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Pronounced: TEK-win
Generic name: Gatifloxacin

Why is this drug prescribed: Tequin is a member of the "quinolone" family of antibiotics. It is used to treat acute sinus infections, pneumonia, complications of chronic bronchitis, kidney and urinary tract infections, and gonorrhea.

Most important fact about this drug: Quinolone antibiotics can cause serious and sometimes fatal allergic reactions, sometimes after a single dose. Stop taking this drug and call your doctor immediately if you develop swelling in the tongue, throat, or face; difficulty breathing or swallowing; itching, tingling; rash; hives; rapid or irregular heartbeat; seizures; or any other sign of an allergic reaction.

How should you take this medication: Tequin should be taken once a day. Swallow the tablet whole. Try to take it at the same time each day. You may take Tequin with or without food, milk, or calcium supplements. However, you should not take it within 4 hours of taking antacids, dietary supplements, or multivitamins containing iron, magnesium, or zinc. Also leave 4 hours between a dose of Tequin and a dose of Videx (didanosine). Take Tequin exactly as prescribed. You need to complete the full course of treatment to obtain the best results and prevent the infection from returning. --If you miss a dose... Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take two doses at once. --Storage instructions... Store Tequin at room temperature in a tightly sealed container.

What side effects may occur: Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Tequin. More common side effects may include: Diarrhea, dizziness, headache, nausea, stomach pain, vaginal inflammation, vomiting Less common or rare side effects may include: Abdominal pain, abnormal dreams, abnormal thinking, acute allergic reaction, agitation or hostility, alcohol intolerance, allergic reaction, anxiety, arthritis, asthma, back pain, bad breath, bleeding in rectum, blood in urine, bluish skin, bone pain, breast pain, changes in thinking and perceptions, chest pain, chills, confusion, constipation, convulsion, depression, diabetes, difficulty breathing, disturbed sense of smell, droopy eyelid, dry skin, ear pain, enlarged lymph nodes, eye pain and sensitivity to light, fever, gas, gum inflammation, hallucination, heart irregularities, hepatitis, high blood pressure, high or low blood sugar, indigestion, inflammation of the lips or tongue, inflammation of the colon, insomnia, itching, joint pain, lack of coordination, leg cramps, loss of appetite, migraine, mouth fungus or inflammation, mouth ulcers, muscle pain, muscle tension, muscle weakness, neck pain, nerve pain, nervousness, nightmares, nosebleed, painful urination, palpitations, panic attack, paranoia, purple areas on skin, rapid breathing, rapid heartbeat, rash, ringing in the ears, sensitivity to sound or touch, sleepiness, slow heartbeat, sore throat, stomach inflammation, stomach and intestinal bleeding, stress, sweating, swallowing difficulty, swelling, swollen throat and mouth, taste distortion or loss of taste, thirst, tingling or pins and needles, torn tendon, tremor, unexplained bleeding from the uterus, vertigo, vision disturbances, weakness

Why should this drug not be prescribed: Do not take this medication if you are allergic to any member of the quinolone family of drugs, including Cipro, Floxin, Levaquin, Maxaquin, Noroxin, Penetrex, and Raxar.

Special warnings about this medication: Tequin can alter the heartbeat. It's best to avoid it if you have an irregular or slow heartbeat, suffer from low potassium levels, or are taking medication to treat an irregular heartbeat. If you or anyone in your family has a history of heart problems, make sure the doctor is aware of it. Contact your doctor if you have palpitations or fainting spells while on Tequin. Tequin may cause convulsions, increased pressure in the head, psychosis, tremors, restlessness, nervousness, anxiety, light-headedness, confusion, depression, nightmares, insomnia, unfounded suspicions, and hallucinations. If you experience any of these symptoms, stop taking the drug and contact your doctor immediately. Before taking Tequin, let your doctor know if you are prone to seizures. This type of antibiotic has also been known to cause a rupture in the muscle tendons of the hand, shoulder, or heel. If you notice any pain and inflammation in a tendon, stop taking this medication and avoid exercise until you have seen your doctor. Tequin may cause dizziness and light-headedness. Do not drive, operate machinery, or participate in activities that require mental alertness or coordination until you know how this medication affects you. Tequin can disturb blood sugar levels. If you are a diabetic on oral diabetes medications and your blood sugar drops, eat some sugar, stop taking Tequin, and call your doctor. Monitor your blood sugar levels carefully during your entire course of Tequin therapy. An increase in blood sugar is also possible, especially among older adults, people with poor kidneys, and those taking medications that tend to increase blood sugar. Check with your doctor immediately if you develop warning signs such as frequent urination, thirst, loss of appetite, nausea, vomiting, and drowsiness. Tequin, used in high doses for short periods of time, may hide or delay the symptoms of syphilis. If you are taking Tequin for gonorrhea, your doctor will test you for syphilis. You'll also need to be closely monitored if you have kidney disease; your dosage may have to be reduced. Some of the other drugs in the quinolone family tend to increase sensitivity to the sun. To be on the safe side, avoid excessive exposure to sunlight while taking Tequin. Like all antibiotics, Tequin occasionally causes a severe and even dangerous form of diarrhea. Alert your doctor if you develop this problem. Tequin is not recommended for children under 18 years of age.

Possible food and drug interactions when taking this medication: If Tequin is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Tequin with the following: Antacids containing aluminum or magnesium Digoxin (Lanoxin) Insulin Iron Nonsteroidal anti-inflammatory drugs such as Motrin and Naprosyn Oral diabetes drugs such as Diabinese and Micronase Probenecid Vitamins containing iron, magnesium, or zinc

Special information if you are pregnant or breastfeeding: Although it's not known for sure, Tequin may be capable of causing harm during pregnancy. It is not recommended for pregnant or breastfeeding women. If you are pregnant, make sure the doctor is aware of it.

Recommended dosage: ADULTS: Acute Sinus Infections The usual dose is 400 milligrams taken once a day for 10 days. Bacterial Complications of Chronic Bronchitis The usual dose is 400 milligrams once a day for 5 days. Complicated Urinary Tract Infections, Kidney Inflammation The usual dose is 400 milligrams taken once a day for 7 to 10 days. Uncomplicated Urinary Tract Infections You may be prescribed 200 milligrams once a day for 3 days. Alternatively, you may be given a single dose of 400 milligrams. Gonorrhea The usual treatment is a single dose of 400 milligrams. Pneumonia The usual dose is 400 milligrams taken once a day for 7 to 14 days. Patients with poor kidney function may need smaller doses.

Overdosage: Little is known about Tequin overdose, but any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

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