Health Information

 

 

ciprofloxacin (oral)

Pronunciation: SIP roe FLOX a sin

Brand: Cipro, Cipro XR, Proquin XR

Cipro 100 mg

round, white, imprinted with CIPRO, 100

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Cipro 250 mg

round, white, imprinted with CIPRO, 250

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Cipro 500 mg

oval, white, imprinted with CIPRO, 500

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Cipro 750 mg

oval, white, imprinted with CIPRO, 750

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Cipro XR 1000 mg

oval, white, imprinted with BAYER, C1000 QD

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Cipro XR 500 mg

oval, white, imprinted with BAYER, C500 QD

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Ciprofloxacin 250 mg-APO

round, white, imprinted with APO, CIP 250

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Ciprofloxacin 250 mg-BAR

round, white, imprinted with b 814, 250

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Ciprofloxacin 250 mg-DRR

oval, white, imprinted with R, 126

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Ciprofloxacin 250 mg-IVA

oval, white, imprinted with LOGO 5311, 250

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Ciprofloxacin 250 mg-PAR

round, white, imprinted with G, CF 250

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Ciprofloxacin 500 mg-APO

oval, white, imprinted with APO, CIP500

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Ciprofloxacin 500 mg-BAR

oblong, white, imprinted with b815, 500

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Ciprofloxacin 500 mg-DRR

oval, white, imprinted with R, 127

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Ciprofloxacin 500 mg-IVA

oval, white, imprinted with 500, LOGO 5312

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Ciprofloxacin 500 mg-PAR

oblong, white, imprinted with G, CF500

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Ciprofloxacin 500 mg-RAN

oval, white, imprinted with RX710

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Ciprofloxacin 500 mg-TEV

oblong, white, imprinted with 93, 0864

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Ciprofloxacin 750 mg-APO

oval, white, imprinted with APO, CIP750

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Ciprofloxacin 750 mg-BAR

oblong, white, imprinted with b816, 750

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Ciprofloxacin 750 mg-DRR

oblong, white, imprinted with R, 128

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Ciprofloxacin 750 mg-IVA

oval, white, imprinted with Logo 5313, 750

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Ciprofloxacin 750 mg-TEV

oblong, white, imprinted with 93, 0865

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What is the most important information I should know about ciprofloxacin?

Multum donot

You should not use this medication if you are taking tizanidine (Zanaflex), if you have a history of myasthenia gravis, or if you are allergic to ciprofloxacin (Cipro) or similar antibiotics such as gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), and others.

Before taking ciprofloxacin, tell your doctor if you have a heart rhythm disorder, kidney or liver disease, joint problems, diabetes, muscle weakness or trouble breathing, a condition called pseudotumor cerebri, a history of seizures, a history of head injury or brain tumor, low levels of potassium in your blood, a personal or family history of Long QT syndrome, or if you have ever had an allergic reaction to an antibiotic.

Multum nodairy

Do not take ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice.

Multum donot

Avoid taking antacids, vitamin or mineral supplements, sucralfate (Carafate), or didanosine (Videx) powder or chewable tablets within 6 hours before or 2 hours after you take ciprofloxacin.

Multum emt

Ciprofloxacin may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body), especially in the Achilles' tendon of the heel. Stop taking ciprofloxacin and call your doctor at once if you have sudden pain, swelling, tenderness, stiffness, or movement problems in any of your joints. Rest the joint until you receive medical care or instructions.

What is ciprofloxacin?

Ciprofloxacin is an antibiotic in a group of drugs called fluoroquinolones (flor-o-KWIN-o-lones). Ciprofloxacin fights bacteria in the body.

Ciprofloxacin is used to treat different types of bacterial infections.

Ciprofloxacin may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking ciprofloxacin?

Multum donot

You should not use ciprofloxacin if:

  • you are also taking tizanidine (Zanaflex);
  • you have a history of myasthenia gravis; or
  • you are allergic to ciprofloxacin or similar medications such as gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), ofloxacin (Floxin), norfloxacin (Noroxin), and others.

