Why is this medication prescribed?

Cipro HC is a prescription medication that combines an antibiotic (ciprofloxacin) with a corticosteroid (hydrocortisone). Cipro HC is typically prescribed for the treatment of ear infections, specifically acute otitis externa (also known as swimmer’s ear), in patients who have a perforated tympanic membrane (eardrum).

Cipro HC is prescribed for the following reasons:

• Acute Otitis Externa: This is an infection of the outer ear canal and is often caused by bacteria or fungi. Ciprofloxacin in Cipro HC helps to treat the infection by killing the bacteria.
• Perforated Tympanic Membrane: In cases where there is a perforation (hole) in the eardrum, Cipro HC is used cautiously because the antibiotic could potentially pass through the eardrum and enter the middle ear.

How should this medicine be used?

Here are general guidelines for using Cipro HC:

• Dosage: Follow your doctor’s instructions regarding dosage. Typically, you will be instructed to use 4 drops of Cipro HC into the affected ear(s) twice daily for 7 days.
• Administration: Before using the medication, warm the bottle in your hand for a few minutes to reduce the discomfort of cold drops in the ear. Tilt your head to the side or lie down with the affected ear facing upward. Administer the prescribed number of drops into the ear canal by gently pulling the earlobe up and back for adults (or down and back for children).
• After Administration: Remain lying down or with the affected ear upward for about 1 minute to allow the drops to penetrate deeply into the ear canal.
• Duration: Use Cipro HC for the full course of treatment prescribed by your doctor, even if your symptoms improve. Stopping the medication too early may allow the infection to return.
• Avoiding Contamination: Do not touch the tip of the dropper to your ear, fingertips, or any other surface. This can contaminate the dropper and lead to infection.
• Side Effects: Common side effects may include temporary stinging or burning in the ear. If you experience severe pain, rash, or any unusual symptoms, contact your doctor immediately.

Always use Cipro HC exactly as prescribed by your doctor. Do not share this medication with others, and do not use it for other ear problems unless directed to do so by your doctor.

Other uses for this medicine

• Chronic Otitis Externa: In some cases, Cipro HC may be prescribed for chronic otitis externa, which is a persistent or recurrent infection of the outer ear canal.
• Otitis Media with Perforated Tympanic Membrane: Occasionally, Cipro HC may be used cautiously for infections of the middle ear when there is a perforation (hole) in the eardrum.

What special precautions should I follow?

Special Precautions for Cipro HC:

• Hypersensitivity: If you have a known allergy to ciprofloxacin, hydrocortisone, or any other ingredients in Cipro HC, inform your doctor before using the medication.
• Pregnancy and Breastfeeding: It is important to discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Cipro HC should be used during pregnancy or breastfeeding only if clearly needed and prescribed by your doctor.
• Perforated Tympanic Membrane: Use Cipro HC cautiously if you have a perforated tympanic membrane (eardrum), as the antibiotic (ciprofloxacin) can potentially pass through the hole into the middle ear.
• Other Ear Conditions: Do not use Cipro HC if you have a viral or fungal infection of the ear canal, as it is only effective against bacterial infections.
• Medical Conditions: Inform your doctor about any medical conditions you have, especially if you have a history of ear problems or if you are immunocompromised.
• Interactions: Make sure to inform your doctor about all other medications you are taking, including over-the-counter drugs and supplements, as they could interact with Cipro HC.
• Children: Use Cipro HC with caution in children, as safety and efficacy have not been established in children under 2 years of age.
• Administration: Follow the instructions carefully regarding the dosage and administration of Cipro HC. Do not exceed the prescribed dose or duration of treatment.
• Side Effects: Monitor for any side effects such as itching, redness, swelling, or severe pain in the ear. If you experience any of these symptoms, contact your doctor promptly.

Always consult your healthcare provider for specific guidance on the use of Cipro HC, taking into consideration your individual medical history and circumstances.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Cipro HC. However, it’s always a good idea to maintain a healthy diet and adequate hydration, which can support your body’s ability to recover from infections.

