{"id":6771,"date":"2021-01-13T09:25:50","date_gmt":"2021-01-13T09:25:50","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6771"},"modified":"2021-06-09T07:06:03","modified_gmt":"2021-06-09T07:06:03","slug":"ciprofloxacin-accord","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ciprofloxacin-accord\/","title":{"rendered":"Ciprofloxacin Accord &#8211; Ciprofloxacin uses, dose and side effects"},"content":{"rendered":"\n<p> 250 mg, 500 mg, and 750 mg&nbsp;film-coated tablets&nbsp;<br>ciprofloxacin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Ciprofloxacin Accord is and what it is used for<\/h2>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord is an&nbsp;antibiotic&nbsp;in the group&nbsp;fluoroquinolones.&nbsp;The active substance is&nbsp;ciprofloxacin.&nbsp;Ciprofloxacin&nbsp;works by killing bacteria that cause&nbsp;infections.&nbsp;It only acts on specific strains of bacteria.<br><\/p>\n\n\n\n<p>Ciprofloxacin contained&nbsp;in the&nbsp;Ciprofloxacin&nbsp;Accord may also be approved for the treatment of other conditions not mentioned in this leaflet.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<p><strong><em>Adults<\/em><\/strong><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord is used in adults to treat the following bacterial infections:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>respiratory infections<\/li><li>prolonged or recurrent ear or sinus infections<\/li><li>urinary tract infections<\/li><li>infection&nbsp;is in the testicles<\/li><li>genital infections in women<\/li><li>infection&nbsp;in the gastrointestinal tract and&nbsp;infection&nbsp;in the abdomen<\/li><li>the infection&nbsp;you in the skin and soft tissues<\/li><li>skeletal and joint infections<\/li><li>to prevent&nbsp;infection&nbsp;caused by&nbsp;<em>Neisseria meningitidis<\/em><\/li><li>if you are exposed to anthrax bacteria via the respiratory tract<\/li><\/ul>\n\n\n\n<p>Ciprofloxacin&nbsp;can be used to treat patients with low&nbsp;white blood cell count&nbsp;(&nbsp;neutropenia&nbsp;) who have a fever that is thought to be caused by a bacterial infection.<br><\/p>\n\n\n\n<p>If you have a serious&nbsp;infection&nbsp;or one that is caused by more than one type of&nbsp;bacterium, you may be prescribed additional antibiotic treatment in addition to&nbsp;Ciprofloxacin&nbsp;Accord.<br><\/p>\n\n\n\n<p><strong><em>Children and young people<\/em><\/strong><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord is used in children and adolescents, under the supervision of a medical specialist, to treat the following bacterial infections:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>lung and tracheal infections in children and adolescents suffering from&nbsp;cystic fibrosis<\/li><li>complicated urinary tract infections, including&nbsp;infection&nbsp;that has reached the kidneys (&nbsp;pyelonephritis&nbsp;)<\/li><li>if you are exposed to anthrax bacteria via the respiratory tract<\/li><\/ul>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord can also be used to treat serious&nbsp;infections&nbsp;in children and adolescents when the doctor deems it necessary.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Ciprofloxacin Accord<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Ciprofloxacin Accord if you:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>is allergic to the active substance, other quinolone medicines or any of the other ingredients of this medicine (listed in section 6)<\/li><li>taking tizanidine (see section 2: Other medicines and&nbsp;Ciprofloxacin&nbsp;Accord)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong>Before taking&nbsp;Ciprofloxacin&nbsp;Accord<\/strong><\/p>\n\n\n\n<p>You should not take&nbsp;antibacterial&nbsp;fluoroquinolone\/quinolone medicines, including&nbsp;Ciprofloxacin&nbsp;Accord if you have previously had any serious&nbsp;side effects&nbsp;from taking any&nbsp;quinolone&nbsp;or fluoroquinolone medicines.