Focus on lomefloxacin: effectiveness and safety

A. L. Khokhlov, J. V. Rybachkova
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Abstract

The results of clinical studies on the use of lomefloxacin for various diseases are presented.The purpose of this study was to analyze the effectiveness and safety of lomefloxacin based on the results of clinical studies published in the scientific literature. Extensive clinical experience with the use of fluoroquinolones in millions of patients indicates their high effectiveness in treating infections of various origins and localities. Lomefloxacin, a difluorinate representative of the fluoroquinolone group, is a bactericidal agent with a wide spectrum of antimicrobial activity against gram-negative and gram-positive microorganisms. The most important property of lomefloxacin is its high bioavailability — more than 98 % when administered orally.The effectiveness of oral lomefloxacin against respiratory tract, urinary tract, obstetric, and gynecological infections, joint infections, skin infections, and mouth, ears, nose, throat, and eyes infections has been studied. Moreover, lomefloxacin has been used as an otic solution to treat otitis media and in the form of an ophthalmic solution to treat eye infections.In studies conducted in Western countries, 72 to 94 % of patients with respiratory tract infections treated with lomefloxacin (400 mg once daily) experienced improvement in clinical symptoms: the causative bacteria were eliminated in 80 to 90 % of cases. Lomefloxacin was well tolerated, and most adverse effects were mild to moderate and reversible. The most common adverse events were gastrointestinal symptoms (nausea, diarrhea, pain/discomfort). In addition, headache, dizziness, transient insomnia, skin hypersensitivity reactions, including photosensitivity, were reported in fewer patients.Based on extensive clinical experience with the use of lomefloxacin, it can be argued that the drug has established itself as a drug with proven effectiveness and a known safety profile.
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关注洛美沙星:有效性和安全性
本研究的目的是根据科学文献中发表的临床研究结果分析洛美沙星的有效性和安全性。数百万患者使用氟喹诺酮类药物的广泛临床经验表明,该药物在治疗各种来源和部位的感染方面具有很高的疗效。洛美沙星是氟喹诺酮类的二氟代表,是一种杀菌剂,对革兰氏阴性和革兰氏阳性微生物具有广谱抗菌活性。口服洛美沙星对呼吸道、泌尿道、产科和妇科感染、关节感染、皮肤感染以及口腔、耳、鼻、咽喉和眼部感染的疗效已得到研究。此外,洛美沙星还被用作治疗中耳炎的耳药水,以及治疗眼部感染的眼药水。在西方国家进行的研究显示,72% 到 94% 的呼吸道感染患者在接受洛美沙星(400 毫克,每天一次)治疗后,临床症状得到改善:80% 到 90% 的病例中的致病菌被消灭。洛美沙星的耐受性良好,大多数不良反应为轻度至中度,且可逆。最常见的不良反应是胃肠道症状(恶心、腹泻、疼痛/不适)。此外,较少患者出现头痛、头晕、短暂性失眠、皮肤过敏反应(包括光敏反应)等不良反应。根据使用洛美沙星的大量临床经验,可以说该药已成为一种疗效确切、安全性已知的药物。
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