PMID- 14992418 OWN - NLM STAT- MEDLINE DCOM- 20040517 LR - 20191108 IS - 1098-3597 (Print) IS - 1873-4480 (Linking) VI - Suppl 3 DP - 2003 TI - Safety and tolerability of fluoroquinolones. PG - S29-36 AB - Clinical trials in patients with community- and hospital-acquired infections have established that the clinical effectiveness and safety of fluoroquinolones are similar to beta-lactam and macrolide agents. The most common drug-related adverse effects (AEs) with fluoroquinolone therapy involve the gastrointestinal tract and central nervous system and are usually transient and mild to moderate in severity. However, serious toxic reactions have led to the limited and restrictive use of trovafloxacin in the United States and the withdrawal of temafloxacin and grepafloxacin from worldwide markets. In addition, postmarketing spontaneous AE reports have imposed updates in the precautions and warning sections of product package inserts of selected fluoroquinolones. This article reviews the AEs associated with the fluoroquinolones and compares the safety profiles of ciprofloxacin, levofloxacin, gatifloxacin, and moxifloxacin. FAU - Sprandel, Kelly A AU - Sprandel KA AD - University of Illinois at Chicago, Illinois 60612, USA. FAU - Rodvold, Keith A AU - Rodvold KA LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Cornerstone JT - Clinical cornerstone JID - 9816002 RN - 0 (Blood Glucose) RN - 0 (Fluoroquinolones) SB - IM MH - Anaphylaxis/chemically induced MH - Blood Glucose/drug effects MH - Central Nervous System/drug effects MH - Community-Acquired Infections/*drug therapy MH - Cross Infection/*drug therapy MH - Digestive System/drug effects MH - Drug Tolerance MH - Fluoroquinolones/*adverse effects/pharmacology MH - Humans MH - Kidney/drug effects MH - Liver/drug effects MH - Musculoskeletal System/drug effects MH - Safety RF - 37 EDAT- 2004/03/03 05:00 MHDA- 2004/05/18 05:00 CRDT- 2004/03/03 05:00 PHST- 2004/03/03 05:00 [pubmed] PHST- 2004/05/18 05:00 [medline] PHST- 2004/03/03 05:00 [entrez] AID - S1098-3597(03)90027-5 [pii] AID - 10.1016/s1098-3597(03)90027-5 [doi] PST - ppublish SO - Clin Cornerstone. 2003;Suppl 3:S29-36. doi: 10.1016/s1098-3597(03)90027-5.