{"id":6775,"date":"2021-01-13T09:29:23","date_gmt":"2021-01-13T09:29:23","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6775"},"modified":"2021-06-08T08:14:11","modified_gmt":"2021-06-08T08:14:11","slug":"ciprofloxacin-hexal","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ciprofloxacin-hexal\/","title":{"rendered":"Ciprofloxacin Hexal &#8211; Ciprofloxacin uses, dose and side effects"},"content":{"rendered":"\n<p> 250 mg, 500 mg, 750 mg\u00a0film-coated tablets\u00a0ciprofloxacin<br>Ciprofloxacin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Ciprofloxacin Hexal is and what it is used for<\/h2>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal contains the active substance&nbsp;ciprofloxacin.&nbsp;Ciprofloxacin&nbsp;is an&nbsp;antibiotic&nbsp;in the group of&nbsp;fluoroquinolones.&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><strong>Adults<\/strong><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 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;in the genitals of men and women<\/li><li>infection&nbsp;in the gastrointestinal tract and&nbsp;infection&nbsp;in the abdomen<\/li><li>skin and soft tissue infections<\/li><li>the infection&nbsp;you in the skeleton and joints<\/li><li>to prevent&nbsp;infection&nbsp;caused by&nbsp;Neisseria meningitidis<\/li><li>exposure to anthrax bacteria via the respiratory tract<\/li><\/ul>\n\n\n\n<p>Ciprofloxacin&nbsp;can be used in the treatment of patients with low&nbsp;white blood cell count(&nbsp;neutropenia&nbsp;) who have a fever suspected of being due to a bacterial&nbsp;infection&nbsp;.<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;Hexal.<br><\/p>\n\n\n\n<p><strong>Children and young people<\/strong><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal is used in children and adolescents, under the supervision of a medical specialist, to<\/p>\n\n\n\n<p>treat the following bacterial infections:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>acute lung 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>exposure to anthrax bacteria via the respiratory tract (suspected or confirmed)<\/li><\/ul>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal can also be used to treat other particularly serious&nbsp;infections&nbsp;in children and adolescents when your doctor deems it necessary.<br><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;contained&nbsp;in&nbsp;Ciprofloxacin&nbsp;Hexal may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or other healthcare professional if you have any further questions and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Ciprofloxacin Hexal<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Ciprofloxacin Hexal<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;ciprofloxacin&nbsp;or other quinolone medicines or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you are being treated with tizanidine (see section 2: Other medicines and&nbsp;Ciprofloxacin&nbsp;Hexal).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Before taking this medicine<\/p>\n\n\n\n<p>You should not take&nbsp;antibacterial&nbsp;fluoroquinolone&nbsp;\/ quinolone medicines, including&nbsp;Ciprofloxacin&nbsp;Hexal, 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>Talk to your doctor before using&nbsp;Ciprofloxacin&nbsp;Hexal:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have ever had kidney problems because your treatment may need to be adjusted<\/li><li>if you suffer from&nbsp;epilepsy&nbsp;or another neurological disease<\/li><li>if you have experienced tendon problems during previous treatment with an&nbsp;antibiotic&nbsp;similar to&nbsp;Ciprofloxacin&nbsp;Hexal<\/li><li>if you are diabetic because you may experience&nbsp;hypoglycemia&nbsp;while taking&nbsp;ciprofloxacin<\/li><li>if you have&nbsp;myasthenia gravis&nbsp;(a type of muscle weakness), as the symptoms may worsen<\/li><li>if you have heart problems.