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Prescribing Information for Cipro (Ciprofloxacin):
What is Cipro?
Cipro belongs to the class of antibiotics called fluoroquinolones. It is intended to treat infections caused by bacteria. It acts by preventing production of proteins which are necessary for survival of the bacteria.
Cipro is prescribed for treatment of different infections caused by bacteria. You may also use it to prevent or to impair post-exposure anthrax.
Cipro may also be prescribed for other uses.
What is important to know about Cipro?
Avoid taking Cipro if you are using tizanidine (Zanaflex) or if you have allergy to ciprofloxacin or any similar antibiotics like ofloxacin (Floxin), lomefloxacin (Maxaquin), norfloxacin (Noroxin), levofloxacin (Levaquin), moxifloxacin (Avelox), and others. You should not take Cipro with calcium-fortified juice or dairy products, for example milk or yogurt as they may reduce effectiveness of the medicine. You may combine calcium-fortified juice or dairy products with regular meal but you should not eat or drink them alone while using Cipro.
Before starting Cipro, you should inform your doctor if you have diabetes, kidney or liver problems, myasthenia gravis, joint problems, if you have ever had seizures, hypokalemia (low levels of potassium in your blood), or a personal or family history of \"Long QT syndrome.\"
You should not use vitamin or mineral supplements, antacids, didanosine (Videx) powder or chewable pills or sucralfate (Carafate) within 6 hours before or 2 hours after your dose of Cipro as these medications can reduce effectiveness of ciprofloxacin.
Cipro may provoke swelling or tearing of a tendon, the fiber which connects muscles to bones. Achilles\' tendon of the heel is the most exposed to this risk. These side effects are more likely to appear if you are 60 years old or elder, if you use oral steroid medicines, or if you have had a lung, kidney or heart transplant. Stop using Cipro and call your healthcare provider promptly if you feel swelling, stiffness, tenderness, movement problems, or sudden pain in any of your joints. Do not disturb the joint until you get medical help or advice. Do not give Cipro to anyone (especially a child) even if somebody experiences the same symptoms as you do.
How should Cipro be used?
Follow the prescriptions of your doctor and the instructions which come with the medication carefully. Do not change your dose and do not use Cipro for a longer period than prescribed.
Take your dose of Cipro with a full glass of liquid (8 ounces). Drink more water then usually while you are taking Cipro. Shake the bottle with liquid form of the medicine (oral suspension) well (for 15 seconds at least) before measuring a dose. Do not use a table spoon to measure the dose of liquid form of Cipro. If you do not have a special dose-measuring cup or spoon, ask your healthcare provider where you can get it.
Swallow your dose of the oral liquid medication; do not chew the beads you can find in it.
Avoid chewing, crushing or breaking the sustained-action capsule. Swallow the tablet whole to prevent releasing of too much medicine at once. The capsule is intended to release the medication gradually.
You may use Cipro with or without meal. Use it at the same time every day.
You should not take Cipro with calcium-fortified juice or dairy products, for example milk or yogurt as they may impair effectiveness of the medicine. You may combine calcium-fortified juice or dairy products with regular meal but you should not eat or drink them alone while using Cipro. Do not stop taking Cipro earlier than prescribed. You may feel better before you treat your disease entirely. Cipro is not effective for treatment of viral infections like influenza or cold. Keep Cipro at room temperature away from heat and moisture. Avoid freezing the liquid medication.
What side effects can Cipro cause?Seek emergency medical attention if you experience an allergic reaction to Cipro (trouble breathing; hives; swelling of your face, lips, tongue, or throat). Call your doctor promptly if you develop any of the following serious conditions:
- fever, headache, and sore throat with a severe blistering, peeling, and red skin rash;
- numbness, tingling, or unusual pain anywhere in your body;
- hallucinations, depression, confusion, unusual thoughts or behavior;
- seizure (convulsions);
- fever, weakness, pale or yellowed skin, dark colored urine;
- watery or bloody diarrhea;
- fainting, dizziness, fast or pounding heartbeat;
- urinating less than usual or not at all;
- sudden pain or swelling near your joints (especially in your arm or ankle);
- easy bleeding or bruising; or
- the first sign of any skin rash, even the minor.
- blurred vision;
- sleep problems (insomnia or nightmares);
- increased sensitivity of the skin to sunlight
- dizziness or drowsiness;
- nausea, vomiting; or
- feeling nervous, anxious, or agitated..
Cipro may also cause other side effects. Call your doctor if you need medical advice about them.