I have levaquin (levofloxacin) induced bilateral achilles tendinopathy. tendon pain fluctuates while medial side calf pain and tenderness is constant. is this normal?

No, Pain is never --: Normal, but maybe understandable as to why it occurs. Such conditions do end up with frank ruptures of the tendons, so avoid excessive activities, but importantly get yourself seen by an orthopod, who can have you in ankle boots to prevent excessive achilles tendon excursions and to allow things to settle down. I would use them for at least 6 weeks.

Just make sure you: Don't have a DVT at the sametime. You would not want the achilles tendonopathy to mask a possible dvt. I would obviously avoid any physical exertion as well as you would not want the achilles to completely rupture. This is a big problem witht he quinolone drugs.

Dr Horsley agreed