Moxifloxacina (aggiornato al 31 agosto 2021)

A cura di Alessandra Russo. Specialista in Tossicologia Medica. Messina

 

Principio attivo

Effetto

Acido aminolevulinico (1)

Possibile aumento del rischio di reazioni cutanee fototossiche

Antiacidi a base di alluminio o magnesio (2)

Possibile riduzione dell’efficacia della moxifloxacina

Corticosteroidi (3)

Possibile aumento del rischio di rottura del tendine

Donepezil (4,5)

Possibile aumento del rischio di prolungamento dell’intervallo QT e di torsione di punta

Ferro (6)

Possibile riduzione dell’efficacia della moxifloxacina

Idrossiclorochina (7)

Possibile aumento del rischio di prolungamento dell’intervallo QT

Lantanio carbonato (8)

Possibile riduzione della biodisponibilità della moxifloxacina

Rasagilina (9)

Possibile aumento dell’esposizione a rasagilina

Rifampicina (10)

Possibile riduzione delle concentrazioni plasmatiche di moxifloxacina

Sucralfato (11)

Possibile riduzione dell’efficacia della moxifloxacina

Warfarin (12-15)

Possibile aumento del rischio di sanguinamento

Zinco (16)

Possibile riduzione dell’efficacia della moxifloxacina

 

Bibliografia

  1. Product Information: GLEOLAN powder for oral solution, aminolevulinic acid HCl powder for oral solution. NX Development Corp (per FDA), Miami, FL, Jun, 2017.
  2. Stass H, et al. Evaluation of the influence of antacids and h2 antagonists on the absorption of moxifloxacin after oral administration of a 400 mg dose to healthy volunteers. Clin Pharmacokinetic 2001; 40: 39-48.
  3. van der Linden PD, et al. Increased risk of achilles tendon rupture with quinolone antibacterial use, especially in elderly patients taking oral corticosteroids. Arch Intern Med 2003; 163: 1801-1807.
  4. Takaya T, et al. Torsades de Pointes with QT prolongation related to donepezil use. J Cardiol 2009; 54: 507-511.
  5. Tanaka A. Donepezil-induced adverse side effects of cardiac rhythm: 2 cases report of atrioventricular block and Torsade de Pointes. Intern Med 2009; 48: 1219-1223.
  6. Product Information: Avelox(TM), moxifloxacin hydrochloride. Bayer Corporation, West Haven, CT, 09/2003.
  7. Product Information: PLAQUENIL(R) oral tablets, hydroxychloroquine sulfate oral tablets. Concordia Pharmaceuticals Inc (per DailyMed), Kansas City, MO, Sep, 2019.
  8. Product Information: FOSRENOL(R) oral chewable tablets oral powder, lanthanum carbonate oral chewable tablets oral powder. Shire US Inc. (per FDA), Wayne, IN, Sep, 2014.
  9. Product Information: AZILECT(R) oral tablets, rasagiline mesylate oral tablets. Teva Pharmaceuticals (per FDA), North Wales, PA, May, 2014.
  10. Nijland HM, et al. Rifampicin reduces plasma concentrations of moxifloxacin in patients with tuberculosis. Clin Infect Dis 2007; 45: 1001-1007.
  11. Stass H, et al. Effects of sucralfate on the oral bioavailability of moxifloxacin, a novel 8-methoxyfluoroquinolone, in healthy volunteers. Clin Pharmacokinet 2001; 40: 49-55.
  12. Baillargeon J, et al. Concurrent use of warfarin and antibiotics and the risk of bleeding in older adults. Am J Med 2012; 125: 183-189.
  13. Arnold LM. Moxifloxacin and warfarin: additional evidence for a clinically relevant interaction. Pharmacotherapy 2005; 25: 904-907.
  14. Elbe DH. Moxifloxacin-warfarin interaction: a series of five case reports. Ann Pharmacother 2005; 39: 361-364.
  15. O’Connor KA. The interaction of moxifloxacin and warfarin in three elderly patients. Eur J Intern Med 2003; 14: 255-257.
  16. Product Information: Avelox(TM), moxifloxacin hydrochloride. Bayer Corporation, West Haven, CT, 11/2000.
Ultimo aggiornamento: 06 settembre 2021