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Ciprofloxacin oral
CIPROFLOXACIN SUSPENSION - ORAL

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

CIPROFLOXACIN SUSPENSION - ORAL

(sip-row-FLOX-uh-sin)

COMMON BRAND NAME(S): Cipro

Uses

This medication is a quinolone antibiotic used to treat a wide variety of bacterial infections.

How To Use

This medication may be taken with or without food, usually twice a day, in the morning and in the evening, or use as directed by your doctor. Shake the bottle vigorously for 15 seconds before measuring out each dose. Do not chew the contents of the suspension. This form of ciprofloxacin is not for use with feeding tubes because the suspension may clog the tube. Take this medication 2 hours before or 6 hours after taking any products containing magnesium, aluminum, or calcium. Some examples include quinapril, didanosine, vitamins/minerals, and antacids. Dairy products (e.g., milk, yogurt), calcium-enriched juice, sucralfate, bismuth subsalicylate, iron, and zinc are also included. These products bind with ciprofloxacin preventing its full absorption. Note: This medication may be taken with a glass of milk or calcium-enriched juice with a meal; taking it with milk or calcium-enriched juice without a meal will prevent the drug from being fully absorbed. Drink plenty of fluids while using this medication unless your doctor tells you otherwise. Antibiotics work best when the amount of medicine in your body is kept at a constant level. Therefore, take this drug at evenly spaced intervals. Continue to take this medication until the full prescribed amount is finished even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a relapse of the infection. Read the Patient Information Leaflet available from your pharmacist.

Side Effects

This medication may cause stomach upset, loss of appetite, diarrhea, nausea, headache, vision changes or dizziness during the first few days as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: joint/muscle/tendon pain or swelling (tendonitis, tendon rupture), sunburn-like skin reaction (sun sensitivity). Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: seizures, mental/mood changes, easy bruising or bleeding, persistent sore throat or fever, irregular heartbeat, chest pain, stomach pain, yellowing eyes and skin, dark urine, unusual change in the amount of urine, unusual fatigue. This medication may rarely cause a severe intestinal condition (pseudomembranous colitis) due to a resistant bacteria. This condition may occur weeks after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have the following symptoms because these products may make them worse. Tell your doctor immediately if you develop: persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool. Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection (oral or vaginal fungal infection). Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge or other new symptoms. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

Before using this medication, tell your doctor or pharmacist your medical history, especially of: seizures, brain or nervous system disorders, kidney disease, tendon problems, liver disease, blood vessel problems, any allergies (especially to other quinolone antibiotics such as levofloxacin). This drug may make you dizzy or lightheaded; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths or sunlamps. Use a sunscreen and wear protective clothing when outdoors. Caution is advised when using this drug in the elderly because they may be more sensitive to the side effects of the drug, (e.g., tendon problems, especially if they are also taking corticosteroid drugs such as prednisone). Caution is advised when using this drug in children. Contact the doctor for more information. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This medication passes into breast milk. Breast-feeding is not recommended while using this drug.

Drug Interactions

Also refer to the How To Use section. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: other antibiotics, theophylline, warfarin, cyclosporine, glyburide, phenytoin, clozapine, live vaccines, probenecid, ropinirole, quinapril, didanosine, vitamins/minerals (e.g., magnesium, aluminum, calcium, iron, zinc), antacids, sucralfate, bismuth subsalicylate. Also report the use of drugs which might increase seizure risk (decrease seizure threshold) when combined with ciprofloxacin such as: phenothiazines (e.g., thioridazine), tricyclic antidepressants (e.g., amitriptyline), isoniazid (INH), and theophylline, among others. Consult your doctor or pharmacist for details. Avoid drinking large amounts of beverages containing caffeine(coffee, tea, colas) or eating large amounts of chocolate. This drug may increase and/or prolong the effects of caffeine. This medication can affect the results of certain lab tests. Make sure laboratory personnel and your doctors know you use this drug. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately.

Notes

Do not share this medication with others. This medication has been prescribed for your current condition only. Do not use it later for another infection unless told to do so by your doctor. A different medication may be necessary in those cases. Laboratory and/or medical tests may be performed to monitor your progress or check for side effects. Consult your doctor for more details.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Before mixing, store the dry powder and mixing solution below 77 degrees F (25 degrees C). Do not freeze. Once mixed, the suspension is good for 14 days and may be refrigerated or stored at a room temperature below 86 degrees F (30 degrees C). Do not freeze. Do not store in the bathroom. Keep all medicines away from children and pets. Discard any unused portion after treatment is completed.