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Fluoroquinolones of Important Antibacterial Drug Interactions

  • Theophyllinea
    • Can result in theophylline toxicity
  • Sucralfate; antacids containing aluminum, calcium, or magnesium; ferrous sulfate- and zinc-containing multivitamins
    • Can result in decreased oral absorption of fluoroquinolones. Administer fluoroquinolone 2 h before or 6 h after interacting drug.
  • Tizanidinea
    • Can result in increased levels of tizanidine and hypotensive, sedative effects. Monitor for side effects if drugs are given concomitantly. -QTc-prolonging agents (e.g., azoles, sotalol, amiodarone, dofetilide, fluoxetine)
    • Increased risk of cardiotoxicity and arrhythmias. Monitor QTc.