PATIENT INTERVIEWS
 

Philadelphia, PA: For no apparent reason, Lynn had damaged her Achilles tendon; it got so bad that she could barely walk. Then she had problems with the rotator cuff tendon in her right shoulder. Her injuries were baffling Lynn and her doctors, until she discovered the link between damaged and ruptured tendons and Levaquin.

Shoulder Pain"The first time I took Levaquin was back in 1999 for pneumonia," says Lynn. "The antibiotic eventually worked but I took a long time recovering and was out of work for at least a month: I had broken two ribs coughing and separated the cartilage where the ribs insert into the spine. That really hurt; it felt like someone stabbed me in the back.

I finally went back to work and everything seemed fine. Later I got another upper respiratory infection and my physician prescribed Levaquin again. I kept getting these infections and even tried allergy shots. They helped but I got sick yet again and even my allergist prescribed Levaquin. I must have taken this drug about six times, maybe more, from 1999 to 2006. Each time it was the same script: twice a day for 10 days, 1000 mgs (500gms twice a day).

I used to teach dance but suddenly my Achilles tendon hurt and I had to stop. My doctor said that I had tendon pathology, which meant that the Achilles tendon didn't have the natural healthy fibers; they looked damaged. I used to stand on points, on my toes, but never had any problems until after I took this stuff.

All of a sudden I had this nagging pain yet I still had good range. Now I could barely walk. It really made me wonder because there was no trauma and I hadn't over-extended myself, I hadn't suffered any kind of physical injury. And it got worse.

Next up I got problems with my rotator cuff tendon in my right shoulder. At first, I thought I had strained my shoulder and of course doctors always blame it on old age—I am 56 but my joints feel like I am 90; the pain in my shoulder and neck just got worse.

And now my knee is causing a problem: I have no clue what is going on. I have no meniscus (cartilage) left on the inside of the knee so the doctor took x-rays and then he said it looks like I am ready for a knee replacement! The inside of my knee is threadbare, almost bone-to-bone.

All these problems have happened since 2005. I had no clue that a drug could cause all this damage and not one doctor warned me. I had no idea what Levaquin could do until I read about it online. And I heard it on the news.

I asked my allergist about Levaquin and its link to ruptured and torn tendons. He told me that the warning is only for young children. Weird. I always saw drug reps when I visited my allergist, pushing some drug or another. I know the Levaquin reps were in there because Levaquin ads were all over the tissue boxes in his office!

Of course it is easy to blame the mess with my Achilles tendon on old age or because I used to dance. But the last time I danced was in the late 1980s. How about walking? Do I have to walk with pain? I was fine up until I took Levaquin.

Now my muscles seem weak, like they are starting to atrophy. There is nothing like this in my family--my twin sister is fine. I'm probably going to have surgery but which joint should I do first? I really don't want surgery on my shoulder; I will avoid that like the plague. Right now I am getting cortisone shots and there is nothing else to be done except replace my knee. My doctor has ordered an MRI and I might need it for evidence in a lawsuit.

When I first heard about Levaquin and the link to tendon damage my ears perked up: these pharmaceutical companies had to put up black box warnings but they should have done it years ago.

I am joining a lawsuit against the Levaquin maker because I would like to get some kind of remedy and relief from all this, so I can return back to normal activity; I shouldn't have to be a couch potato for the rest of my life. I also want to add that if anyone has problems with their joints or tendons when they got older, find out if you were ever prescribed Levaquin. And don't take this drug-- it is too risky.

If you were harmed by Levaquin you may be eligible to join a lawsuit. Contact a lawyer to discuss your legal options.

August 11, 2008. By Jane Mundy
http://www.lawyersandsettlements.com/articles/11051/levaquin-antibiotic-side-effects-3.html
 


 

Yardville, NJ: Ten days of medicine could result in a lifetime of pain for some Levaquin users. That is because the drug has been linked to tendon ruptures and tendonitis. Although the FDA has now issued a black box warning for the drug, that warning comes far too late for many patients who have already experienced serious side effects after taking Levaquin. Others say they think Levaquin did not even help to heal their infections.

Shoulder Pain"I had a rotator cuff surgery on my right shoulder and it developed an infection," David M. says. "It was treated with two regiments of Levaquin and it appeared that the infection had cleared up. But, the infection reappeared seven months later. It was there the whole time.

