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Get emergency medical help if you have signs of an allergic reaction to ciprofloxacin : hives, or the first sign of a skin rash; fast heartbeat, difficult breathing; swelling of your face, lips, tongue, or throat.


signs of tendon rupture - sudden pain, swelling, bruising, tenderness, stiffness, movement problems, or a snapping or popping sound in any of your joints (rest the joint until you receive medical care or instructions);



a heart rhythm disorder (especially if you take medication to treat it) or history of long QT syndrome;
Before taking this medicine
You should not use ciprofloxacin if you are allergic to a fluoroquinolone antibiotic, or if you are also taking tizanidine (Zanaflex).
heart rhythm medication - amiodarone, disopyramide, dofetilide, dronedarone, procainamide, quinidine, sotalol, and others;

Tell your doctor about all your current medicines and any you start or stop using, especially:

vitamin or mineral supplements that contain calcium, iron, or zinc.
Drug Images
View Frightful (But Dead Serious) Drug Side Effects

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 should I avoid while taking ciprofloxacin?

antacids that contain magnesium or aluminum (such as Maalox, Mylanta, or Rolaids), or the ulcer medicine sucralfate (Carafate);


cyclosporine, methotrexate, metoclopramide, omeprazole, pentoxifylline, phenytoin, probenecid, ropinirole, sildenafil, theophylline;
low levels of potassium in your blood (hypokalemia); or

liver problems - upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

Common ciprofloxacin side effects may include:


NSAIDs (nonsteroidal anti-inflammatory drugs) - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.
Support Group Q & A

Interactions


Do not crush, chew, or break an extended-release tablet. Swallow it whole.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use ciprofloxacin only for the indication prescribed.
Slideshow
This list is not complete. Other drugs may interact with ciprofloxacin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

a history of myasthenia gravis or other nerve-muscle disorder;
Use this medicine 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 flu or a common cold.



nausea, vomiting, diarrhea;
muscle pain or weakness;




if you use a blood thinner (warfarin, Coumadin, Jantoven) and have "INR" or prothrombin time tests.

Ciprofloxacin may be taken with or without food, but take it at the same time each day.

Avoid caffeine while you are taking this medicine, because the medication can make the effects of caffeine stronger.
You should not use this medication if you are also taking tizanidine.
tendon problems, arthritis or other joint problems (especially in children);
Ciprofloxacin is a fluoroquinolone (flor-o-KWIN-o-lone) antibiotic that fights bacteria in the body. Ciprofloxacin is used to treat different types of bacterial infections. It is also used to treat people who have been exposed to anthrax or certain types of plague .


changes in mood or behavior - depression, confusion, hallucinations, paranoia, tremors, feeling restless or anxious, unusual thoughts or behavior, insomnia, nightmares;

a seizure (convulsions);

Ciprofloxacin may cause swelling or tearing of a tendon , especially if you are over 60, if you take steroid medication, or if you have had a kidney, heart, or lung transplant.







Generic Name: ciprofloxacin (oral) (SIP roe FLOX a sin) Brand Names: Cipro, Cipro XR, Proquin XR
abnormal liver function tests.

Ciprofloxacin may cause swelling or tearing of (rupture) a tendon. This medicine can also have serious effects on your nerves, and may cause permanent nerve damage.

Ciprofloxacin side effects


Fluoroquinolone antibiotics can cause serious or disabling side effects. Ciprofloxacin should be used only for infections that cannot be treated with a safer antibiotic.

diabetes (especially if you take oral diabetes medication);

Where can I get more information?
Stop taking this medicine and call your doctor at once if you have sudden pain, swelling, bruising, tenderness, stiffness, or movement problems in any of your joints. Rest the joint until you receive medical care or instructions.
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, call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.
More about ciprofloxacin Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons 374 Reviews - Add your own review/rating Consumer resources Ciprofloxacin Ciprofloxacin extended-release tablets Ciprofloxacin suspension Ciprofloxacin tablets Ciprofloxacin (Advanced Reading) Ciprofloxacin Intravenous (Advanced Reading) Other brands: Cipro , Cipro I.V. , Cipro XR , Proquin XR Professional resources Ciprofloxacin (AHFS Monograph) More (9) » Related treatment guides Urinary Tract Infection Epididymitis, Sexually Transmitted Bladder Infection Skin and Structure Infection Sinusitis More (40) »


a history of seizures;
severe stomach pain, diarrhea that is watery or bloody;




Stop using ciprofloxacin and call your doctor at once if you have:

nerve symptoms - numbness, weakness, tingling, burning, pain, or being more sensitive to temperature, light touch, or the sense of your body position;
Breastfeeding Warnings
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. This can happen during treatment or up to several months after you stop taking ciprofloxacin. Tendon problems 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.
trouble swallowing pills;



Side Effects


What is ciprofloxacin?

a diuretic or "water pill";
How should I take ciprofloxacin?
Your pharmacist can provide more information about ciprofloxacin.
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.


Take this medicine with water, and drink extra fluids to keep your kidneys working properly.
didanosine (Videx) powder or chewable tablets;

Overview



liver or kidney disease;
User Reviews



Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;


Important information
Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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Shake the oral suspension (liquid) for at least 15 seconds just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Do not give the oral suspension through a feeding tube.


Do not give this medicine to a child without medical advice. Tendon and joint problems may be more likely in a child taking ciprofloxacin.
What happens if I overdose?
More Pregnancy Warnings

You may not be able to use ciprofloxacin if you have a muscle disorder. Tell your doctor if you have a history of myasthenia gravis.
medicine to treat depression or mental illness - amitriptylline, clomipramine, clozapine, desipramine, duloxetine, iloperidone, imipramine, nortriptyline, and others; or



a phosphate binder such as lanthanum carbonate (Fosrenol) or sevelamer (Renagel); or


Patient Tips

severe skin reaction - skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

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

Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze. Throw away any unused liquid after 14 days.
increased pressure inside the skull - severe headaches, ringing in your ears, vision problems, pain behind your eyes; or
Ciprofloxacin may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.


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.

Ciprofloxacin can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.



Dosage



To make sure ciprofloxacin is safe for you, tell your doctor if you have:



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:

See also: Side effects (in more detail) What other drugs will affect ciprofloxacin?
Pricing & Coupons
Ciprofloxacin is usually taken every 12 hours. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.





It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Add to My Med List
Do not share this medicine with another person, even if they have the same symptoms you have.

See also: Dosage Information (in more detail) What happens if I miss a dose?