To make sure you can safely take ciprofloxacin, tell your doctor if you have any of these other conditions:

  • heart rhythm disorder, especially if you take quinidine (Quin-G), disopyramide (Norpace), bretylium (Bretylol), procainamide (Pronestyl, Procan SR), amiodarone (Cordarone, Pacerone), or sotalol (Betapace);
  • a history of head injury or brain tumor;
  • a condition called pseudotumor cerebri (high pressure inside the skull that may cause headaches, vision loss, or other symptoms);
  • a history of allergic reaction to an antibiotic;
  • joint problems;
  • kidney or liver disease;
  • epilepsy or seizures;
  • diabetes;
  • muscle weakness or trouble breathing;
  • low levels of potassium in your blood (hypokalemia); or
  • a personal or family history of Long QT syndrome.
Multum nopreg

FDA pregnancy category C. It is not known whether ciprofloxacin will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Multum nobrfeed

Ciprofloxacin passes into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Multum emt

Ciprofloxacin may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body), especially in the Achilles' tendon of the heel. These effects may be more likely to occur if you are over 60, if you take steroid medication, or if you have had a kidney, heart, or lung transplant. Stop taking ciprofloxacin and call your doctor at once if you have sudden pain, swelling, tenderness, stiffness, or movement problems in any of your joints. Rest the joint until you receive medical care or instructions.

Multum donot

Do not share this medication with another person (especially a child), even if they have the same symptoms you have.

How should I take ciprofloxacin?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Multum water

Take ciprofloxacin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day while you are taking ciprofloxacin. Ciprofloxacin may be taken with or without food, but take it at the same time each day.

Multum shake

Shake the oral suspension (liquid) for at least 15 seconds just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

When taking the oral liquid, swallow it without chewing the medicine beads you may notice in the liquid.

Multum nocrush

Do not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time.

Multum nodairy

Do not take ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink these products as part of a regular meal, but do not use them alone when taking ciprofloxacin. They could make the medication less effective.

Multum finish

Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Ciprofloxacin will not treat a viral infection such as the common cold or flu.

Multum rt

Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Multum emt

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include seizures, urination problems, weakness, or blue lips with pale skin.

What should I avoid while taking ciprofloxacin?

Multum donot

You may be taking certain other medicines that should not be taken at the same time as ciprofloxacin. Avoid taking the following medicines within 6 hours before or 2 hours after you take ciprofloxacin. These other medicines can make ciprofloxacin much less effective when taken at the same time:

  • antacids that contain calcium, magnesium or aluminum (such as Tums, Mylanta, or Rolaids);
  • the ulcer medicine sucralfate (Carafate);
  • didanosine (Videx) powder or chewable tablets; or
  • vitamin or mineral supplements that contain calcium, iron, or zinc.
Multum nocoffee

Avoid caffeine while you are taking ciprofloxacin, because the medication can make the effects of caffeine stronger.

Multum nosun

Avoid exposure to sunlight or tanning beds. Ciprofloxacin can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Call your doctor if you have severe burning, redness, itching, rash, or swelling after being in the sun.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking ciprofloxacin and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

Multum dizzy

Ciprofloxacin may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of ciprofloxacin?

Multum emt

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Multum donot

Stop using ciprofloxacin and call your doctor at once if you have a serious side effect such as:

  • severe dizziness, fainting, fast or pounding heartbeats;
  • sudden pain, snapping or popping sound, bruising, swelling, tenderness, stiffness, or loss of movement in any of your joints;
  • diarrhea that is watery or bloody;
  • confusion, hallucinations, depression, unusual thoughts or behavior;
  • seizure (convulsions);
  • severe headache, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes;
  • pale or yellowed skin, dark colored urine, fever, weakness;
  • urinating less than usual or not at all;
  • easy bruising or bleeding;
  • numbness, tingling, or unusual pain anywhere in your body;
  • the first sign of any skin rash, no matter how mild; or
  • severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Less serious side effects may include:

  • nausea, vomiting;
  • dizziness or drowsiness;
  • blurred vision;
  • feeling nervous, anxious, or agitated; or
  • sleep problems (insomnia or nightmares).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect ciprofloxacin?

Multum donot

Do not take ciprofloxacin together with tizanidine (Zanaflex).

Tell your doctor about all other medicines you use, especially:

  • a blood thinner such as warfarin (Coumadin, Jantoven);
  • clozapine (Clozaril, FazaClo);
  • cyclosporine (Gengraf, Neoral, Sandimmune);
  • glyburide (Micronase, Diabeta, Glynase);
  • methotrexate (Rheumatrex, Trexall);
  • metoclopramide (Reglan);
  • phenytoin (Dilantin);
  • probenecid (Benemid);
  • ropinirole (Requip);
  • theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl);
  • an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), indomethacin (Indocin), meloxicam (Mobic), and others; or
  • steroid medication (prednisone and others).

This list is not complete and other drugs may interact with ciprofloxacin. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about ciprofloxacin.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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