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During therapy or for up to many months afterward, taking ciprofloxacin increases your risk of experiencing tendinitis (swelling of a fibrous tissue that joins a bone to a muscle) or a tendon rupture (tearing of a fibrous tissue that connects a bone to a muscle). These issues could impact the tendons in your shoulder, hand, ankle’s back, or other portions of your body. Any age can get tendinitis or a ruptured tendon, although adults over 60 have the highest risk. Inform your physician if you have or have ever had kidney, heart, or lung illness; If you have a joint or tendon illness, such as rheumatoid arthritis (a disease in which the body attacks its own joints, resulting in pain, swelling, and loss of function), or if you engage in regular physical activity, these factors may affect your risk. If you are using oral or injectable steroids like dexamethasone, methylprednisolone (Medrol), or prednisone, let your doctor and pharmacist know (Rayos). As soon as you notice any of the following tendinitis symptoms, stop taking ciprofloxacin, get some rest, and call your doctor right away. A muscle may experience discomfort, edoema, soreness, rigidity, or trouble moving. Stop taking ciprofloxacin and seek emergency medical attention if you experience any of the following tendon rupture symptoms: hearing or feeling a snap or pop in a tendon area; bruising following an injury to a tendon area; or being unable to move or bear weight on an affected area.
Ciprofloxacin use may result in nerve damage and changes in sensation that can persist even after you stop taking the medication. Soon after you start using ciprofloxacin, this harm could happen. Inform your physician if you have ever experienced peripheral neuropathy (a type of nerve damage that causes tingling, numbness, and pain in the hands and feet). Stop taking ciprofloxacin and contact your doctor right away if you suffer any of the following symptoms: a change in your capacity to feel light touch, vibrations, pain, heat, or cold. tingling, numbness, burning, or weakness in the arms or legs.
Serious adverse effects from taking ciprofloxacin may impact your neurological system or brain. After taking the first dose of ciprofloxacin, this is possible. Inform your doctor if you currently have or previously had kidney illness, seizures, epilepsy, cerebral arteriosclerosis (narrowing of blood arteries in or around the brain that can cause a stroke or ministroke), stroke, or any other condition. Call your doctor right away and stop taking ciprofloxacin if you suffer any of the following symptoms: seizures, tremors, lightheadedness, dizziness, headaches that won’t go away, trouble getting or keeping asleep, nightmares, a lack of confidence in people, or the impression that people are out to get you; hallucinations (seeing or hearing things or voices that are not there); suicidal thoughts or behaviours; restless, anxious, tense, or depressed feelings; memory lapses or confusion; or other changes in your attitude or behaviour.
Those who have myasthenia gravis, a nerve system illness that causes muscle weakness, may experience worsening muscle weakness after taking ciprofloxacin, which could result in serious breathing problems or even death. If you have myasthenia gravis, tell your doctor. Your physician might advise against taking ciprofloxacin. If your doctor prescribes ciprofloxacin for your myasthenia gravis and you have muscle weakness or breathing problems while taking it, call your doctor right away.
Discuss the dangers of taking ciprofloxacin with your doctor.
When you start taking ciprofloxacin, your doctor or pharmacist will give you the manufacturer’s patient information leaflet (Medication Guide). If you have any questions, carefully read the material and contact your doctor or pharmacist. To obtain the Medication Guide, you can also go to the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs) or the manufacturer’s website.
Why is this medication prescribed?
Ciprofloxacin is used to treat or prevent a number of bacterial illnesses, including pneumonia, gonorrhoea, typhoid fever, infectious diarrhoea, infections of the skin, bone, joint, abdomen (stomach area), and prostate. Typhoid fever is a deadly infection that is frequent in underdeveloped nations (male reproductive gland), Ciprofloxacin is also used to treat or prevent inhalation anthrax and plague, two deadly illnesses that could be intentionally disseminated as part of a bioterrorist strike (a serious infection that may be spread by anthrax germs in the air on purpose as part of a bioterror attack). Although bronchitis, sinus infections, and some types of urinary tract infections may be treated with ciprofloxacin, these conditions should not be treated with it if there are alternative available options. However, some types of urinary tract infections should only be treated with ciprofloxacin extended release tablets if no other treatment alternatives are available. Ciprofloxacin extended-release (long-acting) tablets are used to treat kidney and urinary tract infections. Ciprofloxacin belongs to the fluoroquinolone family of antibiotics. It functions by eradicating the infection-causing germs.
