Page last updated: 2024-11-01

ofloxacin and Hypoglycemia

ofloxacin has been researched along with Hypoglycemia in 24 studies

Ofloxacin: A synthetic fluoroquinolone antibacterial agent that inhibits the supercoiling activity of bacterial DNA GYRASE, halting DNA REPLICATION.
9-fluoro-3-methyl-10-(4-methylpiperazin-1-yl)-7-oxo-2,3-dihydro-7H-[1,4]oxazino[2,3,4-ij]quinoline-6-carboxylic acid : An oxazinoquinoline that is 2,3-dihydro-7H-[1,4]oxazino[2,3,4-ij]quinolin-7-one substituted by methyl, carboxy, fluoro, and 4-methylpiperazin-1-yl groups at positions 3, 6, 9, and 10, respectively.
ofloxacin : A racemate comprising equimolar amounts of levofloxacin and dextrofloxacin. It is a synthetic fluoroquinolone antibacterial agent which inhibits the supercoiling activity of bacterial DNA gyrase, halting DNA replication.

Hypoglycemia: A syndrome of abnormally low BLOOD GLUCOSE level. Clinical hypoglycemia has diverse etiologies. Severe hypoglycemia eventually lead to glucose deprivation of the CENTRAL NERVOUS SYSTEM resulting in HUNGER; SWEATING; PARESTHESIA; impaired mental function; SEIZURES; COMA; and even DEATH.

