Focus on lomefloxacin: effectiveness and safety
https://doi.org/10.37489/2588-0519-2024-2-43-50
EDN: PGOWSD
Abstract
The results of clinical studies on the use of lomefloxacin for various diseases are presented.
The purpose of this study was to analyze the effectiveness and safety of lomefloxacin based on the results of clinical studies published in the scientific literature. Extensive clinical experience with the use of fluoroquinolones in millions of patients indicates their high effectiveness in treating infections of various origins and localities. Lomefloxacin, a difluorinate representative of the fluoroquinolone group, is a bactericidal agent with a wide spectrum of antimicrobial activity against gram-negative and gram-positive microorganisms. The most important property of lomefloxacin is its high bioavailability — more than 98 % when administered orally.
The effectiveness of oral lomefloxacin against respiratory tract, urinary tract, obstetric, and gynecological infections, joint infections, skin infections, and mouth, ears, nose, throat, and eyes infections has been studied. Moreover, lomefloxacin has been used as an otic solution to treat otitis media and in the form of an ophthalmic solution to treat eye infections.
In studies conducted in Western countries, 72 to 94 % of patients with respiratory tract infections treated with lomefloxacin (400 mg once daily) experienced improvement in clinical symptoms: the causative bacteria were eliminated in 80 to 90 % of cases. Lomefloxacin was well tolerated, and most adverse effects were mild to moderate and reversible. The most common adverse events were gastrointestinal symptoms (nausea, diarrhea, pain/discomfort). In addition, headache, dizziness, transient insomnia, skin hypersensitivity reactions, including photosensitivity, were reported in fewer patients.
Based on extensive clinical experience with the use of lomefloxacin, it can be argued that the drug has established itself as a drug with proven effectiveness and a known safety profile.
About the Authors
A. L. KhokhlovRussian Federation
Alexander L. Khokhlov - Dr. Sci (Med.), Professor, Academician of the Russian Academy of Sciences, Head of the Department of Pharmacology and Clinical Pharmacology, Rector
Yaroslavl
Ju. V. Rybachkova
Russian Federation
Juliya V. Rybachkova - PhD, Cand. Sci. (Med), Assistant of the Department of Pharmacology and Clinical Pharmacology
Yaroslavl
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Review
For citations:
Khokhlov A.L., Rybachkova J.V. Focus on lomefloxacin: effectiveness and safety. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2024;(2):43-51. (In Russ.) https://doi.org/10.37489/2588-0519-2024-2-43-50. EDN: PGOWSD