Fluoroquinolones and Mental Health

One of many adverse reactions caused by fluoroquinolones are related to mental health. Due to the stigma, they are also among the most under-reported adverse reactions.

Patients with no history of psychiatric problems have experienced depression, anxiety, panic attacks, thoughts of suicide, paranoia, psychosis, hallucinations, and more after taking fluoroquinolone antibiotics.

Neither physicians or patients currently have adequate information about the severity of adverse psychiatric effects because they are are currently buried in the warning label under “Central Nervous System Effects”.

Efforts to change the warning labels to make the psychiatric adverse reactions more prominent and symptom-specific have thus far been ignored.

Unfortunately, this means that patients who develop mental health and psychiatric events often do not get the help they need.

Many factors need to be addressed when it comes to fluoroquinolones and mental health:

  • Loss of family/friends/support. Significant others, friends, and family don’t always understand Fluoroquinolone Toxicity and many people lose their support system.
  • Change of life circumstances. Loss of income, loss of control, loss of our old life. Since there is no diagnosis code for fluoroquinolone toxicity, aka fluoroquinolone-associated disability, and there isn’t enough known about it for proper treatment, applying for- and getting- disability is very difficult. Those who can’t work anymore lose their homes, income, ways to support their family. There is a “new normal” after one becomes “floxed” and it is difficult to adjust to.
  • Chronic pain. The pain fluoroquinolone toxicity causes is immense. There is physical pain of inflamed joints, tendon tears/ruptures, nerve damage, headaches; and mental pain.
  • Mental health problems, before and after taking toxic medications. In some people fluoroquinolones exacerbate existing mental health issues; in others, it causes mental health issues such as depression, suicidal ideation, psychosis.
  • Not being believed. People suffering from this preventable harm, unfortunately, are often not believed by the medical community. There is still a prevailing and false presumption that fluoroquinolone antibiotics are safe and do not cause the multitude of adverse reactions we know they cause. Not being believed by their doctors and other professionals causes isolation and self doubt.
    Knowing that patients all over the world are suffering and come to us, the Quinolone Vigilance Foundation has decided to compile a list of hotlines for all over the world in the hopes that we can provide vital resources to those who are suicidal.

If you know of hotlines that are not seen here, please alert us to it at contact@saferpills.org It is broken down by country, and where available, we broke it down even further by county and state.
To our knowledge, the hotlines provided below are working numbers but we make no guarantees in the event that they’re not. This document is not to be construed as medical advice. We are simply providing resources.

If you or your loved one is in immediate danger, please call 911 or the equivalent for your country.

