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Sparfloxacin (By mouth)
Treats pneumonia and bronchitis caused by bacteria infections in adults. This medicine is a fluoroquinolone antibiotic. Sparfloxacin is no longer available in the United States.
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
You should not use this medicine if you have had an allergic reaction to sparfloxacin (Zagam®). You should not use this medicine if you have a heart condition known as QTc prolongation, or if you are using heart medicine that may affect your heart beat. These medicines include amiodarone, disopyramide, quinidine, Cardioquin®, Cordarone®, Norpace®, Pacerone®, Quinaglute®, and Quinidex®. They also include procainamide, sotalol, Betapace®, Procan-SR®, and Pronestyl®. Do not take sparfloxacin if you cannot stay away from sunlight while taking the medicine. Do not take sparfloxacin if you cannot stay away from the sunlight for 5 days after you have taken all your doses.
How to Use This Medicine
- Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
- You may take this medicine with or without food.
- Drink extra fluids so you will pass more urine while you are using this medicine. This will keep your kidneys working well and help prevent kidney problems.
- Keep using this medicine for the full treatment time, even if you feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon.
- If your symptoms do not improve or if they get worse, call your doctor.
If a dose is missed:
- If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
How to Store and Dispose of This Medicine
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
- Keep all medicine away from children and never share your medicine with anyone.
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- You should not take certain antacids medicines before or at the same time you take sparfloxacin. Examples of antacids include aluminum carbonate, magnesium hydroxide, milk of magnesia, Basagel®, Gaviscon®, Maalox®, Mylanta®, and Rolaids®. If you need to use an antacid, take it 4 hours after you take your sparfloxacin dose.
- You should not take sucralfate (Carafate®) before or at the same time you take sparfloxacin. If you need to take sucralfate, take it 4 hours after you take your sparfloxacin dose.
- You should not take didanosine (Videx®) before or at the same time you take sparfloxacin. If you need to take didanosine, take it 4 hours after you take your sparfloxacin dose.
- You should not take vitamins or supplements that contain iron, zinc, or calcium before or at the same time you take sparfloxacin. If you need to take a vitamin or supplement, take it 4 hours after you take your sparfloxacin dose.
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant or breast feeding. Make sure your doctor knows if you have seizures, or if you have a condition that makes you more likely to have seizures, such as epilepsy. Make sure your doctor knows if you have kidney problems, or if you have heart problems.
- You could get a serious sunburn while using this medicine, even while wearing sunscreen. Carefully follow all instructions from your doctor.
- Stay out of the sunlight for the entire time you are taking this medicine. This includes avoiding sunlight that comes in through a window and from sunlamps or tanning beds. Also be aware that even when the sky is cloudy, the UV light can reach your skin. If you must be in the sun, wear clothing that covers all of your skin. This includes sunglasses, a hat, and gloves. Stay out of the sunlight for at least 5 days after you are done taking all your doses of this medicine.
- Your skin might turn red while you are using this medicine. If your skin turns very red, or starts to blister, peel, or itch, call your doctor.
- You may start to have pain in your tendons while you are using this medicine. Examples of places where your tendons may be painful include your ankle or heel, your shoulder, or your hand. If your tendons become painful, do not exercise, and call your doctor.
- If you have severe diarrhea, ask your doctor before taking any medicine to stop the diarrhea.
- This medicine may make you dizzy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
- Make sure any doctor who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
- Extreme sadness, or thoughts of killing yourself.
- Red, blistering, itchy skin, or skin rash.
- Severe diarrhea that may contain blood.
If you notice these less serious side effects, talk with your doctor:
- Changed sense of taste.
- Feeling nervous, jumpy, uptight, confused, or unusually worried or sad.
- Pain in your tendons.
- Headache, lightheadedness, or dizziness.
- Nausea, stomach pain, gassiness, upset stomach, vomiting, or diarrhea.
- Seeing things that are not there.
- Seizures, or shaky hands.
- Sleeplessness or nightmares.
If you notice other side effects that you think are caused by this medicine, tell your doctor