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Brand name: Cipro

Generic name: Ciprofloxacin

Cipro is an antibiotic used to treat certain infections caused by bacteria. Cipro tablets and suspension (liquid) are used to treat pneumonia (lung infection); bronchitis (infection of the tubes that lead to the lungs); some types of gonorrhea (a sexually transmitted disease); diarrhea caused by bacteria; typhoid fever (a contagious illness common in developing countries); and bone, joint, skin, prostate (a male reproductive gland), sinus, and urinary tract (bladder) infections.

Cipro is also used to prevent and/or treat anthrax in people exposed to anthrax germs in the air. Cipro is also used with another medication to treat certain infections of the internal organs. Cipro extended release (long-acting) tablets are used to treat urinary tract and kidney infections. Cipro is in a class of antibiotics called fluoroquinolones. It works by killing bacteria. Antibiotics will not work for colds, flu, or other viral infections

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How should Cipro be used ?

Cipro comes as a tablet, a suspension (liquid) and an extended release (long-acting) tablet to take by mouth with or without food. The tablet and suspension are usually taken every 12 hours (twice a day). The extended release tablets are usually taken once a day. To help you remember to take Cipro, take it around the same time(s) every day. The length of your treatment depends on the type of infection you have. Your doctor will tell you how long you need to take Cipro. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Cipro exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Swallow the extended release tablets whole; do not split, crush, or chew them.

If you are taking the liquid, shake the bottle for 15 seconds before each use to mix the medication evenly. Swallow the correct dose without chewing the granules in the liquid. Do not give the liquid to a patient through a feeding tube.

If you are taking the Cipro tablets or extended release tablets, swallow them with a full glass of water.

You should begin feeling better during the first few days of treatment with Cipro. If you do not, call your doctor.

Take Cipro until you finish the prescription, even if you feel better. If you stop taking Cipro too soon or skip doses, your infection may not be completely cured and bacteria may become resistant to antibiotics.

Other uses for Cipro

Cipro is also sometimes used to treat patients with cystic fibrosis who have lung infections. Cipro is sometimes used to treat various sexually transmitted diseases and various infections such as Legionnaire disease (a type of lung infection), cat scratch disease (an infection that may develop after a patient is bitten or scratched by a cat), and brucellosis (a type of infection that causes a rising and falling fever and other symptoms). In the event of biological warfare, Cipro may be used to treat and prevent dangerous illness that are deliberately spread such as plague, tularemia, and anthrax of the skin or mouth. Cipro may also be used to reduce the amount of certain types of bacteria in the nose to prevent serious illness. Cipro may be used with another medication to treat disseminated Mycobacterium avium complex (MAC) (a type of lung disease that often affects people with human immunodeficiency virus [HIV] ), and tuberculosis (TB) (a type of lung infection). Talk to your doctor about the possible risks of using this drug for your condition.

Cipro may be prescribed for other uses; ask your doctor or pharmacist for more information.

What special precautions should I follow when taking Cipro ?

Before taking Cipro, tell your doctor and pharmacist if you are allergic to Cipro; other quinolone and fluoroquinolone antibiotics such as cinoxacin (Cinobac), enoxacin (Penetrex), gatifloxacin (Tequin), gemifloxacin (Factive), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), nalidixic acid (NegGram), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam), trovafloxacin and alatrofloxacin combination (Trovan); or any other medications.
tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: acetazolamide (Diamox); anticoagulants ('blood thinners') such as warfarin (Coumadin); brinzolamide (Azopt); cancer chemotherapy medications; chloroquine (Aralen); cyclosporine (Neoral, Sandimmune), dichlorphenamide (Daranide); dorzolamide (Cosopt, Trusopt); glyburide (DiaBeta, Glycron, Glynase, Micronase); isoniazid (INH, Nydrazid); medications for depression , pain, or mental illness; medications for diarrhea, such as dicyclomine (Bentyl), diphenoxylate (Lomotil), and loperamide (Imodium); medications that contain caffeine (NoDoz, Vivarin, others); methazolamide (GlaucTabs, Nepatazane); methocarbamol (Robaxin); metoclopramide (Reglan); methotrexate (Rheumatrex, Trexall); mycophenolate mofetil (CellCept); neostigmine (Prostigmin); nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); other antibiotics; phenytoin (Dilantin, Phenytek); physostigmine (Antilirium); potassium citrate and citric acid (Cytra-K, Polycitra-K); probenecid (Benemid); pyridostigmine (Mestinon, Regonol); pyrimethamine (Daraprim); sedatives and sleeping pills; sodium bicarbonate (Soda Mint, baking soda); sodium citrate and citric acid (Bicitra, Oracit); theophylline (Theobid, Theo-Dur, Slo-bid, others); or tacrolimus (Prograf). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
if you are taking antacids (Maalox, Mylanta); didanosine (Videx) chewable tablets or solution (liquid); calcium, iron, zinc or vitamin supplements; or sucralfate (Carafate), take them 6 hours before or 2 hours after Cipro.

