How long after taking fluoroquinolone antibiotics should one wait before trying to conceive?
Due to sinusitis issues, I often need to take antibiotics.
The medications that my doctor frequently prescribes are Curam (Amoxicillin), Augmentin (Amoxicillin/Clavulanate), and Oflodal (Ofloxacin, a fluoroquinolone).
I'm concerned about how long these medications take to metabolize, especially since I've read that fluoroquinolones should be avoided during pregnancy and that they should not be administered when planning to conceive.
I'm worried about the potential residual effects of these medications on my eggs.
I would like to ask for your opinion, thank you!
Xiao Ci, 30~39 year old female. Ask Date: 2016/07/30
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, there is no absolute timeframe; it is generally recommended to wait about 1 to 2 months.
The medication affects the fertilized embryo but does not impact the eggs.
Wishing you good health.
Reply Date: 2016/07/30
More Info
When considering the use of quinolone antibiotics, such as Oflodal (ofloxacin), and their potential impact on conception, it's essential to understand the pharmacokinetics of these medications, as well as the general recommendations regarding their use in women who are planning to conceive.
Quinolones are a class of antibiotics that are effective against a variety of bacterial infections, including those that may cause sinusitis. However, they are generally not the first-line treatment for sinus infections, and their use is often reserved for cases where other antibiotics, like penicillin or Augmentin (amoxicillin/clavulanic acid), are ineffective or when the patient has a specific allergy to those medications.
Regarding the metabolism and elimination of quinolone antibiotics, the half-life of these drugs varies, but typically, it ranges from 4 to 10 hours. This means that it takes about 4 to 10 hours for the concentration of the drug in the bloodstream to reduce by half. For most quinolones, it usually takes about 5 half-lives for a drug to be eliminated from the body. Therefore, if you take a quinolone with a half-life of 8 hours, it would take approximately 40 hours (5 x 8 hours) for the drug to be mostly cleared from your system. However, individual factors such as kidney function, age, and overall health can influence this timeline.
As for the concern about trying to conceive after taking quinolone antibiotics, it is indeed advised to avoid these medications during pregnancy due to potential risks to the developing fetus. Studies have shown that quinolones can affect cartilage development in animal studies, leading to concerns about their safety in humans, particularly during pregnancy and lactation. Therefore, it is generally recommended to wait at least a few days after completing a course of quinolone antibiotics before attempting to conceive, allowing sufficient time for the drug to be eliminated from your system.
In your case, since you mentioned using Curam (which is a penicillin derivative) and Augmentin, these medications are generally considered safe during pregnancy, although it is always best to consult with your healthcare provider about any medications you are taking when planning for pregnancy.
If you have concerns about the potential effects of these antibiotics on your fertility or the health of your future pregnancy, it is crucial to discuss these with your healthcare provider. They can provide personalized advice based on your medical history and the specific antibiotics you have taken.
In summary, while quinolone antibiotics should be avoided when planning to conceive, waiting a few days after completing the course of treatment is generally advisable. Always consult with your healthcare provider for the most accurate and personalized guidance.
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