Cipro

Brand: CIPRO

Generic: CIPROFLOXACIN

CIPRO is an antibiotic indicated for the treatment of a varied spectrum of bacterial infections or infections caused by bacteria.

CIPRO GENERIC (origin: USA) 30 tablets 250MG:  $ 12.00
CIPRO GENERIC (origin: USA) 30 tablets 500MG:  $ 15.00
CIPRO GENERIC (origin: USA) 30 tablets 750MG:  $ 30.00
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PATIENT INFORMATION

  Cipro Patient Information (239.7 KiB, 32 hits)

MEDICATION GUIDE

  Cipro Medication Guide (143.7 KiB, 30 hits)

SAFETY INFORMATION

►Children less than 18 years of age have a higher chance of getting bone, joint, or tendon (musculoskeletal) problems such as pain or swelling while taking CIPRO. CIPRO should not be used as the first choice of antibiotic medicine in children under 18 years of age. CIPRO should not be used in children under 18 years old, except to treat specific serious infections, such as complicated urinary tract infections and to prevent anthrax disease after breathing the anthrax bacteria germ (inhalational exposure).

►Sometimes infections are caused by viruses rather than by bacteria. Examples include viral infections in the sinuses and lungs, such as the common cold or flu. Antibiotics, including CIPRO, do not kill viruses.

►Do not take CIPRO if you:

• have ever had a severe allergic reaction to an antibiotic known as a  fluoroquinolone, or are allergic to any of the ingredients in CIPRO (active ingredient being: ciprofloxacin)
• also take a medicine called tizanidine (Zanaflex®). Serious side  effects from tizanidine are likely to happen.

►Before taking CIPRO, tell your doctor if:

Tell your healthcare provider about all your medical conditions, including if you:

• have tendon problems
• have central nervous system problems (such as epilepsy)
• have nerve problems
• have or anyone in your family has an irregular heartbeat, especially a condition called “QT prolongation”
• have a history of seizures
• have kidney problems. You may need a lower dose of CIPRO if your kidneys do not work well.
• have rheumatoid arthritis (RA) or other history of joint problems
• have trouble swallowing pills
• are pregnant or planning to become pregnant. It is not known if CIPRO will harm your unborn child.
• are breast-feeding or planning to breast-feed. CIPRO passes into breast milk. You and your healthcare provider should decide whether you will take CIPRO or breast-feed.

►What to avoid while taking CIPRO?

• CIPRO can make you feel dizzy and lightheaded. Do not drive, operate machinery, or do other activities that require mental alertness orcoordination until you know how CIPRO affects you.
• Avoid sunlamps, tanning beds, and try to limit your time in the sun. CIPRO can make your skin sensitive to the sun (photosensitivity) and the light from sunlamps and tanning beds. You could get severe sunburn, blisters or swelling of your skin. If you get any of these symptomswhile taking CIPRO, call your healthcare provider right away. You should use a sunscreen and wear a hat and clothes that cover your skin if you have to be in sunlight.

POSSIBLE SIDE EFFECTS

Most important CIPRO information CIPRO belongs to a class of antibiotics called fluoroquinolones. CIPRO can cause side effects that may be serious or even cause death.

If you get any of the following serious side effects, get medical help right away. Talk with your healthcare provider about whether you should continue to take CIPRO.

• Tendon rupture or swelling of the tendon (tendinitis)
• Tendons are tough cords of tissue that connect muscles to bones.
• Pain, swelling, tears and inflammation of tendons including the back of the ankle (Achilles), shoulder, hand, or other tendon sites can happen in people of all ages who take fluoroquinolone antibiotics, including CIPRO. The risk of getting tendon problems is higher if you:
  • are over 60 years of age
  • are taking steroids (corticosteroids)
  • have had a kidney, heart or lung transplant

Swelling of the tendon (tendinitis) and tendon rupture (breakage) have also happened in patients who take fluoroquinolones who do not have the above risk factors.

Other reasons for tendon ruptures can include:

• physical activity or exercise
• kidney failure
• tendon problems in the past, such as in people with rheumatoid arthritis (RA)

Call your healthcare provider right away at the first sign of tendon pain, swelling or inflammation.

Stop taking CIPRO until tendinitis or tendon rupture has been ruled out by your healthcare provider. Avoid exercise and using the affected area. The most common area of pain and swelling is the Achilles tendon at the back of your ankle. This can also happen with other tendons. Talk to your healthcare provider about the risk of tendon rupture with continued use of CIPRO. You may need a different antibiotic that is not a fluoroquinolone to treat your infection.

Tendon rupture can happen while you are taking or after you have finished taking CIPRO. Tendon ruptureshave happened up to several months after patients have finished taking their fluoroquinolone.

Get medical help right away if you get any of the following signs or symptoms of a tendon rupture:

• hear or feel a snap or pop in a tendon area
• bruising right after an injury in a tendon area
• unable to move the affected area or bear weight

CIPRO can cause side effects that may be serious or even cause death.

►SERIOUS SIDE EFFECTS:

• Central Nervous System effects

Seizures have been reported in people who take fluoroquinolone antibiotics including CIPRO. Tell your healthcare provider if you have a history of seizures. Ask your healthcare provider whether taking CIPRO will change your risk of having a seizure.

