Severe hypoglycemia with oral antidiabetics eg, glyburide, glimepiride ; monitor. Potentiated by probenecid. Monitor renal function with concomitant cyclosporine. Monitor methotrexate, oral anticoagulants eg, warfarin , phenytoin, clozapine, ropinirole, sildenafil.
Reduced absorption with omeprazole XR. IV: also inj site reactions, eosinophilia, headache, restlessness. Tabs—; Oral Susp—mL w. Drugs » Infectious Diseases Bacterial infections Bacterial infections: Indications for: CIPRO Susceptible infections, including lower respiratory tract, acute exacerbations of chronic bronchitis AECB , skin and skin structures, bone and joint, acute sinusitis, complicated intraabdominal w. Adult Dosage: See full labeling. Boxed Warning: Serious adverse reactions including tendinitis and tendon rupture, peripheral neuropathy, CNS effects.
Enter Zip Code GoodRx. If you miss a dose and it is less than 8 hours until your next regular dose, skip the missed dose and take your next dose at the regular time.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. You may store the oral liquid at room temperature or in the refrigerator. Do not freeze the bottle. Do not keep the mixed oral liquid for more than 14 days. Throw away any unused liquid after 14 days.
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Our Housecall e-newsletter will keep you up-to-date on the latest health information. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Otherwise, diarrhea typically goes away shortly after the medication is stopped. Some people who take Cipro get headaches. In clinical studies, less than 1 percent of people had headaches while taking Cipro.
These headaches are usually mild and may go away with continued use of the drug. Vaginal yeast infections can sometimes occur after treatment with antibiotics, including Cipro.
Cipro use is typically avoided in children because it might cause joint damage in children. Symptoms of joint damage in children can include reduced joint movement and joint pain. If your child is taking Cipro and has these symptoms, call their doctor right away. Older adults are more likely than younger adults to have side effects from Cipro. However, the types of side effects they have are the same as those in younger adults.
Cipro is FDA-approved for treating many different types of infections in adults. Examples of these FDA-approved uses include:. Although Cipro is effective, the FDA has recommended that Cipro and other fluoroquinolone antibiotics should not be used as a first-choice antibiotic for certain infections, such as:. For these conditions, the risk of serious side effects caused by Cipro outweigh the benefits.
Other antibiotics should be used as a first choice. Cipro is also sometimes used off-label for uses that are not approved by the FDA.
Examples of these include:. The generic version of Cipro is approved to treat all of the conditions that Cipro is approved for. In addition to those conditions, ciprofloxacin is approved to treat ear infections. Cipro is FDA-approved for use in children to treat certain infections, such as severe urinary tract infection.
However, Cipro is not the first choice for use in children due to concerns that it may cause joint damage in children. Cipro is an antibiotic in the class of fluoroquinolones. This type of antibiotic is bactericidal. This means that it directly kills bacteria. It does this by blocking enzymes that are needed for bacteria survival. Cipro is a broad-spectrum antibiotic. This means it works against many different types of bacteria. However, many bacteria have grown to be resistant to Cipro.
Resistant bacteria can no longer be treated with a certain drug. Cipro begins to work against bacterial infections within hours of when you take it. However, you may not notice improvement in your symptoms for a few days. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.
The typical dosage for immediate-release Cipro is — mg every 12 hours for up to 14 days. Your doctor will determine the best form and dosage of Cipro for your condition. If you have kidney disease, your doctor may prescribe Cipro at a lower dose or have you take the medication less frequently.
If you miss a dose, take it as soon as you can. You might start to feel better before you finish your entire Cipro treatment. Cipro tablets and suspension should be taken at about the same time each day in the morning and the evening. Cipro can be taken with or without food. Either way you take it, be sure to consume plenty of fluids while taking Cipro.
It should be taken at least two hours before or after consuming these products. However, Cipro can be taken along with a meal that contains dairy products or calcium-fortified foods or drinks. Cipro tablets and Cipro XR extended-release tablets should not be crushed, split, or chewed. They should be swallowed whole. Cipro can interact with several other medications. It can also interact with certain supplements as well as certain foods.
Different interactions can cause different effects. For instance, some can interfere with how well a drug works, while others can cause increased side effects. Below is a list of medications that can interact with Cipro. This list does not contain all drugs that may interact with Cipro. Before taking Cipro, be sure to tell your doctor and pharmacist about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Many antacids such as Tums, Gaviscon, and Maalox contain calcium carbonate, magnesium hydroxide, and aluminum hydroxide. These ingredients can bind to Cipro and prevent your body from absorbing it. This can decrease how well Cipro works. To avoid this interaction, take Cipro at least two hours before taking an antacid, or six hours afterward. Taking Cipro with oral anticoagulant drugs such as warfarin Coumadin, Jantoven might increase the anticoagulant effects.
This might result in increased bleeding. If you take an anticoagulant, your doctor may need to monitor your bleeding risk more frequently if you take Cipro.
