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Moxifloxacin

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announcing the court's decision, it was noted that Teva had also challenged the validity of the same Bayer patents at issue in the Dr. Reddy's case. Within Bayer's first-quarter 2008 stockholder's newsletter Bayer stated that they had reached an agreement with Teva Pharmaceuticals USA, Inc., the adverse party, to settle their patent litigation with regard to the two Bayer patents. Under the settlement terms agreed upon, Teva would obtain a license to sell its generic moxifloxacin tablet product in the U.S. shortly before the second of the two Bayer patents expires in March 2014. In Bangladesh, it is available with brand name of Optimox.
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In the European Union, it is licensed for acute bacterial exacerbations of chronic bronchitis, non-severe community-acquired pneumonia, and acute bacterial sinusitis. On the basis of its investigation into reports of rare but severe cases of liver toxicity and skin reactions, the European Medicines Agency recommended in 2008 that the use of the oral (but not the intravenous) form of moxifloxacin be restricted to infections in which other antibacterial agents cannot be used or have failed. In the United States, the marketing approval does not contain these restrictions, though the label contains prominent warnings of skin reactions.
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2004, and as such was not expected to expire until 2012. Moxifloxacin was subsequently (ten years later) approved by the FDA for use in the United States in 1999. At least four additional United States patents have been filed regarding moxifloxacin hydrochloride since the 1989 United States application, as well as patents outside of the US.
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eliminated primarily in the feces. Approximately 14% of an oral or intravenous dose is converted to a glucuronide conjugate (M2), which is excreted exclusively in the urine. Peak plasma concentrations of M2 are about 40% those of the parent drug, while plasma concentrations of M1 are, in general, less than 10% those of moxifloxacin.
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studies have found that moxifloxacin appears in significant concentration in breastmilk. Decisions as to whether to continue therapy during pregnancy or while breast feeding should take the potential risk of harm to the fetus or child into account, as well as the importance of the drug to the well-being of the mother.
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In the United States, moxifloxacin is licensed for the treatment of acute bacterial sinusitis, acute bacterial exacerbation of chronic bronchitis, community-acquired pneumonia, complicated and uncomplicated infections of the skin and of the skin structure, and complicated intra-abdominal infections.
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A United States patent application was made on 30 June 1989, for Avelox, Bayer A.G. being the assignee, which was subsequently approved on 5 February 1991. This patent was scheduled to expire on 30 June 2009. However, this patent was extended for an additional two and one half years on 16 September
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as soon as possible after oral overdose may prevent excessive increase of systemic moxifloxacin exposure. About 3% and 9% of the dose of moxifloxacin, as well as about 2% and 4.5% of its glucuronide metabolite are removed by continuous ambulatory peritoneal dialysis and hemodialysis, respectively."
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disclosed a broad selection of compounds, any one of which could have been selected as a lead compound for further investigation, and defendant did not prove that the prior art would have led to the selection of the particular compound singled out by defendant." According to Bayer's press release
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Based on its investigation into reports of rare but severe cases of liver toxicity and skin reactions, the European Medicines Agency recommended in 2008 that the use of the oral (but not the IV) form of moxifloxacin be restricted to infections in which other antibacterial agents cannot be used or
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Moxifloxacin was first patented (United States patent) in 1991 by Bayer A.G., and again in 1997. Avelox was subsequently approved by the U.S. Food and Drug Administration (FDA) for use in the United States in 1999 to treat specific bacterial infections. Ranking 140th within the top 200 prescribed
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Though not stated as such within the package insert, ziprasidone is also considered to be contraindicated, as it may have the potential to prolong QT interval. Moxifloxacin should also be avoided in patients with uncorrected hypokalemia, or concurrent administration of other medications known to
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Exposure of the developing fetus to quinolones, including levofloxacin, during the first-trimester is not associated with an increased risk of stillbirths, premature births, birth defects, or low birth weight. There is limited data about the appearance of moxifloxacin in human breastmilk. Animal
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Oral and intravenous moxifloxacin have not been approved for children. Several drugs in this class, including moxifloxacin, are not licensed by the Food and Drug Administration for use in children, because of the risk of permanent injury to the musculoskeletal system. Moxifloxacin eye drops are
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of moxifloxacin is 11.5 to 15.6 hours (single-dose, oral). About 45% of an oral or intravenous dose of moxifloxacin is excreted as unchanged drug (about 20% in urine and 25% in feces). A total of 96 ± 4% of an oral dose is excreted as either unchanged drug or known metabolites. The mean (± SD)
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Moxifloxacin is not believed to be associated with clinically significant drug interactions due to inhibition or stimulation of hepatic metabolism. Thus, it should not, for the most part, require special clinical or laboratory monitoring to ensure its safety. Moxifloxacin has a potential for a
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or other seizure disorders. Coadministration of moxifloxacin with other drugs that also prolong the QT interval or induce bradycardia (e.g., beta-blockers, amiodarone) should be avoided. Careful consideration should be given in the use of moxifloxacin in patients with cardiovascular disease,
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About 52% of an oral or intravenous dose of moxifloxacin is metabolized via glucuronide and sulfate conjugation. The cytochrome P450 system is not involved in moxifloxacin metabolism, and is not affected by moxifloxacin. The sulfate conjugate (M1) accounts for around 38% of the dose, and is
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In 2007, the U.S. District Court for the District of Delaware held that two Bayer patents on Avelox are valid and enforceable, and infringed by Dr. Reddy's ANDA for a generic version of Avelox. The district court sided with Bayer, citing the Federal Circuit's prior decision in
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studies with cytochrome (CYP) P450 enzymes indicate that moxifloxacin does not inhibit 80 CYP3A4, CYP2D6, CYP2C9, CYP2C19, or CYP1A2, suggesting that moxifloxacin is unlikely to alter the pharmacokinetics of drugs metabolized by these enzymes.
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The U.S. label does not contain restrictions similar to the European label, but a carries a "black box" warning of the risk of tendon damage and/or rupture and warnings regarding the risk of irreversible peripheral neuropathy.
