Cipro
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Your Online Antibiotic Specialist.
Cipro is an antibiotic in a class of drugs called
fluoroquinolones that fights bacteria in the
body and is used to treat various types of bacterial
infections. Cipro is used to treat infections
of the skin, lungs, airways, bones, and joints
caused by susceptible bacteria.
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Cipro Antibiotics
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Cipro (Ciprofloxacin)
Cipro - ciprofloxacin cinfa ® is
indicated for the treatment of:
- Respiratory tract infections (including
cystic fibrosis and carbuncle)
- Ear and throat infections
- Urinary tract and genital infections (genitourinary)
- Abdominal infections (including carbuncle)
- Blood infections (systemic)
- Bone and joint infections (osteoarticular)
- Skin and soft tissue infections
- Infections of the gall bladder
The active ingredient is ciprofloxacin.
Each film-coated tablets contains:
ciprofloxacin (DOE) (hydrochloride) …………250mg, 500mg, 750mg.
The excipients are: croscarmellose
sodium, microcrystalline cellulose, colloidal anhydrous
silica, maize starch, sodium lauryl sulfate, magnesium
stearate, talc, hypromellose, titanium dioxide,
macrogol 400.
WHAT IS CIPRO
Cipro - ciprofloxacin cinfa ® 250mg,
500mg, 750mg film-coated tablets comes in tablets.
Each package contains 10 or 20 scored tablets.
Cipro - ciprofloxacin cinfa ® 250mg, 500mg,
750mg. film-coated tablets belongs to a group of
antibiotics known as quinolones.
Cipro - ciprofloxacin cinfa ® 250mg, 500mg,
750mg. film-coated tablets is indicated for the
treatment of infections caused by ciprofloxacin
sensitive bacteria, such as:
BEFORE TAKING CIPRO
Do not take Cipro - ciprofloxacin
cinfa ® 250mg, 500mg, 750mg film-coated tablets:
- If you are allergic to ciprofloxacin or other
quinolone antibiotics or to any other ingredients
of this medication.
- You experience any type of pain or inflammation
around the calf area, in particular Achilles tendon.
If this occurs, patients should discontinue ciprofloxacin
treatment, rest completely and inform their doctor
immediately.
- You suffer impaired renal function, as your doctor
should adjust the dosage.
Take special care with Cipro - ciprofloxacin
cinfa ® 250mg, 500mg, 750mg film-coated tablets
if:
- You suffer or have suffered epileptic fits and
/ or convulsions; altered blood flow, or have suffered
thrombosis and / or cerebral haemorrhage.
- You are older than 65 and are being treated with
anti-inflammatory medications (corticosteroids),
tendon inflammation and rupture may occur with
quinolone antibiotics. At the first sign of pain
or inflammation, patients should discontinue ciprofloxacin
treatment and rest the affected limbs.
- You develop severe and persistent diarrhoea,
whilst you are taking your tablets, or after stopping
your tablets, you should consult your doctor immediately
as you may be suffering from a special type of
colitis called pseudomembranous colitis, which
can lead to a fatal outcome.
- You have a family history of or actual defects
in glucose-6-phosphate dehydrogenase (genetic or
acquired metabolic disorder).
- During treatment with this medication, patients
should avoid exposure to UV radiation and exposure
to excessive sunlight, if done so you should protect
your skin appropriately.
- If you suffer from myasthenia gravis, Cipro -
ciprofloxacin cinfa ® 250mg, 500mg, 750mg film-coated
tablets should be used with precaution.
Consult your doctor, if you have experienced any
of the above symptoms.
Pregnancy and lactation:
Consult your doctor or pharmacist before taking
any medication.
Cipro - ciprofloxacin cinfa ® 500 mg. film-coated
tablets is not recommended during pregnancy or
lactation.
Driving and using machines:
Treatment with Cipro - ciprofloxacin cinfa ® 250mg,
500mg, 750mg. film-coated tablets may impair
the patient's ability to drive or to operate machinery.
This risk is increased during the first days of
treatment, particularly when taken with alcohol
and if dosage of this medication is increased,
therefore you should not drive or operate dangerous
machinery in any of these situations.
Taking other medications:
Inform your doctor or pharmacist if you are taking
or have recently taken any other medications
including those you have bought without a prescription.
Some medications may affect the action of ciprofloxacin,
such as:
- Antacids, iron, sucralfate and calcium, didanosine,
oral nutritional solutions and dairy products:
the simultaneous administration of these medications
with ciprofloxacin may reduce the effect of ciprofloxacin:
Therefore ciprofloxacin should be administered
1 to 3 hours before or 4 hours after the above-mentioned
medications.
- Theophylline, caffeine or pentoxifylline: increased
plasma levels of these medications have been observed
following concurrent administration with ciprofloxacin,
therefore the risk of adverse effects of these
medications also increases.
- Non-steroidal anti-inflammatory drugs (NSAIs):
the administration of these medications (except
for acetylsalicylic acid) in combination with very
high doses of quinolones can provoke convulsions.
- Cyclosporin (medication used to prevent transplant
rejection): may alter kidney function when administered
simultaneously with ciprofloxacin.
