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Fluoroquinolones Linked to Serious Cardiac Injuries

Cincinnati Pharmaceutical Attorney on the Risks of Popular Antibiotics

The U.S. Food and Drug Administration (FDA) recently released new warnings on the “disabling” side effects from the commonly used class of antibiotics called fluoroquinolones. The agency says the drugs can be dangerous and their use should be restricted.
The FDA’s warnings, placed on the drugs’ labels and warning inserts, aim to inform patients that the serious side effects of these medications generally outweigh the benefits, particularly if patients have other treatment options.
The most severe side effects can involve damage to tendons, muscles, joints, nerves and the central nervous system.
Some of the most dangerous of the antibiotics have already been removed from the market because of their side effects, but the FDA has stopped short of a complete ban on some popular drugs.

This class of drugs include large brand names include Bayer AG’s Cipro (ciprofloxacin) and Johnson & Johnson’s Levaquin (levofloxacin) along with Merck’s Noroxin, Avelox and numerous others.


 

Risks of Aortic Dissections and Aortic Aneurysms

Recent studies, published by the American Medical Association and numerous medical journals, show a link between the use of fluoroquinolone antibiotics and a substantial risk for aortic aneurysms and aortic dissections. The 2015 studies identify a logical “association” between fluoroquinolone use and the development of severe aortic disorders, including fatal aortic ruptures.
Aortic dissection is a life-threatening condition that occurs when the lining of the aorta—the primary artery in the body—is broken down under distress, causing debilitating complications that often lead to death. These conditions are called silent killers as without regular monitoring there is often no warning that the aorta has been compromised.
Medical scientists compiled data that shows the incidence of aortic dissection and aortic aneurysm in America has risen over the last 30 years, a primary cause of death each year for thousands of unknowing patients.

Joe Lyon is a highly rated pharmaceutical liability attorney, representing plaintiffs nationwide in a wide variety of wrongful death and injury claims related to dangerous pharmaceutical products.  


Fluoroquinolones Cause Permanent Nerve Damage

The FDA’s recent action follows a study by its Office of Surveillance and Epidemiology, which found “an association between fluoroquinolone antibiotic use and disabling peripheral neuropathy.”
In 2013, the FDA issued a warning about permanent nerve damage as a possible side effect of fluoroquinolones, such as Cipro and others. The agency said the damage “may occur rapidly,” and could be “potentially permanent.”
In the FDA Adverse Event Reporting database, there are over 1,000 reports of nerve damage after fluoroquinolone use, and only 10 percent reported improvement or recovery.
In some cases, disability was so severe that continued employment was not possible.


FDA Warns of Tendon Damage

As far back as 2008 the FDA knew about major concerns and risks for this class of antibiotics. That year they added the “black box” warning to seven fluoroquinolone drug labels and prescribing information, primarily because of the added risk of tendon rupture.
The drugs named in the warning included:
•    Ciprofloxacin
•    Gemifloxacin
•    Levofloxacin
•    Moxifloxacin
•    Norfloxacin
•    Ofloxacin
By 2008, there had been over 400 reports of tendon rupture and about 340 cases of tendinitis in patients using fluoroquinolone antibiotics. At the time, the agency recommended that patients be switched to alternative treatments before tendons ruptured.


Symptoms of Possible Tendon Damage

Pain, swelling, inflammation, and tears of tendons are common in patients taking fluoroquinolone antibiotics. The Achilles tendon, at the back of the ankle, is a very commonly affected area.
Signs or symptoms of tendon rupture include:
•    A snap or pop in a tendon area
•    Bruising right after an injury in a tendon area
•    Inability to move an affected area
•    Inability to bear weight


Who is at Risk?

Anyone who takes fluoroquinolones like Cipro and Levaquin could be at risk. Evidence suggests the duration of drug therapy is not a factor; side effects can begin even after the first dose.
Some reports describe young, healthy patients who take a fluoroquinolone and days later is unable to run or even walk without support.
The FDA has said the risk of tendinitis and tendon rupture is even higher in people with the following factors:
•    Over 60 years of age
•    Taking steroids (corticosteroids)
•    Kidney, heart, or lung transplant recipient
•    History of tendon problems in the past (including rheumatoid arthritis)


Other Risks of Antibiotic Use

The recent FDA review focused on the risks of nerve damage and tendon rupture with the use of antibiotics. However, patients may develop other serious adverse effects, including:

•    Aortic Dissections
•    Aortic Aneurysms
•    Hypersensitivity
•    Hallucinations
•    Depression
•    Vision problems
•    Cardiac issues
•    Convulsions
•    Muscle aches
•    Joint pain
•    Anxiety


Overprescribed Antibiotics

Fluoroquinolones like Cipro and Levaquin are very commonly prescribed. Data supplied by IMS Health, the drug-research firm, said there were a total of more than 36 million prescriptions written in 2014. The Centers for Disease Control and Prevention (CDC) claims that 50 percent of these prescriptions may be “inappropriate.”
Patients are regularly prescribed fluoroquinolones for sinusitis, bronchitis or uncomplicated urinary tract infections, even though there are other safer options available.
The class of antibiotic have become so popular in part because they resolve infections quickly, but that could be a shortsighted decision seeing as they come with more side effects than other drug options.


Which Antibiotics Can Cause Disabling Problems?

•    Avelox
•    Cipro
•    Ciprofloxacin
•    Noroxin
•    Factive
•    Norfloxacin
•    Gemifloxacin
•    Floxin
•    Proquin
•    Levaquin
•    Levofloxacin
•    Moxifloxacin
•    Ofloxacin
The FDA’s reporting database of complaints involving Cipro and Levaquin alone show almost 200,000 adverse reactions from 1997 to 2015. This could be a great underestimate of the issue, because only a small fraction of patients who experience side effects report them.


Legal Representation

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If you or a loved one suffered an aortic dissection or medication-related injury after taking Fluoroquinolones , and have questions about the legal remedies available to improve quality of life and medical care, contact The Lyon Firm (800) 513-2403. You will speak directly with Mr. Lyon, and he will help you answer these critical questions.

After two hip replacement surgeries, I was informed that one of the prosthesis was the DuPuy Joint and the other was very similar but manufactured by a different company. After several attempts to contact the manufacturer directly to discuss the claim, I was met with bureaucratic red tape that appeared to be insurmountable. I then turned to Joe Lyon of the Lyon Law Firm who immediately cut through the pro I highly recommend Joe if you are faced with the need for this type of litigation.Tim Ross
I met Joe during what was easily one of the worst times of my life. My husband had been in a serious accident and was a quadriplegic following that accident and remained in one medical facility after another until his death nearly four years later. We had contacted an area attorney who told us we absolutely did not have a case. Then we called a Cleveland firm that took the case and brought in Joe. Joe did so much of the work and became just like family to us. I would highly recommend Joe to anyone and be willing to guarantee that he will do anything and everything possible to get satisfactory results. He is extremely dedicated to his clients and very hard working. Mike and I came to think of him like a son, I still do; if it wasn’t for him I don’t believe our case would have been settled the way it was and may have ended up in a courtroom where the results can go any way.Donna Urchak