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Nightingale CH (March 2000). "Moxifloxacin, a new antibiotic designed to treat community-acquired respiratory tract infections: a review of microbiologic and pharmacokinetic-pharmacodynamic characteristics".
1097:(NSAIDs): Although not observed with moxifloxacin in preclinical and clinical trials, the concomitant administration of a nonsteroidal anti-inflammatory drug with a fluoroquinolone may increase the risks of 1104:"Moxifloxacin is contraindicated in persons with a history of hypersensitivity to moxifloxacin, any member of the quinolone class of antimicrobial agents, or any of the product components." 121: 678: 2980: 252: 1398:
Zhanel GG, Fontaine S, Adam H, Schurek K, Mayer M, Noreddin AM, et al. (2006). "A Review of New Fluoroquinolones : Focus on their Use in Respiratory Tract Infections".
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apparent total body clearance and renal clearance are 12 ± 2 L/h and 2.6 ± 0.5 L/h, respectively. The CSF penetration of moxifloxacin is 70% to 80% in patients with
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InChI=1S/C21H24FN3O4/c1-29-20-17-13(19(26)14(21(27)28)9-25(17)12-4-5-12)7-15(22)18(20)24-8-11-3-2-6-23-16(11)10-24/h7,9,11-12,16,23H,2-6,8,10H2,1H3,(H,27,28)/t11-,16+/m0/s1
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Ziv A, Masarwa R, Perlman A, Ziv D, Matok I (March 2018). "Pregnancy Outcomes Following Exposure to Quinolone Antibiotics - a Systematic-Review and Meta-Analysis".
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Moxifloxacin monohydrochloride is a slightly yellow to yellow crystalline substance. It is synthesized in several steps, the first involving the preparation of
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has advised that, for pneumonia, acute bacterial sinusitis, and acute exacerbations of COPD, it should only be used when other antibiotics are inappropriate.
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Balfour JA, Lamb HM (January 2000). "Moxifloxacin: a review of its clinical potential in the management of community-acquired respiratory tract infections".
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Principe L, Sanson G, Luzzati R, Aschbacher R, Pagani E, Luzzaro F, Di Bella S (August 2022). "Time to reconsider moxifloxacin anti-anaerobic activity?".
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The safety of moxifloxacin in human patients under age 18 has not been established. Animal studies suggest a risk of musculoskeletal harm in juveniles.
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The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023)
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Unemo M, Jensen JS (March 2017). "Antimicrobial-resistant sexually transmitted infections: gonorrhoea and Mycoplasma genitalium".
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Regulatory agencies have taken actions to address certain rare but serious adverse events associated with moxifloxacin therapy.
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The initial approval by the Food and Drug Administration of the United States (December 1999) encompassed these indications:
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have been reported to be resistant to moxifloxacin, while in Italy resistance rates as high as 41% have been reported.
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Karande SC, Kshirsagar NA (February 1992). "Adverse drug reaction monitoring of ciprofloxacin in pediatric practice".
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as "affirming the district court's finding that defendant failed to prove a prima facie case of obviousness where the
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Alffenaar JW, van Altena R, Bökkerink HJ, Luijckx GJ, van Soolingen D, Aarnoutse RE, van der Werf TS (October 2009).
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Recently, alarming reports of moxifloxacin resistance rates among anaerobes have been published. In Austria 36% of
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Rare but serious adverse effects that may occur as a result of moxifloxacin therapy include irreversible
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Pothineni VR, Wagh D, Babar MM, Inayathullah M, Solow-Cordero D, Kim KM, et al. (1 April 2016).
1610: 1364: 1209: 914: 531: 2224:"Identification of new drug candidates against Borrelia burgdorferi using high-throughput screening" 1929:"European Medicines Agency recommends restricting the use of oral moxifloxacin-containing medicines" 3627: 3087:"Updated Labelling for Antibiotic Avelox (Moxifloxacin) Regarding Rare Risk of Severe Liver Injury" 959: 578: 2083:"Surveillance of Antimicrobial Susceptibility of Anaerobe Clinical Isolates in Southeast Austria: 1484: 828:
Moxifloxacin was patented in 1988 and approved for use in the United States in 1999. It is on the
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have failed. Similarly, the Canadian label includes a warning of the risk of liver injury.
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drugs in the United States for 2007, Avelox generated sales of $ 697.3 million worldwide.
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Moxifloxacin is also considered to be contraindicated within the pediatric population,
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The pharmacokinetics of moxifloxacin in pediatric subjects have not been studied.
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and moxifloxacin has increased potential to result in tendonitis and disability.
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1-Cyclopropyl-7-nonan-8-yl]-6-fluoro-8-methoxy-4-oxoquinoline-3-carboxylic acid
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König E, Ziegler HP, Tribus J, Grisold AJ, Feierl G, Leitner E (April 2021).
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Only two listed contraindications are found within the 2008 package insert:
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Guidelines for the Programmatic Management of Drug-resistant Tuberculosis
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prolong the QT interval (antipsychotics and tricyclic antidepressants).
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A broad spectrum of bacteria is susceptible, including the following:
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May 2004: Community-acquired pneumonia caused by multidrug-resistant
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Additional indications approved by the Food and Drug Administration:
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inhibit the absorption of moxifloxacin. Drugs that prolong the
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DEPARTMENT OF HEALTH & HUMAN SERVICES (28 February 2008).
