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General Information
What should I know before taking this drug
Dosage information
Adverse reactions
Additional information if any

Topgem tab® [ Torrent (Prima) ]
Gemez tab® [ Glenmark ]

Gemifloxacin is a prescription drug available from your pharmacy store only with the prescription of a qualified medical practitioner.

Gemifloxacin is pronounced as: je mi FLOX a sin

Gemifloxacin is an anti infective / antibacterial drug belonging to fluoroquinolone group of antibiotics.

Gemifloxacin is used in the treatment of

  • Community acquired pneumonia and 
  • Chronic bronchitis
  • Take Gemifloxacin exactly as prescribed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Take oral dose of Gemifloxacin before or after meals with one glass of water at regular intervals as prescribed by your doctor. Take lots of oral fluids when on this medication.
  •  Do not take certain medicines like antacids, Didanosine, mineral supplement containing zinc, with gemifloxacin medication as it decreases its efficacy. However you may take it 2 hrs before or 6hrs after taking gemifloxacin medication. 
  • Do not skip any doses. Continue to take it even when you feel better.
  • You must complete the entire course of medication to get maximum benefit; else the infection will not clear completely and in due course result in development of resistance.
  • Always remember to inform your health expert if you are currently taking any OTC or prescription drugs like
    1. Oral hypoglycaemic drugs  
    2. Oral steroid drugs( betamethasone, Dexamethasone, Prednisone )
    3. Anti arrhythmic drugs (amiodarone, sotalol)
    4. Anti depressants (amitriptyline, doxepin thioridazine)
  • Inform your doctor if you have following medical conditions as gemifloxacin should be used cautiously in the below mentioned conditions
    1. Seizure disorder
    2. Personal or family history of Long QT interval
    3. History of arrhythmias or cardiac disease
    4. Renal impairment
    5. History of head injury

Do not take gemfloxacin if you are allergic to fluro quinolone antibiotics ex: ciprofloxacin, norfloxacin, ofloxacin.
Do not use gemfloxacin if you have cardiac arrhythmia.

Children: Gemifloxacin should not be used in children below 18 yrs as it may interfere with bone growth and development. 

Old people:
Pregnant woman: Gemifloxacin belongs to FDA pregnancy category C. This means that gemifloxacin may harm an unborn baby if used during pregnancy but potential benefit may warrant use of the drug in pregnant woman despite potential risks. Always inform your doctor if you are pregnant or are planning for conception.
Lactating women: It is not known whether gemifloxacin passes into breast milk or if it could harm the baby. Do not take gemifloxacin with out first talking to doctor if you are breast feeding a baby.

Gemifloxacin is available as tablet and injection. Your doctor will prescribe them depending on the severity of the disease.

Use as directed by your physician, your physician prescribes depending on the severity of disease. Use the complete course of medication as prescribed by your physician even though you feel better after one or two days of usage of medication.

For detailed dosage information, consult your doctor who will prescribe you depending on the severity of the disease.

If it is almost the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not take two doses at same time to cover up the missed dose.

In case of overdose contact your nearest poison control centre or emergency medical centre for immediate care by physician.  

The overdose symptoms of gemifloxacin are
  • Chills
  • Convulsions
  • Tremors
  • Loss of coordination

What are the common side effects of gemifloxacin?

Gemifloxacin may causes following side effects like

  • Nausea 
  • Sleep disturbance
  • Giddiness 
  • Diarrhoea 
  • Confusion, hallucination, unusual thoughts

Consult your doctor immediately if notice following symptoms.

  • Allergic reaction like swollen lips, hives, difficulty in breathing, rashes. Peeling of skin etc
  • Sudden onset of pain, swelling , stiffness in joints( ankle or arm)
  • Severe diarrhoea
  • Jaundice (yellowing of skin and eyes)
  • Palpitations, irregular heart beat
  • Tingling and numbness in any part of the body

Store gemifloxacin at room temp (15 – 30 degrees C). Avoid excessive heat, moisture or direct sunlight, never store in the bathroom.
Keep it out of reach of children. Make sure that any leftover portion is disposed off safely.

  • Avoid prolonged sun exposure as gemifloxacin sensitizes the exposed skin causing burning sensation, rash etc. Use long sleeved clothes, sunscreen lotion (minimum SPF-15) when you go out in sun to avoid photo toxicity.
  • Gemifloxacin medication should be used cautiously in elderly individual as the risk of tendon injury is more when on this medication.
  • Antibiotics may cause diarrhoea. Consult your doctor immediately if it is very severe as it could be a sign of new infection or pseudomembranous colitis.
  • Gemifloxacin impairs thought process and causes drowsiness. Avoid activities which require you to be alert.
It is imp to read manufacturing packaging instruction carefully if available and always do not hesitate to consult pharmacist or physician for any information.

Written by: Healthplus24 team
Date last updated: May 31, 2012