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What Does Sudden Tremors And Tireness When On Levofloxacin Indicate?

Posted on Tue, 28 Apr 2015

Question: My mother at 7 pm took a pill of levofloxacin 500 mg and later at 10 gave her a 5 ml of avrilar a cough medicine and she has started at 12:30 am to feel accelerated, tired when walking and her heart beat is 114 pulses per minute and her systolic/diastolic measurements are 95/60. She is 93 years old. What can be done? What is the reason for this sudden tremor and tireness. Thanks

Answered by Dr. Prakash H Muddegowda (23 minutes later)

Brief Answer:
Mild allergic reaction.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. It appears she is having a possible mild allergic reaction.
2. Even though, she might have taken both before, cross reaction between medication or specifically cough syrup having ivy extract, needs to be stopped..
3. Your doctor is right in stopping the medications.
4. Keep her well hydrated, if necessary, you can use oral rehydration salts also. Fruit juices to improve energy and fluid volume is necessary.
5. If cough is productive, nebulization will be helpful.
Antibiotics may need to be changed after she recovers her blood pressure.
For fever, paracetamol can be taken, if she has no allergy to it.
Keep her well hydrated with good nutrition. If climate is warm or hot, she needs to be in cool place - air conditioning if possible.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Prakash H Muddegowda (2 days later)

Thanks Dr. XXXXXXX Her condition improved after the doctor in the hospital (I have to take her to the hospital when seeing her condition and by advise or her geriatric doctor) gave her 20 mg of Inderal to stabilize her pulse after hydrating her with a Ranger solution (her K, Na, Ca and albumin were below the normal values. Her neutrophylls 73.4% are low, lymphocytes 17.6% Eosinophylls 0.3% and so her erythrocytes 3,44 (10^6ul) and her hemoglobin is low 11.7 g/dl, she used to have 13. Her HCT 33.8%, HCM 34.1 pg She felt better yesterday but last night was coughing all night. It is a dry cough. The antibiotics was suspended and we started nebulization with pulmicort twice a day + abrilar today 3 times a day. After her breakfast and nebulizations later on she has been sleeping. I have her in an air conditioning room and also at night. Her temperature has been 37.4 degrees Centigrades at times. Currently, she does not feel like eating, nor she wants to take water or liquid. But I will keep trying to hydrate her. I hope she does not develop an infection in her respiratory system. The antibiotic may have served to stop any potential or beginning infection in her respiratory system.
Thanks again. Any other information regarding her conditions with information given will be greatly appreciated.
Thanks again
Noris

Answered by Dr. Prakash H Muddegowda (12 hours later)

Brief Answer:
Continue with emotional support and good nutrition

Detailed Answer:
Hi,
Thanks for asking again.

Good to know she is better.
Due to different environment, she could be developing the resistance towards food or water. Encouragement and support at this juncture will help her during this period.
If she has recovered adequately, then in discussion with doctor, she can be shifted home, where she will feel more comfortable. Long term hospitalization in the elderly is not advisable as it make them mentally weak, being in an unknown environment.

Continue with good hydration and nutrition.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar