What is the Difference Between Ofloxacin and Levofloxacin?

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Ofloxacin and levofloxacin are both fluoroquinolone antibiotics used to treat bacterial infections, such as pneumonia, bronchitis, staph infections, and urinary tract infections. However, there are some differences between the two:

  1. Antibacterial properties: Levofloxacin is generally twice as potent as ofloxacin in vitro. It is active against most aerobic Gram-positive and Gram-negative organisms and demonstrates moderate activity against anaerobes.
  2. Stereoisomerism: Levofloxacin is the optical S-(-) isomer of ofloxacin.
  3. Side effects: Both ofloxacin and levofloxacin have some common side effects, such as allergic reactions, nervous system stimulation, low or high blood sugar levels, and skin sensitivity to sunlight. However, some side effects of levofloxacin that are different from ofloxacin include constipation, abdominal pain, rash, and abdominal gas.
  4. Potential for interactions: Levofloxacin has been studied for drug-drug interactions, and it was found that the majority of solid oral dosage forms of levofloxacin were 'low interaction potential'.
  5. Half-life: The half-life of levofloxacin is 6-7.5 hours, while the half-life of ofloxacin is 4 hours.

In summary, levofloxacin has generally higher antibacterial properties and is considered to have higher safety compared to ofloxacin. However, both antibiotics have some common side effects and can be used to treat similar bacterial infections.

Comparative Table: Ofloxacin vs Levofloxacin

Ofloxacin and levofloxacin are both fluoroquinolone antibiotics used to treat bacterial infections. Here is a table comparing the differences between the two:

Property Ofloxacin Levofloxacin
Antibacterial Properties Comparatively less effective Comparatively more effective
Safety Comparatively less safe Comparatively safer
Used to Treat Pneumonia, bronchitis, staph infections, STDs (gonorrhea, chlamydia), urinary tract infections (UTIs), and prostate infections caused by E. coli Bacterial infections of the sinuses, skin, ears, airways, bones, and joints; infectious diarrhea caused by E. coli, Campylobacter jejuni, and Shigella bacteria; obstetric infections, including mastitis (infection of the breast); inhalational anthrax exposure; and for preventing and treating plague caused by Yersinia pestis
Side Effects Allergic reactions, hives, anaphylaxis, nervous system stimulation, low or high blood sugar levels (especially in people with diabetes), and skin sensitivity to sunlight (photosensitivity) Constipation, abdominal pain, rash, and abdominal gas
Half-Life 7.5 hours 6 to 6.9 hours

In summary, levofloxacin has comparatively higher antibacterial properties and safety compared to ofloxacin. Levofloxacin is also used to treat a broader range of bacterial infections, including infectious diarrhea, anthrax exposure, and plague. Both drugs have different side effect profiles, with some side effects being more common with one drug than the other.