Personal Information (Use full name or first name only if you prefer, Email and URL are optional)
Name State/Country E-mail URL
Sex
Male Female
Age
Which Quinolone(s) did you take?
Why were you prescribed the Quinolone?
Did your doctor try a non-quinolone antibiotic first?
No Yes
How long ago did you take it?
How much have you recovered as of right now?
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Less than 10%
If you relapse, how often (on average)?
Has your doctor agreed that your symptoms are from the Quinolone?
Do you have a history of neurological problems (siezures, etc.) ?
Please list anything the doctor has done to help your recovery
Please list anything you have tried that helped in your recovery
Please enter your story here. Include symptoms and their severity, how this has affected your quality of life, what financial impact this has had, how this has affected your family. Are you able to work or are you disabled (fully or partially)?