Fluoroquinolones (FQs)

  • Inhibits bacterial DNA gyrase; spectrum: GN bacteria, strep/staph, certain mycobacteria
  • Adverse effects: tendon rupture, cartilage damage in joints, ↑ LFTs, nephrotoxicity
  • Contraindication: pregnancy and children (due to deposition of drug in cartilage)
  • ↓ Absorption with antacids, iron, sucralfate; inhibits CYP1A2 so ↑ levels of following drugs taken concomitantly: warfarin, aminophylline, theophylline; may also ↑ levels of procainamide; if taken with cyclosporine may increase renal toxicity
  • Pregnancy category C