&nbsp;If this is the case, contact your doctor as soon as possible.<br><\/p>\n\n\n\n<p>Tell your doctor if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have ever had kidney problems because your treatment may need to be adjusted<\/li><li>have&nbsp;epilepsy&nbsp;or another neurological disease<\/li><li>have experienced tendon problems during previous treatment with an&nbsp;antibiotic similar to&nbsp;Ciprofloxacin&nbsp;Accord<\/li><li>if you have&nbsp;diabetes, as&nbsp;ciprofloxacin&nbsp;may cause a risk of&nbsp;hypoglycemia<\/li><li>have&nbsp;myasthenia gravis&nbsp;(a type of muscle weakness), as the symptoms may worsen<\/li><li>previously had an abnormal heart rhythm (&nbsp;arrhythmia&nbsp;)<\/li><li>if you or someone in your family has a known one has glucose&nbsp;-6-phosphate dehydrogenase deficiency (G6PD), as there is a risk of you getting&nbsp;anemia&nbsp;from&nbsp;ciprofloxacin<\/li><li>have heart problems<\/li><li>if you have been diagnosed with an enlargement or &#8220;bulge&#8221; of a large blood vessel (aortic aneurysm or peripheral&nbsp;aneurysm&nbsp;in a large blood vessel)<\/li><li>if you have had an aortic dissection (a rupture in the aortic wall)<\/li><li>if someone in your family has or has had an aortic aneurysm or aortic dissection or has other risk factors or conditions that increase the risk of this (eg connective tissue diseases such as Marfan&#8217;s syndrome, or vascular&nbsp;Ehlers-Danlos syndrome, or vascular diseases such as Takayasu arteritis, giant cell arteritis, Beh\u00e7et&#8217;s disease, high&nbsp;blood pressure, or known atherosclerosis).<\/li><\/ul>\n\n\n\n<p>Caution should be exercised when using this type of medicine if you are born with or if someone in your family has&nbsp;QT interval&nbsp;prolongation&nbsp;, (this can be seen on the&nbsp;ECG, electronic recording of heart work) has a disturbance in the salt balance in the blood (especially low levels of&nbsp;potassium&nbsp;or&nbsp;magnesium&nbsp;in the blood), have a very slow heart rhythm (called&nbsp;bradycardia&nbsp;), have a weak heart (&nbsp;heart failure&nbsp;), have previously had a heart attack (heart attack), you are a woman or elderly with heart problems, or are taking other medicines that result in abnormal&nbsp;ECG&nbsp;changes (see section: Other medicines and&nbsp;CiprofloxacinAccord).&nbsp;If you feel a sudden, severe pain in your stomach, chest, or back, you should immediately go to an emergency room.<br><\/p>\n\n\n\n<p>In the treatment of certain genital infections, your doctor may&nbsp;prescribe&nbsp;another&nbsp;antibiotic&nbsp;in addition to&nbsp;ciprofloxacin.&nbsp;If symptoms do not improve within 3 days, consult your doctor.<br><\/p>\n\n\n\n<p>Antibiotics&nbsp;quinolone can cause an increase in your normal blood sugar levels (&nbsp;hyperglycemia&nbsp;) or a decrease in your normal blood sugar levels, which in severe cases can cause loss of consciousness (hypoglycaemic&nbsp;coma&nbsp;) (see section 4).&nbsp;This is important for patients with&nbsp;diabetes.&nbsp;If you have&nbsp;diabetes, your blood sugar should be monitored carefully.<br><\/p>\n\n\n\n<p><strong>During treatment with&nbsp;Ciprofloxacin&nbsp;Accord<\/strong><\/p>\n\n\n\n<p>Tell your doctor immediately if any of the following occur during treatment with&nbsp;Ciprofloxacin&nbsp;Accord.&nbsp;Your doctor will decide if&nbsp;you&nbsp;need&nbsp;to&nbsp;stop taking CiprofloxacinAccord.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Severe, sudden&nbsp;allergic reaction<\/strong>&nbsp;(anaphylactic reaction \/ shock,&nbsp;angioedema&nbsp;).