&nbsp;Caution should be exercised when using ciprofloxacin:<ul><li>if you have a congenital long&nbsp;QT interval&nbsp;or if this is in the family (which can be seen on heart film,&nbsp;ECG&nbsp;)<\/li><li>if the salt content in the blood is not in balance (especially in the case of low levels of&nbsp;potassium&nbsp;or&nbsp;magnesium&nbsp;in the blood)<\/li><li>if you have a very slow&nbsp;heart rate&nbsp;(&nbsp;bradycardia&nbsp;)<\/li><li>if you have&nbsp;heart failure<\/li><li>if you have had a heart attack (heartbeat)<\/li><li>if you are a woman or older<\/li><li>if you are taking other medicines that cause abnormal changes in the heart film (see section 2: Other medicines and&nbsp;Ciprofloxacin&nbsp;Hexal).<\/li><\/ul><\/li><li>if you or a family member are deficient in&nbsp;glucose&nbsp;-6-phosphate dehydrogenase (G6PD) because you may develop&nbsp;anemia&nbsp;while taking&nbsp;ciprofloxacin<\/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&#8217;s arteritis, giant cell arteritis, Beh\u00e7et&#8217;s disease, high&nbsp;blood pressure, or known atherosclerosis).<\/li><\/ul>\n\n\n\n<p>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>When treating certain&nbsp;genital infections, your doctor may prescribe another&nbsp;antibiotic&nbsp;in addition to&nbsp;ciprofloxacin&nbsp;.&nbsp;If there is no improvement in symptoms after 3 days of treatment, you should consult a doctor.<br><\/p>\n\n\n\n<p>Antibiotics&nbsp;quinolone can cause an increase over 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;Hexal<\/strong><\/p>\n\n\n\n<p>Tell your doctor immediately if any of the following occur&nbsp;<strong>during treatment with&nbsp;Ciprofloxacin&nbsp;Hexal.&nbsp;<\/strong>Your doctor will decide if&nbsp;you need to stop taking&nbsp;CiprofloxacinHexal.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Severe, sudden&nbsp;allergic reaction&nbsp;<\/strong>(anaphylactic reaction \/ shock,&nbsp;angioedema&nbsp;).&nbsp;Even after the first&nbsp;dose&nbsp;, 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 or fainting or dizziness when you get up.&nbsp;<strong>If this happens, stop taking&nbsp;Ciprofloxacin&nbsp;Hexal and contact your doctor immediately.<\/strong><\/li><li>In rare cases,&nbsp;<strong>pain&nbsp;and swelling in the joints and&nbsp;inflammation&nbsp;or rupture of tendons can<\/strong>&nbsp;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&nbsp;stopping&nbsp;treatment with&nbsp;Ciprofloxacin&nbsp;Hexal.&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;CiprofloxacinHexal, 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 suffer from&nbsp;<strong>epilepsy&nbsp;<\/strong>or&nbsp;<span style=\"background-color: rgba(51, 51, 51, 0.2);\"><b>anothe<\/b><\/span><strong>r neurological disease<\/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;Hexal and contact your doctor immediately.<\/li><li>You may experience&nbsp;<strong>psychiatric reactions the<\/strong>&nbsp;first time you take&nbsp;CiprofloxacinHexal.&nbsp;In rare cases, depression or&nbsp;psychosis&nbsp;can lead to suicidal ideation, a suicide attempt, or completed suicide.&nbsp;If you suffer from&nbsp;<strong>depression<\/strong>&nbsp;or&nbsp;<strong>psychosis,&nbsp;your<\/strong>&nbsp;, your symptoms may become worse under treatment with&nbsp;Ciprofloxacin&nbsp;Hexal.&nbsp;If this happens, stop taking&nbsp;Ciprofloxacin&nbsp;Hexal and contact your doctor immediately.<\/li><li>In rare cases, you may experience symptoms of&nbsp;<strong>nerve damage (&nbsp;neuropathy&nbsp;)<\/strong>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;Hexal and contact your doctor immediately to prevent the development of a possible permanent condition.<\/li><li><strong>Hypoglycemia<\/strong>&nbsp;has been reported mainly in diabetic patients, especially in the elderly.&nbsp;If this happens, consult a doctor immediately.