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Cipro is used to treat a variety of bacterial infections. Cipro belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. Cipro treats only bacterial infections. It will not work for virus infections (e.g., common cold, flu).Cipro treats many kinds of infections of the skin, bone, stomach, brain, blood, lungs, ear, and urinary tract. It also treats certain sexually transmitted diseases.

Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

Brand Name: Cipro

Generic Name: Ciprofloxacin

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How To Use Cipro

Cipro may be taken with or without food, usually twice a day in the morning and evening or as directed by your doctor.

The dosage and length of treatment is based on your medical condition and response to treatment. Drink plenty of fluids while taking Cipro unless your doctor tells you otherwise.

Take Cipro 2 hours before or 6 hours after taking any medications or antacids containing magnesium, aluminum, or calcium. Some examples include quinapril, certain forms of didanosine (chewable/dispersible buffered tablets or pediatric oral solution), vitamins/minerals, antacids, dairy products (e.g., milk, yogurt), calcium-enriched juice, and sucralfate. Other products include bismuth subsalicylate, iron, and zinc. These medications/products bind with ciprofloxacin and prevent its full absorption. However, Cipro may be taken with dairy products or calcium-enriched juice as part of a meal because food helps prevent this effect.

Ask your doctor or pharmacist about safely using nutritional supplements/replacements with Cipro.

Antibiotics work best when the amount of medicine in your body is kept at a constant level. It is important not to miss a dose. To help you remember and to keep the drug at a constant level, take it at the same times every day.
Continue to take Cipro until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping Cipro too early may allow bacteria to continue to grow, which may result in a return of the infection.

Tell your doctor if your condition persists or worsens.

Cipro Overdose

If an overdose of Cipro is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Europeans please call your local emergency unit at your nearest hospital.

Cipro Missed Dose

If you miss a dose of Cipro, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Cipro Notes

Do not share Cipro with others.

Cipro has been prescribed for your current condition only. Do not use it later for another infection unless told to do so by your doctor. A different medication may be necessary in those cases.

Laboratory and/or medical tests (e.g., kidney function, blood counts, cultures) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Cipro Storage

Store at room temperature below 86 degrees F (30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Properly discard the Cipro when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your Cipro.

Cipro Side Effects

Nausea, diarrhea, dizziness, light-headedness, headache, or trouble sleeping may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed Cipro because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using Cipro do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

mental/mood changes (e.g., anxiety, confusion, hallucinations, depression, rare thoughts of suicide)
shaking (tremors)
skin that sunburns more easily (sun sensitivity)
Cipro may rarely cause serious nerve problems that may be reversible if identified and treated early.

Seek immediate medical attention if you develop any of the following symptoms:

pain/numbness/burning/tingling/weakness in any part of the body
changes in how you sense touch/pain/temperature/body position/vibration

Tell your doctor immediately if any of these rare but very serious side effects occur:

unusual bruising/bleeding
severe/persistent headache
signs of a new infection (e.g., new/persistent fever, persistent sore throat)
unusual change in the amount of urine
change in color of urine (red/pink urine)
signs of liver problems (e.g., unusual tiredness, stomach/abdominal pain, persistent nausea/vomiting, yellowing eyes/skin, dark urine)
vision changes

Seek immediate medical attention if any of these rare but very serious side effects occur:
severe dizziness
fainting
fast/irregular heartbeat
seizures

Cipro may rarely cause tendon damage (e.g., tendonitis, tendon rupture) during or after treatment. Stop exercising, rest, and seek immediate medical attention if you develop joint/muscle/tendon pain or swelling.

Cipro may rarely cause a severe intestinal condition (pseudomembranous colitis) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have any of the following symptoms because these products may make them worse.

Tell your doctor immediately if you develop:

persistent diarrhea
abdominal or stomach pain/cramping
blood/mucus in your stool

Use of Cipro for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection.

Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge, or other new symptoms.

A very serious allergic reaction to Cipro is rare.

However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction:

rash
itching/swelling
severe dizziness
trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Cipro Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

Cipro should not be used with the following medications because very serious interactions may occur:

strontium
tizanidine
certain drugs that affect the heart rhythm (antiarrhythmics that may cause QT prolongation such as amiodarone, dofetilide, quinidine, procainamide, sotalol)

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting ciprofloxacin.

Other drugs besides ciprofloxacin and those listed above that may affect the heart rhythm (QT prolongation in the EKG) include certain macrolide antibiotics (e.g., erythromycin, clarithromycin), and certain antipsychotic medications (e.g., pimozide, thioridazine, ziprasidone), among others. QT prolongation can infrequently result in serious (rarely fatal) fast/irregular heartbeat and other symptoms (e.g., severe dizziness, fainting) that require immediate medical treatment. Ask your doctor or pharmacist for more details and for instructions on how you may reduce the risk of this effect.

Before using Cipro, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

live bacterial vaccines (e.g., typhoid, BCG)
“blood thinners” (e.g., warfarin)
corticosteroids (e.g., prednisone, hydrocortisone)
cyclosporine
drugs removed from your body by certain liver enzymes (such as clozapine, duloxetine, phenytoin, ropinirole, tacrine)
drugs for diabetes (e.g., glyburide, insulin)
methotrexate
nonsteroidal anti-inflammatory drugs (NSAIDs such as ibuprofen, naproxen)
certain “water pills” (potassium-wasting diuretics such as furosemide, hydrochlorothiazide)
probenecid
sevelamer
theophylline
urinary alkalinizers (e.g., potassium/sodium citrate)

Also report the use of drugs that might increase seizure risk when combined with Cipro such as isoniazid (INH), phenothiazines (e.g., chlorpromazine), or tricyclic antidepressants (e.g., amitriptyline), among others. Consult your doctor or pharmacist for details.

Avoid drinking large amounts of beverages containing caffeine (coffee, tea, colas), eating large amounts of chocolate, or taking over-the-counter products that contain caffeine to keep you awake and alert. This drug may increase and/or prolong the effects of caffeine.

This Cipro information does not contain all possible interactions. Therefore, before using Cipro, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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Only buy Cipro to treat bacterial infections of the skin, bone, stomach, brain, blood, lungs, ear, and urinary tract. Cipro also treats certain sexually transmitted diseases in adults.