&nbsp;Even after the first&nbsp;dose, there is a small risk that you will experience a severe&nbsp;allergic reaction&nbsp;with the following symptoms: tightness in the chest, dizziness, nausea, feeling dizzy, or feeling dizzy when you stand up.&nbsp;<strong>If this happens, stop taking&nbsp;Ciprofloxacin&nbsp;Accord and contact your doctor immediately.<\/strong><\/li><li>If your vision deteriorates or your eyes are affected in any other way&nbsp;<strong>, contact an ophthalmologist immediately.<\/strong><\/li><li>In rare cases, pain and swelling in the joints and&nbsp;inflammation&nbsp;or rupture of tendons can occur.&nbsp;The risk is greater if you are older (over 60 years), have undergone an organ transplant, have kidney problems, or if you are being treated with&nbsp;cortisone&nbsp;(&nbsp;corticosteroids&nbsp;).&nbsp;Inflammation&nbsp;and tendon rupture can occur within the first 48 hours after starting treatment but also up to several months after stopping treatment with&nbsp;Ciprofloxacin&nbsp;Accord.&nbsp;At the first sign of pain or&nbsp;inflammation&nbsp;in a tendon (eg in the ankle, wrist, elbow, shoulder, or knee), stop taking&nbsp;CiprofloxacinAccord, consult a doctor, and rest the painful area.&nbsp;Avoid unnecessary effort as it may increase the risk of a tendon rupture.<\/li><li>If you have&nbsp;<strong>epilepsy<\/strong>&nbsp;or other neur<strong>ological diseases<\/strong>&nbsp;such as decreased blood flow to the brain or stroke, you may experience&nbsp;side effects&nbsp;related to the&nbsp;central nervous system.&nbsp;If this happens, stop taking&nbsp;Ciprofloxacin&nbsp;Accord and contact your doctor immediately.<\/li><li>You may experience&nbsp;<strong>psychiatric reactions the<\/strong>&nbsp;first time you take&nbsp;CiprofloxacinAccord.&nbsp;If you suffer from&nbsp;<strong>depression<\/strong>&nbsp;or&nbsp;<strong>psychosis,&nbsp;your<\/strong>, your symptoms may become worse under treatment with&nbsp;Ciprofloxacin&nbsp;Accord.&nbsp;In rare cases, depression or&nbsp;psychosis can&nbsp;turn into suicidal thoughts, suicide attempts, or suicide.&nbsp;If this happens, stop taking&nbsp;Ciprofloxacin&nbsp;Accord and contact your doctor immediately.<\/li><li>In rare cases, you may experience symptoms of nerve damage (&nbsp;neuropathy&nbsp;) such as pain, a burning sensation, tingling, numbness, and\/or weakness, especially in the feet and legs or in the hands and arms.&nbsp;If this happens, stop taking&nbsp;Ciprofloxacin&nbsp;Accord and contact your doctor immediately to prevent the development of any lasting condition.<\/li><li><strong>Hypoglycemia&nbsp;<\/strong>has been reported mainly in diabetic patients, especially in the elderly.&nbsp;If this happens to you, contact a doctor immediately.<\/li><li><strong>Diarrhea<\/strong>&nbsp;can occur while you are taking&nbsp;antibiotics, including&nbsp;CiprofloxacinAccord, or even several weeks after you stop taking them.&nbsp;If it becomes severe or persistent or if you notice blood or mucus in your stool, stop taking&nbsp;CiprofloxacinAccord&nbsp;immediately&nbsp;as it may be life-threatening.&nbsp;Do not take medicines that stop or reduce bowel movements and consult a doctor.<\/li><li>Tell your doctor or laboratory staff that you are taking&nbsp;Ciprofloxacin&nbsp;Accord if you are going to have a&nbsp;<strong>blood or urine sample<\/strong>.<\/li><li>If you have&nbsp;<strong>kidney problems<\/strong>, tell your doctor.&nbsp;Your&nbsp;dose&nbsp;may need to be adjusted.<\/li><li>Ciprofloxacin&nbsp;Accord may cause&nbsp;<strong>liver damage<\/strong>.&nbsp;If you notice any symptoms such as loss of appetite, jaundice (yellowish skin), dark urine,&nbsp;itching,&nbsp;or tightness in the stomach, stop taking&nbsp;Ciprofloxacin&nbsp;Accord and contact a doctor immediately.