<\/li><li><strong>Diarrhea<\/strong>&nbsp;can occur while you are taking&nbsp;antibiotics, including&nbsp;CiprofloxacinHexal, or even several weeks after you stop taking them.&nbsp;If this becomes severe or persistent or if you notice blood or mucus in your stools, stop taking&nbsp;CiprofloxacinHexal immediately as this can be life-threatening.&nbsp;Do not take any medicine that stops or reduces bowel movements and contact your doctor.<\/li><li>Tell your doctor or laboratory staff that you are taking&nbsp;Ciprofloxacin&nbsp;Hexal if you are going to have a&nbsp;<strong>blood or urine sample.<\/strong><\/li><li>Tell your doctor if you suffer from&nbsp;<strong>kidney problems<\/strong>&nbsp;as the&nbsp;dose&nbsp;may need to be adjusted.<\/li><li>Ciprofloxacin&nbsp;Hexal may cause&nbsp;<strong>liver damage.&nbsp;<\/strong>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;Hexal and contact your doctor immediately.<\/li><li>Ciprofloxacin&nbsp;Hexal 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;.&nbsp;If you experience an&nbsp;infection with symptoms such as fever and severe deterioration of your general condition, or fever with local symptoms of infection such as sore throat \/ throat \/ mouth or urinary incontinence, contact your 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>If your&nbsp;<strong>vision gets worse<\/strong>&nbsp;, or if&nbsp;<strong>your eyes are affected<\/strong>&nbsp;in any other way while you are taking&nbsp;Ciprofloxacin&nbsp;Hexal, contact an ophthalmologist immediately.<\/li><li>Your skin becomes&nbsp;<strong>more sensitive to sunlight or ultraviolet light (UV)<\/strong>&nbsp;when you take&nbsp;Ciprofloxacin&nbsp;Hexal.&nbsp;Avoid exposure to strong sunlight and artificial UV light such as tanning beds.<br><\/li><\/ul>\n\n\n\n<p><strong>Long-term, debilitating, and potentially lasting serious&nbsp;side effect&nbsp;s<\/strong><\/p>\n\n\n\n<p>Antibacterial&nbsp;fluoroquinolone\/quinolone drugs, including&nbsp;Ciprofloxacin&nbsp;Hexal, have been associated with 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 the tendons, muscles, and joints of the arms and legs, difficulty walking, abnormal sensations such as ant crawling, tingling, tingling, numbness or a burning sensation (&nbsp;paresthesia&nbsp;), sensory disorders in the form of impaired vision, taste, smell and hearing, depression, memory loss, extreme fatigue, and severe sleep disorders.<\/p>\n\n\n\n<p>If you get any of these&nbsp;side effects&nbsp;after taking&nbsp;Ciprofloxacin&nbsp;Hexal, 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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Ciprofloxacin Hexal<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.<br><\/p>\n\n\n\n<p><strong>Do not take&nbsp;Ciprofloxacin&nbsp;Hexal with tizanidine<\/strong>&nbsp;as it may cause&nbsp;side effects&nbsp;such as low&nbsp;blood pressure&nbsp;and fatigue (see section 2: Do not use&nbsp;Ciprofloxacin&nbsp;Hexal).<br><\/p>\n\n\n\n<p>It is known that the following medicines interact with&nbsp;Ciprofloxacin&nbsp;Hexal in your body.&nbsp;Taking&nbsp;Ciprofloxacin&nbsp;Hexal with these medicines may affect the therapeutic effect of these medicines.&nbsp;It can also increase the risk of experiencing&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;antagonists&nbsp;(eg&nbsp;warfarin, acenocoumarin, phenprocoumon, or fluindione) or other&nbsp;anticoagulants&nbsp;(dilutes the blood)<\/li><li>probenecid (for&nbsp;gout&nbsp;)<\/li><li>methotrexate (for certain types of cancer,&nbsp;psoriasis&nbsp;,&nbsp;rheumatoid arthritis&nbsp;)<\/li><li>theophylline (for respiratory problems)<\/li><li>tizanidine (for muscle spasticity in&nbsp;multiple sclerosis&nbsp;)<\/li><li>olanzapine (an&nbsp;antipsychotic&nbsp;)<\/li><li>clozapine (an&nbsp;antipsychotic&nbsp;)<\/li><li>ropinirole (for&nbsp;Parkinson&#8217;s disease&nbsp;)<\/li><li>phenytoin&nbsp;(for&nbsp;epilepsy&nbsp;)<\/li><li>metoclopramide (for nausea and vomiting)<\/li><li>ciclosporin (for skin conditions,&nbsp;rheumatoid arthritis,&nbsp;and organ transplantation)<\/li><li>Other drugs that can affect your heart rhythm:<ul><li>medicines belonging to the&nbsp;antiarrhythmic&nbsp;group&nbsp;(eg&nbsp;quinidine, hydroquinone,&nbsp;disopyramide,&nbsp;amiodarone, sotalol, dofetilide, ibutilide)<\/li><li>tricyclic antidepressants<\/li><li>certain&nbsp;antibiotics&nbsp;belonging to the group&nbsp;macrolide&nbsp;s<\/li><li>certain psychosis medications.