What should I do if I forget a dose?

If you forget to use Cipro HC at the scheduled time, use it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for the missed one.

What side effects can this medication cause?

Cipro HC, like any medication, can cause side effects. It’s important to be aware of potential side effects and to notify your healthcare provider if you experience any unusual symptoms. Here are some common and less common side effects associated with Cipro HC:

Common Side Effects:

• Ear discomfort: Temporary stinging or burning sensation in the ear after using the drops.
• Headache: Mild to moderate headaches may occur.
• Itching: Itching sensation in or around the ear.

Less Common but Serious Side Effects (Rare):

• Allergic reactions: This can include rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing. Seek immediate medical attention if you experience any signs of a serious allergic reaction.
• Severe ear pain: If you experience worsening pain, redness, or drainage from the ear, contact your doctor immediately.
• Changes in hearing: Though rare, ciprofloxacin (the antibiotic in Cipro HC) can cause temporary or permanent changes in hearing. If you notice any changes in your hearing, inform your doctor promptly.
• Superinfection: Prolonged or repeated use of Cipro HC may result in overgrowth of non-susceptible bacteria or fungi. If new infections develop during treatment, notify your doctor.
• Other systemic effects: While Cipro HC is applied topically to the ear and systemic absorption is minimal, there is a possibility of systemic effects similar to those of oral ciprofloxacin. These may include tendon rupture (especially in elderly patients), central nervous system effects (such as dizziness or confusion), and gastrointestinal disturbances (like nausea or diarrhea).

If you experience any side effects that are persistent or concerning, contact your healthcare provider for guidance. They can evaluate your symptoms and determine if any adjustments to your treatment plan are necessary.

It’s important to use Cipro HC exactly as prescribed and to not exceed the recommended dose or duration of treatment. This helps minimize the risk of side effects and promotes effective treatment of your condition.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Storage: Store Cipro HC at room temperature, away from light and moisture. Keep the bottle tightly closed when not in use. Avoid storing it in the bathroom, as moisture can affect the medication.
• Handling: Wash your hands thoroughly before and after applying Cipro HC to prevent the spread of infection. Do not touch the tip of the dropper to your ear or any other surface to avoid contamination.
• Disposal: Dispose of unused or expired Cipro HC drops as per local regulations or guidelines. Do not flush them down the toilet unless instructed to do so. Proper disposal helps prevent accidental ingestion by children or pets.

In case of emergency/overdose

In case of accidental ingestion of Cipro HC or if you suspect an overdose, seek emergency medical attention or contact a poison control center immediately. Overdose symptoms may include dizziness, confusion, seizures, or loss of consciousness.

What other information should I know?

• Effectiveness: Cipro HC is effective against bacterial infections of the outer ear canal (otitis externa). It combines an antibiotic (ciprofloxacin) to treat infection and a corticosteroid (hydrocortisone) to reduce inflammation and discomfort.
• Use in Specific Populations:
  • Pregnancy and breastfeeding: Use Cipro HC during pregnancy or breastfeeding only if clearly needed and prescribed by your doctor.
  • Children: Use cautiously in children, especially those under 2 years of age. Safety and efficacy in this age group have not been established.
• Follow-Up: Follow your doctor’s instructions closely regarding the use of Cipro HC. Finish the full course of treatment even if your symptoms improve, to ensure the infection is fully cleared.
• Potential Interactions: Inform your healthcare provider about all medications you are taking, including over-the-counter drugs and supplements, as they may interact with Cipro HC.
• Symptoms to Monitor: Be aware of any allergic reactions (such as rash, itching, swelling), severe ear pain, or changes in hearing while using Cipro HC. Contact your doctor if you experience any concerning symptoms.
• Regular Check-ups: Your doctor may schedule follow-up visits to monitor your response to treatment and check for any complications.

Always consult your healthcare provider for specific guidance on the use, storage, disposal, and any concerns you may have regarding Cipro HC. They can provide personalized advice based on your medical history and current health status.