Certain medications prolong your QT interval, which means they might affect the rhythm of your heartbeat. Taking Cipro with these drugs can increase the risk of having a dangerous irregular heartbeat. If you get stinging or burning in your eyes straight after applying ciprofloxacin eyedrops or eye ointment, do not drive or ride a bike. Wait until your eyes are comfortable again and your vision is clear.
Ear infections can make you lose your balance. If you're affected, it's best not to drive or ride a bike until you feel back to normal.
Page last reviewed: 12 September Next review due: 12 September Ciprofloxacin On this page About ciprofloxacin Key facts Who can and cannot take ciprofloxacin How and when to take it Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions. About ciprofloxacin Ciprofloxacin is an antibiotic. It's used to treat bacterial infections, such as: chest infections including pneumonia skin and bone infections sexually transmitted infections STIs conjunctivitis eye infections ear infections It can be used to help stop people getting meningitis if they have been really close to someone with the infection.
Ciprofloxacin is only available on prescription. Help us improve our website Can you answer a quick question about your visit today? The most common side effects of ciprofloxacin tablets and liquid are feeling sick nausea and diarrhoea. Avoid taking the tablets or liquid together with dairy products like milk, cheese and yoghurt.
It is rare, but the tablets and liquid can cause weak muscles, pain or tingling in your legs and arms, painful or swollen joints and tendons, and a fast or irregular heartbeat. Contact a doctor immediately if any of these happen to you. Ciprofloxacin is also known by the brand names Ciproxin tablets and liquid , Ciloxan eyedrops and eye ointment and Cetraxal eardrops. Ciprofloxacin eardrops also come mixed with other medicines, such as dexamethasone known as Cetraxal Plus and fluocinolone known as Cilodex.
Ciprofloxacin is not suitable for some people. To make sure ciprofloxacin is safe for you, tell your doctor if: you have had an allergy to ciprofloxacin or any other medicine you have had a serious side effect with ciprofloxacin or another antibiotic particularly a fluroquinolone in the past you had diarrhoea when you have taken antibiotics before you or someone in your family has an abdominal aortic aneurysm or any other problem with the aorta the large blood vessel running from the heart to the abdomen you have fast, pounding or irregular heartbeats you have a heart infection, congenital heart disease or heart valve disease you have uncontrolled high blood pressure you have rheumatoid arthritis , Behcet's disease or a connective tissue disorder such as Marfan syndrome you have problems with your tendons you have epilepsy or another health problem that puts you at risk of seizures you have problems with your kidneys you have diabetes , as ciprofloxacin might affect your blood sugars.
How to take the tablets and liquid Ciprofloxacin comes as mg, mg and mg tablets. Doses are usually lower for children and people with kidney problems. Swallow the tablets whole with lots of water. Do not chew them. How to apply the eyedrops You'll usually put 1 or 2 drops into the affected eye 4 times a day.
Gently pull down your lower eyelid with a clean finger and tilt your head back. Hold the bottle over your eye and allow a single drop to fall into the space between your lower lid and your eye.
Wipe away any extra liquid with a clean tissue. Put in a second drop if you have been told to. How to use the eye ointment Put just over 1 centimetre of ointment on the affected eye 2 or 3 times a day, or as your doctor advises. Hold the tube with the nozzle close to your eye and gently squeeze the ointment into the space between your lower lid and your eye.
How to use the eardrops Put up to 5 drops into the affected ear twice a day, or as your doctor advises. Warm the drops by holding the container in your hands for a few minutes. Tilt your head and bring the container up to the affected ear, with the open end close to your ear hole.
Squeeze the drops into your ear. If you can, lie down for at least 5 minutes afterwards. If you are only treating 1 ear, turn your head to one side, so your affected ear is towards the ceiling. What if I forget to take it? You could also ask your pharmacist for advice on other ways to remember your medicines What if I take or use too much? Ciprofloxacin tablets or liquid If you take more than your dose of the tablets or liquid, you may get side effects.
Urgent advice: Speak to your doctor or pharmacist if:. Common side effects Common side effects of ciprofloxacin happen in more than 1 in people. Tell your doctor if these side effects bother you or do not go away: feeling sick nausea after taking the tablets or liquid diarrhoea after taking the tablets or liquid red or uncomfortable eye with a stinging, burning or gritty feeling after using the eyedrops or ointment bad taste in the mouth with the eyedrops or ointment white specks on the surface of your eye after using the eyedrops or ointment Serious side effects Very few people taking or using ciprofloxacin have serious side effects.
Stop taking ciprofloxacin and tell your doctor straight away if you have: muscle weakness, pain or swelling in your joints or tendons. This often begins in the ankle or calf, but could also be in your shoulder, arms or legs. It can occur in the first 2 days of taking ciprofloxacin or even several months after stopping. It is more common in children.
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