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Several reports suggest the use of moxifloxacin may lead to
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April 2001: Uncomplicated skin and skin-structure infections
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Moxifloxacin should be used with caution in patients with
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June 2005: Complicated skin and skin-structure infections
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may be increased or decreased in patients treated with
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World Health Organization's List of Essential Medicines
2600:"Microsoft Word - Rote Hand Brief Avalox an BfArM.doc" 1711: 1116:, as glucose regulation may be significantly altered. 840:
Moxifloxacin treats a number of infections, including
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November 2005: Complicated intra-abdominal infections
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Division of Special Pathogen and Transplant Products
1049:, psychiatric effects (hallucinations, depression), 2955:"EU agency recommends restricting moxifloxacin use" 1487:. The American Society of Health-System Pharmacists 1357: 2398: 1732: 1983: 1698:The American Society of Health-System Pharmacists 700:COc1c2c(cc(c1N3C4CCCN4C3)F)c(=O)c(cn2C5CC5)C(=O)O 4233: 2900:. patentlens.net. 3 October 2006. Archived from 2503: 2501: 422: 1582: 1128:including those with conduction abnormalities. 397: 2783: 2781: 1393: 1391: 1389: 1075: 116: 4287:World Health Organization essential medicines 3273: 3145:"Ruling in Bayer's favor over Avelox patents" 2498: 2010: 3205:. uscourts.gov. 28 June 2007. Archived from 2408:. JAMA Ophthalmology online. 2 October 2014. 1452:. World Health Organization. pp. 189–. 550: 2778: 2665: 2663: 2622: 2461: 2178: 1977: 1386: 1131: 925:infections caused by susceptible bacteria. 3280: 3266: 3135: 3133: 2742:Microbiology and Molecular Biology Reviews 2735: 2568: 2566: 2564: 1479: 1477: 1475: 1473: 1471: 1469: 604: 581: 462: 38: 29: 2837: 2827: 2761: 2680:. Letter to Martina Ziska. Archived from 2533: 2531: 2529: 2527: 2525: 2523: 2521: 2406:"Risk for Uveitis With Oral Moxifloxacin" 2249: 2239: 2112: 2102: 2087:Group Is on the Fast Track to Resistance" 2028: 1622: 1441: 1439: 1437: 883:Acute exacerbations of chronic bronchitis 482: 3230: 3139: 3106: 2860: 2705: 2660: 2340: 2306: 2272: 1510:British national formulary : BNF 69 3130: 3116:Center for Drug Evaluation and Research 2947: 2561: 2316:Center for Drug Evaluation and Research 2282:Center for Drug Evaluation and Research 1504: 1502: 1466: 935: 821:by blocking their ability to duplicate 577: 442: 323: 93: 4234: 2789:"Drug card for Moxifloxacin (DB00218)" 2518: 1669:"Moxifloxacin - Drug Usage Statistics" 1603: 1589:. John Wiley & Sons. p. 501. 1576: 1434: 1332: 1311: 1203: 1145:serious drug interaction with NSAIDs. 595: 3261: 2537: 2004: 1953: 1617:. Geneva: World Health Organization. 1316: 1295:Moxifloxacin is also manufactured by 1271:2,8-diazabicyclononane which is then 1220:bacteria. It functions by inhibiting 530: 259: 111: 79: 3109:"NDA 21-085/S-040, NDA 21-277/S-034" 2925:"Top 200 Prescription Drugs of 2007" 2922: 2865:. In Fischer J, Ganellin CR (eds.). 2791:. Canada: DrugBank. 19 February 2009 2343:"NDA 21-085/S-038, NDA 21-277/S-031" 2309:"NDA 21-085/S-036, NDA 21-277/S-030" 2275:"NDA 21-085/S-024, NDA 21-277/S-019" 2228:Drug Design, Development and Therapy 1686: 1649:from the original on 15 January 2024 1499: 1095:Nonsteroidal anti-inflammatory drugs 1084: 219: 209: 2736:Drlica K, Zhao X (September 1997). 1534:"Moxifloxacin Use During Pregnancy" 1231: 1033:Adverse effects of fluoroquinolones 813:is unclear. Moxifloxacin is in the 510: 502: 413: 13: 4257:Drugs developed by Merck & Co. 1446:World Health Organization (2008). 1400:Treatments in Respiratory Medicine 1026: 817:family of medications. It usually 14: 4298: 3070:US 5416096 A (May 1995) Petersen 3063:US 5395944 A (Mar 1995) Petersen 3056:US 5059597 A (Oct 1991) Petersen 3042:US 4990517 A (Feb 1991) Petersen 2671:U.S. Food and Drug Administration 2011:Dolui SK, Das M, Hazra A (2007). 