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Limitations-of-useReserve fluoroquinolones for patients who do not have other available treatment options for acute bacterial exacerbation of chronic bronchitis.
Older adults may be more sensitive to the side effects of this drugespecially tendon problemsespecially if they are also taking corticosteroids such as prednisone or hydrocortisoneand QT prolongationsee above
Alert patients of the symptoms of hypoglycemia and carefully monitor blood glucose levels in these patientsand discuss with them how to treat themselves if they have symptoms of hypoglycemiaInform patients about the risk of psychiatric adverse reactions that can occur after just one doseStop fluoroquinolone treatment immediately if a patient reports any central nervous system side effectsincluding psychiatric adverse reactionsor blood glucose disturbances and switch to a non-fluoroquinolone antibiotic if possibleStop fluoroquinolone treatment immediately if a patient reports serious side effects involving the tendonsmusclesjointsor nervesand switch to a non-fluoroquinolone antibiotic to complete the patient’s treatment course.
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