Evo Tablet 500 mg (Levofloxacin Hemihydrate)

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Evo 500 mg Tablet is a broad-spectrum, third-generation fluoroquinolone antibiotic belonging to the therapeutic class of 4-Quinolone preparations. It is formulated to effectively treat a wide range of bacterial infections in adults. Due to its strong activity against both Gram-positive and Gram-negative organisms, Evo 500 mg is commonly prescribed for moderate to severe infections involving the respiratory tract, urinary system, skin, and prostate.

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন


Indications

Evo 500 mg is indicated for the treatment of the following infections in adults aged 18 years and above:

  • Respiratory tract infections, including:

    • Acute bacterial sinusitis

    • Acute exacerbation of chronic bronchitis

    • Community-acquired pneumonia

    • Nosocomial (hospital-acquired) pneumonia

  • Uncomplicated and complicated skin and soft tissue infections

  • Chronic bacterial prostatitis

  • Uncomplicated and complicated urinary tract infections (mild to moderate)


Pharmacology

Evo 500 mg is a synthetic, chiral fluorinated carboxyquinolone antibiotic. It exerts its antibacterial action by inhibiting bacterial DNA gyrase and topoisomerase IV, two essential enzymes required for bacterial DNA replication, transcription, repair, and recombination. Inhibition of these enzymes prevents bacterial cell division and leads to bacterial cell death. Evo 500 mg demonstrates potent in-vitro activity against a broad range of Gram-positive and Gram-negative microorganisms.


Dosage and Administration

Dosage should be determined based on the type and severity of infection:

  • Acute sinusitis: 500 mg once daily for 10–14 days

  • Acute exacerbation of chronic bronchitis: 250–500 mg once daily for 7–10 days

  • Community-acquired pneumonia: 500 mg once or twice daily for 7–14 days

  • Nosocomial pneumonia: 750 mg once daily for 7–14 days

  • Skin and soft tissue infections: 500 mg once or twice daily for 7–14 days

  • Chronic bacterial prostatitis: 500 mg once daily for 28 days

  • Urinary tract infections:

    • 250 mg once daily for 7–10 days

    • 250 mg once daily for 3 days in uncomplicated infections

Dose adjustment is necessary in patients with impaired renal function.

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন


Drug Interactions

  • Antacids, iron preparations, and adsorbents may reduce the absorption of Evo 500 mg

  • Concomitant use with NSAIDs may increase the risk of central nervous system stimulation

  • Warfarin may increase the risk of bleeding when used with Evo 500 mg


Contraindications

Evo 500 mg is contraindicated in patients with known hypersensitivity to fluoroquinolones or any component of the formulation.


Side Effects

Evo 500 mg is generally well tolerated. Common side effects may include:

  • Nausea

  • Vomiting

  • Diarrhea

  • Abdominal pain

  • Flatulence

Rarely, phototoxic reactions may occur. Very rare adverse effects include tremors, anxiety, depression, confusion, and other central nervous system disturbances.


Pregnancy and Lactation

Evo 500 mg is classified as US FDA pregnancy category C. It should be avoided during pregnancy and lactation unless the potential benefit justifies the possible risk to the fetus or infant.


Precautions and Warnings

  • Adequate hydration should be maintained during therapy to prevent concentrated urine

  • Use with caution in patients with renal impairment

  • Prolonged or inappropriate use may increase the risk of adverse reactions


Storage Conditions

Store in a dry place away from light and heat. Keep out of reach of children.

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Evo Tablet 500 mg (Levofloxacin Hemihydrate)
Evo Tablet 500 mg (Levofloxacin Hemihydrate)
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