Use of Cipro (Ciprofloxacin)

Do not take Cipro (Ciprofloxacin) if you are pregnant. Do not give Cipro (Ciprofloxacin) to infants, children, or teenagers unless otherwise directed by your doctor. These medicines has been shown to cause bone development problems in young animals.

Cipro (Ciprofloxacin) is best taken with a full glass (8 ounces) of water. Several additional glasses of water should be taken every day, unless you are otherwise directed by your doctor. Drinking extra water will help to prevent some unwanted effects of ciprofloxacin and norfloxacin.

Ciprofloxacin may be taken with meals or on an empty stomach. Ciprofloxacin should NOT be taken with dairy products or calcium-fortified juices alone, but may be taken with a meal that contains these products

To help clear up your infection completely, keep taking your medicine for the full time of treatment, even if you begin to feel better after a few days. If you stop taking Cipro (Ciprofloxacin) too soon, your symptoms may return.

Cipro (Ciprofloxacin) works best when there is a constant amount in the blood or urine. To help keep the amount constant, do not miss any doses. Also, it is best to take the doses at evenly spaced times, day and night. For example, if you are to take two doses a day, the doses should be spaced about 12 hours apart. If this interferes with your sleep or other daily activities, or if you need help in planning the best times to take your medicine, check with your health care professional.

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Dose of Cipro (Ciprofloxacin)

The dose of Cipro (Ciprofloxacin) will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of Cipro (Ciprofloxacin). Your dose may be different if you have kidney disease. If your dose is different, do not change it unless your doctor tells you to do so.

The number of tablets or amount of oral suspension that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using Cipro (Ciprofloxacin).

For oral dosage form (oral suspension or tablets):

Adults: 100 to 750 milligrams (mg) every twelve hours for three to twenty-eight days, depending on the medical problem being treated. Bone and joint infections are usually treated for at least four to six weeks. Gonorrhea is usually treated with a single oral dose of 250 mg. Inhalational anthrax is usually treated for sixty days with 500 mg every twelve hours.

Children up to 18 years of age: Cipro (Ciprofloxacin) is not recommended for use in infants, children, or teenagers, except in the case of inhalational anthrax. Inhalational anthrax is usually treated for sixty days with 15 mg per kilogram (kg) (6.8 mg per pound) of body weight every twelve hours.

Missed Dose of Cipro (Ciprofloxacin)

If you miss a dose of Cipro (Ciprofloxacin) , apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage of Cipro (Ciprofloxacin)

• Keep Cipro (Ciprofloxacin) out of the reach of children.
• Store Cipro (Ciprofloxacin) away from heat and direct light.
• Cipro (Ciprofloxacin) may be refrigerated. However, keep Cipro (Ciprofloxacin) from freezing.
• Do not store Cipro (Ciprofloxacin) in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause Cipro (Ciprofloxacin) to break down.
• Do not keep outdated Cipro (Ciprofloxacin) or Cipro (Ciprofloxacin) no longer needed.
• Be sure that any discarded medicine is out of the reach of children. Keep out of the reach of children.

Precautions While Using Cipro (Ciprofloxacin)

If your symptoms do not improve within a few days, or if they become worse, check with your doctor.

If you are taking aluminum- or magnesium-containing antacids, or sucralfate, do not take them at the same time that you take Cipro (Ciprofloxacin). It is best to take these medicines at least 6 hours before or 2 hours after taking ciprofloxacin. These medicines may keep Cipro (Ciprofloxacin) from working properly.

If you are taking metal cations such as iron, and multivitamin preparations with zinc, or didanosine (Videx®) chewable/buffered tablets or the pediatric powder for oral solution take ciprofloxacin at least 2 hours before or 6 hours after taking these medicines.

Stay out of direct sunlight, especially between the hours of 10:00 a.m. and 3:00 p.m., if possible.

Wear protective clothing, including a hat and sunglasses.

Apply a sun block product that has a skin protection factor (SPF) of at least 15. Some patients may require a product with a higher SPF number, especially if they have a fair complexion. If you have any questions about this, check with your health care professional.

Do not use a sunlamp or tanning bed or booth.

Stay out of direct sunlight and artificial light (e.g., sunlamp, tanning bed or booth) for the next 5 days or until the reaction has stopped.

If you get a skin rash or other signs of an allergic reaction, stop taking the fluoroquinolone and check with your doctor.

Cipro (Ciprofloxacin) may also cause some people to become dizzy, lightheaded, drowsy, or less alert than they are normally. Make sure you know how you react to Cipro (Ciprofloxacin) before you drive, use machines, or do anything else that can be dangerous if you are dizzy or are not alert. If these reactions are especially bothersome, check with your doctor.

Cipro (Ciprofloxacin) may rarely cause inflammation or even tearing of a tendon (the cord that attaches muscles to bones). If you get sudden pain in a tendon after exercise (for example, in your ankle, back of the knee or leg, shoulder, elbow, or wrist), stop taking Cipro (Ciprofloxacin) and check with your doctor. Rest and do not exercise until the doctor has made sure that you have not injured or torn the tendon.

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Side Effects of Cipro (Ciprofloxacin)

Along with its needed effects, Cipro (Ciprofloxacin) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur, they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

Rare
Abdominal or stomach cramps and pain (severe); abdominal pain; abdominal tenderness; agitation; area rash; black, tarry stools; bleeding; blisters on mucous membranes, with fever; blistering, itching, loosening, peeling, or redness of skin; bloody or cloudy urine; coldness; burning, crawling, itching, numbness, prickling, "pins and needles" , or tingling feelings; chills; chest pain; clay-colored stools; confusion; cough; dark or amber urine; diarrhea (watery and severe, which may also be bloody); difficulty breathing; difficulty swallowing; discoloration of skin; dizziness; dry mouth; excessive muscle tone; fainting; faintness, dizziness, or lightheadedness when getting up from a lying or sitting position suddenly; fast, pounding, or irregular heartbeat or pulse; fatigue; flushed, dry skin; feeling of pressure; feeling of unreality; feeling of warmth or heat; fever; flushing or redness of skin especially on face and neck; fruit-like breath odor; hallucinations (seeing, hearing, or feeling things that are not there); hives or welts; incoordination; increased hunger; increased thirst; increased urination; inflammation; infection; irregular or fast heart rate ; itching; joint pain; lack or loss of strength; large amount of fat in the blood; loss of appetite; loss of memory; lower back, side, or stomach pain; lumps; muscle stiffness; muscle tension or tightness; nausea; noisy breathing; numbness; pain; pain in calves, radiating to heels; pain, warmth, or burning in fingers, toes and legs; painful or difficult urination; pale stools; palpitations; peeling of the skin; problems with memory; problems with speech or speaking; problems with vision or hearing ; rash; rash with flat lesions or small raised lesions on the skin; redness ; redness of skin; redness, swelling, or soreness of tongue; scarring; seizures; sense of detachment from self or body; shakiness or tremors; shortness of breath skin rash; sore throat; sores, ulcers, or white spots on lips or in mouth; soreness; stomach pain; stinging; sweating; swelling; swelling of face or neck; swelling of calves, feet, or lower legs; swelling or inflammation of the mouth; swelling or puffiness of face; tenderness; tightness in chest; tingling; troubled breathing; ulceration; unpleasant breath odor; unusual tiredness or weakness ; vomiting; vomiting of blood; warmth; wheezing ; yellow eyes or skin.

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