Colds, the flu, or any other viral infections will not be treated by antibiotics like ciprofloxacin. Antibiotic overuse raises the likelihood that you’ll get an infection later on that is resistant to antibiotic therapy.
How should this medicine be used?
There are three oral dosage forms of ciprofloxacin: tablets, suspensions (liquid), and extended-release tablets that can be taken with or without food. The extended-release pills should typically only be taken once day, whereas the tablets and suspension should typically be taken twice daily. The tablets and suspension may both be administered as a single dose when being used to treat gonorrhoea. Every day, take ciprofloxacin at roughly the same time(s). Your type of infection will determine how long you need to receive treatment. How long to take ciprofloxacin will be specified by your doctor. Ask your doctor or pharmacist to explain any instructions on your prescription label that you do not understand, and carefully follow their instructions. Just as prescribed, take ciprofloxacin. Never take it in larger or less amounts or more frequently than directed by your doctor.
It is not possible to switch from one kind of ciprofloxacin to another. Make sure you only take the brand of ciprofloxacin that your doctor prescribed. If you have any inquiries concerning the brand of ciprofloxacin you were prescribed, speak with your pharmacist.
Ciprofloxacin shouldn’t be taken with milk or calcium-fortified juices on their own. You may nevertheless take ciprofloxacin along with a meal that contains these items.
Do not chew or crush the tablets; instead, swallow them whole. You can cut a 250 mg or 500 mg tablet in half along the scored line if your doctor instructs you to do so. Do not split, crush, or chew the extended-release pills; instead, swallow them whole. Inform your doctor if you are unable to swallow whole tablets or extended-release tablets.
To mix the medication equally if you’re using the suspension, shake the bottle vigorously for 15 seconds before to each usage. Without chewing the suspension’s granules, take the prescribed dosage. After each usage, completely cap the bottle. Don’t administer the suspension through a feeding tube to a patient.
Within the first few days of your ciprofloxacin medication, you ought to start feeling better. Call your doctor if your symptoms do not disappear or worsen. If you experience a fever or back pain while receiving treatment for a urinary tract infection, contact your doctor right once. These symptoms could indicate that your infection is getting worse.
Even if you feel better, continue taking ciprofloxacin until the prescription is finished. Unless if you suffer some of the significant side effects indicated in the IMPORTANT WARNING and SIDE EFFECTS sections, do not discontinue taking ciprofloxacin without first consulting your doctor. Your infection could not be entirely treated if you stop taking ciprofloxacin too soon or if you skip doses, and the bacteria might develop an antibiotic resistance.
Other uses for this medicine
Ciprofloxacin can be used to treat and prevent serious diseases including tularemia and anthrax of the skin or mouth in the case of biological warfare. In addition to treating genital sores brought on by bacteria, granuloma inguinale (donovanosis, a sexually transmitted disease), Legionnaires’ disease, cat scratch disease, infections of the outer ear that spread to the face’s bones, and chancroid, ciprofloxacin is occasionally used to treat other bacterial infections. Furthermore, Crohn’s disease and tuberculosis may be treated with ciprofloxacin (condition in which the immune system attacks the lining of the digestive tract causing pain, diarrhea, weight loss, and fever). Ciprofloxacin is also occasionally used to treat certain patients for traveler’s diarrhoea, to treat patients with fever and low levels of white blood cells who are at high risk for infection, to treat patients undergoing specific types of surgery, and to treat patients who have been in close contact with meningitis patients. The dangers of using this drug for your illness should be discussed with your doctor.
Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.
What special precautions should I follow?
