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What is Cipro (Ciprofloxacin)?
Cipro (Ciprofloxacin) is an antibiotic in a class of drugs called fluoroquinolones. Cipro (Ciprofloxacin) fights bacteria in the body.
Cipro (Ciprofloxacin) is used to treat various types of bacterial infections.
Cipro (Ciprofloxacin) may also be used for purposes other than those listed in this medication guide.
Why is this drug prescribed?
Cipro (Ciprofloxacin) is an antibiotic used to treat certain infections caused by bacteria. Cipro (Ciprofloxacin) tablets and suspension (liquid) are used to treat pneumonia (lung infection); bronchitis (infection of the tubes that lead to the lungs); some types of gonorrhea (a sexually transmitted disease); diarrhea caused by bacteria; typhoid fever (a contagious illness common in developing countries); and bone, joint, skin, prostate (a male reproductive gland), sinus, and urinary tract (bladder) infections. Cipro (Ciprofloxacin) is also used to prevent and/or treat anthrax in people exposed to anthrax germs in the air. Cipro (Ciprofloxacin) is also used with another medication to treat certain infections of the internal organs. Cipro (Ciprofloxacin) extended release (long-acting) tablets are used to treat urinary tract and kidney infections. Cipro (Ciprofloxacin) is in a class of antibiotics called fluoroquinolones. It works by killing bacteria. Antibiotics will not work for colds, flu, or other viral infections.
Other uses for this medicine
Cipro (Ciprofloxacin) is also sometimes used to treat patients with cystic fibrosis who have lung infections. Cipro (Ciprofloxacin) is sometimes used to treat various sexually transmitted diseases and various infections such as Legionnaire disease (a type of lung infection), cat scratch disease (an infection that may develop after a patient is bitten or scratched by a cat), and brucellosis (a type of infection that causes a rising and falling fever and other symptoms). In the event of biological warfare, Cipro (Ciprofloxacin) may be used to treat and prevent dangerous illness that are deliberately spread such as plague, tularemia, and anthrax of the skin or mouth. Cipro (Ciprofloxacin) may also be used to reduce the amount of certain types of bacteria in the nose to prevent serious illness. Cipro (Ciprofloxacin) may be used with another medication to treat disseminated Mycobacterium avium complex (MAC) (a type of lung disease that often affects people with human immunodeficiency virus [HIV] ), and tuberculosis (TB) (a type of lung infection). Talk to your doctor about the possible risks of using this drug for your condition.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
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Most important fact about this drug?
Drug Class And Mechanism?
What should my health care professional know before I take Cipro (Ciprofloxacin)?
What are the recommended Cipro (Ciprofloxacin) dosage?
How Cipro (Ciprofloxacin) Is Given?
What should I watch for while taking Cipro (Ciprofloxacin)?
What drug(s) may interact with Cipro (Ciprofloxacin)?
What are Cipro (Ciprofloxacin) side effects, that may occur?
Special warnings about Cipro (Ciprofloxacin) medication?
What Precautions you should take while taking Cipro (Ciprofloxacin) ?
What else should I know about Cipro (Ciprofloxacin) treatment?
Some things to consider?
From where can one get Cipro (Ciprofloxacin)?
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Most important fact about this drug?
Cipro (Ciprofloxacin) kills a variety of bacteria, and is frequently used to treat infections in many parts of the body. However, be sure to stop taking Cipro (Ciprofloxacin) and notify your doctor immediately at the first sign of a skin rash or any other allergic reaction. Although quite rare, serious and occasionally fatal allergic reactions--some following the first dose--have been reported in people receiving this type of antibacterial drug.
Some reactions have been accompanied by collapse of the circulatory system, loss of consciousness, swelling of the face and throat, shortness of breath, tingling, itching, and hives. Fever and jaundice (yellowing of the skin and eyes) are other potential symptoms that should send you to the doctor immediately.
Drug Class And Mechanism?