<\/li><li>Ciprofloxacin&nbsp;Accord may cause a decrease in the number of&nbsp;white blood cells&nbsp;and your&nbsp;<strong>resistance to&nbsp;infection&nbsp;may be reduced<\/strong>.&nbsp;If you get an&nbsp;infection&nbsp;with symptoms such as fever and severe deterioration of your general condition, or fever with local symptoms of infection such as soreness in the throat\/throat\/mouth or problems with the urine, you should contact a doctor immediately.&nbsp;A blood test will be taken to check for a possible decrease in&nbsp;white blood cells&nbsp;(&nbsp;agranulocytosis&nbsp;).&nbsp;It is important to inform your doctor about your medicine.<\/li><li>Tell your doctor if you or any of your family members have glucose&nbsp;-6-phosphate dehydrogenase (G6PD) deficiency, as you may be at risk&nbsp;of&nbsp;developing ciprofloxacin&nbsp;anemia.<\/li><li>Your skin becomes&nbsp;<strong>more sensitive to sunlight or ultraviolet light (UV)<\/strong>&nbsp;when you take&nbsp;Ciprofloxacin&nbsp;Accord.&nbsp;Avoid&nbsp;exposing&nbsp;yourself to strong sunlight and artificial UV light such as tanning beds.<\/li><\/ul>\n\n\n\n<p><em>Long-term, debilitating, and potentially lasting serious&nbsp;side effect&nbsp;s<\/em><\/p>\n\n\n\n<p>Antibacterial&nbsp;fluoroquinolone\/quinolone drugs, including&nbsp;Ciprofloxacin&nbsp;Accord, have been linked to very rare but serious&nbsp;side effects.&nbsp;Some of these have been long-lasting (up to months or years), disabling, and possibly permanent.&nbsp;This includes pain in tendons, muscles and joints in arms and legs, difficulty walking, abnormal sensations such as ant crawling, tingling, tingling, numbness or a burning sensation (&nbsp;paresthesia&nbsp;), sensory disturbances in the form of impaired vision, taste, smell, and hearing, depression, impaired memory, extreme fatigue, and severe sleep problems.<\/p>\n\n\n\n<p>If you experience any of these&nbsp;side effects&nbsp;after taking&nbsp;Ciprofloxacin&nbsp;Accord, talk to your doctor immediately before continuing treatment.&nbsp;You and your doctor will decide if you should continue treatment or consider using another type of&nbsp;antibiotic&nbsp;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Ciprofloxacin Accord<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.<br><\/p>\n\n\n\n<p><strong>Do not take&nbsp;Ciprofloxacin&nbsp;Accord with tizanidine, as it may cause&nbsp;side effects such<\/strong> as low&nbsp;blood pressure&nbsp;and fatigue (see section 2: \u201cDo not take&nbsp;CiprofloxacinAccord\u201d).<br><\/p>\n\n\n\n<p>It is known that the following medicines interact with&nbsp;Ciprofloxacin&nbsp;Accord in your body.&nbsp;Taking&nbsp;Ciprofloxacin&nbsp;Accord with these medicines may affect the way these medicines work.&nbsp;It can also increase the risk of&nbsp;side effects.<br><\/p>\n\n\n\n<p><strong>Tell your doctor if you are taking<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vitamin&nbsp;K&nbsp;antagonist&nbsp;(eg&nbsp;warfarin&nbsp;or other&nbsp;anticoagulants&nbsp;(thins the blood))<\/li><li>probenecid (for&nbsp;gout&nbsp;)<\/li><li>methotrexate (for certain types of cancer,&nbsp;psoriasis,&nbsp;rheumatoid arthritis&nbsp;)<\/li><li>theophylline (for respiratory problems)<\/li><li>tizanidine (for muscle cramps in&nbsp;multiple sclerosis&nbsp;)<\/li><li>olanzapine (an antipsychotic)<\/li><li>clozapine (a medicine for mental illness)<\/li><li>ropinirole (for&nbsp;Parkinson&#8217;s disease&nbsp;)<\/li><li>phenytoin&nbsp;(for&nbsp;epilepsy&nbsp;)<\/li><li>cyclosporine (for skin diseases, rheumatism, and organ rejection)<\/li><li>omeprazole (metoclopramide (antiemetic and antiemetic)<\/li><li>glibenclamide (medicine for&nbsp;diabetes&nbsp;)<\/li><li>other drugs that may alter the heart rhythm: drugs belonging to the&nbsp;antiarrhythmic&nbsp;group&nbsp;(eg&nbsp;quinidine, hydroquinone,&nbsp;disopyramide,&nbsp;amiodarone, sotalol, dofetilide, and ibutilide),&nbsp;tricyclic antidepressants, certain antimicrobials (belonging to the&nbsp;macrolide&nbsp;group,&nbsp;and certain antipsychotics).