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A case report from Nepalese community pharmacy on levofloxacin induced severe abdominal pain
Authors:K.C. Bhuvan  Alian A. ALrasheedy  Mohamed Izham Mohamed Ibrahim
Affiliation:1. Clinical Pharmacy, Travel Medicine and Socio-Pharmacology Division, Sankalpa Foundation Pvt. Ltd., Pokhara, Nepal;2. School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Penang, Malaysia;3. Research and Graduate Studies Affairs, College of Pharmacy, Qatar University, Doha, Qatar
Abstract:A 46-year-old female patient developed severe abdominal pain shortly after taking levofloxacin, 1000 mg for acute bacterial sinusitis. The pain started after taking the first dose of levofloxacin and became worse after the second dose. The patient was unable to do daily physical activities. The pain resolved upon discontinuation of levofloxacin and symptomatic therapy. Other factors that may cause abdominal pain were ruled out. This case is of interest as it documents severe abdominal pain due to levofloxacin requiring discontinuation of therapy and describes its appropriate management. In addition, it highlights the vital role that community pharmacists could play in managing adverse drug reactions (ADRs) and preventing potential Drug Related Problems (DRPs).
Keywords:Abdominal pain  Community pharmacist  Levofloxacin  Nepal
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