased sodium and calcium levels in the blood, reduced count of a certain type of red blood cell (hemolytic anemia), increased skin sensitivity to sunlight or UV.
Cases of increased size and weakening or tearing of the aortic wall (aneurysms and dissections) that could lead to rupture and be fatal, and heart valve insufficiency in patients who have received fluoroquinolones have been reported. See section 2.
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicinal Products for Human Use,www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the blister pack andinthe boxafterCAD. The expiration date is the last day of the month indicated.
No special storage conditions are required.
Medications should not be disposed of through drains or in the trash. Dispose of packaging and medications you no longer need at the SIGRE collection pointat the pharmacy. If in doubt, ask your pharmacist how to dispose of packaging and medications you no longer need. By doing so, you will help protect the environment.
Composition of Moxifloxacino Qualigen
Appearance of the product and contents of the packaging
Film-coated tablets of pink color, oblong and biconvex.
The tablets are supplied in Aluminio/Aluminio blisters.
The tablets are presented in packaging of 5 and 7 film-coated tablets.
Only some sizes of packaging may be commercially marketed.
Holder of the marketing authorization and responsible for manufacturing
Holder of the marketing authorization
Neuraxpharm Spain, S.L.U.
Avda. Barcelona, 69
08970 Sant Joan Despí
Barcelona – Spain
Responsible for manufacturing
Pharmathen, S.A.
Devernakion, 6
Pallini 15351
Attiki
(Greece)
or
Pharmathen International, S.A.
Sapes Industrial Park,
Block No. 5
Rodopi 69300
(Greece)
Last review date of this leaflet November 2020
The detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/.
Есть вопросы по этому лекарству или вашим симптомам? Свяжитесь с лицензированным врачом для получения помощи и персонализированного ухода.