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“Introduction Moxifloxacin is approved for oral and intravenous administration in 123 and 108 countries, respectively, as a once-daily 400 mg antibiotic for the treatment of respiratory tract infections (community-acquired pneumonia [CAP], acute exacerbations of chronic bronchitis [AECB], and acute bacterial sinusitis [ABS]) and, depending on the country, pelvic inflammatory disease [PID], complicated and uncomplicated skin and skin structure infections [cSSSIs/uSSSIs], and complicated intra-abdominal infections [cIAIs]. An estimated 140 million prescriptions have been issued for moxifloxacin worldwide, and the drug
is included as an effective alternative in guidelines and/or recommendations for each of these indications.[1–10] The clinical efficacy of moxifloxacin CP-690550 supplier has been unambiguously demonstrated,[11–30] and its safety profile has been analyzed periodically on the basis of pre-marketing studies,[21,31–35] including populations with risk factors,[36,37] such as the elderly[38,39] and those with hepatic or renal insufficiency.[37,40] These data did not show significantly higher toxicity of moxifloxacin compared with commonly used antibiotics if the contraindications and precautions of use mentioned in the Summary of Product Characteristics[41–43] are taken into account. Post-marketing studies[44–53] have confirmed that moxifloxacin is generally well tolerated ID-8 in medical practice, without new or unanticipated serious adverse events (SAEs) beyond those already established from controlled clinical studies. The safety profile of moxifloxacin has nevertheless been questioned for two main reasons. First, a number of initially promising fluoroquinolones have been withdrawn (e.g. temafloxacin, trovafloxaxin, sparfloxacin, and gatifloxacin[54–58]) or not approved in Europe (e.g. garenoxacin and gemifloxacin), partly because of toxicity concerns,[59,60] creating suspicion about the whole class.