1041:, spontaneous tendon rupture and 1022:(found to be effective in vitro) 246: 143: 57:Avelox, Vigamox, Moxiflox, others 4219: 2476:10.2165/00003495-200059010-00010 2377:"NDA 21-085/S-014, S-015, S-017" 2017:Journal of Postgraduate Medicine 1412:10.2165/00151829-200605060-00009 638: 635: 629: 3224: 3192: 3163: 3100: 3079: 3049:US 5051509 A (Sep 1991) Nagano 3036: 3007: 2973: 2916: 2854: 2803: 2729: 2699: 2616: 2592: 2455: 2412: 2368: 2341:Albrecht R (15 February 2008). 2334: 2300: 2266: 2215: 2172: 2129: 2074: 2045: 1921: 1896: 1868: 1839: 1810: 1781: 1752: 1661: 1631: 1583:Fischer J, Ganellin CR (2006). 1198: 1139: 835: 778:. It can be given by mouth, by 725:Key:FABPRXSRWADJSP-MEDUHNTESA-N 3118:. Food and Drug Administration 2991:. 22 June 2003. Archived from 2754:10.1128/mmbr.61.3.377-392.1997 1526: 1176:international normalised ratio 644: 623: 1: 3623:Trimethoprim/sulfamethoxazole 3107:Albrecht R (3 October 2008). 2867:Analogue-based Drug Discovery 2150:10.1080/1120009X.2022.2106637 1586:Analogue-based Drug Discovery 1350: 1101:stimulation and convulsions." 2816:Clinical Infectious Diseases 2715:Food and Drug Administration 2547:Food and Drug Administration 2384:Food and Drug Administration 2354:Food and Drug Administration 2320:Food and Drug Administration 2286:Food and Drug Administration 2060:Food and Drug Administration 1485:"Moxifloxacin Hydrochloride" 1262: 1212:that is active against both 889:Community acquired pneumonia 842:respiratory-tract infections 789:Common side effects include 7: 4267:Drugs developed by Novartis 4252:Fluoroquinolone antibiotics 3628:Ormetoprim/sulfadimethoxine 3095:Information Update: 2010-42 2638:10.1592/phco.20.4.245.34880 2273:Albrecht R (28 July 2004). 2104:10.3390/antibiotics10050479 1185: 1076:Pregnancy and breastfeeding 10: 4303: 2706:Albrecht R (16 May 2002). 2307:Albrecht R (31 May 2007). 1627:. WHO/MHP/HPS/EML/2023.02. 1286: 1030: 953:Staphylococcus epidermidis 858:intra-abdominal infections 613:Chemical and physical data 65:Moxifloxacine; BAY 12-8039 4170: 4148: 4105: 4095: 4058: 4030: 4009: 3952: 3880: 3832: 3766: 3757: 3709: 3681: 3646: 3638:Pyrimethamine/sulfadoxine 3615: 3565: 3502: 3474: 3395: 3380: 3330: 3308: 2433:10.1007/s11095-018-2383-8 1847:"Approval of supplements" 1789:"Approval of supplements" 1611:World Health Organization 1302: 1210:broad-spectrum antibiotic 915:European Medicines Agency 886:Acute bacterial sinusitis 733: 708: 688: 666: 653: 617: 612: 593: 561: 541: 521: 493: 473: 453: 433: 408: 388: 368: 363: 347: 334: 305: 295: 285: 277: 236: 231: 196: 179: 157: 131: 101: 87: 69: 61: 51: 46: 37: 28: 4262:Drugs developed by Bayer 1562:"Details for NDA:021085" 1132:Children and adolescents 1057:Stevens–Johnson syndrome 960:Streptococcus pneumoniae 902:Streptococcus pneumoniae 4242:Anti-tuberculosis drugs 3238:. Bayer. Archived from 3147:. Bayer. Archived from 2985:Infection Control Today 2538:Bayer (December 2008). 2421:Pharmaceutical Research 2193:10.1038/nrurol.2016.268 2181:Nature Reviews. Urology 2138:Journal of Chemotherapy 2030:10.4103/0022-3859.32220 328:Tooltip cytochrome P450 3537:Sulfamethoxypyridazine 2898:"Inventors/Applicants" 1748:. Europa (web portal). 967:Haemophilus influenzae 4010:Newer non-fluorinated 3647:Other DHPS inhibitors 3633:Pyrimethamine/dapsone 3460:Succinylsulfathiazole 3456:Phthalylsulfathiazole 3340:2,4-Diaminopyrimidine 2923:Lamb E (1 May 2008). 2871:John Wiley & Sons 1639:"The Top 300 of 2021" 1252:elimination half-life 1062:Clostridium difficile 1039:peripheral neuropathy 1012:Mycoplasma genitalium 982:Moraxella catarrhalis 946:Staphylococcus aureus 780:injection into a vein 3434:Acetyl sulfisoxazole 3293:inhibit nucleic acid 2873:. pp. 338–342. 2673:(15 December 1999). 2241:10.2147/DDDT.S101486 2085:Bacteroides fragilis 2062:(FDA). 15 April 2005 1876:"Application letter" 1818:"Application letter" 1760:"Application letter" 1340:Takeda v. Alphapharm 1155:Antacids containing 936:Susceptible bacteria 756:bacterial infections 4272:Ophthalmology drugs 3809:Alalevonadifloxacin 3476:Intermediate-acting 3151:on 11 December 2008 3143:(6 November 2007). 2904:on 21 February 2013 2861:Peterson U (2006). 