Research Excerpts

ExcerptRelevanceReference
"Although hypoglycemia is known to be associated with levofloxacin, patients are continually being hospitalized because of this adverse event."7.78Severe hypoglycemia associated with levofloxacin in Type 2 diabetic patients receiving polytherapy: two case reports. ( Micheli, L; Nencini, C; Sbrilli, M, 2012)
"A malnourished 58-year-old man with diabetes developed hypoglycemia after receiving levofloxacin in conjunction with glipizide."7.75Hypoglycemia associated with the use of levofloxacin. ( Garber, SM; Miller, SM; Pound, MW, 2009)
"To compare rates of hypoglycemia and hyperglycemia among elderly hospitalized patients with normal blood glucose concentrations at baseline who were receiving either gatifloxacin or levofloxacin, and to determine if appropriateness of their doses, according to their package inserts, was associated with hypoglycemia or hyperglycemia."7.74Effects of gatifloxacin and levofloxacin on rates of hypoglycemia and hyperglycemia among elderly hospitalized patients. ( Graves, J; Lodise, T; Lomaestro, B; Miller, C; Mohr, JF; Smith, RP, 2007)
" Hypoglycemia because of use of levofloxacin is a rarely reported complication."7.74Fatal hypoglycemia with levofloxacin use in an elderly patient in the post-operative period. ( Abraham, J; Jacob, JJ; Kapoor, R; Singh, M, 2008)
" We describe an elderly, non-diabetic patient with steroid-induced hyperglycemia prescribed glyburide who later developed severe hypoglycemia resulting in anoxic brain injury soon after initiating therapy with levofloxacin."7.73Hypoglycemia-induced anoxic brain injury possibly associated with levofloxacin. ( Adra, M; Keir, C; Lawrence, KR, 2006)
"Although uncommon, hypoglycemia has been reported with all the fluoroquinolones and appears to occur most frequently in elderly patients with type 2 diabetes mellitus who are receiving therapy with oral hypoglycemics."5.32Fatal hypoglycemia associated with levofloxacin. ( Dougherty, R; Friedrich, LV, 2004)
"Although hypoglycemia is known to be associated with levofloxacin, patients are continually being hospitalized because of this adverse event."3.78Severe hypoglycemia associated with levofloxacin in Type 2 diabetic patients receiving polytherapy: two case reports. ( Micheli, L; Nencini, C; Sbrilli, M, 2012)
"A malnourished 58-year-old man with diabetes developed hypoglycemia after receiving levofloxacin in conjunction with glipizide."3.75Hypoglycemia associated with the use of levofloxacin. ( Garber, SM; Miller, SM; Pound, MW, 2009)
" Renal-dose levofloxacin was utilized as part of an antimicrobial regimen to treat post-operative peritonitis."3.74Levofloxacin-associated hypoglycaemia complicated by pontine myelinolysis and quadriplegia. ( Gregory, J; Huesmann, G; Jakoby, MG; Vallurupalli, S, 2008)
"To compare rates of hypoglycemia and hyperglycemia among elderly hospitalized patients with normal blood glucose concentrations at baseline who were receiving either gatifloxacin or levofloxacin, and to determine if appropriateness of their doses, according to their package inserts, was associated with hypoglycemia or hyperglycemia."3.74Effects of gatifloxacin and levofloxacin on rates of hypoglycemia and hyperglycemia among elderly hospitalized patients. ( Graves, J; Lodise, T; Lomaestro, B; Miller, C; Mohr, JF; Smith, RP, 2007)
"To assess the prevalence of dysglycemia (hypoglycemia or hyperglycemia) associated with oral levofloxacin and gatifloxacin therapy in an outpatient setting, and to determine the characteristics of patients who developed dysglycemia while receiving either fluoroquinolone."3.74Prevalence of and risk factors for dysglycemia in patients receiving gatifloxacin and levofloxacin in an outpatient setting. ( LaPlante, KL; Mersfelder, TL; Quilliam, BJ; Ward, KE, 2008)
" Hypoglycemia because of use of levofloxacin is a rarely reported complication."3.74Fatal hypoglycemia with levofloxacin use in an elderly patient in the post-operative period. ( Abraham, J; Jacob, JJ; Kapoor, R; Singh, M, 2008)
" We describe an elderly, non-diabetic patient with steroid-induced hyperglycemia prescribed glyburide who later developed severe hypoglycemia resulting in anoxic brain injury soon after initiating therapy with levofloxacin."3.73Hypoglycemia-induced anoxic brain injury possibly associated with levofloxacin. ( Adra, M; Keir, C; Lawrence, KR, 2006)
" In the first, case patients were persons treated in the hospital for hypoglycemia after outpatient treatment with a macrolide, a second-generation cephalosporin, or a respiratory fluoroquinolone (gatifloxacin, levofloxacin, moxifloxacin, or ciprofloxacin)."3.73Outpatient gatifloxacin therapy and dysglycemia in older adults. ( Dresser, L; Juurlink, DN; Kopp, A; Low, DE; Mamdani, MM; Park-Wyllie, LY; Shah, BR; Stukel, TA; Stumpo, C, 2006)
" Diphenhydramine (1 mg/kg) antagonized the hyperglycemia induced by 300 mg/kg of levofloxacin."3.73Effect of levofloxacin on serum glucose concentration in rats. ( Ishiwata, Y; Itoga, Y; Yasuhara, M, 2006)
"In moxifloxacin-treated rats, an increase in the EDHF response was observed, which was largely attributed to SK(Ca)-activation."1.39The effect of levofloxacin and moxifloxacin on cardiovascular functions of rats with streptozotocin-induced diabetes. ( Absi, M; Ghareeb, H; Khalil, A; Ruegg, UT, 2013)
" The incidence of adverse reactions was 1."1.34Post-marketing surveillance of the safety of levofloxacin in Japan. ( Kawai, H; Komiya, M; Matsumoto, T; Nakayasu, T; Shimada, J; Yamaguchi, H; Yokoyama, H, 2007)
"Although uncommon, hypoglycemia has been reported with all the fluoroquinolones and appears to occur most frequently in elderly patients with type 2 diabetes mellitus who are receiving therapy with oral hypoglycemics."1.32Fatal hypoglycemia associated with levofloxacin. ( Dougherty, R; Friedrich, LV, 2004)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's20 (83.33)29.6817
2010's4 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fusco, S1
Reitano, F1
Gambadoro, N1
Previti, M1
Russo, G1
Basile, G1
Cucinotta, D1
Vallurupalli, S1
Huesmann, G1
Gregory, J1
Jakoby, MG1
Kelesidis, T1
Canseco, E1
Garber, SM1
Pound, MW1
Miller, SM1
Micheli, L1
Sbrilli, M1
Nencini, C1
Absi, M1
Ghareeb, H1
Khalil, A1
Ruegg, UT1
Parra-Riffo, H1
Lemus-PeƱaloza, J1
Friedrich, LV1
Dougherty, R1
Graumlich, JF1
Habis, S1
Avelino, RR1
Salverson, SM1
Gaddamanugu, M1
Jamma, K1
Aldag, JC1
Mohr, JF2
McKinnon, PS1
Peymann, PJ1
Kenton, I1
Septimus, E1
Okhuysen, PC1
Lawrence, KR1
Adra, M1
Keir, C1
Tailor, SA1
Simor, AE1
Cornish, W1
Phillips, EJ1
Knowles, S1
Rachlis, A1
Park-Wyllie, LY1
Juurlink, DN1
Kopp, A1
Shah, BR1
Stukel, TA1
Stumpo, C1
Dresser, L1
Low, DE1
Mamdani, MM1
Wang, S1
Rizvi, AA1
Kanbay, M1
Aydogan, T1
Bozalan, R1
Isik, A1
Uz, B1
Kaya, A1
Akcay, A1
Ishiwata, Y1
Itoga, Y1
Yasuhara, M1
Yamaguchi, H1
Kawai, H1
Matsumoto, T1
Yokoyama, H1
Nakayasu, T1
Komiya, M1
Shimada, J1
Catero, M1
Lodise, T1
Graves, J1
Miller, C1
Lomaestro, B1
Smith, RP1
LaPlante, KL1
Mersfelder, TL1
Ward, KE1
Quilliam, BJ1
Singh, M1
Jacob, JJ2
Kapoor, R1
Abraham, J1
Gibert, AE1
Porta, FS1
Singh, N1