Many common infections in humans are caused by single cell organisms, called bacteria. Bacteria can grow and multiply, infecting different parts of the body. Medicines that control and eradicate these bacteria are called antibiotics. Cipro (Ciprofloxacin) is an antibiotic that stops multiplication of bacteria by inhibiting the reproduction and repair of their genetic material (DNA).
What should my health care professional know before I take Cipro (Ciprofloxacin)?
They need to know if you have any of these conditions:
Using Cipro (Ciprofloxacin) when you have dehydration
Using Cipro (Ciprofloxacin) when you have kidney disease
Using Cipro (Ciprofloxacin) when you have liver disease
Using Cipro (Ciprofloxacin) when you have seizures (convulsions)
Using Cipro (Ciprofloxacin) when you have stomach problems (especially colitis)
Using Cipro (Ciprofloxacin) when you have an unusual or allergic reaction to ciprofloxacin, other medicines, foods, dyes, or preservatives
Using Cipro (Ciprofloxacin) when you have pregnant or trying to get pregnant
Using Cipro (Ciprofloxacin) when you have breast-feeding
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What are the recommended Cipro (Ciprofloxacin) dosage?
ADULTS
Urinary Tract Infections
The usual adult dosage is 250 milligrams taken every 12 hours. Complicated infections, as determined by your doctor, may require 500 milligrams taken every 12 hours. Treatment usually lasts 7 to 14 days.
For cystitis in women, the dosage is either 100 milligrams or 250 milligrams every 12 hours. Treatment usually lasts 3 days.
Lower Respiratory Tract, Skin, Bone, and Joint Infections
The usual recommended dosage is 500 milligrams taken every 12 hours. Complicated infections, as determined by your doctor, may require a dosage of 750 milligrams taken every 12 hours. Treatment usually lasts 7 to 14 days, except for bone and joint infections, which require 4 to 6 weeks.
Infectious Diarrhea; Typhoid Fever; Sinus, Prostate, and Abdominal Infections
The recommended dosage is 500 milligrams taken every 12 hours. Treatment lasts 5 to 7 days for diarrhea, 10 days for typhoid fever and sinus infections, 7 to 14 days for abdominal infections, and 28 days for prostate infections.
Inhalational Anthrax
For adults, the recommended dosage is 500 milligrams taken every 12 hours. Children's doses are calculated at a rate of 15 milligrams per 2.2 pounds of body weight up to a maximum of 500 milligrams per dose. Treatment continues for 60 days.
Gonorrhea in the Urethra or Cervix
For these sexually transmitted diseases, a single 250-milligram dose is the usual treatment.
Ear Infection
Instill 3 drops of suspension into the ear twice a day for 7 days.
CHILDREN
Except for treatment of inhalational anthrax, safety and effectiveness of Cipro (Ciprofloxacin) oral tablets and suspension have not been established in children and adolescents under 18 years of age.
The dosage of Cipro (Ciprofloxacin) HC Otic suspension for children aged 1 and up is the same as for adults.
If you are using the oral suspension, 1 teaspoonful of 5% suspension equals 250 milligrams and 1 teaspoonful of 10% suspension equals 500 milligrams. If you have kidney problems, your doctor will decrease your dose of Cipro (Ciprofloxacin) accordingly.
Treatment should usually be continued for 2 days after the signs and symptoms of the infection have disappeared.
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How Cipro (Ciprofloxacin) Is Given?
Take Cipro (Ciprofloxacin) exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent the formation of Cipro (Ciprofloxacin) crystals in the urine.
Shake the oral suspension vigorously for 15 seconds before each use. Do not chew the microcapsules in the suspension, swallow them whole.
Do not crush, break, or chew the CIPRO XR tablets. Swallow them whole. They are specially formulated to release the medication slowly in the body.
Cipro (Ciprofloxacin) may be taken with or without food. It is preferable to take Cipro (Ciprofloxacin) 2 hours after a meal.
Do not take Cipro (Ciprofloxacin) with dairy products (such as milk or yogurt) or calcium-fortified juice alone. It is not a problem if Cipro (Ciprofloxacin) is taken with dietary calcium in a normal meal, but when taken only with dairy products or calcium-fortified juice, the effectiveness of the medication may be decreased.