1333:Generic equivalents 1312:Society and culture 1204:Mechanism of action 1148:The combination of 1052:torsades de pointes 1019:Borrelia Burgdoferi 805:. Safety of use in 801:, and worsening of 330:system not involved 255:(Prescription only) 25: 4197:Never to phase III 3698:thereby inhibiting 3686:(inhibit bacterial 3532:Sulfametoxydiazine 3320:thereby inhibiting 3313:(inhibit bacterial 3178:orangebookblog.com 2935:on 7 February 2009 2708:"NDA 21-085/S-012" 1883:accessdata.fda.gov 1854:accessdata.fda.gov 1825:accessdata.fda.gov 1796:accessdata.fda.gov 1767:accessdata.fda.gov 1726:accessdata.fda.gov 1317:Regulatory actions 1208:Moxifloxacin is a 1192:activated charcoal 1005:Bacillus anthracis 21: 4207: 4206: 4166: 4165: 4091: 4090: 4054: 4053: 4005: 4004: 3677: 3676: 3611: 3610: 3316:purine metabolism 3234:(24 April 2008). 3212:on 26 August 2009 3093:. 22 March 2010. 3024:. 1 February 1991 2995:on 16 August 2016 2549:(FDA). p. 19 1986:Indian Pediatrics 1564:. DrugPatentWatch 1459:978-92-4-154758-1 1085:Contraindications 803:myasthenia gravis 745: 744: 679:Interactive image 563:CompTox Dashboard 263: 250: 147: 114: 4294: 4282:Pyrrolopyridines 4224: 4223: 4222: 4215: 4103: 4102: 4070: 4069: 3805:Levonadifloxacin 3764: 3763: 3759:Fluoroquinolones 3707: 3706: 3512:Sulfadimethoxine 3484:Sulfamethoxazole 3405:Sulfaisodimidine 3393: 3392: 3328: 3327: 3282: 3275: 3268: 3259: 3258: 3252: 3251: 3249: 3247: 3228: 3222: 3221: 3219: 3217: 3211: 3204: 3196: 3190: 3189: 3187: 3185: 3180:. 5 October 2007 3175: 3167: 3161: 3160: 3158: 3156: 3137: 3128: 3127: 3125: 3123: 3113: 3104: 3098: 3097: 3083: 3077: 3040: 3034: 3033: 3031: 3029: 3019: 3011: 3005: 3004: 3002: 3000: 2977: 2971: 2970: 2968: 2966: 2951: 2945: 2944: 2942: 2940: 2931:. Archived from 2920: 2914: 2913: 2911: 2909: 2894: 2885: 2884: 2858: 2852: 2851: 2841: 2831: 2822:(7): 1080–1082. 2807: 2801: 2800: 2798: 2796: 2785: 2776: 2775: 2765: 2733: 2727: 2726: 2724: 2722: 2712: 2703: 2697: 2696: 2694: 2692: 2686: 2679: 2667: 2658: 2657: 2620: 2614: 2613: 2611: 2609: 2604: 2596: 2590: 2589: 2587: 2585: 2570: 2559: 2558: 2556: 2554: 2544: 2535: 2516: 2515: 2513: 2505: 2496: 2495: 2459: 2453: 2452: 2416: 2410: 2409: 2402: 2396: 2395: 2393: 2391: 2381: 2372: 2366: 2365: 2363: 2361: 2347: 2338: 2332: 2331: 2329: 2327: 2313: 2304: 2298: 2297: 2295: 2293: 2279: 2270: 2264: 2263: 2253: 2243: 2219: 2213: 2212: 2176: 2170: 2169: 2133: 2127: 2126: 2116: 2106: 2078: 2072: 2071: 2069: 2067: 2057: 2049: 2043: 2042: 2032: 2008: 2002: 2001: 1981: 1975: 1974: 1972: 1970: 1965: 1957: 1951: 1950: 1948: 1946: 1940: 1933: 1925: 1919: 1918: 1916: 1914: 1900: 1894: 1893: 1891: 1889: 1880: 1872: 1866: 1865: 1863: 1861: 1851: 1843: 1837: 1836: 1834: 1832: 1822: 1814: 1808: 1807: 1805: 1803: 1793: 1785: 1779: 1778: 1776: 1774: 1764: 1756: 1750: 1749: 1747: 1739: 1730: 1729: 1723: 1715: 1709: 1708: 1706: 1704: 1690: 1684: 1683: 1681: 1679: 1665: 1659: 1658: 1656: 1654: 1635: 1629: 1628: 1626: 1607: 1601: 1600: 1580: 1574: 1573: 1571: 1569: 1558: 1549: 1548: 1546: 1544: 1530: 1524: 1523: 1506: 1497: 1496: 1494: 1492: 1481: 1464: 1463: 1443: 1432: 1431: 1395: 1384: 1383: 1381: 1379: 1369:nctr-crs.fda.gov 1361: 1232:Pharmacokinetics 754:, used to treat 741: 740: 681: 661: 646: 640: 637: 631: 625: 608: 597: 586: 585: 571: 569: 554: 534: 514: 506: 486: 466: 446: 426: 416: 415: 401: 339: 329: 325: 268: 261: 258: 248: 245: 223: 213: 145: 142: 124: 113: 110: 97: 83: 42: 33: 26: 24: 20: 4302: 4301: 4297: 4296: 4295: 4293: 4292: 4291: 4232: 4231: 4230: 4220: 4218: 4210: 4208: 4203: 4202: 4187:Clinical trials 4162: 4144: 4110: 4087: 4063: 4050: 4026: 4001: 3948: 3876: 3828: 3753: 3701:DNA replication 3699: 3697: 3691: 3687: 3685: 3673: 3642: 3607: 3566:Other/ungrouped 3561: 3527:Sulfametomidine 3498: 3470: 3384: 3376: 3323: 3321: 3319: 3314: 3312: 3304: 3286: 3256: 3255: 3245: 3243: 3242:on 9 March 2009 3229: 3225: 3215: 3213: 3209: 3202: 3198: 3197: 3193: 3183: 3181: 3173: 3169: 3168: 3164: 3154: 3152: 3138: 3131: 3121: 3119: 3111: 3105: 3101: 3085: 3084: 3080: 3041: 3037: 3027: 3025: 3017: 3013: 3012: 3008: 2998: 2996: 2979: 2978: 2974: 2964: 2962: 2953: 2952: 2948: 2938: 2936: 2921: 2917: 2907: 2905: 2896: 2895: 2888: 2881: 2859: 2855: 2808: 2804: 2794: 2792: 2787: 2786: 2779: 