Do not take more than two doses of the tablets or suspension or more than one dose of the extended-release tablets in one day. Ciprofloxacin may cause problems with bones, joints, and tissues around joints in children. Ciprofloxacin should not normally be given to children younger than 18 years of age unless they have certain serious infections that cannot be treated with other antibiotics or they have been exposed to plague or anthrax in the air.
If your doctor prescribes ciprofloxacin for your child, be sure to tell the doctor if your child has or has ever had joint-related problems.
Call your doctor if your child develops joint problems such as pain or swelling while taking ciprofloxacin or after treatment with ciprofloxacin. Talk to your doctor about the risks of taking ciprofloxacin or giving ciprofloxacin to your child.
Ciprofloxacin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets and extended-release tablets at room temperature and away from excess heat and moisture not in the bathroom.
Store the suspension in the refrigerator or at room temperature, closed tightly, for up to 14 days. Do not freeze ciprofloxacin suspension. Discard any suspension that is left over after 14 days.
It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Keep all appointments with your doctor and the laboratory.
Your doctor may order certain lab tests to check your body's response to ciprofloxacin. If you have diabetes, your doctor may ask you to check your blood sugar more often while taking ciprofloxacin. Do not let anyone else take your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish taking ciprofloxacin, call your doctor.
It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
It is also important information to carry with you in case of emergencies. Generic alternatives may be available. Ciprofloxacin pronounced as sip roe flox' a sin. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow?
What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names. Talk to your doctor about the risks of taking ciprofloxacin. Bactrim is available as oral tablets and an oral suspension that are also taken twice daily.
However, Cipro is not a first-choice medication for this condition, due to the risk of serious side effects. Cipro should only be used for UTIs when first-choice medications cannot be used. When comparing drugs, keep in mind that your doctor will make treatment recommendations based on your individual needs. Cipro is not a first-choice antibiotic for urinary tract infections due to the potential for serious side effects.
These include tendon, joint, and nerve damage, and central nervous system side effects. Cipro and Bactrim are both brand-name drugs. Generic drugs usually cost less than brand-name drugs.
The generic name of Bactrim is trimethoprim-sulfamethoxazole. Brand-name Cipro is usually more expensive than brand-name Bactrim. The generic forms of these medications cost about the same. The actual amount you pay will depend on your insurance.
Cipro and Macrobid nitrofurantoin are both antibiotic drugs, but they belong to different drug classes. Macrobid is a nitrofuran antibiotic.
Cipro and Macrobid are commonly used to treat urinary tract infections UTI. However, Macrobid is only for mild or uncomplicated UTIs. It should not be used for more severe UTIs or kidney infections. Both Cipro and Macrobid are effective for treating mild or uncomplicated urinary tract infections. However, according to the Infectious Diseases Society of America , Macrobid is usually a first-choice antibiotic for treating urinary tract infections.
Cipro should only be used for urinary tract infections when first-choice medications cannot be used. Cipro is not a first-choice medication for urinary tract infections due to the risk of serious side effects. Cipro and Macrobid have some similar side effects, and some that differ. Below are examples of these side effects. Cipro and Macrobid are both brand-name drugs.
The generic name of Macrobid is nitrofurantoin. Brand-name Cipro is usually more expensive than brand-name Macrobid. The generic form of Macrobid is usually more expensive than generic Cipro.
However, the FDA has recommended that Cipro and other fluoroquinolone antibiotics, including Levaquin, not be used as a first-choice antibiotic for certain infections. These include:. For these conditions, the risk of serious side effects caused by Cipro and Levaquin outweigh their benefits. Because of these serious side effects, Cipro and Levaquin are often not considered first-choice antibiotics.
Cipro and Levaquin are both brand-name drugs. The generic name of Levaquin is levofloxacin. Brand-name Levaquin is usually more expensive than brand-name Cipro. The generic forms of Cipro and Levaquin cost about the same.
Cipro and Keflex cephalexin are both antibiotics, but they belong to different drug classes. Keflex is a cephalosporin antibiotic. Cipro and Keflex are both FDA-approved to treat some similar infections. Cipro and Keflex are both effective for their FDA-approved uses. The FDA has recommended that Cipro and other fluoroquinolone antibiotics not be used as a first-choice antibiotic for certain infections. For these conditions, the risk of serious side effects caused by Cipro outweigh its benefits.
Cipro and Keflex have some similar common and serious side effects. Examples of these side effects are included below. Cipro and Keflex are both brand-name drugs. The generic name of Keflex is cephalexin.