Take Cipro (Ciprofloxacin) at evenly spaced intervals.
Do not take antacids that contain calcium, magnesium or aluminum (e.g., Tums or Rolaids); the ulcer medicine sucralfate (Carafate); or vitamin or mineral supplements that contain calcium, iron or zinc for a minimum of 6 hours before or 2 hours after a dose of Cipro (Ciprofloxacin). Taking antacids, sucralfate, or vitamin or mineral supplements too close to a dose of Cipro (Ciprofloxacin) can greatly decrease the effects of the antibiotic.
Take all of the Cipro (Ciprofloxacin) that has been prescribed for you even if you begin to feel better. Symptoms may start to improve before the infection is completely treated.
Store this medication at room temperature away from moisture and heat
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What should I watch for while taking Cipro (Ciprofloxacin)?
Tell your prescriber or health care professional if your symptoms do not improve in 2 to 3 days.If you get severe or watery diarrhea, do not treat yourself. Call your prescriber or health care professional for advice.Make sure you stay well hydrated while taking Cipro (Ciprofloxacin).
Drink several glasses of water a day. This helps to prevent crystals of the drug from developing in your urine.Cut down on drinks that contain caffeine. Cipro (Ciprofloxacin) can increase the stimulant effects of caffeine and cause heart, breathing and other problems.Keep out of the sun, or wear protective clothing outdoors and use a sunscreen. Do not use sun lamps or sun tanning beds or booths.You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how Cipro (Ciprofloxacin) affects you.
To reduce the risk of dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient.
Antacids can make Cipro (Ciprofloxacin) ineffective. If you get an upset stomach and want to take an antacid, make sure there is an interval of at least 2 hours since you last took Cipro (Ciprofloxacin), or 6 hours before your next dose. Iron and zinc preparations can also make Cipro (Ciprofloxacin) ineffective. Do not take multivitamins at the same time you take your Cipro (Ciprofloxacin) tablets.
If you notice pain or swelling of a tendon or around a joint, stop taking Cipro (Ciprofloxacin). Call your healthcare provider. Rest the affected area. Do not exercise or take Cipro (Ciprofloxacin) until your healthcare provider tells you to do so.
If you notice pain, burning, tingling, numbness and/or weakness, discontinue Cipro (Ciprofloxacin) and call your healthcare professional immediately.
Stop taking Cipro (Ciprofloxacin) if you develop a skin rash or other allergic reaction. Call your healthcare provider immediately.
If you are going to have surgery, tell your prescriber or health care professional that you are taking Cipro (Ciprofloxacin).
If you are pregnant or breastfeeding
Although there's reason to believe that Cipro (Ciprofloxacin) poses little danger during pregnancy, its effects have not been adequately studied. If you are pregnant or plan to become pregnant, notify your doctor immediately. Cipro (Ciprofloxacin) does appear in breast milk when it's taken internally, and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding your baby until your treatment is finished.
What happens if I miss a dose?
If you are taking Cipro (Ciprofloxacin) tablets or suspension, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
If you are taking Cipro (Ciprofloxacin) extended release tablets and forget to take your dose at the usual time, you may take the dose later in the day. However, do not take more than one Cipro (Ciprofloxacin) extended release tablet in one day, even if you missed a dose.
What happens if I overdose?
Seek emergency medical attention.
The most common symptom of a Cipro (Ciprofloxacin) overdose is seizures.
Preparations:
Tablets: 250mg, 500 mg, 750 mg, 1000 mg
Tablets: 500 mg extended release (Cipro XR)
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What drug(s) may interact with Cipro (Ciprofloxacin)?
