Adverse Effects from Fluoroquinolone Antibiotics
| Date: | August 9, 2018 |
| To: | HPSJ Primary Care Providers, Specialists, and Pharmacies |
| From: | Health Plan of San Joaquin Pharmacy Department |
| Subject: | Adverse Effects from Fluoroquinolone Antibiotics |
| Business: | Medi-Cal |
The Department of Health Care Services (DHCS) wants all providers to be aware of the FDA announcement for potential risks of fluoroquinolone use.
The following safety warnings were strengthened:
- Hypoglycemia which can lead to coma
- Mental health side effects which can occur after just one dose
What to do:
- Alert patients of the symptoms of hypoglycemia and carefully monitor
- Inform patients about the risk of psychiatric adverse reactions
- Stop fluoroquinolone immediately if a patient reports any central nervous system side effects or blood glucose disturbances and switch to a non‐fluoroquinolone if possible
- Stop fluoroquinolone immediately if a patient reports serious side effects involving the tendons, muscles, joints, or nerves and switch to a non‐fluoroquinolone
- Do not prescribe fluoroquinolones to patients who have other treatment options for acute bacterial sinusitis, acute bacterial exacerbation of chronic bronchitis, and uncomplicated urinary tract infections
Health Plan of San Joaquin is dedicated to providing all members the best health care available in the most effective and efficient manner.
You may contact our Customer Services Department with any questions or concerns, Monday through Friday 8 a.m. to 5 p.m. at (209) 942‐6320.