Can elderly patients use levofloxacin?

Jul 29, 2024 Source: Cainiu Health
Disease description:

Grandpa has developed gastroenteritis, with persistent vomiting and diarrhea that won't stop. He previously took levofloxacin when he was sick before. Can elderly people use levofloxacin?

Doctor's answer (1)
Dr. Yang Ziqi

Levofloxacin is a broad-spectrum antibiotic primarily used to treat infections caused by bacteria, such as pneumonia, urinary tract infections, and prostatitis. If elderly patients are not allergic to levofloxacin and a physician determines that its use is appropriate after evaluation, it may be used under medical guidance.

Due to declining physiological function and weakened drug metabolism in elderly patients, kidney function may also deteriorate, potentially prolonging the drug's retention in the body and increasing the risk of adverse reactions. The following points should be noted:

1. Dosage adjustment: As various organs' functions may decline with age, dosage of levofloxacin should be adjusted according to medical advice when used in elderly patients.

2. Kidney function monitoring: For elderly patients with impaired kidney function, the dosage of levofloxacin should be adjusted and kidney function should be monitored during treatment.

3. Allergic reactions: Some elderly patients may be allergic to levofloxacin. If allergic reactions such as itching or rash occur during use, the medication should be discontinued immediately and appropriate medical attention sought.