Tag Archives: ruptured tendon

Zark’s Caution About Levaquin

27 Oct

Zark from www.ZarkAnderson.com posted the following piece.  It has some great advice for both potential Levaquin users and prescribers.

Yesterday my younger son called from college, telling the doctor had just prescribed Levaquin for some bug that he has been unable to shake.  We immediately advised him to return and request a completely different antibiotic.

Wiki tells that levofloxacin is a chemotherapeutic drug used to treat bacterial infections.  More specifically, it is a fluoroquinolone antibiotic with sister drugs such as Noroxin and Cipro.  This family of drugs kills bacteria by interfering with DNA replication.  Other families of antibiotics such as penicillins and cephalosporins attack other structures of the bacteria instead of inhibiting DNA replication.

Sounds like a sophisicated antibiotic doesn’t it?  However, Wiki tells us in Adverse effects of fluoroquinolones there are adverse drug reactions in 5 to 16 percent of patients.  Although rarer, there are serious adverse effects such as central nervous system (CNS) toxicity and tendon toxicity.  FDA orders ‘black box’ label on some antibiotics tells that in July 2008, the FDA ordered manufacturers to warn patients about possible tendon ruptures and tendonitis.  In the CNN article, the FDA stated it had received ‘hundreds’ of reports of tendon problems correlated to fluoroquinolones.

Almost one month prior to the FDA action, I took Levaquin for an infection.  I had only taken two pills and while running on that second day was stricken with tendonitis in my quadriceps and hamstrings so badly that I could barely make it home.  Later the tendonitis became much more widespread.  I am not exaggerating – it was scary.  To read some of the horror stories of other patients, see The Flouroquinolone Syndrome.

It is important to understand the potential adverse reactions to these antibiotics is not an upset stomach or rash, but a real risk of tendon ruptures and other damage.  After about six months of exercising in a pool, the tendonitis subsided and I was able to resume running.  And I only took two pills.

It is not my intent to bash the pharmaceutical companies – we need new and better medicines all the time.  But after my son innocently received a prescription for Levaquin, I decided I should issue a personal warning about these antibiotics.  There is a reason that the FDA has issued a black box warning.

Physicians – do not prescribe them unless it is a life-or-death situation.  Prescribe another antibiotic.

Patients – Likewise, if you receive a script for Levaquin, ask for something different.

Source: http://www.zarkanderson.com/2009/10/caution-about-levaquin.html

Fluoroquinolone antibiotics – A Real Concern.

23 Oct

Here is a thoughtful piece from John Fratti of Levaquin Adverse Effects Blog. If you have any questions for John, his email address appears below.

Quinolones are currently one of the most commonly prescribed classes of antiobiotics. They are very powerful medications used to treat many types of infections such as respiratory infections, urinary tract infections, and sinus infections. The two most commonly prescribed quinolones are Levaquin and Cipro. Like all medications this class of antibiotics has side effects. However, what differentiates this class of antibiotics from others is that quinolones have the ability to cause severe and permanent disability. Many of these side effects can even occur weeks to months after taking the antibiotic. Approximately half of the quinolones that were once on the market have now been removed from clinical practice due to their severe toxicities. Examples include Tequin, Omniflox, Trovan, and Zagam. The package insert for all quinolone antibiotics lists irreversible pain and irreversible neurological damage as possible side effects.

There is no question that quinolone antibiotics have their usefulness. They are extremely powerful medications that work very well to kill difficult to treat infections. They have proved to be life saving in certain situations. However, they were never meant to be used as a first line of defense against mild infections which is how they are often prescribed today.

In July of 2008, the FDA mandated that all quinolone antibiotics carry a “Black Box “ warning for tendon rupture and tendonitis. This is the strongest warning label a drug can have before it is removed from the market. Public Citizen, a consumer advocacy group, sued the FDA demanding quinolones carry a Black Box warning. If Public Citizen had not taken this action there may not be any “Black Box” warning for this class of antibiotics. The FDA gets approximately 50% of their funding directly from the pharmaceutical companies in what is called prescription drug user fees. This is an absurd conflict of interest that has made the FDA very slow and often reluctant to react to drug toxicities of all kinds. What the FDA is doing and what the public thinks the FDA is doing is as different as night and day- A quote from Dr. Herbert Ley, former commissioner of the FDA. If you look closely at the track record of the FDA it would indicate that they are serving interests other than yours and mine. In 2007, China executed Zheng Xiaoyu, who was the head of the food and drug administration in that country for taking $800,000 of money from the drug companies. In America, this behavior seems to be simply business as usual.

Dr. David Graham, from the FDA, says that the Vioxx debacle alone caused more than 60,000 deaths. To put that in perspective, that is more deaths than the number of American troops that died in the Vietnam war. Since the major media outlets obtain considerable advertising revenue from the drug industry they are often reluctant to do a story on the damaging side effects of medications. They don’t like to bite the hand that feeds them.