Cipro (Ciprofloxacin) drug interaction with acetazolamide
Cipro (Ciprofloxacin) drug interaction with aluminum salts
Cipro (Ciprofloxacin) drug interaction with antacids
Cipro (Ciprofloxacin) drug interaction with caffeine
Cipro (Ciprofloxacin) drug interaction with calcium salts
Cipro (Ciprofloxacin) drug interaction with citric acid; potassium citrate; sodium citrate products
Cipro (Ciprofloxacin) drug interaction with didanosine, ddI
Cipro (Ciprofloxacin) drug interaction with iron supplements
Cipro (Ciprofloxacin) drug interaction with magnesium salts
Cipro (Ciprofloxacin) drug interaction with manganese
Cipro (Ciprofloxacin) drug interaction with medicines for diabetes
Cipro (Ciprofloxacin) drug interaction with methazolamide
Cipro (Ciprofloxacin) drug interaction with multivitamins containing calcium, iron, magnesium, manganese, or zinc
Cipro (Ciprofloxacin) drug interaction with mexiletine
Cipro (Ciprofloxacin) drug interaction with NSAIDs such as Advil®, Aleve®, ibuprofen, Motrin®, naproxen
Cipro (Ciprofloxacin) drug interaction with phenytoin
Cipro (Ciprofloxacin) drug interaction with probenecid
Cipro (Ciprofloxacin) drug interaction with sodium bicarbonate
Cipro (Ciprofloxacin) drug interaction with sucralfate
Cipro (Ciprofloxacin) drug interaction with theophylline
Cipro (Ciprofloxacin) drug interaction with ursodiol
Cipro (Ciprofloxacin) drug interaction with warfarin
Cipro (Ciprofloxacin) drug interaction with zinc salts
Tell your prescriber or health care professional about all other medicines you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Should I avoid any other medications, foods, alcohol, and/or activities?
Your prescription and nonprescription medications may interact with other drugs, causing a harmful effect. Certain foods or alcohol can also interact with drug products. Never begin taking a new medication, prescription or nonprescription, without asking your doctor or nurse if it will interact with alcohol, foods or other medications. Some drug products can cause drowsiness and may affect activities such as driving.
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Where can I keep my medicine?
Keep out of the reach of children in a container that small children cannot open.
Store at room temperature below 30 degrees C (86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.
What are Cipro (Ciprofloxacin) side effects, that may occur?
Cipro (Ciprofloxacin) side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Cipro (Ciprofloxacin).
Most common side effect:
Cipro (Ciprofloxacin) side effects such as Nausea
Less common side effects may include:
Cipro (Ciprofloxacin) side effects such as Abdominal pain/discomfort
Cipro (Ciprofloxacin) side effects such as diarrhea
Cipro (Ciprofloxacin) side effects such as headache
Cipro (Ciprofloxacin) side effects such as rash
Cipro (Ciprofloxacin) side effects such as restlessness
Cipro (Ciprofloxacin) side effects such as vomiting
Rare side effects may include:
Cipro (Ciprofloxacin) side effects such as Abnormal dread or fear
Cipro (Ciprofloxacin) side effects such as achiness
Cipro (Ciprofloxacin) side effects such as bleeding in the stomach and/or intestines
Cipro (Ciprofloxacin) side effects such as blood clots in the lungs
Cipro (Ciprofloxacin) side effects such as blurred vision, breast pain
Cipro (Ciprofloxacin) side effects such as change in color perception, chills, confusion
Cipro (Ciprofloxacin) side effects such as constipation
Cipro (Ciprofloxacin) side effects such as convulsions
Cipro (Ciprofloxacin) side effects such as coughing up blood
Cipro (Ciprofloxacin) side effects such as decreased vision
Cipro (Ciprofloxacin) side effects such as depression
Cipro (Ciprofloxacin) side effects such as difficulty in swallowing
Cipro (Ciprofloxacin) side effects such as dizziness
Cipro (Ciprofloxacin) side effects such as double vision
Cipro (Ciprofloxacin) side effects such as drowsiness
Cipro (Ciprofloxacin) side effects such as eye pain
Cipro (Ciprofloxacin) side effects such as fainting
Cipro (Ciprofloxacin) side effects such as fever
Cipro (Ciprofloxacin) side effects such as flushing
