title: A case report from Nepalese community pharmacy on levofloxacin induced severe abdominal pain.
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).
authors: Clinical Pharmacy, Travel Medicine and Socio-Pharmacology Division, Sankalpa Foundation Pvt. Ltd., Pokhara, Nepal.
authors: K C
authors: KC
authors: Bhuvan
authors: Alian A
authors: AA
authors: Alrasheedy
authors: Mohamed Izham Mohamed
authors: MI
authors: Ibrahim
keywords: Abdominal pain; Community pharmacist; Levofloxacin; Nepal
references: Can J Infect Dis. 2002 Jan;13(1):54-61
references: 18159374
references: Clin Pharmacol Ther. 1981 Aug;30(2):239-45
references: 7249508
references: Ann Pharmacother. 2012 May;46(5):e13
references: 22535840
references: Otolaryngol Head Neck Surg. 2006 Jan;134(1):10-7
references: 16399173
references: Otolaryngol Head Neck Surg. 2007 Sep;137(3 Suppl):S1-31
references: 17761281