"It was in my right shoulder and the shoulder is now in terrible shape. The shoulder is very, very weak. I have a lot of difficulty using that right arm. There is a popping in the shoulder since I used Levaquin.

"I had some tendonitis before I used Levaquin but I the tendonitis is a lot worse now than it was before the surgery. I was given Levaquin for both surgeries on my right shoulder. The second surgery on that shoulder was a total failure—because of the infection, that two rounds of Levaquin did not clear up, there was no chance for there to be sufficient blood flow for the shoulder to heal properly. So now, the shoulder is almost useless."

In addition to complaints that Levaquin did not properly heal an infection, people have reported serious tendonitis and tendon ruptures after using the drug. Dennis A., from Pennsylvania, writes to LawyersandSettlements.com, I have been prescribed Levaquin several times, had my left Achilles tendon tear and be reattached and now have had another surgery to repair my right Achilles tendon." Dennis notes that he has been off work since February and will likely remain off work indefinitely, possibly with a permanent disability. He says he cannot work, can barely walk and is confined to his home since taking Levaquin.

Treating a torn tendon can be a long process. James S. writes that he took Levaquin to fight an infection and, within one month, began suffering tendonitis. He eventually required surgery and by the time it was over, the treatment had taken seven months.

Vicki B. says that although she only took Levaquin for five days in January, she has had muscle and joint problems ever since. "I've dealt with constant joint and muscle pain," Vicki writes. "My shoulders, elbows, upper quad/thigh, knees, numbness in my hand and ankles have given me trouble ever since…I can't hold a cup of coffee without pain. I can't sit in a movie theater for a two hour movie without my husband having to assist me to get out of the chair. I can't take my dogs for a one block walk without my legs becoming very sore and fatigued."

Many people say they have suffered tendonitis and tendon ruptures since taking Levaquin. If you were harmed by the use of Levaquin, contact a lawyer to see what can be done about recovering any medical costs and lost wages associated with your use of this drug.

If you were harmed by Levaquin you may be eligible to join a lawsuit. Contact a lawyer to discuss your legal options.

August 4, 2008. By Heidi Turner
http://www.lawyersandsettlements.com/articles/11051/levaquin-antibiotic-side-effects-3.html
 

Savannah, GA:
It seems like a strange trade-off: take Levaquin for bronchitis and wind up with severe tendonitis. Most people would expect that when they take a medication for illness, they may feel drowsy or suffer nausea or headaches. They certainly don't expect that they will suffer from tendonitis or tendon ruptures and wind up unable to use their limbs.

TendonitisYet that is exactly what is happening to patients taking Levaquin, and the situation is so serious that the drug now has a black box warning about the risks. Unfortunately for Ann G., that warning has come a few days too late. After taking Levaquin, she developed tendonitis from which she is still recovering.

"I had bronchitis and I was prescribed Levaquin," Ann says. "I had it filled—it was a 10 day supply—and I took it for the full time. The last day was on July 11 and I had no problems with it to that point. I woke up on July 13 with excruciating pain in both knees and in my shoulder. I have had minor surgery on my knees and rotator cuff surgery on my shoulder, but this was different. This was a really bad pain.

"I was on a cruise at the time, so the cruise was ruined. On the first day, the pain was the worst and for three to four days after, the pain was really, really bad. By the time I got back, it was about 50 percent better, but it was terrible at first.

"When I got back from the cruise, I immediately called my orthopedic doctor. He said, 'We just got a black box warning about that drug.' It's a little late for me, but I hope this helps someone else in the future.

"It still hurts—I'm still in a lot of pain and it's a constant pain. It's especially bad at night. I take Naproxen at night, but I wake up when it wears off and I try to go without it during the day. I went back to water aerobics because the doctor said that is supposed to help, but other than that I'm trying to take it easy.

"My shoulder pops constantly, and when it does, it's a sharp pain. My knees also pop. If you touch a spot on my shoulder, I'll scream, it hurts that bad. It is hard to get up if I've been sitting down. The pain is getting better, but it still hurts.

"I just want other people not to have to go through what I went through. I won't feel safe taking an antibiotic again—at least, I'll never fill a prescription without checking it on the Internet. I hope this helps someone else in the future."