Unfortunately, the Black Box warning is far too late for the thousands of people that are now living with devastating disabilities. Lariam, a quinolone derivative, that is used strictly for malaria prevention has been widely prescribed to US troops since the 1990’s. An award winning documentary titled “Taken as Directed“ details the extensive physical and neurological damage caused by Lariam. 60 Minutes and Consumer Reports magazine also did a story on Lariam toxicity. Some of the many websites that describe the severe adverse reactions to quinolones include: Antibiotics.org, Favc.info, Fqvictims.org, Fqresearch.org, and Lariaminfo.org

Dr. Jay Cohen, a medical researcher and associate professor at the University of California, San Diego published a paper on severe peripheral neuropathy caused by quinolones. Dr. Cohen mentions that these debilitating reactions are not rare. He mentions that most doctors have dismissed patient complaints or outright deny that quinolones can cause this type of long term damage even though it is mentioned in the package insert. Even if one person in 100 suffers a grave side effect that can still mean millions of people affected. Even the FDA admits that less than 5 % of all adverse drug reactions ever get reported to their agency.

David Flockhart, professor of medicine and chief of clinical pharmacology at Indiana University School of Medicine, says as many as a third of patients taking a quinolone will experience some sort of psychiatric side effect, such as anxiety, personality change, or confusion. “ The psychiatric effects of the quinolones are underappreciated by the medical profession as well as by the public,” says Dr. Flockhart, who has treated more than one hundred patients with severe psychiatric side effects.

Before anyone takes this class of antibiotics they should have the right to know that it can cause irreversible damage. People need to be afforded the right of informed consent. The prescribing literature patients receive at the pharmacy is far different than what is in the tiny print in the package insert. Why am I writing an article on quinolone antibiotics? I feel that I have a moral obligation to warn as many people as possible. I was a pharmaceutical sales representative who was in great health and led a very clean life. I worked hard to obtain a master’s degree and I loved my job. Over three and a half years ago I was prescribed a handful of Levaquin pills for a possible infection and like tens of thousands of others my life has been turned into a living hell. I write this article in the hopes of preventing others from suffering a similar fate.

Jfratti@comcast.net
www.Levaquinadversesideeffect.com

Source: http://www.levaquinadversesideeffect.com/?page_id=2

Testimonial of a Levaquin Victim

15 Oct

Here’s a testimonial from Clay Powell, a retired teacher, kidney transplant recipient, former marathon runner and current advocate for seniors’ rights. After a ruptured tendon left him unable to compete in running, Clay joined a lawsuit against the manufacturers of Levaquin.

I’ve had a very interesting decade; one in which my life has undergone a series of significant changes, accompanied by ups and downs that sometimes left my head spinning as I tried to digest everything that was going on.

Let’s start back when I was 55. I had spent the previous 30 years teaching geography at a small high school and I was considering taking early retirement. I was badly overweight, didn’t really take care of myself and my wife and I had plans to travel and get into shape together. Then disaster struck. Years of neglect and poor diet had apparently caught up to me and before I knew it, I was on a dialysis machine facing kidney failure. I was off work, but on disability instead of early retirement. I got lucky and was selected for a kidney transplant and suddenly everything seemed to be looking up again. Determined to prevent any other breakdowns, I took my medications religiously, adopted a much healthier diet and worked out. I returned to work for one more year, then took that early retirement and progressed into running marathons. I’d never felt better and our golden years were looking healthier and longer-lasting than ever.

One day I started feeling pain in the back of my foot which didn’t go away. My foot was swelling, but didn’t seem to respond to rest. When I went in to see a doctor, she immediately ordered scans and it turned out that I had ruptured my Achilles Tendon. My marathon days were over. I couldn’t figure out how it had happened, though. I was in good shape, I stretched, I never overdid it and I invested in the best running shoes. I was mentioning this to my physiotherapist one day and he asked if I had ever taken Levaquin or Cipro. Well, yes. Levaquin was prescribed as part of my kidney treatment, to protect against bacterial infections. He suggested I call a lawyer and I did.

It turns out that Levaquin has been proven to increase the risk of swollen or ruptured tendons, especially in patients over the age of 60. There was no mention of any risk on the medication and my doctor hadn’t mentioned anything. Recovery from a ruptured tendon is painful and expensive. If you suspect that you may have been affected, I recommend that you contact a levaquin attorney as well, or you’ll be footing a considerable bill by yourself.

Source: http://www.articlesbase.com/law-articles/levaquin-lawsuit-is-an-option-for-some-seniors-suffering-from-ruptured-tendons-1027641.html

Is it ruptured?

13 Oct

Here’s an interesting test I found on Youtube: How do you know if you’ve got a ruptured tendon? [disclaimer: this video is not intended to replace sound medical advice from a physician.]