Balofloxacin

Balofloxacin is a fluoroquinolone antibiotic used in the treatment of bacterial infections. It is a third-generation fluoroquinolone, which means it has broad-spectrum antibacterial activity and is effective against both Gram-positive and Gram-negative bacteria.

Mechanism of Action

Balofloxacin works by inhibiting the enzymes DNA gyrase and topoisomerase IV, which are necessary for bacterial DNA replication, transcription, repair, and recombination. This inhibition results in the death of the bacteria.

Medical Uses

Balofloxacin is used to treat a variety of bacterial infections, including respiratory tract infections, urinary tract infections, skin and soft tissue infections, and sexually transmitted diseases. It is also used in the treatment of tuberculosis as a second-line drug.

Side Effects

Like all fluoroquinolones, balofloxacin can cause side effects. These can include nausea, vomiting, diarrhea, abdominal pain, headache, dizziness, and rash. In rare cases, it can cause more serious side effects such as tendon rupture, peripheral neuropathy, and psychiatric effects.

Drug Interactions

Balofloxacin can interact with other drugs, including antacids, iron supplements, and multivitamins containing zinc or iron. These can reduce the absorption of balofloxacin, making it less effective. It can also interact with theophylline, increasing the risk of theophylline toxicity.

Precautions

Patients with a history of allergy to fluoroquinolones should not take balofloxacin. It should also be used with caution in patients with a history of seizures or other central nervous system disorders, as it can increase the risk of seizures.

See Also

• Fluoroquinolone
• Antibiotic
• DNA gyrase
• Topoisomerase IV