If you were harmed by Levaquin you may be eligible to join a lawsuit. Contact a lawyer to discuss your legal options.

July 27, 2008. By Heidi Turner
http://www.lawyersandsettlements.com/articles/11051/levaquin-antibiotic-side-effects-3.html
 
Springville, MO: Three years ago Janice was flown to hospital with a severe infection and high fever. She was treated with the antibiotic Levaquin and just days later, she was ready to go home. But because of Levaquin, her ordeal hadn't even begun.

Levaquin Victim

After a few days recovering at home, she started to get other problems. "I was talking with my doctor in California and said I didn't feel good; I was itchy all over," says Janice. "He asked me what drugs I was taking and when I mentioned Levaquin he told me to stop taking it immediately—I'd taken enough. About one week later both my thumbs hurt and they were swollen. I assumed it was because of all the IV I'd had in the back of my hands.

"I started to exercise but my entire hands hurt and both shoulders had sharp pains, especially when I tried to lift anything. And I couldn't sleep without pain pills. But I just assumed my shoulder hurt because of my neck--from being in a hospital bed for so long. Next it was my left foot—a sharp pain, like someone was stabbing me. And it woke me up at night--I didn't get much sleep during this entire time.

Then I thought it must have been carpal tunnel surgery that I had a few months ago acting up. My doctored ordered an MRI on my left hand. Boom, it showed the tendon ruptured or torn. Then she ordered an MRI on my right hand and right shoulder. Bam—ruptured tendons there too. My shoulder was hanging on by a thread and my left shoulder wasn't much better—ruptured. I kept taking more pain killers.

My doctor had just read about Levaquin and Cipro's side effects in a medical journal and told me the damage caused by these fluoroquinolone drugs. I couldn't believe it. Then I went online and started collecting data. A doctor has a website for victims of pharmaceutical drugs. One section is about Levaquin and Cipro and people have even died!

I had surgery September 30, 2006 on my right shoulder. They put a titanium pin in the bone and that left me out of commission—it took a year to recover. After that I had an MRI on my left foot—it showed a possible tendon tear but it's more difficult to find a tear in the foot. Meanwhile my thumbs hurt so bad I saw a hand specialist and he determined I had arthritis. I'd never had arthritis. I asked him about the tendons and he confirmed they were torn.

Why don't doctors research these drugs before they prescribe them? However, my new doctor told me they were getting ready to black-box Levaquin and Cipro—he knew this drug was to blame for all my injuries.

I was active before this drug did a number on me. I used to do stuff and take care of the farm. It's like it sucked the life right out of me. Sometimes the pain gets so bad at night—I'm tired all the time and in the morning I often wake up in spasms—I wake my husband up screaming in pain. There is longevity in my family and no arthritis, but I sure don't want to live to be even 70 with the pain I'm enduring.

Some doctors will just think I am too old or something else is causing it. I was 60 when this happened and it's certainly put a damper on my retirement.

And it isn't about time doctors knew about these horrible side effects? They never told me of Levaquin's side effects in the hospital. Patient Bill of Rights be damned! They don't tell you anything, especially when you go into emergency. And I am on Medicare (Medi-care-less) so it's even worse.

I got a call from the LawyersandSettlements lawyer and it looks like I will go forward with a lawsuit-- if I am within the statute of limitations. I want this story told. And I suspect it has done even more damage. When I read about other people it was heartbreaking but at the same time it helped me a lot, knowing what is causing damaged tendons, knowing I am not alone."

August 18, 2008. By Jane Mundy

http://www.lawyersandsettlements.com/articles/11070/levaquin-tendon-ruptures-levquin-lawsuit.html


 

Speedwell, VA: John suffers from chronic respiratory problems and for the past four years, he has been treated with Cipro. "It helped my breathing but I just found out that a tendon in my shoulder has separated—I am sure Cipro is to blame," says John.

John took 750 mg of the fluoroquinolone twice a day for 10 days. A few weeks ago, he was using a cordless drill to mount a picture on the wall. "I was holding the drill and all of a sudden I got a sharp pain in my right shoulder and my arm dropped," says John. "I couldn't hold my arm up; I lost all strength and without my control it just came down."