<\/li><\/ul>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord may&nbsp;<strong>increase the<\/strong>&nbsp;levels of the following agents in your blood:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>pentoxifylline (for circulatory disorders)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiplo-citrus\/\">caffeine<\/a><\/li><li>duloxetine (for depression, diabetic nerve disease, or&nbsp;incontinence&nbsp;)<\/li><li>lidocaine&nbsp;(for heart disease or as an anesthetic)<\/li><li>sildenafil (for erection problems)<\/li><li>agomelatine<\/li><li>zolpidem<\/li><\/ul>\n\n\n\n<p>Some medicines may&nbsp;<strong>reduce the<\/strong>&nbsp;effect of&nbsp;Ciprofloxacin&nbsp;Accord.&nbsp;Tell your doctor if you are taking or want to take<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines that reduce stomach acid (antacids)<\/li><li>mineral supplements<\/li><li>medicines for&nbsp;a peptic ulcer&nbsp;(sucralfate)<\/li><li>drugs that reduce phosphate levels in the blood (eg sevelamer in kidney problems)<\/li><li>medicines or supplements containing&nbsp;calcium,&nbsp;magnesium, aluminum, or iron.<\/li><\/ul>\n\n\n\n<p>If it is important that you take these medicines,&nbsp;Ciprofloxacin&nbsp;Accord should be taken about 2 hours before you take them or at the earliest 4 hours after.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ciprofloxacin Accord with food and drink<\/h2>\n\n\n\n<p>Unless you are taking&nbsp;Ciprofloxacin&nbsp;Accord during a meal, do not eat or drink any dairy product (such as milk or yogurt) or drinks with calcium supplements while taking the tablets, as this may affect the uptake of the active substance.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>You should avoid taking&nbsp;Ciprofloxacin&nbsp;Accord during pregnancy.&nbsp;Tell your doctor if you are planning to become pregnant.<br><\/p>\n\n\n\n<p>Do not take&nbsp;Ciprofloxacin&nbsp;Accord while you are breast-feeding as&nbsp;ciprofloxacin is excreted in human milk and may be harmful to your baby.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord may make you feel less alert.&nbsp;Some neurological&nbsp;side effects may occur.&nbsp;You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ciprofloxacin Accord contains lactose monohydrate (a type of sugar)<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Ciprofloxacin Accord<\/h2>\n\n\n\n<p>Your doctor will explain to you exactly how much&nbsp;Ciprofloxacin&nbsp;Accord to take as well as how often and for how long.&nbsp;This depends on the type of&nbsp;infection&nbsp;you have and how serious it is.<br><\/p>\n\n\n\n<p>Tell your doctor if you suffer from kidney problems as your&nbsp;dose&nbsp;may need to be adjusted.<br><\/p>\n\n\n\n<p>The treatment usually lasts for 5 to 21 days, but may take longer for serious&nbsp;infections.&nbsp;Always take the tablets according to your doctor&#8217;s instructions.&nbsp;If you are not sure how many tablets to take or how to take&nbsp;Ciprofloxacin&nbsp;Accord,&nbsp;ask your doctor or pharmacist.<\/p>\n\n\n\n<p><strong>a.<\/strong>&nbsp;Swallow the tablets together with plenty of liquid.&nbsp;Do not chew the tablets as they do not taste good.<\/p>\n\n\n\n<p><strong>b.<\/strong>&nbsp;Try to take the tablets at the same time each day.<\/p>\n\n\n\n<p><strong>c.<\/strong>&nbsp;You can take the tablets at mealtime or between meals.&nbsp;Taking&nbsp;calcium&nbsp;as part of a meal does not affect your uptake.&nbsp;However,&nbsp;Ciprofloxacin&nbsp;Accord tablets should not be taken with dairy products such as milk or yogurt or with fortified fruit juices (eg calcium-fortified orange juice).