Cipro (Ciprofloxacin) side effects such as foot pain
Cipro (Ciprofloxacin) side effects such as gas
Cipro (Ciprofloxacin) side effects such as gout flare up
Cipro (Ciprofloxacin) side effects such as hallucinations
Cipro (Ciprofloxacin) side effects such as hearing loss
Cipro (Ciprofloxacin) side effects such as heart attack
Cipro (Ciprofloxacin) side effects such as hiccups
Cipro (Ciprofloxacin) side effects such as high blood pressure
Cipro (Ciprofloxacin) side effects such as hives
Cipro (Ciprofloxacin) side effects such as inability to fall or stay asleep
Cipro (Ciprofloxacin) side effects such as inability to urinate
Cipro (Ciprofloxacin) side effects such as indigestion
Cipro (Ciprofloxacin) side effects such as intestinal inflammation
Cipro (Ciprofloxacin) side effects such as involuntary eye movement
Cipro (Ciprofloxacin) side effects such as irregular heartbeat
Cipro (Ciprofloxacin) side effects such as irritability
Cipro (Ciprofloxacin) side effects such as itching
Cipro (Ciprofloxacin) side effects such as joint or back pain
Cipro (Ciprofloxacin) side effects such as joint stiffness
Cipro (Ciprofloxacin) side effects such as kidney failure
Cipro (Ciprofloxacin) side effects such as labored breathing
Cipro (Ciprofloxacin) side effects such as lack of muscle coordination
Cipro (Ciprofloxacin) side effects such as lack or loss of appetite
Cipro (Ciprofloxacin) side effects such as large volumes of urine
Cipro (Ciprofloxacin) side effects such as light-headedness
Cipro (Ciprofloxacin) side effects such as loss of sense of identity
Cipro (Ciprofloxacin) side effects such as loss of sense of smell
Cipro (Ciprofloxacin) side effects such as mouth sores
Cipro (Ciprofloxacin) side effects such as neck pain
Cipro (Ciprofloxacin) side effects such as nightmares
Cipro (Ciprofloxacin) side effects such as nosebleed
Cipro (Ciprofloxacin) side effects such as pounding heartbeat
Cipro (Ciprofloxacin) side effects such as ringing in the ears
Cipro (Ciprofloxacin) side effects such as seizures
Cipro (Ciprofloxacin) side effects such as sensitivity to light
Cipro (Ciprofloxacin) side effects such as severe allergic reaction
Cipro (Ciprofloxacin) side effects such as skin peeling, redness
Cipro (Ciprofloxacin) side effects such as sluggishness, speech difficulties
Cipro (Ciprofloxacin) side effects such as swelling of the face, neck, lips, eyes, or hands
Cipro (Ciprofloxacin) side effects such as swelling of the throat
Cipro (Ciprofloxacin) side effects such as swollen lymph nodes
Cipro (Ciprofloxacin) side effects such as tender
Cipro (Ciprofloxacin) side effects such as red bumps on skin
Cipro (Ciprofloxacin) side effects such as tingling sensation
Cipro (Ciprofloxacin) side effects such as tremors
Cipro (Ciprofloxacin) side effects such as unpleasant taste
Cipro (Ciprofloxacin) side effects such as unusual darkening of the skin
Cipro (Ciprofloxacin) side effects such as vaginal inflammation, vague feeling of illness
Cipro (Ciprofloxacin) side effects such as weakness
Cipro (Ciprofloxacin) side effects such as yellowed eyes and skin
Tell all the doctors, dentists, and pharmacists you visit that you are taking this drug.
Most of the following side effects probably will not occur.
Your doctor or nurse will want to discuss specific care instructions with you.
They can help you understand these side effects and help you deal with them.
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Special warnings about Cipro (Ciprofloxacin) medication?
Cipro (Ciprofloxacin) may cause you to become dizzy or light-headed; therefore, you should not drive a car, operate dangerous machinery, or participate in any hazardous activity that requires full mental alertness until you know how the drug affects you.
Continued or prolonged use of this drug may result in a growth of bacteria that do not respond to this medication and can cause a secondary infection. Therefore, it is important that your doctor monitor your condition on a regular basis.
Cipro (Ciprofloxacin) can cause increased pressure within the brain. Convulsions have been reported in people receiving the drug. If you experience a seizure or convulsion, notify your doctor immediately.