John saw his doctor and he ordered an MRI. " He also injected a steroid into my shoulder but it gave no relief," says John. "The MRI results showed a tendon in my right shoulder had ruptured and separated--right now there is a one-inch separation of this tendon.

I had no idea how this could have happened. The MRI results stated the following: 'a complete full thickness tear of the sutraspinatus tendon with medial retraction of the tendon body'. It goes on: 'A full thickness and near complete tear of the infrastinatus tendon. Subscapularis tendon myopathy.'

The surgeon told me I need a complete shoulder replacement joint. With the problems and damage, I will need three orthopedic specialists to perform the surgery: one neurosurgeon, one orthopedic surgeon and a third surgeon who specializes in connective tissue. And I might need donor tissue from a cadaver or artificial material, one of the two.

It is my opinion that this all happened from taking Cipro. I never experienced any trauma, and I didn't do any heavy lifting—at all. I just held a lightweight cordless drill and everything in my shoulder popped. I am only 53 and except for my pulmonary problem, I was in pretty good shape--up until this incident.

The Cipro manufacturer did not give any notice of contradictions of any steroids and now I found out that steroids, combined with fluoroquinolones (i.e. Cipro) compound the damage. Now with the black box warning, it apparently recognizes that there is a contradiction with steroids. Instead of having moderate tears, complete tears can result. The two will compound damage to the connective tissues—a bad combination.

First and foremost, I need my shoulder repaired before any more atrophy happens to the muscle or tissue. Recovery time is about six months. Meanwhile, I'm on Percocets 7.5 mg and inflammatory meds until I get surgery. In fact they have even talked about reverse surgery repair but I don't want to go there.

Regardless, I will have limited use and range of motion. One doctor at Duke University hospital said I will not be able to lift anything heavier than a glass of water for three months post-op. Luckily I am retired but I'm unable to enjoy a quality of life. This year is going to be physically challenging and who wants to spend a year going through surgery and physical therapy because of a drug company's greed? And I bet a lot of people out there are likely worse off than me."

August 8, 2008. By Jane Mundy

http://www.lawyersandsettlements.com/articles/11036/cipro-lawsuit-tendon-rupture.html


 

Perryville, MD: Sophia's urologist first prescribed Cipro last October when she was diagnosed with kidney stones and again after she had surgery. But the pain she experienced back then was minor compared to what she is suffering now--Achilles tendonitis.

"I was still bleeding about three weeks after surgery so my urologist treated me with another round of Cipro," says Sophia. The antibiotic seemed to work; Sophia returned to work and resumed her active life.

But shortly afterward, for no apparent reason, she had a shooting pain in her left foot when she walked. "The pain was in my heel, right under the arch and it seemed to be getting worse," says Sophia, "but I tried to push it out of my mind." Three weeks later—around the end of March—she couldn't ignore the pain anymore.

"I was coming down the stairwell at work and missed a few steps because of the way I was walking and landed on my left foot," she says. "I called a podiatrist and she ordered an MRI—it showed Achilles tendonitis. She fitted me with a Cam Walker Boot and told me to take it easy…

About four weeks later my podiatrist advised me to get a second opinion because my foot wasn't getting any better, so I saw a doctor this time and had another MRI on July 12th.

At the time I had no idea how this could have happened. It couldn't have happened by any kind of trauma. I don’t do anything strenuous, just causal walking. Then a few weeks ago I saw an ad on the Internet about Cipro and its link to tendonitis. I was shocked but in a way relieved: It just clicked—I couldn't figure out how my tendon was damaged but now I know. And all this time I thought it was a string of bad luck—kidney stones, infection and torn tendon.

I don't know if I will ever trust pharmaceuticals again. I trust that a drug will make me feel better; I trust my doctor who writes the prescription. So far I haven't talked to my doctors about Cipro because I am losing my trust in them.

I certainly won't be taking Cipro again or anything else in that class of medications [fluoroquinolones]. I have no idea how an antibiotic can do this to tendons but I am leery of taking another antibiotic, period. Coincidentally, my husband was in hospital last week and he was given Cipro so now I am worried about him; I wanted to tell the doctors not to give him this med but at the same time he has a nasty infection. But will Cipro affect him later like it did to me? My husband has to see his doctor next week and at that time we will ask for an alternative medicine.