<br><\/p>\n\n\n\n<p>Remember to drink plenty of fluids while taking&nbsp;Ciprofloxacin&nbsp;Accord.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Ciprofloxacin Accord<\/h2>\n\n\n\n<p>Take the usual&nbsp;dose&nbsp;as soon as possible and then continue as prescribed.&nbsp;However, if it is soon time for your next&nbsp;dose, do not take the missed&nbsp;dose&nbsp;but continue as usual.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.&nbsp;It is very important that you complete the treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Ciprofloxacin Accord<\/h2>\n\n\n\n<p>It is important that you&nbsp;<strong>complete the treatment<\/strong>&nbsp;even if you start to feel better after a few days.&nbsp;If you stop taking the medicine too soon, your&nbsp;infection&nbsp;may be inadequately treated and the symptoms of&nbsp;infection&nbsp;may return or get worse.&nbsp;You may also develop&nbsp;resistance&nbsp;to the antibiotic.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>Contact your doctor immediately if&nbsp;<\/strong><strong>you&nbsp;<\/strong><strong>experience any of the following serious&nbsp;<\/strong><strong>side effects&nbsp;are&nbsp;<\/strong><strong>:<\/strong><br><\/p>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Severe, sudden&nbsp;allergic reaction&nbsp;with symptoms such as tightness of the chest, dizziness, nausea, fainting or if you feel dizzy when you get up (an anaphylactic reaction \/ shock,&nbsp;angioedema&nbsp;, see section 2).<\/li><\/ul>\n\n\n\n<p><br><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Muscle pain and\/or weakness,&nbsp;inflammation&nbsp;of the joints and joint pain, increased muscle tension and cramps,&nbsp;inflammation&nbsp;of tendons or tendon rupture, especially in the large tendon on the back of the heel (heel tendon).&nbsp;See section 2.<\/li><li>An&nbsp;infection&nbsp;with symptoms such as fever with severe general deterioration, or fever with local infectious symptoms such as sore throat\/pharynx or difficulty urinating (&nbsp;agranulocytosis, see section 2).<\/li><li>Severe skin damage (skin detachment of the epidermis and superficial mucous membranes) (&nbsp;toxic epidermal necrolysis&nbsp;).<\/li><li>An extremely severe&nbsp;allergic reaction&nbsp;with skin rash usually in the form of blisters or sores in the oral cavity and eyes as well as other mucous membranes such as genitals (&nbsp;Stevens-Johnson syndrome&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Abnormal feelings of pain, burning sensation, tingling, numbness, or muscle weakness in the arms and legs (&nbsp;neuropathy, see section 2).<\/li><li>A drug reaction that causes rash, fever,&nbsp;inflammation&nbsp;of internal organs, altered blood picture, and systemic disease (DRESS syndrome, AGEP-&nbsp;acute&nbsp;generalized exanthematous&nbsp;pustulosis&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Other&nbsp;<\/strong><strong>side effects<\/strong><strong>&nbsp;are&nbsp;<\/strong><strong>:<\/strong><strong><\/strong><strong><\/strong><br><\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;&nbsp;(may affect up to 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea, diarrhea<\/li><li>joint pain in children.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;&nbsp;(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fungal infections<\/li><li>a high concentration of&nbsp;eosinophils, a type of&nbsp;white blood cell<\/li><li>loss of appetite (&nbsp;anorexia&nbsp;).<\/li><li>hyperactivity or agitation<\/li><li>headache, dizziness, sleep problems, or taste changes<\/li><li>vomiting, abdominal pain, indigestion such as upset stomach (indigestion\/heartburn) or gas in the stomach<\/li><li>increased amounts of certain substances in the blood (&nbsp;transaminases&nbsp;and\/or&nbsp;bilirubin&nbsp;)<\/li><li>rash,&nbsp;itching,&nbsp;or&nbsp;hives<\/li><li>poor kidney function<\/li><li>joint pain in adults<\/li><li>pain in muscles and bones, feeling sick (&nbsp;asthenia&nbsp;) or fever<\/li><li>increase in alkaline phosphatases in the blood (a special substance in the blood).