  • Algeria: 0021 3983 2000 58
  • Argentina: 0054 11 525 43 498
  • Australia: 13-11-14
  • Austria: 0043 122 97 187
  • Belgium: 102
  • Brazil: 0055 2135 219 653
  • Bulgaria: 0035 9249 17 223
  • Canada: 0016 4725 84 724
  • China: 0086 108 418 1743
  • Croatia: 01-4833-888
  • Czech Republic: 004 202 460 80 718
  • Denmark: 0045 699 180 36
  • Finland: 0035 89 424 177 51
  • France: 0033 182 8888 44
  • Germany:
    • Berlin: 0049 303 187 6856
    • Cologne: 0049 22 198 208 909
    • Dusseldorf: 0049 211 955 89 706
    • Frankfurt: 0049 699 579 5980
    • Hamburg: 0049 40 855 99 703
    • Munich: 0049 8989 659 541
  • Hungary: 0036 1999 8513
  • Ireland: 1890-924567
  • Italy: 199.15.15
  • Netherlands: 0900 0113 (Day) ; 112 (24 Hours)
  • New Zealand: 0800 942 8787
  • Norway: 0047 210 313 49
  • Spain: 0034 911 871 627
  • Sweden: (46) 02-022-0060
  • United Kingdom: 08457 909090
  • United States:
    • United States National Suicide Hotline: 1-800-273-8255
    • National Veteran’s Crisis Hotline: 1-800-273-8255
    • By State
      • Alabama
        Auburn- (334) 821-8600 ; Birmingham- (205) 323-7777 ; Huntsville- 1-800-691-8426 ; Mobile- 1-800-239-1117
      • Alaska Anchorage- 1-800-478-7575, (907) 563-3200, (907) 258-7575 ; Fairbanks- (907) 452-HELP (4357), 1-877-266-HELP (4357) ‘Wasilla- (907) 376-2411
      • Arizona
        Phoenix- (602) 222-9444, 1-800-631-1314 ; Maricopa- (480) 784-1500, 1-866-205-5229 ; Pima- (520) 622-6000, 1-800-796-6762
      • Arkansas
        Statewide- 1-888-274-7472
      • California
        Alameda- 1-800-309-2131, (510) 792-HELP (4357) ; Calaveras- (209) 754-3239, 1-800-499-4030 ; Contra Costa- 1-800-833-2900, 1-888-678-7277 ; Los Alamitos- (562) 596-5548, (714) 894-4242 ; Los Angeles- 1-800-854-7771, (310) 391-1253, 1-877-727-4747 ; Mendocino- Fort Bragg: (707) 964-4747 ; Ukiah: (707) 463-4396 ; Willits: (707) 456-3850 Community Help Line: 1-800-575-HELP (4357) ; Sacramento-(916) 732-3637 ;Auburn (530) 885-2300 ; Lincoln (916) 645-8866 ; Roseville (916) 773-3111 ; Sacramento (916) 368-3111 ;San Bernadino- (916) 732-3637 ;San Diego- 1-800-479-3339 ; San Fernando- (818) 349-HELP (4357) ; San Francisco- (415) 781-0500 ;San Joaquin- (209) 468-8686 ;San Jose & Silicon Valley- (408) 279-8228 ;San Luis Obispo- (805) 549-8989, 1-800-549-8989 ;San Mateo: North County (650) 579-0350 South County (650) 368-6655 ; Coastside (650) 726-6655 ; Santa Barbara- 1-800-400-1572 ;Santa Barbara (805) 899-0 061 ; Santa Maria (805) 928-5818 ; Lompoc (805) 734-2711 ; Santa Ynez (805) 688-1905 ;Santa Clara: San Jose (408) 279-3312 North County (650) 494-8420 South County (408) 683-2482 ; Santa Cruz- 1-877-ONE-LIFE ; Santa Cruz County (831) 458-5300 ;Monterey Peninsula (831) 649-8008 ;Ventura- (805) 652-6727 Yolo: Davis (530) 756-5000 ;Woodland (530) 666-7778 ;West Sacramento (916) 372-6565
      • Colorado
        Boulder- (303) 447-1665 Colorado Springs- (719) 635-7000, (719) 596-5433 (LIFE) Denver- (303) 860-1200 Englewood- (303) 795-6187 Greeley-(970) 353-3686 Fort Collins- (970) 353-3686 Pueblo- (719) 544-1133