Reviews

2 reviews available for ofloxacin and Hypoglycemia

ArticleYear
Severe levofloxacin-induced hypoglycaemia: a case report and literature review.
    Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia, 2012, Jul-17, Volume: 32, Issue:4

    Topics: Aged; Anti-Bacterial Agents; Catheter-Related Infections; Drug Therapy, Combination; Enterococcus; G

2012
Dysglycemia and fluoroquinolones: are you putting patients at risk?
    The Journal of family practice, 2007, Volume: 56, Issue:2

    Topics: Adolescent; Adult; Aza Compounds; Bacterial Infections; Blood Glucose; Ciprofloxacin; Dose-Response

2007

Other Studies

22 other studies available for ofloxacin and Hypoglycemia

ArticleYear
Severe hypoglycemia associated with levofloxacin in a healthy older woman.
    Journal of the American Geriatrics Society, 2013, Volume: 61, Issue:9

    Topics: Administration, Oral; Aged, 80 and over; Anti-Bacterial Agents; Blood Glucose; Female; Humans; Hypog

2013
Levofloxacin-associated hypoglycaemia complicated by pontine myelinolysis and quadriplegia.
    Diabetic medicine : a journal of the British Diabetic Association, 2008, Volume: 25, Issue:7

    Topics: Anti-Bacterial Agents; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Humans; Hypoglycemia; Kidne

2008
Levofloxacin-induced hypoglycemia: a rare but life-threatening side effect of a widely used antibiotic.
    The American journal of medicine, 2009, Volume: 122, Issue:3

    Topics: Aged; Anti-Bacterial Agents; Female; Humans; Hypoglycemia; Levofloxacin; Ofloxacin

2009
Hypoglycemia associated with the use of levofloxacin.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2009, Jun-01, Volume: 66, Issue:11

    Topics: Anti-Bacterial Agents; Community-Acquired Infections; Diabetes Mellitus, Type 2; Drug Interactions;

2009
Levofloxacin and glycaemic disorders. Diabetic patients: beware.
    Prescrire international, 2008, Volume: 17, Issue:97

    Topics: Canada; Diabetes Mellitus; Humans; Hyperglycemia; Hypoglycemia; Levofloxacin; Ofloxacin

2008
Severe hypoglycemia associated with levofloxacin in Type 2 diabetic patients receiving polytherapy: two case reports.
    International journal of clinical pharmacology and therapeutics, 2012, Volume: 50, Issue:4

    Topics: Aged, 80 and over; Anti-Bacterial Agents; Blood Glucose; Diabetes Mellitus, Type 2; Drug Interaction

2012
The effect of levofloxacin and moxifloxacin on cardiovascular functions of rats with streptozotocin-induced diabetes.
    Diabetes & vascular disease research, 2013, Volume: 10, Issue:1

    Topics: Animals; Anti-Bacterial Agents; Aza Compounds; Biological Factors; Blood Glucose; Bradycardia; Cardi