Brand-name Keflex is usually more expensive than brand-name Cipro. The generic forms of Cipro and Keflex cost about the same. In most cases, Cipro treatment is short term, from 3 to 14 days. But for some infections, such as certain bone or joint infections, treatment may last several weeks. Cipro does not usually cause you to feel tired, but in some cases, people report feeling tired while taking it. Feeling more tired than usual may be due to your condition rather than the medication.
But if your symptoms are severe, call or go to the nearest emergency room right away. Cipro is sometimes prescribed by veterinarians to treat infections in dogs and cats.
If you think your dog or cat has an infection, see your veterinarian for an evaluation and treatment. Cipro and other fluoroquinolone antibiotics can cause a falsely positive result for opioids on urine drug screenings.
Before taking Cipro, talk with your doctor about your health history. Cipro may not be appropriate for you if you have certain medical conditions.
For people with diabetes : Cipro and other fluoroquinolones can sometimes cause severe low blood sugar. This is more likely to happen in those with diabetes who are taking hypoglycemic drugs.
You may need to monitor your blood sugar levels more closely if you take Cipro. For people with myasthenia gravis : Cipro and other fluoroquinolone antibiotics can worsen muscle weakness in people with this condition.
If you have myasthenia gravis, you should not take Cipro. For people with QT interval prolongation : People with QT interval prolongation have a higher risk of having a potentially serious irregular heartbeat. Taking Cipro might worsen this condition, resulting in a life-threatening arrhythmia. Sun exposure : Cipro can make your skin more sensitive to sunlight. You may be more likely to get a severe sunburn while taking Cipro.
When Cipro is dispensed from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. This date is typically one year from the date the medication was dispensed. Oral suspensions often have a much earlier expiration date. The purpose of such expiration dates is to guarantee the effectiveness of the medication during this time.
However, an FDA study showed that many medications may still be good beyond the expiration date listed on the bottle. How long a medication remains good can depend on many factors, including how and where the medication is stored. Cipro should be stored at room temperature in its original container. If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it.
Cipro is a fluoroquinolone antibiotic that has bactericidal effects through inhibition of bacteria DNA gyrase and topoisomerase IV. These enzymes are required for bacterial DNA replication, transcription, repair, and recombination.
The bioavailability of Cipro is about 70 percent when taken orally. Maximum blood concentrations occur within one to two hours. Food delays Cipro tablet absorption, resulting in peak levels occurring closer to two hours, but does not delay absorption of Cipro suspension.
However, food does not change overall absorption and peak levels of Cipro tablet or suspension. About 40 percent to 50 percent of Cipro is excreted in the urine unchanged. Urinary excretion of Cipro is complete within about 24 hours after dosing.
The half-life of Cipro about four to five hours for adults and children. In people with reduced kidney function, it may increase to six to nine hours. Cipro is contraindicated in people with a history of hypersensitivity to Cipro or to any other fluoroquinolone antibiotic. Concomitant administration with tizanidine is also contraindicated due to potentiation of sedative and hypotensive effects of tizanidine.
Reconstituted Cipro suspension should also be stored at room temperature for up to 14 days. Avoid taking the tablets or liquid together with dairy products like milk, cheese and yoghurt.
It is rare, but the tablets and liquid can cause weak muscles, pain or tingling in your legs and arms, painful or swollen joints and tendons, and a fast or irregular heartbeat.
Contact a doctor immediately if any of these happen to you. Ciprofloxacin is also known by the brand names Ciproxin tablets and liquid , Ciloxan eyedrops and eye ointment and Cetraxal eardrops. Ciprofloxacin eardrops also come mixed with other medicines, such as dexamethasone known as Cetraxal Plus and fluocinolone known as Cilodex. Ciprofloxacin is not suitable for some people.
To make sure ciprofloxacin is safe for you, tell your doctor if: you have had an allergy to ciprofloxacin or any other medicine you have had a serious side effect with ciprofloxacin or another antibiotic particularly a fluroquinolone in the past you had diarrhoea when you have taken antibiotics before you or someone in your family has an abdominal aortic aneurysm or any other problem with the aorta the large blood vessel running from the heart to the abdomen you have fast, pounding or irregular heartbeats you have a heart infection, congenital heart disease or heart valve disease you have uncontrolled high blood pressure you have rheumatoid arthritis , Behcet's disease or a connective tissue disorder such as Marfan syndrome you have problems with your tendons you have epilepsy or another health problem that puts you at risk of seizures you have problems with your kidneys you have diabetes , as ciprofloxacin might affect your blood sugars.