      • Connecticut
        Bridgeport-(203) 551-7507 ; Danbury- (888) 447-3339 ; East Hartford- (860) 895-3100 ;Hartford- (860) 297-0999 ; Manchester- (860) 747-3434 ;Meriden- 1-800-567-0902, (203) 630-5305 ; Middletown- (860) 344-6496, (860) 344-2100 ;Milford- (203) 878-6365 ;New Haven- (203) 974-7300 ;Norwich- (860) 859-9302 ;Stamford- (203) 358-8500
      • Delaware
        Milford-1-800-345-6785 ; Wilmington- 1-800-262-9800, (302)633-5128
      • Florida
        Alachua- (352) 264-6789 ;Brevard- Dial 211 or (321) 632-6688 ; Citrus- (352) 726-7155 ;Daytona Beach- 1-800-539-4ACT (4228) ;Hillsborough- (813) 234-1234 ;Jacksonville- 1-800-346-6185 ;Key West- (305) 296-HELP ; Miami-Dade- (305) 358-HELP (4357) ;Orlando- (407) 425-2624 ; Pensacola- (850) 438-1617 ;Pinellas- (727) 791-3131, (727) 344-5555 ; Tallahassee-Dial 211 or (850) 224-NEED (6333)
      • Georgia
        Augusta- (912) 430-4052, 1-866-582-7763 ; Dekalb- (404) 892-4646 ; Fulton- (404) 730-1600 ; Lafayette- 1-800-882-1552 ; Macon- (478) 751-4484 ; Marietta- (770) 422-0202 ; Milledgeville- (478) 445-HELP (4357) ; Statesboro- (912) 764-5125, 1-800-PINELAND
      • Hawaii
        Island of Oahu: (808) 832-3100 Islands of Kauai, Lanai, Molokai, Maui, & Hawaii: 1-800-753-6879
      • Idaho
        Statewide- 1-800-564-2120
      • Illinois
        Adams- (217) 222-1166 ; Aurora- (630) 966-9393 ;Champaign- (217) 359-4141 ;Chicago- (312) 996-5535 ; Edgemont- (618) 397-0963 ; Jefferson/Hamilton- Jefferson County – (618) 242-1512 ; Hamilton County – (618) 643-4025 ;Montgomery- 1-800-324-5052 ; Madison- (618) 465-4388, (618) 877-0316 Moline: Quad-City Area – (309) 779-2999 Statewide – 1-800-322-1431 ; Peoria- (309) 673-7373, 1-800-784-2433 ; Union- (618) 833-8551 Will: Joliet – (815) 722-3344 ; Bolingbrook – (630) 759-4555 ; Frankfort – (815) 469-6166 ; Mokena – (708) 479-1399 ; Morris – (815) 942-6611 ; New Lennox – (815) 485-7366 ;Peotone – (708) 258-3333 ;Wilmington – (815) 476-6969
      • Indiana
        Carmel- (317) 574-1252, 1-800-560-4038 ; Indianapolis- (317) 882-5122, 1-877-882-5122, (317) 621-5700 1-800-662-3445, (317) 251-7575, (317) 630-7791 ; Lafayette- (765) 742-0244, 1-877-419-1632 ;South Bend- (574) 234-0061, 1-877-234-0061 ;Terre Haute/Vigo- 1-812-235-8333
      • Iowa
        Statewide- 211
      • Kansas
        Humboldt: Bourbon County – (620) 223-5030 ; Neosho County – (620) 431-7890 ; Anderson County – (785) 448-6806 ; Allen County – (913) 352-8214 ; Kansas City- (913) 831-1773, (913) 281-1234 Douglas: Lawrence – (785) 841-2345 ; Baldwin City – 888-899-2345 Wichita/Sedgwick- (316) 660-7500, (316) 263-3770
      • Kentucky
        Ashland- 1-800-562-8909 ;Bowling Green- 1-800-562-8909 ; Lexington- 1-800-928-8000 ;Louisville- (502) 589-4313, 1-800-221-0446 ; Owensboro: Daviess County- (270) 684-9466 ; Outside Daviess County- 1-800-433-7291 ;Prestonburg- 1-800-422-1060
      • Louisiana