Before taking ciprofloxacin,
- If you are allergic to ciprofloxacin or have experienced a severe response to it, tell your doctor and pharmacist. any other medications, or if you have an allergy to any of the chemicals in ciprofloxacin tablets or suspension. any other quinolone or fluoroquinolone antibiotic, such as delafloxacin (Baxdela), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), and ofloxacin. For a list of the ingredients, ask your doctor or pharmacist.
- Informing your physician that you are taking tizanidine (Zanaflex). Ciprofloxacin should not be taken when you are taking this drug, according to your doctor.
- Inform your doctor and pharmacist about any additional prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products you are now taking or intend to use. Mention the drugs in the IMPORTANT CAUTION section as well as any of the following: Azithromycin (Zithromax, Zmax), warfarin (Coumadin, Jantoven), certain antidepressants, antipsychotics like clozapine (Clozaril, Fazaclo, Versacloz), and olanzapine (Zyprexa, in Symbax), caffeine or products containing caffeine (Excedrin, NoDoz, Vivarin, etc.); anticoagulants (also known as “blood thinners”); Diuretics (‘water pills’), duloxetine (Cymbalta), erythromycin (E.E.S., Eryc, Eryped, etc), clarithromycin (Biaxin, in Prevpac), cyclosporine (Gengraf, Neoral, Sandimmune), diuretics (‘water pills’), and others; insulin or other diabetes-management drugs like tolazamide, chlorpropamide, glimepiride (Amaryl, in Duetact), glipizide (Glucotrol), glyburide (DiaBeta), and tolbutamide; several drugs, such as amiodarone (Nexterone, Pacerone), disopyramide (Norpace), procainamide, quinidine (in Nuedexta), and sotalol (Betapace, Betapace AF, Sorine, Sotylize), are used to treat irregular heartbeats; pentoxifylline (Pentoxil); methotrexate (Otrexup, Rasuvo, Trexall); certain NSAIDs such ibuprofen (Advil, Motrin, and other brands) and naproxen (Aleve, Naprosyn, and other brands); ropinirole (Requip), phenytoin (Dilantin, Phenytek), probenecid (Probalan, in Col-Probenecid), theophylline (Elixophyllin, Theo-24, Uniphyl, among others), tizanidine (Zanaflex), or zolpidem (Ambien, Edluar, Intermezzo, Zolpimist). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects. Tell your doctor about all of the medications you are taking, even those not on this list, as many other drugs may also interact with ciprofloxacin.
- Take ciprofloxacin at least 2 hours before or 6 hours after taking any antacids that contain calcium, aluminium hydroxide, or magnesium hydroxide (such as Maalox, Mylanta, or Tums), as well as certain medications like didanosine (Videx) solution, calcium, iron, or zinc supplements, phosphate binders like sevelamer (Renagel, Renvela), lanthanum carbonate (Fosrenol),
- If you or anybody in your family currently has or has ever had a prolonged QT interval, let your doctor know (a rare heart problem that may cause irregular heartbeat, fainting, or sudden death). Tell your doctor if you have or have ever had a heart attack, an aortic aneurysm, high blood pressure, peripheral vascular disease, Marfan syndrome (a genetic disorder that can affect the heart, eyes, and blood vessels), an irregular or slow heartbeat, heart failure (a condition in which the heart is unable to pump enough blood to the other parts of the body), a heart attack, aortic aneurysm, high blood pressure, or poor circulation in the blood vessels). Inform your doctor if you have diabetes, low blood sugar issues, liver illness, or any of these conditions.
- If you are pregnant or plan to become pregnant, let your doctor know. Call your doctor if you become pregnant while taking ciprofloxacin.
- If you are breastfeeding, let your doctor know. While using ciprofloxacin and for at least two days following your last dose, breastfeeding should not be done.
- Do not operate machinery, drive a car, or engage in other tasks that call for attentiveness or coordination until you have had a chance to assess the impact of the drug on your body.
- Plan to use protective clothes, sunglasses, and sunscreen and to avoid unnecessary or prolonged exposure to sunlight or UV radiation (tanning beds and sunlamps). Your skin may become more susceptible to ultraviolet or sunlight if you use ciprofloxacin. Call your doctor if your skin begins to become red, swell, or blister, like a severe sunburn.
