Antibiotic Toxicity =================== þ Quinolones and MG - may exacerbate myasthenia gravis weakness (new FDA labeling required 3/11) þ Quinolone CNS Toxicity - Quinolones, and, more rarely, penicillin or cephalosporins, may cause coma, confusion, psychosis or seizures [Walton G, et al. Ofloxacin-Induced Seizure Ann Pharamacotherapy 1997; 31:1475.] [Clin Infect Dis 195;21:1504] [Reeves R. Ciprofloxacin-Induced Psychosis. Ann Pharmacotherapy 1992:28:931.] [Eur J Clin Microbiol 1986;5:226.] [Ann Intern Med 1989;110:170.] [Rev Infect Dis 1988;10:528.] [Jay G. Ciprofloxacin-Induced Delirium. Ann Pharmacotherapy 1997;31:252] [J Am Geriatr Soc 1991; 39:909.] [Gen Hosp Psychiatry 1995;17:47.] þ Quinolone Tendinitis - all quinolones known for causing tendinitis - may occur up to days or weeks after a short course - Achilles tendon most common - rupture may occur þ TCN Tetracyclines - cause staining of teeth and bones if given in childhood - photosensitivity - associated with pseudotumor cerebri