As for me, I can’t even walk—I've been ordered to stay off my foot for six weeks and then will I start physical therapy. I just hope it heals and I don't need surgery."

Sophia is one of many people who have suffered from Cipro's side effects. Victims of the 2001 anthrax attacks still have health problems due to Cipro—an antiobitic that was supposed to treat and prevent deadly anthrax infections. One sufferer, John Angell, worked on Capitol Hill as staff director for Senator Max Baucus (D-Mont.) when the anthrax attacks occurred. Although Angell wasn't diagnosed with anthrax, he was treated with Cipro as a precaution, to prevent infection. But just days later, he reported terrible pain in both his Achilles tendons to the Wall Street Journal. Eventually he had to change jobs and today Angell walks with a cane.

In July the FDA asked the manufacturers of fluorquinolones, including Cipro, to issue a black box warning. Unfortunately the warning didn’t come soon enough for victims like Sophia and John Angell and many more sufferers.

August 12, 2008. By Jane Mundy

http://www.lawyersandsettlements.com/articles/11062/cipro-fluorquinolones-antibiotic.html


 

Los Angeles, CA: An antibiotic produced by Bayer AG is plagued with a reputation for attacking tendons, and nobody knows why. The fact remains, however, that the tendency for Cipro to evoke tendonitis and tendon ruptures has earned the drug a black box warning from the US Food and Drug Administration (FDA).

The irony is that it appears to have taken the threat of a lawsuit to do it. And no, not against Bayer AG, but against the FDA.

Drug companies have to deal with lawsuits all the time. Critics, in fact, accuse the drug manufacturers of building lawsuits and litigation into their business plans. While morally reprehensible, the reality of a drug earning a manufacturer billions of dollars in revenue, but costing millions of dollars in litigation and settlement fees, is simply good business.

However Public Citizen, a consumer advocacy group originally founded by Ralph Nader, had a problem with Cipro's relationship with a patient's tendons. Cipro is the commercial handle for fluoroquinolone, a class of drug that is associated with tendon problems, and not just with jocks, either. One would expect a demographic group hell-bent on running, cycling, tennis and squash to experience tendon problems.

What alarmed Public Citizen were the number of Cipro patients over 60 who experienced tendon problems, or those patients who had undergone heart, kidney or lung transplants.

The numbers speak for themselves: 407 ruptures by the end of last year, together with 341 cases of tendonitis in a population that was not largely active, at least not in the sense that tendons would be unduly stressed. Critics also made the point that adverse reactions to drugs are only reported about 10 percent of the time, and when a drug doesn't appear to be the natural culprit, the reporting rate could be even lower.

Unless otherwise informed, how could a 60-year-old conclude that his, or her ruptured Achilles tendon—the most common rupture—may have been a Cipro side effect? Instead, they would be forgiven for assuming that the injury was caused by moving the wrong way.

And so two years ago Public Citizen petitioned the FDA to step up the warnings for fluoroquinolones, including the addition of a black box warning, the requirement of professional medical guides that would highlight the risk for consumers, as well as the provision for so-called 'Dear Doctor' letters.

When the FDA had failed to respond by January of this year, Public Citizen launched a lawsuit. That seemed to get the FDA's attention, and last month it added the black box warning to Cipro with regard to the relationship between tendon issues, and fluoroquinolones. The agency is said to have made no mention of the Public Citizen lawsuit, but made the point that Cipro warning labels have been updated between 2001 and 2004. The FDA resisted the addition of a black box warning, given the assumption that doctors would discuss any, and all risks with their patients. However, a continual flow of adverse reaction reports appeared to suggest that those warnings were either not provided, or not heeded.

Thus, the FDA decided to go the black box route with Cipro, and also ordered medication guides to inform patients about the new warning. While it stopped short of ordering the 'Dear Doctor' letters, the FDA did authorize the distribution of medication alerts to more than 100,000 physicians and 170 medical organizations.

It should be noted that while tendon ruptures could occur quite suddenly, more often than not they are preceded by a week or two of discomfort. The latter, those in the medical community say, can be useful in switching from a medication such as Cipro that could be the ultimate cause of the discomfort, thereby mitigating the potential for a tendon issue before it happens. But the consumer needs to know that Cipro might just be the culprit, in the first place.