What special dietary instructions should I follow?
Avoid consuming excessive amounts of caffeine-containing foods and beverages such coffee, tea, cola, energy drinks, and chocolate. Ciprofloxacin may make caffeine-induced uneasiness, agitation, insomnia, and anxiety worse.
While taking ciprofloxacin, make sure to consume lots of water or other fluids every day.
What should I do if I forget a dose?
Take the missing dose of your ciprofloxacin pills or suspension as soon as you remember it if you miss a dose, and then proceed with your regular schedule if it will be six hours or more before your next dose. Instead, skip the missed dosage and carry on with your regular dosing plan if you forget to take ciprofloxacin tablets or suspension and it is less than 6 hours until the next dose.
Take the missed dose of the extended-release tablet as soon as you remember it if it has been more than eight hours since your last dose, and then proceed with the following dose at the appointed time. Nevertheless, if there is less than 8 hours until the next dose of ciprofloxacin extended-release tablets, skip the missed dose and carry on with your regular dosing plan.
To make up for a missing dose, do not take a second one. Avoid taking more than one dose of the extended-release tablets or suspension, or more than two doses of the tablets or suspension, in a single day.
What side effects can this medication cause?
Ciprofloxacin could have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:
- Abdominal pain
- Itchiness and/or discharge from the vagin
- Light skin
- Strange fatigue
Stop taking ciprofloxacin and seek immediate medical attention if you suffer any of the following symptoms or any of those mentioned in the IMPORTANT WARNING section:
- Severe diarrhoea (bloody or watery stools), which may or may not be accompanied by fever and cramping (may occur up to 2 months or more after your treatment)
- Skin that is flaking or blistering
- Edoema of the lower legs, hands, feet, ankles, throat, lips, tongue, or eyes
- Throat constriction or hoarseness
- Breathing or swallowing challenges
- Persistent or escalating co
- Having pale complexion, yellowing skin or eyes, black urine, or light-colored faeces
- Intense hunger or thirst, pallor, trembling, a racing or fluttering heartbeat, excessive sweating, frequent urination, blurred vision, or unusual anxiety
- Loss of awareness or fainting
- Less urinations
- Unexpected chest, stomach, or back pain
Children on Ciprofloxacin may experience troubles with their joints, bones, and surrounding tissues. Children under the age of 18 should typically not receive ciprofloxacin unless they have certain serious infections that are resistant to other antibiotics or they have been exposed to the plague or anthrax through the air. If your doctor recommends ciprofloxacin for your child, be sure to let the doctor know if the child currently has any joint-related issues or has ever had any. If your kid experiences joint discomfort or swelling while taking ciprofloxacin or following ciprofloxacin therapy, contact your doctor right away.
The dangers of taking ciprofloxacin or giving it to your child should be discussed with your doctor.
Further negative effects of ciprofloxacin are possible. If you experience any strange issues while taking this medicine, contact your doctor right away.
You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).
What should I know about storage and disposal of this medication?
Keep this medication tightly closed in the original container and out of the reach of children. Keep the pills and extended-release pills in a cool, dry place away from heat sources and moisture (not in the bathroom). For up to 14 days, keep the suspension securely closed in the refrigerator or at room temperature. Suspension of ciprofloxacin shouldn’t be frozen. After 14 days, throw away any suspension that is still in place.
Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org
Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at http://goo.gl/c4Rm4p for additional information.
In case of emergency/overdose
Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.
What other information should I know?
Keep all of your appointments with your physician and the lab. To determine how well your body is responding to ciprofloxacin, your doctor may request specific lab tests. Your doctor might advise you to monitor your blood sugar more frequently while taking ciprofloxacin if you have diabetes.
No one else should take your medication. It’s likely that your prescription cannot be renewed. Call your doctor if, after stopping the ciprofloxacin, you continue to experience signs of infection.
You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.
- Cipro® Oral Suspension
- Cipro® Tablets
- Cipro® XR Extended-release Tablets
- Proquin® XR Extended-release Tablets