- Warfarin (medication used to thin the blood and
prevent blood clots), glibenclamide (medication
used to treat diabetes), phenytoin (medication
used in the treatment of epilepsy), ropinirole
(medication used in the treatment of Parkinson's
disease): when taken concomitantly with ciprofloxacin,
the effects of these medications may increase.
- Probenecid (medication used in the treatment
of gout), metoclopramide (medication used in the
treatment of nausea and vomiting): when taken together
with ciprofloxacin, it may increase the ciprofloxacin
serum concentrations and therefore, increase the
effects of this medication.
- Opiate premedicants (medications used for postoperative
sedation): when taken together with ciprofloxacin,
it may decrease the ciprofloxacin serum concentrations
and therefore, decrease the effects of this medication.
HOW TO TAKE CIPRO
The tablets are usually swallowed
whole, without chewing with a small amount of fluid
(for example, a glass of water) and preferably
two hours before or after a meal. You should drink
plenty of water during every day of your treatment
with this medication.
Follow these instructions unless
told otherwise by your doctor. Remember to take
your medication.
Your doctor will indicate the dosage
required and the duration of treatment with Cipro
- ciprofloxacin cinfa ® 250mg, 500mg, 750mg film-coated
tablets. Do not discontinue treatment before the
recommended period, as the infection may not be
totally cured.
The usual dose for adults is 1 tablet
every 12 hours. In the case of treatment or prevention
of carbuncle, the usual dose is 250mg, 500mg, 750mg
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.
If you take more Cipro - ciprofloxacin
cinfa ® 250mg, 500mg, 750mg film-coated tablets
than you should
The symptoms that may be experienced are: dizziness,
tremor, headache, fatigue and confusion; as well
as gastrointestinal discomfort and abnormalities
of renal and hepatic function. In the case of an
overdose or accidental ingestion, consult your
doctor or pharmacist immediately, go to the nearest
hospital or contact your local poison centre.
If you forget to take a dose of Cipro
- ciprofloxacin cinfa ® 250mg, 500mg, 750mg.
film-coated tablets
If you forget to take a dose, take it as soon as
you can and continue treatment as recommended.
However, if it is almost time for your next dose,
it is better not to take the missed dose, just
take the next dose on time. Do not take a double
dose to make up for the missed dose.
POSSIBLE SIDE EFFECTS
Like all medicines, Cipro - ciprofloxacin
cinfa ® 250mg, 500mg, 750mg film-coated tablets
may have adverse effects.
The most frequently reported adverse
reactions involve the gastrointestinal tract, the
central nervous system and the skin. The following
adverse reactions have been observed:
Effects on the gastrointestinal tract
Common: nausea, vomiting, abdominal pain, flatulence
and diarrhoea. Rare: pseudomembranous colitis.
Effects on Central Nervous System
Common: dizziness, headache, fatigue, agitation
and confusion. On very rare occasions other reactions
like insomnia, anxiety or sweating may be experienced.
Effects on sensory organs
Very rare: impaired sense of taste and smell and
visual disturbances.
Skin and hypersensitivity reactions
Common: Skin reactions such as pruritus and rash.
On very rare occasions spots on the skin may
appear. Other allergic reactions like swelling,
respiratory difficulties, circulatory collapse,
and impairment of renal and / or hepatic function.
Effects on the cardiovascular system
Uncommon: palpitation. Very rare: swelling, feelings
of suffocation, headache, fainting, and tachycardia.
Effects on the respiratory tract
Uncommon: respiratory difficulties, nasal bleeding,
coughing and haemoptysis.
Effects on the locomotor apparatus
Uncommon: joint pain and swelling. Very rare: muscular
pains. In isolated cases: tendinitis (for example,
Achilles tendon). Exacerbation of symptoms of
myasthenia.
Effects on blood and blood components
Uncommon: blood component alterations (eosinophilia,
leukopenia, anaemia, thrombocytopenia). Very
rare: other blood component alterations (leucocytosis,
thrombocytosis, haemolytic anaemia, pancytopenia,
agranulocytosis), altered prothrombin levels,
hyperglycaemia, crystalluria or haematuria.
Other adverse reactions
Long-term and repeated use of ciprofloxacin can
lead to superinfections with resistant bacteria
or fungi.
If you experience any of these adverse
effects you should inform your doctor. He/she will
evaluate whether it is convenient or not to suspend
treatment.
If overdose is suspected please contact
your local poison control center by calling 1-800-222-1222
or by locating it amoungst those listed here -
American
Association of Poison Control Centers
STORAGE OF CIPRO
No special storage precautions are necessary.
Detailed Information on the usages
of Cipro (Ciprofloxacin Hydrochloride) :
Inhalation
Anthrax : Questions and Answers about Anthrax
Prevention and Treatment with Cipro.
Cipro® Home
Page - Bayer Health Care: Cipro®, Ciproxin®,
Ciprobay®, Ciproxine®, Ciflox®.
Cipro-XR® Home
Page - Bayer Health Care: Cipro XR® is
a fast-acting, extended-release formulation of
ciprofloxacin.
MedlinePlus:
Ciprofloxacin - MedlinePlus Trusted Health
Information from the National Institutes of Health.
DrugDigest:
Ciprofloxacin - Drugs Vitamins - Drug Library
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What my health care professional should know.
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