<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>inflammation&nbsp;of the intestine (&nbsp;colitis&nbsp;) associated with antibiotic use (maybe fatal in very rare cases) (see section 2: Warnings and precautions)<\/li><li>changes in blood value (&nbsp;leukopenia,&nbsp;leukocytosis&nbsp;neutropenia,&nbsp;anemia&nbsp;), increased or decreased amount of blood coagulation factor (&nbsp;platelets&nbsp;)<\/li><li>elevated blood sugar &nbsp;hyperglycaemi&nbsp;)<\/li><li>decreased blood sugar (&nbsp;hypoglycemia&nbsp;) (see section 2, Precautions)<\/li><li>confusion, disorientation, anxiety, strange dreams, depression (may lead to suicidal ideation, a suicide attempt or suicide), or hallucinations<\/li><li>ant crawling, unusual sensation, decreased skin sensitivity, tremors, seizures (see section 2: Warnings and precautions), or dizziness<\/li><li>vision problems (including double vision)<\/li><li>tinnitus, hearing loss, hearing loss<\/li><li>palpitations, (&nbsp;tachycardia&nbsp;)<\/li><li>dilated blood vessels (&nbsp;vasodilation&nbsp;), low&nbsp;blood pressure,&nbsp;or fainting<\/li><li>shortness of breath including asthmatic symptoms<\/li><li>hepatic impairment, jaundice (cholestatic jaundice), or&nbsp;hepatitis<\/li><li>photosensitivity (see section 2: Warnings and precautions)<\/li><li>muscle pain,&nbsp;inflammation&nbsp;in the joints, increased muscle tension or cramping<\/li><li>renal failure, blood or crystals in the urine (see section 2: Warnings and precautions), urinary tract infection<\/li><li>accumulation of fluid in the body (swelling) or pronounced sweating<\/li><li>elevated levels of&nbsp;enzyme&nbsp;et amylase.<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased number of a special type of&nbsp;red blood cells&nbsp;(&nbsp;hemolytic anemia&nbsp;);&nbsp;decrease in the number of red and&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;(pancytopenia), which can be fatal, and bone marrow depression which can also be fatal (see section 2: Warnings and precautions)<\/li><li>mental disorder (a psychotic reaction that may lead to suicidal ideation, suicide attempt, or suicide) (see section 2: Warnings and precautions)<\/li><li>migraine, altered coordination ability, unsteady gait, altered sense of smell (olfactory disorder), pressure on the brain (&nbsp;intracranial pressure&nbsp;)<\/li><li>altered color vision<\/li><li>inflammation&nbsp;of the walls of blood vessels (&nbsp;vasculitis&nbsp;)<\/li><li>inflammation&nbsp;of the pancreas<\/li><li>liver cell death (liver necrosis) can in very rare cases lead to life-threatening liver failure<\/li><li>small punctate hemorrhages under the skin (&nbsp;petechiae&nbsp;);&nbsp;various skin conditions or rashes.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>abnormally fast heartbeat, life-threatening irregular heartbeat, change in heartbeat (called &#8220;prolongation of&nbsp;QT&nbsp;interval&#8221;, this can be seen on the&nbsp;ECG, electronic recording of the work of the heart)<\/li><li>very elated feeling (mania) or overactivity and feeling of great optimism (&nbsp;hypomania&nbsp;)<\/li><li>pustular rash<\/li><li>effect on blood coagulation<\/li><li>conditions with decreased fluid secretion resulting in low sodium levels (SIADH)<\/li><li>loss of consciousness due to a severe decrease in blood sugar (hypoglycaemic&nbsp;coma).