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Cipro general information

Generic name: Ciprofloxacin
Brand names: Cipro

Cipro is an antibiotic from fluoroquinolones group which is used for infection treatment in the lower respiratory tract, skin, abdomen, bones/joints, urinary tract, including cystitis in women. It can be used to fight severe sinus or bronchial infections, infectious diarrhoea, inhalational anthrax, typhoid fever, infections of the prostate gland and some STDs like gonorrhoea. Also, some doctors recommend Cipro for treatment of severe ear infections, tuberculosis and some of the infections people with AIDS usually encounter.

Cipro may also be given to children with urinary tract infection or kidney infection if other antibiotics were ineffective.

Test for identification of the specific organisms causing infection should be done prior to taking Cipro since it is effective only against certain types of bacterial infections.

Cipro is available in a form of a tablet, pill and a liquid oral suspension. There are also Cipro suspension ear drops (Ciplox) that contain anti-inflammatory drug hydrocortisone which is only used externally for ear infection treatment.

You can buy Cipro in an extended-release form to treat cystitis, urinary tract infection and kidney infection.

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Cipro precautions

Cipro destroys a lot of bacteria, and is commonly used in treatment of infections in various body parts. Nevertheless you should cease Cipro usage and immediately seek medical attention at the first sign of a skin rash or any other allergic reaction. Though serious or occasionally fatal allergic reactions are very rare, some lethal outcomes have been reported after the first dose among people receiving this type of antibacterial drug. Some severe allergic reactions have been followed by collapse of the circulatory system, loss of consciousness, swelling of the face and throat, shortness of breath, tingling, itching and hives. Such symptoms as fever and jaundice are also worth medical attention.

Cipro is not recommended for those who are allergic to: tizanidine (Zanaflex), levofloxacin (Levaquin), moxifloxacin (Avelox), ofloxacin (Floxin), norfloxacin (Noroxin), lomefloxacin (Maxaquin) and others.

Before taking Cipro, you have to make sure you don’t have kidney or liver malfunctions, myasthenia gravis, joint issues, diabetes, a history of seizures, hypokalemia, personal or family history of "Long QT syndrome".

Cipro may cause swelling or tearing of a tendon, especially in the Achilles' tendon of the heel. Such symptoms are more likely to occur among patients who are older than 60, or if they were taking oral steroid medication, as well as those who went through kidney, heart or lung transplantation. Stop taking Cipro at once if you experience sudden pains, swelling, tenderness, stiffness or movement problems in any joints. Do not share your medication with other people and especially children, even if they are experiencing the same problems you do.

Cipro suspension should not be taken by anyone whose eardrum is perforated or who suffers ear viral infection.

Cipro effect on the fetus has not been studied broadly and there is an opinion that Cipro poses little danger during pregnancy. But you need medical support and consultation if you are pregnant or plan to become pregnant. Cipro can get absorbed by breast milk when it's taken internally and might affect the baby. If Cipro is vital for your health, you should consider making a break in breastfeeding until the treatment course is completed.

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Cipro Usage instructions

Like most antibiotics, Cipro works best when there is a constant level in the blood and urine. In order to insure constant level of Cipro in the organism avoid missing doses and take medicine at the same time each day.

Dairy products (milk, cheese, yogurt or calcium-fortified juice) are allowed only with a meal, eating them alone is prohibited when taking Cipro. This is necessary to make sure dairy products do not decrease the effectiveness of antibiotic. Consume many liquids to avoid crystals forming in your urine.

Quit taking antacids, vitamin or mineral supplements, sucralfate or didanosine powder or chewable tablets within 6 hours before or 2 hours after you take Cipro. Listed above supplements can decrease Cipro effectiveness when taken together.

Cipro is used only to treat bacterial infections, it will not treat such viral infections like common cold. It is vital to take the full course of Cipro even if you feel relief and get better in a few days. Ceasing Cipro usage may result in its effectiveness decrease and chances for bacteria becoming resistant to Cipro and similar drugs rise drastically.

Oral suspension should be shaken in the bottle for at least 15 seconds before each dose. Swallow medicine without chewing the microcapsules. Make sure you close the bottle completely, following the instructions on the cap.

Avoid Cipro ear drops getting in your eyes and keep the dropper from contamination by letting it touch your ears, fingers or other surfaces.

How to use the ear drops:

  • Warm the otic suspension by holding the bottle in your hand for a few minutes; inserting a cold suspension into the ear can cause dizziness.
  • Lie down with the affected ear up and apply the ear drops.
  • Shake the bottle well, then position the filled dropper above the entrance to the ear.
  • Squeeze 3 drops into the ear. Do not get up for 30 - 60 seconds.
  • Trash any remaining suspension when finished.

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Cipro dosage

Those who use oral suspension, 1 teaspoon of 5% suspension equals 250 milligrams and 1 teaspoon of 10% suspension equals 500 milligrams.

ADULTS: For Cipro Tablets and Oral Liquid

Urinary Tract Infections: The usual dosage is 250 milligrams every 12 hours. Severe infections may require 500 milligrams every 12 hours. Treatment lasts 7 to 14 days.