How to take the tablets and liquid Ciprofloxacin comes as mg, mg and mg tablets. Doses are usually lower for children and people with kidney problems. Swallow the tablets whole with lots of water.
Do not chew them. How to apply the eyedrops You'll usually put 1 or 2 drops into the affected eye 4 times a day. Gently pull down your lower eyelid with a clean finger and tilt your head back. Hold the bottle over your eye and allow a single drop to fall into the space between your lower lid and your eye.
Wipe away any extra liquid with a clean tissue. Put in a second drop if you have been told to. How to use the eye ointment Put just over 1 centimetre of ointment on the affected eye 2 or 3 times a day, or as your doctor advises.
Hold the tube with the nozzle close to your eye and gently squeeze the ointment into the space between your lower lid and your eye. How to use the eardrops Put up to 5 drops into the affected ear twice a day, or as your doctor advises. Warm the drops by holding the container in your hands for a few minutes. Tilt your head and bring the container up to the affected ear, with the open end close to your ear hole.
Squeeze the drops into your ear. If you can, lie down for at least 5 minutes afterwards. If you are only treating 1 ear, turn your head to one side, so your affected ear is towards the ceiling. What if I forget to take it? You could also ask your pharmacist for advice on other ways to remember your medicines What if I take or use too much? Ciprofloxacin tablets or liquid If you take more than your dose of the tablets or liquid, you may get side effects.
Urgent advice: Speak to your doctor or pharmacist if:. Common side effects Common side effects of ciprofloxacin happen in more than 1 in people. Tell your doctor if these side effects bother you or do not go away: feeling sick nausea after taking the tablets or liquid diarrhoea after taking the tablets or liquid red or uncomfortable eye with a stinging, burning or gritty feeling after using the eyedrops or ointment bad taste in the mouth with the eyedrops or ointment white specks on the surface of your eye after using the eyedrops or ointment Serious side effects Very few people taking or using ciprofloxacin have serious side effects.
Stop taking ciprofloxacin and tell your doctor straight away if you have: muscle weakness, pain or swelling in your joints or tendons. This often begins in the ankle or calf, but could also be in your shoulder, arms or legs.
It can occur in the first 2 days of taking ciprofloxacin or even several months after stopping. It is more common in children. Serious allergic reaction In rare cases, it's possible to have a serious allergic reaction anaphylaxis to ciprofloxacin. These are not all the side effects of ciprofloxacin.
For a full list, see the leaflet inside your medicines packet. Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about : feeling sick — stick to simple meals and do not eat rich or spicy food while you're taking this medicine.
It might help to take ciprofloxacin after you have had a meal or snack diarrhoea after taking the tablets or liquid — drink lots of fluids, such as water or squash, to avoid dehydration. Signs of dehydration include peeing less than usual or having dark strong-smelling pee.
Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor discomfort or redness in the eyes after using the drops or ointment — this should go away on its own.
Do not drive or operate heavy machinery until your eyes feel comfortable again and your vision is clear bad taste in your mouth after using the eyedrops or ointment — this should not last long after using your medicine. Drink some water or juice, or chew some sugar-free gum white specks on the surface of your eye after using the eyedrops or ointment — keep taking your ciprofloxacin but tell your doctor if these side effects bother you or do not go away.
However, it is OK to use the ear or eyedrops or the eye ointment. Non-urgent advice: Tell your doctor if you're:. It's important to tell your doctor if you take any of the following medicines before taking ciprofloxacin: antacids for heartburn or indigestion — take ciprofloxacin at least 2 hours after antacids. Do not take another antacid until at least 4 hours after your ciprofloxacin methotrexate , a medicine used to treat conditions such as rheumatoid arthritis phenytoin , a medicine for epilepsy steroids, such as prednisolone theophylline or aminophylline for asthma tizanidine, a medicine used for muscle stiffness warfarin , a blood thinner anticoagulant Mixing ciprofloxacin with herbal remedies and supplements Iron tablets such as ferrous sulphate or ferrous fumarate , calcium and zinc supplements can affect ciprofloxacin.
Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. How does it work? How long does it take to work? How long will I take it for? Your doctor will tell you how long to take or use ciprofloxacin.
Is it safe to take for a long time? Ciprofloxacin is generally used for a short time to clear an infection. Many people take ciprofloxacin and have no side effects. What will happen if I stop taking it? This is known as antibiotic resistance. How is it different to other anitbiotics?
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