- Why is this drug prescribed?
- Most important fact about this drug.
- How should you take this medication?
- What side effects may occur?
- Why should this drug not be prescribed?
- Special warnings about this medication.
- Possible food and drug interactions while taking this medication.
- Special information if you are pregnant or breastfeeding.
Why is this drug prescribed?
Cipro is used to treat infections of the lower respiratory tract, the abdomen, the skin, the bones and joints, and the urinary tract, including cystitis (bladder inflammation) in women. It is also prescribed for severe sinus or bronchial infections, infectious diarrhea, typhoid fever, infections of the prostate gland, and some sexually transmitted diseases such as gonorrhea. Additionally, some doctors prescribe Cipro for certain serious ear infections, tuberculosis, and some of the infections common in people with AIDS.
How should you take this medication?
Cipro may be taken with or without meals but is best tolerated when taken 2 hours after a meal.
Drink plenty of fluids while taking this medication to prevent crystals from forming in your urine.
Cipro, like other antibiotics, works best when there is a constant amount in the blood and urine. To help keep the level constant, try not to miss any doses, and take them at evenly spaced intervals around the clock.
If you are taking the suspension, be sure to shake the bottle vigorously for 15 seconds before each dose. Swallow without chewing the microcapsules in the suspension. Do not use Cipro HC Otic suspension in your eyes, and avoid contaminating the dropper by letting it touch your ears, fingers, or other surfaces.
Throw away any suspension that remains after treatment is finished.
If you miss a dose...
Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.
Cipro tablets should be stored at room temperature. Cipro suspension may be stored at room temperature or in the refrigerator. The suspension is good for 14 days. Protect Cipro HC Otic suspension from light and avoid freezing.
What side effects may occur?
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.
Most common side effect:
Less common side effects may include:
Abdominal pain/discomfort, diarrhea, headache, rash, restlessness, vomiting
Rare side effects may include:
Abnormal dread or fear, achiness, bleeding in the stomach and/or intestines, blood clots in the lungs, blurred vision, change in color perception, chills, confusion, constipation, convulsions, coughing up blood, decreased vision, depression, difficulty in swallowing, dizziness, double vision, drowsiness, eye pain, fainting, fever, flushing, gas, gout flare up, hallucinations, hearing loss, heart attack, hiccups, high blood pressure, hives, inability to fall or stay asleep, inability to urinate, indigestion, intestinal inflammation, involuntary eye movement, irregular heartbeat, irritability, itching, joint or back pain, joint stiffness.
Why should this drug not be prescribed?
If you are sensitive to or have ever had an allergic reaction to Cipro or certain other antibiotics of this type such as Floxin, Noroxin and Trovan, you should not take this medication. Make sure that your doctor is aware of any drug reactions that you have experienced.
Possible food and drug interactions when taking this medication.
Serious and fatal reactions have occurred when Cipro was taken in combination with theophylline (Theo-Dur). These reactions have included cardiac arrest, seizures, status epilepticus (continuous attacks of epilepsy with no periods of consciousness), and respiratory failure.
Milk, yogurt, products containing iron, multi-vitamins containing zinc, or antacids containing magnesium, aluminum, or calcium, when taken in combination with Cipro, may interfere with absorption of this medication.
Cipro may increase the effects of caffeine.
If Cipro is taken with certain other drugs, the effects of either could be increased, decreased, or altered. These drugs include:
- Cyclophosphamide (Cytoxan)
- Cyclosporine (Sandimmune, Neoral)
- Glyburide (DiaBeta, Glynase, Micronase)
Special information if you are pregnant or breastfeeding.
The effects of Cipro during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, notify your doctor immediately. Cipro 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.
The length of treatment with Cipro depends upon the severity of infection. Generally, Cipro should be continued for at least 2 days after the signs and symptoms of infection have disappeared. The usual length of time is 7 to 14 days; however, for severe and complicated infections, treatment may be prolonged.
Cystitis in women is treated for 3 days.
Bone and joint infections may require treatment for 4 to 6 weeks or longer.
Infectious diarrhea may be treated for 5 to 7 days.
Typhoid fever should be treated for 10 days.
Chronic prostate inflammation should be treated for 28 days.
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 accordingly.
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.
For cystitis in women, the usual dosage is 100 milligrams every 12 hours.
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.
Infectious Diarrhea; Typhoid Fever; Sinus, Prostate, and Abdominal Infections
The recommended dosage is 500 milligrams taken every 12 hours.
Gonorrhea in the Urethra or Cervix
For these sexually transmitted diseases, a single 250-milligram dose is the usual treatment.
Instill 3 drops of suspension into the ear twice a day for 7 days.
Safety and effectiveness of Cipro oral tablets and suspension have not been established in children and adolescents under 18 years of age.
The dosage of Cipro HC Otic suspension for children aged 1 and up is the same as for adults.
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.