Cystitis (Bladder Inflammation: The usual dosage depending on the situation is either 100 milligrams or 250 milligrams every 12 hours. Treatment lasts 3 days. Or 500 milligrams taken once daily for 3 days.

Lower Respiratory Tract, Skin, Bone, and Joint Infections: The usual dosage is 500 milligrams every 12 hours. Severe infections may require 750 milligrams taken every 12 hours. Treatment lasts 7 to 14 days, except for bone and joint infections, which takes 4 to 6 weeks.

Infectious Diarrhoea; Typhoid Fever; Sinus, Prostate and Abdominal Infections: The recommended dosage is 500 milligrams every 12 hours. Treatment lasts 5 to 7 days for diarrhoea, 10 days for typhoid fever and sinus infections, 7 to 14 days for abdominal infections, and 28 days for prostate infections.

Inhalational Anthrax: For adults, the dosage is 500 milligrams every 12 hours. Doses for children are calculated at a rate of 15 milligrams per 2.2 pounds of body weight up to a maximum of 500 milligrams per dose. Treatment continues for 60 days.

Gonorrhoea in the Urethra or Cervix: For these sexually transmitted diseases a usual single dose is 250-milligram.

Ear Infection: Apply 3 drops of suspension into the ear twice a day for 7 days.

CHILDREN AGES 1 TO 17 YEARS OLD: For Cipro Tablets and Oral Liquid

Urinary Tract and Kidney Infections: The usual dosage is based on your child's weight. Calculation is done with 15 milligrams per 2.2 pounds of body weight taken every 12 hours during 10 to 21 days.

Inhalational Anthrax: The usual dosage is based on your child's weight. It should be taken every 12 hours for 60 days.

Ear Infection: The dosage is the same as for adults.

Overdose: No information on the symptoms of Cipro overdose is available today. Nevertheless any medication taken in excess leads serious consequences. If you believe you have an overdose, seek medical attention immediately.

If you miss a dose: Take it as soon as you remember. Skip the missed dose and go back to your regular schedule if it is almost time for the next dose. Do not take 2 doses at the same time to make up for the missed dose.

Storage instructions: Store Cipro tablets at a room temperature. Cipro suspension may be stored as well in the refrigerator. The suspension is fine for usage during 14 days. Keep Cipro suspension from light and avoid freezing.

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Possible side effects

Side effects cannot be anticipated. But in cases when a side effect has developed or changed its intensity address a medical specialist as soon as possible.

Stop using Cipro if any of the following side effects develop:

  • dizziness, fainting, pounding heartbeat;
  • sudden pain or swelling of joints;
  • is watery or bloody diarrhoea;
  • confusion, hallucinations, depression, weird thoughts or behaviour;
  • seizures;
  • pale or yellowed skin, dark urine, fever, weakness;
  • urinating abnormalities;
  • easy bruising or bleeding;
  • numbness, tingling or unusual pain anywhere in your body;
  • fever, sore throat and headache with a severe blistering, peeling and skin rash.

Less serious side effects may include:

  • nausea, vomiting;
  • blurred vision;
  • nervousness, anxiety;
  • sleeping problems; or
  • increased sensitivity of the skin to sunlight.

This list is not a complete version of possible side effects and others may occur.

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Possible food and drug interactions

Cipro in combination with theophylline can cause severe reactions: cardiac arrest, seizures, status epilepticus (continuous attacks of epilepsy with no periods of consciousness), and respiratory failure.

The following can worsen the absorption of Cipro and must be taken no less than 6 hours before or 2 hours after a dose:

  • Antacids
  • Carafate
  • Supplements and other products containing calcium, iron or zinc
  • Videx chewable tablets and paediatric powder

Avoid taking Cipro with dairy products alone.

Cipro may increase the effects of caffeine.

The following drugs may alter, increase/decrease Cipro effect or may become ineffective in combination with Cipro:

Cyclophosphamide, Cyclosporine, Glyburide, Methotrexate, Metoclopramide, Metoprolol, Phenytoin, Probenecid, Warfarin.

Certain non-steroid anti-inflammatory drugs (NSAIDs), with the exception of aspirin, might cause convulsions in combination with Cipro or fluoroquinolone antibiotics.

These is not final and exhausting information on possible interactions with food and drugs. If you notice any unusual reactions or feel like something is out of order seek medical attention. Those who purchase Cipro should remember the instruction from this medical guide and follow them. Cipro price is not the same in every drug store, but the cheapest can be found online.

How to get it

Ciprofloxacin 500 mg for uti or other diseases can be ordered, sitting on the computer in Australia, Canada, the UK, the USA, Mexico or the Philippines, just by few clicks. Other packages like 250 mg, 750 mg, 1000 mg are also available and there are many other generic and brand antibiotics in our shop. In addition, our non-prescription pharmacy provides information like cost of ciprofloxacin eye drops or price of cipro medication in India. In order to get to know how much generic ciprofloxacin you can take and whether ciprofloxacin (cipro) can be bought over the counter, you should follow the link below.