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The drug works by interfering with topoisomerase IV and DNA gyrase, enzymes bacteria need to divide and replicate. In August, Levaquin lawsuits filed on the federal level were consolidated into a multidistrict litigation MDL No. Several were settled out of court for confidential amounts. As of December, less than 20 complaints were pending in the MDL. Lawyers have obtained settlements for a number of Levaquin victims and their families to compensate them for their injuries.

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