2734: 2730: 2720: 2718: 2710: 2704: 2700: 2690: 2688: 2687:on 9 March 2009 2684: 2677: 2668: 2661: 2626:Pharmacotherapy 2621: 2617: 2607: 2605: 2602: 2598: 2597: 2593: 2583: 2581: 2580:on 7 March 2009 2572: 2571: 2562: 2552: 2550: 2542: 2536: 2519: 2511: 2507: 2506: 2499: 2460: 2456: 2417: 2413: 2404: 2403: 2399: 2389: 2387: 2379: 2373: 2369: 2359: 2357: 2345: 2339: 2335: 2325: 2323: 2311: 2305: 2301: 2291: 2289: 2277: 2271: 2267: 2220: 2216: 2177: 2173: 2134: 2130: 2079: 2075: 2065: 2063: 2055: 2051: 2050: 2046: 2009: 2005: 1982: 1978: 1968: 1966: 1963: 1959: 1958: 1954: 1944: 1942: 1938: 1931: 1927: 1926: 1922: 1912: 1910: 1902: 1901: 1897: 1887: 1885: 1878: 1874: 1873: 1869: 1859: 1857: 1849: 1845: 1844: 1840: 1830: 1828: 1820: 1816: 1815: 1811: 1801: 1799: 1791: 1787: 1786: 1782: 1772: 1770: 1762: 1758: 1757: 1753: 1745: 1743:"Press release" 1741: 1740: 1733: 1721: 1717: 1716: 1712: 1702: 1700: 1692: 1691: 1687: 1677: 1675: 1667: 1666: 1662: 1652: 1650: 1637: 1636: 1632: 1608: 1604: 1597: 1581: 1577: 1567: 1565: 1560: 1559: 1552: 1542: 1540: 1532: 1531: 1527: 1520: 1508: 1507: 1500: 1490: 1488: 1483: 1482: 1467: 1460: 1444: 1435: 1396: 1387: 1377: 1375: 1363: 1362: 1358: 1353: 1335: 1319: 1314: 1305: 1289: 1265: 1234: 1206: 1201: 1188: 1150:corticosteroids 1142: 1134: 1087: 1078: 1035: 1029: 1027:Adverse effects 938: 838: 815:fluoroquinolone 795:tendon ruptures 736: 734: 729: 726: 721: 716: 715: 704: 701: 696: 695: 684: 659: 649: 643: 634: 628: 589: 565: 557: 537: 517: 489: 469: 449: 429: 412: 404: 384: 381: 376: 375: 337: 327: 297:Protein binding 287:Bioavailability 279:Pharmacokinetic 273: 266: 227: 190:fluoroquinolone 160: 153: 134: 127: 17: 12: 11: 5: 4300: 4290: 4289: 4284: 4279: 4274: 4269: 4264: 4259: 4254: 4249: 4244: 4229: 4228: 4205: 4204: 4201: 4200: 4199: 4198: 4195: 4184: 4178: 4172: 4171: 4168: 4167: 4164: 4163: 4161: 4160: 4154: 4152: 4146: 4145: 4143: 4142: 4137: 4132: 4127: 4122: 4116: 4114: 4112:RNA polymerase 4100: 4093: 4092: 4089: 4088: 4086: 4085: 4079: 4077: 4074:Nitroimidazole 4067: 4056: 4055: 4052: 4051: 4049: 4048: 4042:Aminocoumarins 4038: 4036: 4028: 4027: 4025: 4024: 4019: 4013: 4011: 4007: 4006: 4003: 4002: 4000: 3999: 3994: 3989: 3984: 3979: 3974: 3969: 3964: 3958: 3956: 3950: 3949: 3947: 3946: 3944:Alatrofloxacin 3937: 3932: 3927: 3922: 3917: 3912: 3907: 3902: 3897: 3892: 3886: 3884: 3882:4th generation 3878: 3877: 3875: 3874: 3869: 3864: 3859: 3854: 3849: 3844: 3838: 3836: 3834:3rd generation 3830: 3829: 3827: 3826: 3821: 3816: 3811: 3798: 3793: 3788: 3783: 3778: 3772: 3770: 3768:2nd generation 3761: 3755: 3754: 3752: 3751: 3746: 3744:Piromidic acid 3741: 3739:Pipemidic acid 3736: 3731: 3729:Nalidixic acid 3726: 3721: 3715: 3713: 3711:1st generation 3704: 3679: 3678: 3675: 3674: 3672: 3671: 3666: 3661: 3656: 3650: 3648: 3644: 3643: 3641: 3640: 3635: 3630: 3625: 3619: 3617: 3613: 3612: 3609: 3608: 3606: 3605: 3600: 3595: 3593:Sulfaguanidine 3590: 3588:Sulfadicramide 3585: 3580: 3575: 3569: 3567: 3563: 3562: 3560: 3559: 3554: 3552:Sulfaphenazole 3549: 3544: 3539: 3534: 3529: 3524: 3519: 3514: 3508: 3506: 3500: 3499: 3497: 3496: 3491: 3486: 3480: 3478: 3472: 3471: 3469: 3468: 3463: 3449: 3448: 3447: 3437: 3427: 3417: 3412: 3410:Sulfamethizole 3407: 3401: 3399: 3390: 3387:DHPS inhibitor 3378: 3377: 3375: 3374: 3373: 3372: 3367: 3362: 3357: 3352: 3347: 3336: 3334: 3332:DHFR inhibitor 3325: 3306: 3305: 3289:Antibacterials 3285: 3284: 3277: 3270: 3262: 3254: 3253: 3223: 3191: 3171:"Opinion form" 3162: 3129: 3099: 3078: 3035: 3006: 2972: 2961:. 24 July 2008 2946: 2929:Pharmacy Times 2915: 2886: 2879: 2853: 2829:10.1086/605576 2802: 2777: 2748:(3): 377–392. 2728: 2698: 2659: 2632:(3): 245–256. 2615: 2591: 2574:"Moxifloxacin" 2560: 2517: 2497: 2470:(1): 115–139. 2454: 2411: 2397: 2367: 2333: 2299: 2265: 2214: 2187:(3): 139–152. 2171: 2144:(4): 367–368. 2128: 2073: 2044: 2023:(2): 144–145. 2003: 1992:(2): 181–188. 1976: 1952: 1941:on 8 July 2009 1920: 1895: 1867: 1838: 1809: 1780: 1751: 1731: 1710: 1685: 1660: 1630: 1602: 1595: 1575: 1550: 1525: 1518: 1498: 1465: 1458: 1433: 1406:(6): 437–465. 