2013
Fatal hypoglycemia associated with levofloxacin.
    Pharmacotherapy, 2004, Volume: 24, Issue:12

    Topics: Aged; Fatal Outcome; Humans; Hypoglycemia; Levofloxacin; Male; Ofloxacin

2004
Hypoglycemia in inpatients after gatifloxacin or levofloxacin therapy: nested case-control study.
    Pharmacotherapy, 2005, Volume: 25, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Anti-Infective Agents; Blood Glucose; Case-Control Studies; Female;

2005
A retrospective, comparative evaluation of dysglycemias in hospitalized patients receiving gatifloxacin, levofloxacin, ciprofloxacin, or ceftriaxone.
    Pharmacotherapy, 2005, Volume: 25, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Anti-Infective Agents; Blood Glucose; Ceftriaxone; Ciprofloxacin; Fe

2005
Hypoglycemia-induced anoxic brain injury possibly associated with levofloxacin.
    The Journal of infection, 2006, Volume: 52, Issue:6

    Topics: Aged; Anti-Bacterial Agents; Blood Glucose; Glasgow Coma Scale; Humans; Hypoglycemia; Hypoxia, Brain

2006
Glucose homeostasis abnormalities and gatifloxacin.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2006, Mar-15, Volume: 42, Issue:6

    Topics: Aza Compounds; Fluoroquinolones; Gatifloxacin; Glucose; Homeostasis; Humans; Hyperglycemia; Hypoglyc

2006
Outpatient gatifloxacin therapy and dysglycemia in older adults.
    The New England journal of medicine, 2006, Mar-30, Volume: 354, Issue:13

    Topics: Aged; Aged, 80 and over; Ambulatory Care; Anti-Bacterial Agents; Case-Control Studies; Cephalosporin

2006
Levofloxacin-induced hypoglycemia in a nondiabetic patient.
    The American journal of the medical sciences, 2006, Volume: 331, Issue:6

    Topics: Aged; Anti-Bacterial Agents; Coronary Artery Bypass; Female; Glucagon; Glucose; Humans; Hypoglycemia

2006
A Rare but serious side effect of Levofloxacin: hypoglycemia in a geriatric patient.
    Diabetes care, 2006, Volume: 29, Issue:7

    Topics: Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemia; Levofloxacin; Middle Aged; Ofloxacin; Pneum

2006
Effect of levofloxacin on serum glucose concentration in rats.
    European journal of pharmacology, 2006, Dec-03, Volume: 551, Issue:1-3

    Topics: Adrenal Medulla; Animals; Anti-Bacterial Agents; Blood Glucose; Diphenhydramine; Dose-Response Relat

2006
Post-marketing surveillance of the safety of levofloxacin in Japan.
    Chemotherapy, 2007, Volume: 53, Issue:2

    Topics: Achilles Tendon; Adolescent; Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Chemical and

2007
Effects of gatifloxacin and levofloxacin on rates of hypoglycemia and hyperglycemia among elderly hospitalized patients.
    Pharmacotherapy, 2007, Volume: 27, Issue:11

    Topics: Aged; Aged, 80 and over; Anti-Infective Agents; Cohort Studies; Dose-Response Relationship, Drug; Fe

2007
Prevalence of and risk factors for dysglycemia in patients receiving gatifloxacin and levofloxacin in an outpatient setting.
    Pharmacotherapy, 2008, Volume: 28, Issue:1

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Azithromycin; Creatinin

2008
Fatal hypoglycemia with levofloxacin use in an elderly patient in the post-operative period.
    Langenbeck's archives of surgery, 2008, Volume: 393, Issue:2

    Topics: Acute Kidney Injury; Aged; Anti-Bacterial Agents; Drug Therapy, Combination; Duodenal Ulcer; Fatal O

2008
Hypoglycemia and levofloxacin: a case report.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2008, Apr-01, Volume: 46, Issue:7

    Topics: Aged, 80 and over; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemia; Levofloxacin; Ofloxacin;

2008
Levofloxacin and hypoglycemia.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2008, Apr-01, Volume: 46, Issue:7

    Topics: Clinical Competence; Fluoroquinolones; Gatifloxacin; Health Services Research; Hospitals, University

2008