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|Cipro Suspension

Cipro Suspension

Cipro Suspension is used for:

Treating bacterial infections. It may also be used to prevent or slow anthrax after exposure.

Cipro Suspension is a fluoroquinolone antibiotic. It works by killing sensitive bacteria.

Do NOT use Cipro Suspension if:

• you are allergic to any ingredient in Cipro Suspension or to other fluoroquinolones (eg, levofloxacin)
• you are taking cisapride or tizanidine

Contact your doctor or health care provider right away if any of these apply to you.

Before using Cipro Suspension:

Some medical conditions may interact with Cipro Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have Alzheimer disease, a brain or nervous system disorder, a problem with the blood vessels in your brain, diarrhea, a stomach infection, liver problems, kidney problems, increased pressure in your brain, seizures, inflammation of your tendons, joint problems, gonorrhea, or a skin sensitivity to the sun

Some MEDICINES MAY INTERACT with Cipro Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Antiarrhythmics (eg, amiodarone, disopyramide, dofetilide, quinidine), arsenic, cisapride, droperidol, H₁ antagonists (eg, astemizole, terfenadine), haloperidol, imidazole antifungals (eg, fluconazole), macrolide or ketolide antibiotics (eg, erythromycin, telithromycin), phenothiazines (eg, chlorpromazine), pimozide, serotonin receptor antagonist antiemetics (eg, dolasetron), or ziprasidone because the risk of serious side effects, including irregular heartbeat and other heart problems, may be increased
• Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of side effects, such as seizures, may be increased
• Anticoagulants (eg, warfarin), cyclosporine, methotrexate, sulfonylureas (eg, glyburide), theophyllines, tizanidine, or xanthines (eg, theophylline) because actions and side effects of these medicines may be increased
• Corticosteroids (eg, prednisone) because risk of tendon damage may be increased
• Probenecid because actions and side effects of Cipro Suspension may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cipro Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Cipro Suspension:

Use Cipro Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with Cipro Suspension. Talk to your pharmacist if you have questions about this information.
• Take Cipro Suspension by mouth with or without food. The preferred dosing time is 2 hours after a meal.
• Shake well before each use.
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• Take Cipro Suspension with a full glass of water (8 oz/240 mL).
• Drinking extra fluids while you are taking Cipro Suspension is recommended. Check with your doctor for instructions.
• If you also take any products containing magnesium, aluminum, calcium, iron, or zinc (eg, vitamins/minerals, antacids, quinapril); didanosine; sucralfate; or bismuth subsalicylate, do not take them within 6 hours before or 2 hours after taking Cipro Suspension. Check with your doctor if you have questions.
• If you also take sevelamer, do not take it within 4 hours before or after taking Cipro Suspension. Check with your doctor if you have questions.
• Cipro Suspension works best if it is taken at the same time each day.
• To clear up your infection completely, take Cipro Suspension for the full course of treatment. Keep taking it even if you feel better in a few days.
• Avoid taking Cipro Suspension with milk or milk products (such as yogurt or calcium-enriched juice) by themselves. However, taking Cipro Suspension as part of a full meal that contains milk or milk products is permitted.
• 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.

Ask your health care provider any questions you may have about how to use Cipro Suspension.

Important safety information:

• Cipro Suspension may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Cipro Suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Tell your doctor or dentist that you take Cipro Suspension before you receive any medical or dental care, emergency care, or surgery.
• Be sure to use Cipro Suspension for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Long-term or repeated use of Cipro Suspension may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Cipro Suspension only works against bacteria; it does not treat viral infections (eg, the common cold).
• Avoid large amounts of food or drink that have caffeine (eg, coffee, tea, cocoa, cola, chocolate).
• Rest and avoid exercise until further instruction from your doctor if you experience pain or swelling of a tendon.
• Diabetes patients - Cipro Suspension may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Cipro Suspension may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Cipro Suspension. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Lab tests, including complete blood cell counts and liver and kidney function tests, may be performed while you use Cipro Suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Cipro Suspension with caution in the ELDERLY; they may be more sensitive to its effects, especially tendon problems.
• Caution is advised when using Cipro Suspension in CHILDREN; they may be more sensitive to its effects, especially joint and tendon problems.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Cipro Suspension during pregnancy. Cipro Suspension is excreted in breast milk. Do not breast-feed while taking this medicine.

Possible side effects of Cipro Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; dizziness; headache; loss of appetite; nausea; restlessness; stomach upset; vision changes; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; anxiety; bizarre behavior; bloody stools; change in sense of touch or temperature; chest pain; confusion; convulsions; dark urine (or unusual change in amount of urine); depression; dizziness; easy bruising or bleeding; fever; hallucinations; increased pressure in the head; inflammation, pain, or rupture of a tendon; irregular heartbeat; joint pain or swelling; loss of appetite; loss of consciousness; mental changes; nervousness; nightmares; oral thrush; pain; pale stools; persistent sore throat; red, swollen, blistered, or peeling skin; seizures; severe or continuing diarrhea; sleeplessness; stomach cramps/pain; suicidal thoughts; sun sensitivity (sunburn easily); tingling, burning, numbness, or weakness of arms and legs; tremors; unusual fatigue; vaginal yeast infection; weakness; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Store Cipro Suspension below 86 degrees F (30 degrees C) in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Do not freeze. Throw away any unused medicine after 14 days. Keep Cipro Suspension out of the reach of children and away from pets.

General information:

• If you have any questions about Cipro Suspension, please talk with your doctor, pharmacist, or other health care provider.
• Cipro Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Cipro Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.