1385: 1355: 1354: 1352: 1349: 1334: 1331: 1318: 1315: 1313: 1310: 1304: 1301: 1288: 1285: 1264: 1261: 1233: 1230: 1205: 1202: 1200: 1197: 1187: 1184: 1141: 1138: 1133: 1130: 1106: 1105: 1102: 1086: 1083: 1077: 1074: 1028: 1025: 1024: 1023: 1015: 1008: 1001: 993: 985: 978: 970: 963: 956: 949: 937: 934: 911: 910: 907: 904: 898: 891: 890: 887: 884: 846:bubonic plague 837: 834: 819:kills bacteria 764:conjunctivitis 743: 742: 731: 730: 728: 727: 724: 722: 719: 711: 710: 709: 706: 705: 703: 702: 699: 691: 690: 689: 686: 685: 683: 682: 674: 672: 664: 663: 657: 651: 650: 647: 641: 632: 626: 621: 615: 614: 610: 609: 599: 591: 590: 588: 587: 574: 572: 559: 558: 556: 555: 547: 545: 539: 538: 536: 535: 527: 525: 519: 518: 516: 515: 507: 499: 497: 491: 490: 488: 487: 479: 477: 471: 470: 468: 467: 459: 457: 451: 450: 448: 447: 439: 437: 431: 430: 428: 427: 419: 417: 406: 405: 403: 402: 394: 392: 386: 385: 383: 382: 379: 371: 370: 369: 366: 365: 361: 360: 351: 345: 344: 341: 332: 331: 309: 303: 302: 299: 293: 292: 289: 283: 282: 275: 274: 272: 271: 256: 242: 240: 234: 233: 229: 228: 226: 225: 202: 200: 194: 193: 183: 177: 176: 163: 161:administration 155: 154: 152: 151: 149: 139: 137: 129: 128: 126: 125: 107: 105: 99: 98: 91: 85: 84: 77: 67: 66: 63: 59: 58: 55: 49: 48: 44: 43: 35: 34: 15: 9: 6: 4: 3: 2: 4299: 4288: 4285: 4283: 4280: 4278: 4277:Phenol ethers 4275: 4273: 4270: 4268: 4265: 4263: 4260: 4258: 4255: 4253: 4250: 4248: 4247:Cyclopropanes 4245: 4243: 4240: 4239: 4237: 4227: 4217: 4216: 4213: 4196: 4194: 4191: 4190: 4188: 4185: 4182: 4179: 4177: 4174: 4173: 4169: 4159: 4156: 4155: 4153: 4151: 4147: 4141: 4138: 4136: 4133: 4131: 4128: 4126: 4123: 4121: 4118: 4117: 4115: 4113: 4108: 4104: 4101: 4098: 4094: 4084: 4081: 4080: 4078: 4075: 4071: 4068: 4066: 4061: 4057: 4047: 4043: 4040: 4039: 4037: 4034: 4029: 4023: 4020: 4018: 4015: 4014: 4012: 4008: 3998: 3995: 3993: 3992:Pradofloxacin 3990: 3988: 3985: 3983: 3982:Marbofloxacin 3980: 3978: 3975: 3973: 3970: 3968: 3965: 3963: 3960: 3959: 3957: 3955: 3951: 3945: 3941: 3940:Trovafloxacin 3938: 3936: 3933: 3931: 3930:Prulifloxacin 3928: 3926: 3923: 3921: 3920:Clinafloxacin 3918: 3916: 3913: 3911: 3908: 3906: 3903: 3901: 3898: 3896: 3893: 3891: 3888: 3887: 3885: 3883: 3879: 3873: 3870: 3868: 3865: 3863: 3860: 3858: 3855: 3853: 3852:Grepafloxacin 3850: 3848: 3845: 3843: 3840: 3839: 3837: 3835: 3831: 3825: 3822: 3820: 3817: 3815: 3812: 3810: 3806: 3802: 3799: 3797: 3794: 3792: 3789: 3787: 3784: 3782: 3779: 3777: 3776:Ciprofloxacin 3774: 3773: 3771: 3769: 3765: 3762: 3760: 3756: 3750: 3747: 3745: 3742: 3740: 3737: 3735: 3734:Oxolinic acid 3732: 3730: 3727: 3725: 3722: 3720: 3717: 3716: 3714: 3712: 3708: 3705: 3702: 3695: 3690: 3689:topoisomerase 3684: 3680: 3670: 3667: 3665: 3662: 3660: 3657: 3655: 3654:Acediasulfone 3652: 3651: 3649: 3645: 3639: 3636: 3634: 3631: 3629: 3626: 3624: 3621: 3620: 3618: 3614: 3604: 3601: 3599: 3596: 3594: 3591: 3589: 3586: 3584: 3581: 3579: 3578:Sulfacetamide 3576: 3574: 3571: 3570: 3568: 3564: 3558: 3555: 3553: 3550: 3548: 3547:Sulfamerazine 3545: 3543: 3540: 3538: 3535: 3533: 3530: 3528: 3525: 3523: 3520: 3518: 3515: 3513: 3510: 3509: 3507: 3505: 3501: 3495: 3492: 3490: 3487: 3485: 3482: 3481: 3479: 3477: 3473: 3467: 3466:Sulfathiourea 3464: 3461: 3457: 3453: 3452:Sulfathiazole 3450: 3446: 3443: 3442: 3441: 3440:Sulfanilamide 3438: 3435: 3431: 3430:Sulfafurazole 3428: 3425: 3424:Sulfasalazine 3421: 3420:Sulfapyridine 3418: 3416: 3415:Sulfadimidine 3413: 3411: 3408: 3406: 3403: 3402: 3400: 3398: 3394: 3391: 3388: 3383: 3379: 3371: 3368: 3366: 3363: 3361: 3360:Pyrimethamine 3358: 3356: 3353: 3351: 3348: 3346: 3343: 3342: 3341: 3338: 3337: 3335: 3333: 3329: 3326: 3317: 3311: 3307: 3302: 3298: 3294: 3290: 3283: 3278: 3276: 3271: 3269: 3264: 3263: 3260: 3241: 3237: 3236:"Risk Report" 3233: 3227: 3208: 3201: 3195: 3179: 3172: 3166: 3150: 3146: 3142: 3136: 3134: 3117: 3110: 3103: 3096: 3092: 3091:Health Canada 3088: 3082: 3076: 3073: 3069: 3066: 3062: 3059: 3055: 3052: 3048: 3045: 3039: 3023: 3016: 3015:"Patent form" 3010: 2994: 2990: 2986: 2982: 2976: 2960: 2956: 2950: 2934: 2930: 2926: 2919: 2903: 2899: 2893: 2891: 2882: 2880:9783527607495 2876: 2872: 2868: 2864: 2857: 2849: 2845: 2840: 2835: 2830: 2825: 2821: 2817: 2813: 2806: 2790: 2784: 2782: 2773: 2769: 2764: 2759: 2755: 2751: 2747: 2743: 2739: 2732: 2716: 2709: 2702: 2683: 2676: 2672: 2666: 2664: 2655: 2651: 2647: 2643: 2639: 2635: 2631: 2627: 2619: 2601: 2595: 2579: 2575: 2569: 2567: 2565: 2548: 2541: 2534: 2532: 2530: 2528: 2526: 2524: 2522: 2510: 2504: 2502: 2493: 2489: 2485: 2481: 2477: 2473: 2469: 2465: 2458: 2450: 2446: 2442: 2438: 2434: 2430: 2426: 2422: 2415: 2407: 2401: 2385: 2378: 2371: 2355: 2351: 2344: 2337: 2321: 2317: 2310: 2303: 2287: 2283: 2276: 2269: 2261: 2257: 2252: 2247: 2242: 2237: 2234:: 1307–1322. 