Chemical Name: CIPROFLOXACIN (sip-roe-FLOX-a-sin)
This medicine is a fluoroquinolone antibiotic used to treat bacterial
infections.
Some medicines or medical conditions may interact with this medicine. INFORM
YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that
you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if
you are taking other antibiotics, sucralfate, theophylline products, warfarin,
cyclosporine, glyburide, phenytoin, clozapine, live vaccines, probenecid,
ropinirole, or quinapril. Also, report the use of medicines, which might
increase the risk of seizures when combined with ciprofloxacin such as
phenothiazines including thioridazine, tricyclic antidepressants such as
amitriptyline, isoniazid (INH), and theophylline, among others. Consult your
doctor or pharmacist for details. Inform your doctor of any other medical
conditions including seizures, brain or nervous system disorders, kidney
disease, tendon problems, liver disease, blood vessel problems, allergies
(especially drug allergies), pregnancy, or breast-feeding. Contact your doctor
or pharmacist if you have any questions or concerns about taking this medicine.
USE OF THIS MEDICINE IN CHILDREN OR ADOLESCENTS under age 18 is not recommended.
Discuss with your doctor the risks and benefits of giving this medicine to your
child.
Follow the directions for using this medicine provided by your doctor. This
medicine comes with a patient information leaflet. Read it carefully. Ask your
doctor, nurse, or pharmacist any questions that you may have about this
medicine. This medicine may be taken on an empty stomach or with food. DRINK A
FULL GLASS OF WATER with each dose. Drink several additional glasses of water
daily, unless otherwise directed by your doctor. DO NOT TAKE any products
containing magnesium, aluminum, or calcium within 6 hours before or 2 hours
after taking this medicine. Some examples include quinapril, didanosine,
vitamins/minerals, and antacids. Sucralfate, bismuth subsalicylate, iron, and
zinc are also included. These products bind with ciprofloxacin preventing its
full absorption. Avoid taking this medicine with milk or milk products (such as
yogurt or calcium-enriched juice) by themselves. However, taking this medicine
as part of a full meal that contains milk or milk products is permitted. Contact
your doctor or pharmacist if you have any questions about how to properly take
this medicine. STORE THIS MEDICINE at room temperature below 86 degrees F (30
degrees C), in a tightly-closed container, away from heat, moisture, and light.
Do not store in the bathroom. Antibiotics work best when the amount of medicine
in your body is kept at a constant level. Therefore, take this medicine at the
same time each day. TO CLEAR UP YOUR INFECTION COMPLETELY, continue taking this
medicine for the full course of treatment even if you begin to feel better in a
few days. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, take it as
soon as possible. If it is almost time for your next dose, skip the missed dose
and go back to your regular dosing schedule. Do not take 2 doses at once.
DO NOT TAKE THIS MEDICINE IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to this
medicine or another fluoroquinolone antibiotic (such as levofloxacin, ofloxacin).
A severe reaction includes a severe rash, hives, breathing difficulties, or
dizziness. If you have a question about whether you are allergic to this
medicine or if a certain medicine is a fluoroquinolone, contact your doctor or
pharmacist. IF THIS MEDICINE CAUSES A SKIN RASH, HIVES, OR DIFFICULTY BREATHING,
check with your doctor before taking additional doses. KEEP ALL DOCTOR AND
LABORATORY APPOINTMENTS while you are using this medicine. THIS MEDICINE MAY
CAUSE DIZZINESS. Taking this medicine alone, with other medicines, or with
alcohol may lessen your ability to drive or to perform other potentially
dangerous tasks. THIS MEDICINE MAY CAUSE increased sensitivity to the sun. Avoid
exposure to the sun, sunlamps, or tanning booths until you know how you react to
this medicine. Use a sunscreen or protective clothing if you must be outside for
a prolonged period. AVOID LARGE AMOUNTS OF CAFFEINE-CONTAINING foods and
beverages, such as coffee, tea, cocoa, cola drinks, and chocolate, while taking
this medicine as the effects of the caffeine may be increased. This medicine may
rarely cause pain, inflammation, or rupture of a tendon. If you experience any
of these problems contact your doctor immediately. Rest and avoid exercise until
you receive further instruction from you doctor. BEFORE YOU BEGIN TAKING ANY NEW
MEDICINE, either prescription or over-the-counter, check with your doctor or
pharmacist. Caution is advised when using this medicine in children. Contact
your doctor for more information. Caution is advised when using this medicine in
the elderly because they may be more sensitive to the side effects of the
medicine (e.g., tendon problems, especially if they are also taking
corticosteroid medicines such as prednisone). IF YOU PLAN ON BECOMING PREGNANT,
discuss with your doctor the benefits and risks of using this medicine during
pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while
taking this medicine. IF YOU HAVE DIABETES, this medicine may affect your blood
sugar. Check blood sugar levels closely and ask your doctor before adjusting the
dose of your diabetes medicine.
SIDE EFFECTS that may occur while taking this medicine include stomach upset,
loss of appetite, diarrhea, nausea, headache, vision changes or dizziness during
the first few days as your body adjusts to this medicine. If they continue or
are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS
POSSIBLE if you experience sunburn-like skin reaction (sun sensitivity), or
severe or continuing diarrhea. CONTACT YOUR DOCTOR IMMEDIATELY if you experience
seizures, mental or mood changes, easy bruising or bleeding, swelling of throat
or tongue, persistent sore throat or fever, irregular heartbeat, chest pain,
stomach pain, yellowing eyes and skin, dark urine, unusual change in the amount
of urine, or unusual fatigue. This medicine may rarely cause a severe intestinal
condition (pseudomembranous colitis) due to a resistant bacteria. This condition
may occur weeks after treatment has stopped. Do not use anti-diarrhea products
or narcotic pain medicines because these products may make the effects worse.
Therefore, CONTACT YOUR DOCTOR IMMEDIATELY if you develop tendon pain, joint
pain or swelling, persistent diarrhea, abdominal or stomach pain or cramping, or
blood or mucus in your stool. USE OF THIS MEDICINE FOR PROLONGED OR REPEATED
PERIODS may result in oral thrush or a vaginal yeast infection. Contact your
doctor if you notice white patches in your mouth, a change in vaginal discharge
or other new symptoms. AN ALLERGIC REACTION to this medicine is unlikely but
seek immediate medical attention if it occurs. Symptoms of an allergic reaction
include rash, itching, swelling, severe dizziness, or trouble breathing. If you
notice other effects not listed above, contact your doctor, nurse, or
pharmacist.
Drug interactions can result in unwanted side effects or prevent a medicine from
doing its job. Use our drug interaction checker to find out if your medicines
interact with each other. Check drug interactions
If overdose is suspected, contact your local poison control center or emergency
room immediately.
If your symptoms do not improve within a few days or if they become worse, check
with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not
prescribed. DO NOT USE THIS MEDICINE for other health conditions, or later for
other infections. A different medicine may be needed in those cases. KEEP THIS
MEDICINE out of the reach of children and pets.
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