Public Citizen thinks the Dear Doctor letters would have been helpful.

In the meantime, should such recent efforts help to mitigate, and even prevent serious tendon injury, then terrific. However, anyone who has suffered a major tendon injury knows all too well the debilitating effect it has, and the impact on an individual's life and livelihood.

And if that injury happened in relation to the ingestion of Cipro prior to the addition of the black box warning, during a time when the FDA appeared to be stalling while Public Citizen formally petitioned the agency to step up warnings in an effort to protect people…

Perhaps a call to a Cipro legal professional would be in order. You may have lost income, and racked up medical bills you can't pay for. You may not have even recovered. If it can be proven that Cipro caused your injury, and no one made you aware of the risk, you could be in for some compensation.

August 19, 2008. By Gordon Gibb

http://www.lawyersandsettlements.com/articles/11103/cipro-side-effects-antibiotic-drug-3.html


August 28, 2008. By Jane Mundy

Elkhart, IN: In April 2001 Lilly's doctor prescribed Levaquin for a bone infection and said she would have to stay on it for the rest of her life. Fortunately, Lilly saw a specialist who told her to stop taking it, immediately. Lilly believes that if she had stayed on Levaquin she would be in a wheelchair today.

"The first time I took Levaquin I woke up in the middle of the night and couldn't get my breath," says Lilly (not her real name). "That should have been the first sign that I shouldn't take it.

 

By May I had aches in both shoulders, like I had tendonitis. I couldn't even lift my arms to put on my coat, it was so bad. Then the same pain started in my knees. I called my pharmacist to ask if a medication could be making me feel this way and he said that Levaquin could be to blame.

I phoned my doctor who prescribed Levaquin and turns out that he was a demon in disguise. He said if I go off the drug I could die, and he also said the pharmacist was full of BS. This doctor had no bedside manner…

Then I called the pharmacist back, I really didn't know what to do. He told me to call the manufacturer-- Ortho-McNeil Pharmaceutical, Inc. They said the same thing: stop taking it immediately. I called the doctor back, again. "I told you that you have to stay on that pill or you will lose your life,' he said. I deferred to this doctor and from April till October, I don’t think a prison camp could have been worse.

I stayed on Levaquin. I was literally shuffling across the floor at this point; it got so bad that I was almost an invalid. Then it hit my Achilles tendons. It got to the point where I had to lie straight on my back and put my arms on my side like a board because I couldn't lie down any other way.

This part is embarrassing and it is why I want to remain anonymous: when I went to the toilet I had to fall back on the seat and I couldn't wipe my bum because I couldn't get back there—my husband had to help me! You would have thought I was 100 years old and completely disabled yet I am only 58 now.

On the July 4th weekend I called the doctor back and told him I couldn't live like this anymore. He just screamed at me and told me to call him back Tuesday.

I called the IU medical center at Indianapolis and they told me to come over right away. I saw the rheumatoid doctor and even had psychological exams. I knew I had tendonitis but they kept testing me. 'We have a prognosis: it is your Levaquin,' they said. I had known this all along! They replaced Levaquin with Bactrim and to this day I am still taking it. Then the medical center tried to call my doctor: apparently he refused to talk about it.

Recently I read an article in the newspaper about a man having severe tendonitis because of Levaquin and I mailed the article to this doctor with a note: 'You put my life through hell and I hope you don’t do it to anyone else. And you owe me an apology,' I wrote. I still have the bottle of Levaquin he prescribed me.

Yesterday a man was cutting a tree down in my front yard and he complained to me that his arm hurt. 'You wouldn’t be on Levaquin by any chance,' I asked. 'NO, I am on Cipro,' he replied. Interesting. I was told at the medical center that I was a rare case but now I have subsequently found out that many people have reported serious side effects from fluoroquinolone antibiotics (quinolones) such as Cipro, Levaquin, Floxin, or Tequin--since 2001.

It took four months to recover from tendonitis but my shoulder tendons are still very sensitive. For instance, if I garden for too long, they will flare up again. I don't think I will ever be 100 percent better. That drug should be taken off the market. It might help some people but it is certainly not for everyone…I hope I can help others by telling my story.

http://www.lawyersandsettlements.com/articles/11150/levaquin-antibiotic-side-effects-5.html