        Baton Rouge- (225) 924-3900 ;Jefferson- (504) 734-2112 ; Lafayette- (337) 232-4357 (HELP) or 211 ;New Orleans- 1-800-366-1740
      • Maine
        Statewide- 1-888-568-1112
      • Maryland
        Statewide- 1-800-422-0009
      • Massachusetts
        Statewide- (877) 870-4673
      • Michigan Ann Arbor- (413) 568-6386 ; Detroit- (313) 224-7000 ;East Lansing- (517) 337-1717 ; Flint- (810) 257-3740 ;Grand Rapids- (616) 336-3535 ; Holland: Holland- (616) 396-4357(HELP) ;East Ottawa County- (616) 458-4357(HELP) ;Grand Haven- (616) 842-4357(HELP) ; Mt. Pleasant: Isabella County- (989) 772-2918 ;Clare County- (989) 386-2774 ; Muskegon- (231) 722-4357(HELP), 1-888-919-7099 ;Pontiac- 1-800-231-1127 ; Port Huron- 1-810-987-6911, 1-888-225-4447 ;Saginaw- 1-800-233-0022 ; Three Rivers- 1-800-622-3967 ;Ypsilanti- (734) 996-4747
      • Minnesota
        Brainerd- (218) 828-4357 (HELP), 1-800-462-5525 ; Grand Rapids: Itasca County (218) 326-8565, 1-800-442-8565 ;Outside Itasca County, 1-800-543-7709 ;Minneapolis- (612) 873-2222 ; St. Paul- (651) 266-7900, (651) 254-1000
      • Mississippi
        Columbus- (662) 328-0200 ; Jackson- (601) 713-4357
      • Missouri
        Central & Southeastern- 1-800-356-5395 ;Eastern Missouri- 1-800-811-4760 ;Joplin- 1-800-247-066 Springfield- (417) 862-6555, 1-800-494-7355 ;St. Louis- (314) 647-4357 (HELP) ;Western Missouri- 1-888-279-8188
      • Montana
        Billings- (406) 252-5658 ;Bozeman- (406) 252-5658 ;Great Falls- (406) 453-4357 ; Helena- (406) 443-5353 ; Kalispell- (406) 752-6262, 1-800-332-8425
      • Nebraska
        Lincoln- (402) 441-7940
      • Nevada
        Reno 1-800-992-5757, 1-877-885-HOPE
      • New Hampshire
        Concord- 1-800-852-3388 ;Keene- (603) 357-5505 ; Lebanon- (603) 448-4400 ; Manchester- (603) 668-4111 ; Nashua- 1-800-762-8191
      • New Jersey
        Atlantic- (609) 344-1118 ; Cumberland- (856) 455-5555 ; Burlington- (856) 234-8888, (856) 234-3451, (609) 267-8500, (609) 871-4700 ; Cherry Hill- (856) 795-2155, 1-877-266-8222 ; Hoboken- (201) 795-5505 ; Hunterdon- 211 or 1-800-272-INFO (4630), (908) 782-HELP (4357) ; Mercer- (609) 896-2120, (609) 585-2244 ; Burlington- (609) 261-8000 ;Newark- (973) 623-2323 ;Ocean- (732) 240-6100, (609) 693-5834 ; Red Bank- (732) 219-5325 ; Union- (908) 232-2880
      • New Mexico
        Statewide- 1-866-HELP-1-NM
      • New York
        Albany- (518) 447-9650, (518) 689-HOPE (4673) ; Buffalo- (716) 834-3131 ; Clinton, Essex, Franklin- (518) 561-2330 ; Dutchess- (845) 485-9700, 1-877-485-9700 ;Niagra- (716) 285-3515 ; Rochester- (585) 275-5151, 1-800-310-1160 ; Suffolk- (631) 751-7500 ;Syracuse- (315) 251-0600 ; Utica- (315) 734-3456 ; Westchester- (914) 347-6400
      • North Carolina
        Ahoskie- (252) 332-4442 ;Alamance-Caswell- (336) 513-4444 ; Chapel Hill- 1-800-233-6834 ; Cumberland- (910) 485-4134 ; Durham- 1-800-510-9132 ; Elkin- 1-888-235-HOPE (4673) ; Halifax- (252) 537-2909 ; Raleigh- (919) 231-4525, 1-800-844-7410 ; Statesville- (704) 872-7638 ; Wilmington- (910) 392-7408, 1-800-672-2903 ; Winston-Salem- Helpline (336)722-5153
