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Fluoroquinolones: Risks to Patients and Providers

Matthew DeLaney, MD, FACEP, FAAEM
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While widely prescribed, fluoroquinolones have been associated with a large number of adverse events and are the focus of multiple lawsuits against providers.

Currently there are FDA warnings regarding quinolone use and the risk of tendinitis, tendon rupture and peripheral neuropathy. More recently studies have shown an increased risk of aortic dissection and aneurysm in patients who are taking quinolones. Providers need to consider and document these potential risks when using these medications.

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Christy S. -

Will you post the conversation that you document in your EHR with your patients regarding quinolone use? Thanks!

Neda F., MD -

Hi Christy! I've asked Matt DeLaney for his scripting and will keep you posted. Thanks for writing in.

Matt D., MD -

Here's what I put on my charts:

I am prescribing a fluoroquinolone for the patient to treat their pneumonia. I have discussed the risks associated with this medication including risk of tendon rupture and neuropathy. I have considered other classes of antibiotics and I think this is the most appropriate choice of medication.The patient has verbalized an understanding of these risks, has been advised to limit strenuous exercised while taking these medications, and will return immediately for any pain, swelling or if they develop any new or concerning symptoms.

Neda F., MD -

Thanks, Matt! :-)

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