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|Ciprofloxacin

Ciprofloxacin

Ciprofloxacin is used for:

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

Ciprofloxacin is a fluoroquinolone antibiotic. It works by killing sensitive bacteria.

Do NOT use Ciprofloxacin if:

• you are allergic to any ingredient in Ciprofloxacin 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 Ciprofloxacin :

Some medical conditions may interact with Ciprofloxacin . 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 Ciprofloxacin . 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), tizanidine, or xanthines (eg, theophylline) because actions and side effects of these medicines may be increased
• Corticosteroids (eg, prednisone) because the risk of tendon damage may be increased
• Probenecid because actions and side effects of Ciprofloxacin may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ciprofloxacin 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 Ciprofloxacin :

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

• Ciprofloxacin is usually given as an injection at your doctor"s office, hospital, or clinic. If you will be using Ciprofloxacin at home, a health care provider will teach you how to use it. Be sure you understand how to use Ciprofloxacin . Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Do not use Ciprofloxacin if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
• To clear up your infection completely, use Ciprofloxacin for the full course of treatment. Keep using it even if you feel better in a few days.
• Drinking extra fluids while you are taking Ciprofloxacin is recommended. Check with your doctor for instructions.
• If you miss a dose of Ciprofloxacin , use 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 use 2 doses at once.

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

Important safety information:

• Ciprofloxacin may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Ciprofloxacin 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 Ciprofloxacin before you receive any medical or dental care, emergency care, or surgery.
• Be sure to use Ciprofloxacin 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 Ciprofloxacin 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.
• Ciprofloxacin 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 - Ciprofloxacin may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Ciprofloxacin may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Ciprofloxacin . 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 Ciprofloxacin . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Ciprofloxacin with caution in the ELDERLY; they may be more sensitive to its effects, especially tendon problems.
• Caution is advised when using Ciprofloxacin in CHILDREN; they may be more sensitive to its effects, especially joint and tendon problems.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Ciprofloxacin while you are pregnant. Ciprofloxacin is found in breast milk. Do not breast-feed while taking Ciprofloxacin .

Possible side effects of Ciprofloxacin :

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; pain, swelling, or redness at the injection site; 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.

Ciprofloxacin is usually handled and stored by a health care provider. If you are using Ciprofloxacin at home, store Ciprofloxacin as directed by your pharmacist or health care provider.

General information:

• If you have any questions about Ciprofloxacin , please talk with your doctor, pharmacist, or other health care provider.
• Ciprofloxacin 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 Ciprofloxacin . 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.