Central Nervous System (CNS) side effects may happen as soon as after taking the first dose of CIPRO. Talk to your healthcare provider right away if you get any of these side effects, or other changes in mood or behavior:

• feel dizzy
• seizures
• hear voices, see things, or sense things that are not there (hallucinations)
• feel restless
• tremors
• feel anxious or nervous
• confusion
• depression
• trouble sleeping
• nightmares
• feel more suspicious (paranoia)
• suicidal thoughts or acts

• Serious Allergic Reactions
  

Allergic reactions can happen in people taking fluoroquinolones, including CIPRO, even after only one dose. Stop taking CIPRO and get emergency medical help right away if you get any of the following symptoms of a severe allergic reaction:

• hives
• trouble breathing or swallowing
• swelling of the lips, tongue, face
• throat tightness, hoarseness
• rapid heartbeat
• faint
• yellowing of the skin or eyes. Stop taking CIPRO and tell your healthcare provider right away if you get yellowing of your skin or white part of your eyes, or if you have dark urine. These can be signs of a serious reaction to CIPRO (a liver problem).

• Skin rash

Skin rash may happen in people taking CIPRO even after only one dose. Stop taking CIPRO at the first sign of a skin rash and call your healthcare provider. Skin rash may be a sign of a more serious reaction to CIPRO.

• Serious heart rhythm changes (QT prolongation and torsade de pointes)

Tell your healthcare provider right away if you have a change in your heart beat (a fast or irregular heartbeat), or if you faint. CIPRO may cause a rare heart problem known as prolongation of the QT interval. This condition can cause an abnormal heartbeat and can be very dangerous. The chances of this event are higher in people:

• who are elderly
• with a family history of prolonged QT interval
• with low blood potassium (hypokalemia)
• who take certain medicines to control heart rhythm (antiarrhythmics)

• Intestine infection(Pseudomembranous colitis)

Pseudomembranous colitis can happen with most antibiotics, including CIPRO. Call your healthcare provider right away if you get watery diarrhea, diarrhea that does not go away, or bloody stools. You may have stomach cramps and a fever. Pseudomembranous colitis can happen 2 or more months after you have finished your antibiotic.

• Changes in sensation and possible nerve damage (Peripheral Neuropathy)

Damage to the nerves in arms, hands, legs, or feet can happen in people who take fluoroquinolones, including CIPRO. Talk with your healthcare provider right away if you get any of the following symptoms of peripheral neuropathy in your arms, hands, legs, or feet:

• pain
• numbness
• burning
• weakness
• tingling

CIPRO may need to be stopped to prevent permanent nerve damage.

• Low blood sugar(hypoglycemia)

People who take CIPRO and other fluoroquinolone medicines with the oral anti-diabetes medicine glyburide (Micronase, Glynase, Diabeta, Glucovance) can get low blood sugar (hypoglycemia) which can sometimesbe severe. Tell your healthcare provider if you get low blood sugar with CIPRO. Your antibiotic medicine may need to be changed.

• Sensitivity to sunlight(photosensitivity)

• Joint Problems

Increased chance of problems with joints and tissues around joints in children under 18 years old. Tell your child’s healthcare provider if your child has any joint problems during or after treatment with CIPRO.

►MOST COMMON SIDE EFFECTS:

• nausea
• vaginal yeast infection
• headache
• changes in liver function tests
• diarrhea
• pain or discomfort in the abdomen
• vomiting

These are not all the possible side effects of CIPRO. Tell your healthcare provider about any side effect that bothers you, or that does not go away.

DRUG INTERACTION

Tell your healthcare provider about all the medicines you take,including prescription and non-prescription medicines, vitamins and herbal and dietary supplements. CIPRO and other medicines can affect each other causing side effects. Especially tell your healthcare provider if you take:

• a NSAID (Non-Steroidal Anti-Inflammatory Drug). Many common medicines for pain relief are NSAIDs. Taking an NSAID while you take CIPRO or other fluoroquinolones may increase your risk of central nervous system effects and seizures.
• a blood thinner (warfarin, Coumadin®, Jantoven®)
• tizanidine (Zanaflex®). You should not take CIPRO if you are already taking tizanidine.
• theophylline (Theo-24®, Elixophyllin®, Theochron®, Uniphyl®, Theolair®)
• glyburide (Micronase®, Glynase®, Diabeta®, Glucovance®).
• phenytoin (Fosphenytoin Sodium®, Cerebyx®, Dilantin-125®, Dilantin®, Extended Phenytoin Sodium®, Prompt Penytoin Sodium®, Phenytek®)
• products that contain caffeine
• a medicine to control your heart rate or rhythm (antiarrhythmics)
• an anti-psychotic medicine
• a tricyclic antidepressant
• a water pill (diuretic)
• a steroid medicine. Corticosteroids taken by mouth or by injection may increase the chance of tendon injury.
• methotrexate (Trexall®)
• Probenecid (Probalan®, Col-probenecid®)
• Metoclopromide (Reglan®, Reglan ODT®)
• Certain medicines may keep CIPRO Tablets, CIPRO Oral Suspension from working correctly. Take CIPRO Tablets either2 hours before or 6 hours after taking these products:
  • an antacid, multivitamin, or other product that has magnesium, calcium, aluminum, iron, or zinc
  • sucralfate (Carafate®)
  • didanosine (Videx®, Videx EC®)

Ask your healthcare provider if you are not sure if any of your medicines are listed above.

Know the medicines you take. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.