      • North Dakota
        Bismarck- (701) 328-8889, 1-888-328-2112, 211,1-800-472-2911 ; Fargo- (701) 232-HELP, (701) 232-4357 ; Grand Forks- (701) 775-0525
      • Ohio
        Akron- (330) 434-9144, (330) 762-6110 ;Bowling Green- (419) 352-1545, 1-800-472-9411 ; Canton- (330) 452-6000, 1-800-956-6630 ; Cincinnati- (513) 281-CARE (2273) ;Cleveland- (216) 721-1115 ; Columbus- (614) 221-5445 ; Dayton- 1-800-320-HELP (4357), (937) 229-7777, (937) 463-2961 ; Lancaster- (740) 687-0500 ; Lima- 1-800-567-HOPE (4673) ; Mansfield- (419) 522-HELP (4357) ; Toledo- (419) 255-9585 ;Warren- (330) 393-1565, (330) 545-4371 ;West Liberty- 1-800-224-0422 ; Wilmington- 1-800-932-3366
      • Oklahoma
        Statewide- 1-800-522-9054
      • Oregon
        Hot Springs- 1-800-264-2410 ; Bend- 1-888-232-7192 ; Eugene- 1-800-422-7558 ; Grants Pass- 1-800-640-0154 ;Hillsboro- (503) 291-9111 ; LaGrande- (541) 962-8800 ; North Bend- (541) 756-8601 ;Portland- 1-800-716-9769 ; Salem- 1-800-560-5535
      • Pennsylvania
        ;Allegheny- 1-888-424-2287 ; Altoona- 1-800-540-4690 ; Lower Bucks- (215) 355-6000 ; Central Bucks- (215) 340-1998 ; Upper Bucks- (215) 536-0911 ; Main Line & Delaware County- (610) 649-5250 ; Philadelphia- 1-888-855-5525 ;Chester- 1-877-918-2100 ; Erie- (814) 453-5656 ; Lancaster- (717) 299-4855 ; Lehigh- (610) 782-3127 ; Norristown- 1-800-452-4189 ;Pittsburgh- (412) 820-HELP (4357) ;Wilkes-Barre- 1-888-829-1341
      • Rhode Island
        Statewide- 1-800-365-4044
      • South Carolina
        Statewide- 1-800-273-8255
      • South Dakota
        Statewide: 211
      • Tennessee
        Chatanooga- (423) 552-4636 ; Knoxville- (865) 523-9124 ; Memphis- (901) 274-7477 ; Nashville- 1-800-681-7444
      • Texas
        Abilene- 1-800-681-7444 ; Amarillo- 1-800-692-4039 ; Austin- (512) 472-HELP (4357) ; Dallas- (214) 828-1000 ; Denton- 1-800-762-0157 ; El Paso- 1-877-562-6467 ; Houston- 1-866-970-4770 ;San Antonio- (210) 223-7233 (SAFE)
      • Utah
        Provo- (801) 373-7393 ;Salt Lake City- (801) 261-1442
      • Vermont
        Montpelier- (802) 229-0591 ;Randolph- 1-800-639-6360
      • Virginia
        Winchester: Clarke County (540) 667-0145 ; Frederick County (540) 667-0145 ;Page County (540) 743-3733 ; Shenandoah County (540) 459-4742 ; Warren County (540) 635-HELP (4357) ; Winchester (540) 667-0145 ; Blacksburg- (540) 961-8400 ; Richmond- (804) 819-4100 ; Roanoke- (540) 344-1948
        Washington
        Everett- 1-800-584-3578 ; Olympia- (360) 586-2800 ; Seattle- (206) 224-2840 ; Spokane- (509) 838-4428 ; Tacoma- (253) 272-9882 ; Vancouver- 1-800-626-8137 ;Walla Walla- (509) 522-4278 ; Yakima- 1-800-572-8122
        Washington DC
        Arlington- (703) 527-4077
        West Virginia
        Clarksburg- 1-800-SUMMIT-0; Lewisburg- (304) 647-7911
        Wisconsin
        Kenosha- 1-800-236-7188 ; Madison- (608) 280-2600 ; Milwaukee- (414) 257-7222 ; Oshkosh- (920) 233-7707 ; Racine- (262) 637-9557
        Wyoming
        Statewide- 1-800-457-9312