Baxdela Injection

— THERAPEUTIC CATEGORIES —
  • Bacterial infections

Baxdela Injection Generic Name & Formulations

General Description

Delafloxacin 300mg; per vial; lyophilized pwd for IV infusion after reconstitution and dilution.

Pharmacological Class

Quinolone.

See Also

How Supplied

Tabs—20; Blister packs—20 (2x10 tabs); Single-dose vials—10

Manufacturer

Generic Availability

NO

Baxdela Injection Indications

Indications

Susceptible acute bacterial skin and skin structure infections (ABSSSI) and community-acquired bacterial pneumonia (CABP).

Baxdela Injection Dosage and Administration

Adult

Infuse over 60mins. ≥18yrs: 300mg every 12hrs; or, 300mg every 12hrs then switch to oral tabs 450mg every 12hrs as clinically indicated. ABSSSI: treat for 5–14 days. CABP: treat for 5–10 days. Renal impairment (eGFR 15–29mL/min/1.73m2): 200mg every 12hrs; may switch to oral form as clinically indicated. ESRD (eGFR <15mL/min/1.73m2) or hemodialysis: not recommended (insufficient data). See full labeling.

Children

<18yrs: not recommended.

Baxdela Injection Contraindications

Not Applicable

Baxdela Injection Boxed Warnings

Boxed Warning

Serious adverse reactions including tendinitis, tendon rupture, peripheral neuropathy, CNS effects, and exacerbation of myasthenia gravis.

Baxdela Injection Warnings/Precautions

Warnings/Precautions

Increased risk of disabling and potentially irreversible adverse reactions (including tendinitis/tendon rupture [esp. in patients >60yrs, or those with kidney, heart or lung transplants], peripheral neuropathy, or CNS/psychiatric effects); discontinue immediately if signs/symptoms occur. CNS disorders (eg, cerebral arteriosclerosis, epilepsy) that increase seizure risk. History of myasthenia gravis; avoid. Increased risk of aortic aneurysm and dissection (esp. in elderly); reserve use only if no alternatives in patients with history or risk of. Discontinue at 1st sign of skin rash, or any other hypersensitivity. Monitor blood glucose in diabetic patients; discontinue if hypoglycemia occurs. Severe renal impairment receiving IV form: monitor serum creatinine levels, eGFR closely; consider switching to oral form if serum creatinine level increases. Discontinue if eGFR falls <15mL/min/1.73m2. Elderly. Pregnancy. Nursing mothers.

Baxdela Injection Pharmacokinetics

See Literature

Baxdela Injection Interactions

Interactions

Separate dosing of oral form with magnesium- or aluminum-containing antacids, sucralfate, metal cations, multivitamins containing zinc or iron, or didanosine (buffered forms) by at least 2hrs before or 6hrs after these agents. Increased risk of tendinitis/tendon rupture with corticosteroids. Concomitant antidiabetics may increase blood glucose disturbances. For IV: avoid concomitant solution containing multivalent cations (eg, calcium, magnesium) through same IV line.

Baxdela Injection Adverse Reactions

Adverse Reactions

Nausea, diarrhea, headache, transaminase elevations, vomiting; tendinitis/tendon rupture, peripheral neuropathy, CNS/psychiatric effects, hypersensitivity reactions, C. difficile-associated diarrhea, dysglycemia, aortic aneurysm/dissection.

Baxdela Injection Clinical Trials

See Literature

Baxdela Injection Note

Not Applicable

Baxdela Injection Patient Counseling

See Literature