Tell your doctor if you have or have ever had arthritis; dementia (memory loss and personality changes); depression; mental illness; diarrhea during or after antibiotic therapy; recent head injury; seizures; stroke or mini-stroke; or kidney or liver disease.
you should know that Cipro and other similar antibiotics have caused serious and occasionally fatal allergic reactions in some patients.

If you develop hives; difficulty breathing or swallowing; rapid, irregular or pounding heartbeat; fainting; dizziness; blurred vision, or other symptoms of a severe allergic reaction, seek emergency medical care right away. If you develop a skin rash, stop taking gemifloxacin and call your doctor.

Call your doctor if you experience other signs of an allergic reaction such as itching; tingling; swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs; fever; hoarseness; joint or muscle pain; unusual bruising or bleeding; extreme tiredness; lack of energy; loss of appetite; pain in the upper right part of the stomach; yellowing of the skin or eyes; flu- like symptoms; or upset stomach.

What special dietary instructions should I follow when taking Cipro ?
Do not take Cipro with dairy products (like milk or yogurt) or calcium-added juices alone. You may take Cipro with a meal that includes these foods. Drink at least eight full glasses of water or liquid every day. Do not drink or eat a lot of caffeine-containing products such as coffee, tea, cola, or chocolate. Cipro increases nervousness, sleeplessness, heart pounding, and anxiety caused by caffeine.

Dosages of Cipro

The usual dose for adults is 1 tablet every 12 hours. In the case of treatment or prevention of carbuncle, the usual dose is 500 mg. orally every 12 hours.

In acute infections, the usual treatment period is 5 to 10 days. However, the treatment should continue for three days after the signs and symptoms of the infection have disappeared. In the case of treatment or prevention of carbuncle, the usual treatment period is 60 days.

Elderly:
The dosage recommended is the same as for adults. The dosage should only be adjusted in the case of impaired renal function.
Children and adolescents (5 to 17 years):
The recommended dosage is 20 mg. / kg. orally every 12 hours. The maximum daily dose is 1500 mg. In the case of treatment or prevention of carbuncle, the recommended dose is 10-15 mg. / kg. orally every 12 hours.
Impaired hepatic function:
No adjustment of dosage is necessary in adults.

What should I do if I forget to take a dose of Cipro ?
If you are taking Cipro tablets or suspension, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can Cipro cause ?

Cipro may cause side effects.

Tell your doctor if any of these symptoms are severe or do not go away:

upset stomach
vomiting
stomach pain
indigestion
headache
nervousness
agitation
anxiety
difficulty falling asleep or staying asleep
nightmares or abnormal dreams
Some side effects can be serious.

The following symptoms are uncommon, but if you experience any of them or those mentioned in the SPECIAL PRECAUTIONS section, call your doctor immediately:

seizures
vaginal yeast infection
confusion
shaking hands that you cannot control
believing that others want to harm you
hallucination (seeing things or hearing voices that do not exist)
depression
thoughts about dying or killing yourself
You should know that Cipro has slowed the growth and damaged the joints of young laboratory animals. It is not known if Cipro has these effects on children. Therefore, Cipro should not normally be given to children younger than 18 years old. However, if a child has been exposed to anthrax in the air, the benefits of taking Cipro to prevent this serious illness may be greater than the risk of joint damage. Talk to your child's doctor about the risks of giving Cipro to your child.

Cipro may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

What storage conditions are needed for Cipro ?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it 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. Throw away any liquid that is left over after 14 days and any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose with Cipro

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

What other information should I know about Cipro ?
Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your body's response to Cipro.

Do not let anyone else take your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish the Cipro, call your doctor.

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