2233: 2229: 2225: 2218: 2210: 2206: 2202: 2198: 2194: 2190: 2186: 2182: 2175: 2167: 2163: 2159: 2155: 2151: 2147: 2143: 2139: 2132: 2124: 2120: 2115: 2110: 2105: 2100: 2096: 2092: 2088: 2086: 2077: 2061: 2054: 2048: 2040: 2036: 2031: 2026: 2022: 2018: 2014: 2007: 1999: 1995: 1991: 1987: 1980: 1962: 1956: 1937: 1930: 1924: 1909: 1905: 1899: 1884: 1877: 1871: 1855: 1848: 1842: 1826: 1819: 1813: 1797: 1790: 1784: 1768: 1761: 1755: 1744: 1738: 1736: 1727: 1720: 1714: 1699: 1695: 1689: 1674: 1670: 1664: 1648: 1644: 1640: 1634: 1625: 1620: 1616: 1612: 1606: 1598: 1596:9783527607495 1592: 1588: 1587: 1579: 1563: 1557: 1555: 1539: 1535: 1529: 1521: 1519:9780857111562 1515: 1511: 1505: 1503: 1486: 1480: 1478: 1476: 1474: 1472: 1470: 1461: 1455: 1451: 1450: 1442: 1440: 1438: 1429: 1425: 1421: 1417: 1413: 1409: 1405: 1401: 1394: 1392: 1390: 1374: 1370: 1366: 1360: 1356: 1348: 1345: 1341: 1330: 1326: 1322: 1309: 1300: 1298: 1293: 1284: 1282: 1278: 1277:tartaric acid 1274: 1270: 1260: 1258: 1253: 1248: 1245: 1242: 1238: 1229: 1227: 1226:topoisomerase 1223: 1219: 1218:Gram-negative 1215: 1214:Gram-positive 1211: 1196: 1193: 1183: 1181: 1177: 1173: 1169: 1165: 1162: 1158: 1153: 1151: 1146: 1137: 1129: 1126: 1122: 1117: 1115: 1110: 1103: 1100: 1096: 1092: 1091: 1090: 1082: 1073: 1071: 1066: 1064: 1063: 1058: 1054: 1053: 1048: 1044: 1040: 1034: 1021: 1020: 1016: 1014: 1013: 1009: 1007: 1006: 1002: 999: 998: 997:Mycobacterium 994: 991: 990: 986: 984: 983: 979: 976: 975: 971: 969: 968: 964: 962: 961: 957: 955: 954: 950: 948: 947: 943: 942: 941: 933: 931: 926: 924: 921:approved for 918: 916: 908: 905: 903: 899: 896: 895: 894: 888: 885: 882: 881: 880: 877: 873: 871: 867: 863: 859: 855: 851: 847: 843: 833: 831: 826: 824: 820: 816: 812: 811:breastfeeding 808: 804: 800: 796: 792: 787: 785: 781: 777: 773: 769: 765: 761: 757: 753: 749: 739: 732: 723: 718: 717: 714: 707: 698: 697: 694: 687: 680: 676: 675: 673: 670: 665: 658: 656: 652: 622: 620: 616: 611: 607: 603: 600: 598: 596:ECHA InfoCard 592: 584: 580: 579:DTXSID3048491 576: 575: 573: 564: 560: 553: 549: 548: 546: 544: 540: 533: 529: 528: 526: 524: 520: 513: 509:as HCl:  508: 505: 501: 500: 498: 496: 492: 485: 481: 480: 478: 476: 472: 465: 461: 460: 458: 456: 452: 445: 441: 440: 438: 436: 432: 425: 421: 420: 418: 411: 407: 400: 396: 395: 393: 391: 387: 378: 377: 374: 367: 362: 359: 355: 352: 350: 346: 342: 340: 333: 326: 320: 317: 313: 310: 308: 304: 300: 298: 294: 290: 288: 284: 280: 276: 269: 257: 254: 244: 243: 241: 239: 235: 230: 222: 217: 212: 207: 204: 203: 201: 199: 195: 191: 187: 184: 182: 178: 175: 171: 167: 164: 162: 156: 150: 141: 140: 138: 136: 130: 123: 119: 109: 108: 106: 104: 100: 96: 92: 90: 86: 82: 78: 76: 72: 68: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 4150:Lipiarmycins 3997:Sarafloxacin 3987:Orbifloxacin 3972:Enrofloxacin 3962:Danofloxacin 3935:Sitafloxacin 3915:Moxifloxacin 3914: 3910:Gemifloxacin 3905:Finafloxacin 3900:Gatifloxacin 3895:Delafloxacin 3890:Besifloxacin 3872:Tosufloxacin 3867:Temafloxacin 3862:Sparfloxacin 3857:Pazufloxacin 3847:Balofloxacin 3842:Levofloxacin 3801:Nadifloxacin 3796:Lomefloxacin 3616:Combinations 3598:Sulfametrole 3583:Sulfaclozine 3489:Sulfadiazine 3397:Short-acting 3382:Sulfonamides 3370:Trimethoprim 3244:. 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Index



Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a600002
License data
FDA
Moxifloxacin
Pregnancy
category

Routes of
administration

By mouth
intravenous
eye drops
Drug class
Antibiotic
fluoroquinolone
ATC code
J01MA14
WHO
S01AE07
WHO
Legal status
S4
WARNING
Pharmacokinetic
Bioavailability
Protein binding

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