The PRAC recommends that the remaining fluoroquinolone antibiotics should:
- not be used
- to treat infections that might get better without treatment or are not severe (such as throat infections);
- for preventing traveller’s diarrhoea or recurring lower urinary tract infections (urine infections that do not extend beyond the bladder);
- to treat patients who have previously had serious side effects with a fluoroquinolone or quinolone antibiotic;
- to treat mild or moderately severe infections unless other antibacterial medicines commonly recommended for these infections cannot be used;
- be used with caution especially for the elderly, patients with kidney problems, patients who have had an organ transplantation or those who are being treated with a systemic corticosteroid. These patients are at higher risk of tendon injury caused by fluoroquinolone and quinolone antibiotics.