This medication may stimulate the central nervous system, which may lead to tremors, restlessness, light-headedness, confusion, depression, and hallucinations. If these reactions occur, consult your doctor at once. Other central nervous system reactions include nervousness, agitation, insomnia, anxiety, nightmares, and paranoia.
If you have a known or suspected central nervous system disorder such as epilepsy or hardening of the arteries in the brain, make sure your doctor knows about it when prescribing Cipro (Ciprofloxacin).
Remember to stop taking Cipro (Ciprofloxacin) and see your doctor at the first hint of an allergic reaction (see "Most important fact about this drug").
Also call your doctor if you develop diarrhea. Antibiotics such as Cipro (Ciprofloxacin) occasionally trigger a form of diarrhea that needs a doctor's attention.
You may become more sensitive to light while taking this drug. Try to stay out of the sun as much as possible.
People taking Cipro (Ciprofloxacin) have been known to suffer torn tendons. If you feel any pain or inflammation in a tendon area, stop taking the drug and call your doctor; you should rest and avoid exercise. You may need surgery to repair the tendon.
If you must take Cipro (Ciprofloxacin) for an extended period of time, your doctor will probably order blood tests and tests for urine, kidney, and liver function. If you are taking Cipro (Ciprofloxacin) to treat gonorrhea, the doctor should test you for syphilis after 3 months.
What Precautions you should take while taking Cipro (Ciprofloxacin) ?
Tell your doctor if you have allergies to any antibiotics.
Tell your doctor if you are also taking theophylline, as Cipro (Ciprofloxacin) can increase your blood theophylline levels, sometimes to dangerous levels.
If you are also taking antacids, take them 2 hours before or after your Cipro (Ciprofloxacin) doses.
All antibiotics can cause allergic reactions. Stop the drug and tell your doctor or nurse right away if you develop a rash, hives, red blotches on your skin, difficulty breathing, or chest pain.
Use of antibiotics can change the normal organisms in your body. Women are at risk of getting fungal infections. Tell your nurse or doctor if you get vaginal itching or discharge.
This drug should not be used by women who are pregnant or breastfeeding. It should be used cautiously in patients with seizure disorder.
Cipro (Ciprofloxacin) delays the excretion of caffeine from the body in those who drink coffee, tea, or soft drinks. side effects such as headache, restlessness, dizziness, hallucinations, and seizures are increased in frequency if you drink a lot of caffeine. You should limit caffeine when taking this drug.
Take Cipro (Ciprofloxacin) tablet(s) with 8 oz of water, and try to drink at least 2 to 3 quarts of fluid throughout the day while taking this medicine.
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What else should I know about Cipro (Ciprofloxacin) treatment?
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. If a person is exposed to anthrax the risk of adverse events caused by Cipro (Ciprofloxacin) treatment may be acceptable because of the seriousness of the disease. However, if a person is not exposed to anthrax these risks may outweigh the benefits.
Some things to consider:
The safety and effectiveness of Cipro (Ciprofloxacin) in individuals less than 18 years of age is not established, except for post-exposure in inhalational anthrax. Cipro (Ciprofloxacin) has been shown to cause bone development problems in young animals.
There have been no formal clinical studies of the safety and effectiveness of Cipro (Ciprofloxacin) in pregnancy. However, based on available information, TERIS (The Teratogen Information System) has concluded that Cipro (Ciprofloxacin) used during pregnancy is unlikely to cause physical defects to an unborn baby. But, there is not enough information to say there is no risk. Guidelines for treating pregnant women with Cipro (Ciprofloxacin) are limited. An expert panel, The Working Group on Civilian Biodefense, recommends that Cipro (Ciprofloxacin) be used at usual adult doses to treat pregnant women exposed to anthrax. Pregnant women should always consult their health care provider before taking any medications.
Before taking Cipro (Ciprofloxacin) review ALL medications that you are taking with your health care provider, including those that you take without a prescription. Cipro (Ciprofloxacin) can interact with other medicines, including multivitamins.
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