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal may&nbsp;<strong>increase the<\/strong>&nbsp;levels of the following substances 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 problems or anesthesia)<\/li><li>sildenafil (eg 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;Hexal.&nbsp;Tell your doctor if you are taking or want to take:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>antacids<\/li><li>omeprazole<\/li><li>mineral supplements<\/li><li>sucralfate<\/li><li>phosphate-bound&nbsp;polymers&nbsp;(eg sevelamer or lanthanum carbonate)<\/li><li>medicines or supplements containing&nbsp;calcium,&nbsp;magnesium, aluminum or iron.<\/li><\/ul>\n\n\n\n<p>If these medicines are important to you, take&nbsp;Ciprofloxacin&nbsp;Hexal about 2 hours before or no earlier than 4 hours after them.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ciprofloxacin Hexal with food and drink<\/h2>\n\n\n\n<p>Unless you are taking&nbsp;Ciprofloxacin&nbsp;Hexal during a meal, do not eat or drink any dairy product (such as milk or yoghurt) or drinks with calcium supplements while taking the tablets as it 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>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<br><\/p>\n\n\n\n<p>It is best to avoid taking&nbsp;Ciprofloxacin&nbsp;Hexal during pregnancy.<br><\/p>\n\n\n\n<p>Do not take&nbsp;Ciprofloxacin&nbsp;Hexal while you are breast-feeding as&nbsp;ciprofloxacin 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;Hexal may make you feel less alert.&nbsp;Some neurological&nbsp;side effects&nbsp;may occur.&nbsp;Therefore, do not drive or use machines until you know how you react to&nbsp;Ciprofloxacin&nbsp;Hexal.&nbsp;If you are not sure, talk to your doctor.<br><\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&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.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Ciprofloxacin Hexal<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p>Your doctor will explain to you exactly how much&nbsp;Ciprofloxacin&nbsp;Hexal 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.<\/p>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are not sure how many tablets to take or how to take&nbsp;CiprofloxacinHexal.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Swallow the tablets together with plenty of liquid.&nbsp;Do not chew the tablets as they do not taste good.<\/li><li>Try to take the tablets at the same time each day.<\/li><li>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;<strong>,&nbsp;<\/strong>Ciprofloxacin&nbsp;Hexal tablets&nbsp;<strong>should not<\/strong>&nbsp;be taken with dairy products such as milk or yoghurt or with fortified fruit juice (eg calcium-fortified orange juice).<\/li><\/ol>\n\n\n\n<p>Remember to drink plenty of fluids while taking this medicine.<br><\/p>\n\n\n\n<p>The tablet can be divided into equal&nbsp;doses.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Ciprofloxacin Hexal<\/h2>\n\n\n\n<p>Take the normal&nbsp;dose&nbsp;as soon as possible and then continue as prescribed.&nbsp;However, if it is almost time for your next&nbsp;dose, do not take the missed&nbsp;dose&nbsp;and continue as usual.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.&nbsp;Make sure to complete your cure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Ciprofloxacin Hexal<\/h2>\n\n\n\n<p>It is important that you&nbsp;<strong>complete the treatment regimen<\/strong>&nbsp;even if you start to feel better after a few days.