&nbsp;See section 2<\/li><\/ul>\n\n\n\n<p>In very rare cases, long-term (up to several months or years) or lasting&nbsp;side effects, such as tendinitis, tendonitis, joint pain, pain in arms and legs, difficulty walking, abnormal sensations such as ant crawling, tingling, tingling, a burning sensation, numbness or pain (&nbsp;neuropathy&nbsp;), depression, fatigue, sleep disturbances, impaired memory and impaired hearing, vision and taste and odor associated with treatment with&nbsp;quinolone&nbsp;and fluoroquinolone antibiotics, in some cases regardless of existing risk factors.<br><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Ciprofloxacin Accord<\/h2>\n\n\n\n<p>Keep out of sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is ciprofloxacin hydrochloride.<br><\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p>Tablet core: croscarmellose sodium, microcrystalline cellulose, povidone, magnesium stearate.<\/p>\n\n\n\n<p>Film coating: hypromellose,&nbsp;lactose monohydrate, macrogol, sodium citrate dihydrate (E331 iii), and the dye titanium oxide (E171)&nbsp;<em>(&nbsp;see section 2 for Important information&nbsp;on some of the ingredients of&nbsp;Ciprofloxacin&nbsp;Accord&nbsp;).<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Ciprofloxacin&nbsp;250 mg film-coated tablets are white to off-white, round, approximately 10 mm in diameter, biconvex, film-coated tablets marked \u201cAM\u201d on one side and unmarked on the other.<\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;500 mg film-coated tablets are white to off-white, approximately 17.5 mm long and 7.5 mm wide, capsule-shaped, biconvex, tablets with beveled edges marked \u201cCI\u201d on one side and unmarked on the other.<\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;750 mg film-coated tablets are white to off-white, approximately 19 mm long and 10 mm wide, capsule-shaped, biconvex, tablets with bevelled edges marked \u201cCJ\u201d on one side and unmarked on the other.<br><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Accord is available in PVC \/ Alu blister packs.<\/p>\n\n\n\n<p>Pack sizes: 6, 10, 12, 14, 16, 20, 28, 30, 50 and 100 tablets in blisters.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder:<\/strong><\/p>\n\n\n\n<p>Accord Healthcare BV<\/p>\n\n\n\n<p>Winthontlaan 200<\/p>\n\n\n\n<p>3526 KV Utrecht<\/p>\n\n\n\n<p>Netherlands<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Accord Healthcare Limited<\/p>\n\n\n\n<p>Sage House, 319 Pinner Road<\/p>\n\n\n\n<p>North Harrow, Middlesex<\/p>\n\n\n\n<p>HA1 4HF, UK<br><\/p>\n\n\n\n<p>Accord Healthcare Polska Sp.z oo,<\/p>\n\n\n\n<p>ul.&nbsp;Lutomierska 50,95-200 Pabianice,<\/p>\n\n\n\n<p>Poland<br><\/p>\n\n\n\n<p>Accord Healthcare BV,<\/p>\n\n\n\n<p>Winthontlaan 200,<\/p>\n\n\n\n<p>3526 KV Utrecht,<\/p>\n\n\n\n<p>Netherlands<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ciprofloxacin Accord is an antibiotic in the group fluoroquinolones. The active substance is ciprofloxacin. Ciprofloxacin works by killing bacteria that cause infections. It only acts on specific strains of bacteria.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2203,2200],"tags":[7164,7209,7211,7212,7166,7179,2212,7210],"class_list":["post-6771","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-ciprofloxacin","tag-ciprofloxacin-accord","tag-ciprofloxacin-accord-side-effects","tag-ciprofloxacin-accord-tablet","tag-ciprofloxacin-side-effects","tag-ciprofloxacin-tablet","tag-medicine","tag-what-is-ciprofloxacin-accord"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6771","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=6771"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6771\/revisions"}],"predecessor-version":[{"id":11443,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6771\/revisions\/11443"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6771"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6771"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}