&nbsp;If you stop taking this 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>Common<\/strong>&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;(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>decreased appetite<\/li><li>hyperactivity or&nbsp;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>joint pain in adults<\/li><li>poor kidney function<\/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;,&nbsp;leukocytosis,&nbsp;neutropenia,&nbsp;anemia&nbsp;), increased or decreased amount of blood coagulation factor (&nbsp;platelets&nbsp;)<\/li><li>allergic reaction, swelling (&nbsp;edema&nbsp;), or rapid swelling of the skin and mucous membranes (&nbsp;angioedema&nbsp;)<\/li><li>elevated blood sugar (hyperglycemia)<\/li><li>low blood sugar hypoglycemia) (see section 2: Warnings and precautions)<\/li><li>confusion, disorientation, anxiety, strange dreams, depression (which can lead to suicidal thoughts, suicide attempts, or completed suicide), or hallucinations<\/li><li>ant crawling, unusual sensation, decreased skin sensitivity, tremors, seizures (see section 2: Warnings and precautions), dizziness<\/li><li>problems with vision, e.g.&nbsp;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),&nbsp;inflammation&nbsp;of the urinary tract<\/li><li>fluid retention&nbsp;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;a severe decline in a type of&nbsp;white blood cell&nbsp;(&nbsp;agranulocytosis&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>severe allergic reactions (&nbsp;anaphylactic reaction&nbsp;or anaphylactic&nbsp;shock, which may be fatal &#8211; serum sickness) (see section 2: Warnings and precautions)<\/li><li>mental disorder (the psychotic reaction that can lead to suicidal thoughts, suicide attempts or completed suicide) (see section 2: Warnings and caution)<\/li><li>migraine, altered coordination, unsteady gait, altered sense of smell (olfactory disorder), pressure on the brain (&nbsp;intracranial pressure&nbsp;and benign&nbsp;intracranial pressure increase)<\/li><li>distortion of color vision<\/li><li>inflammation&nbsp;of the walls of blood vessels (&nbsp;vasculitis&nbsp;)<\/li><li>pancreatitis&nbsp;(&nbsp;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 (for example, the potentially fatal&nbsp;Stevens-Johnson&nbsp;syndrome or&nbsp;toxic epidermal necrolysis&nbsp;)<\/li><li>muscle weakness, tendonitis, tendon rupture &#8211; especially the large tendon on the back of the heel (Achilles tendon) (see section 2: Warnings and caution), worsening of the symptoms of&nbsp;myasthenia gravis&nbsp;(see section 2: Warnings and caution).<\/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>problems related to the nervous system such as pain, burning sensation, tingling, numbness, and\/or weakness in the&nbsp;extremities&nbsp;(&nbsp;peripheral&nbsp;neuropathy&nbsp;and&nbsp;polyneuropathy&nbsp;)<\/li><li>abnormally fast&nbsp;heart rate, life-threatening irregular heartbeat, changes in heart rate (prolonged&nbsp;QT interval&nbsp;seen on heart film,&nbsp;ECG, which measures the electrical activity of the heart)<\/li><li>rash with blisters<\/li><li>effect on blood clotting in patients treated with&nbsp;vitamin&nbsp;K&nbsp;antagonist&nbsp;s<\/li><li>very elated feeling (mania) or feeling of great optimism and overactivity (&nbsp;hypomania&nbsp;)<\/li><li>severe&nbsp;hypersensitivity reaction&nbsp;called DRESS (drug reaction with&nbsp;eosinophilia&nbsp;and systemic symptoms).<\/li><li>conditions of decreased water excretion and 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 Hexal<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the blister or on the carton after EXP.&nbsp;or EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>No special storage instructions.<br><\/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<ul class=\"wp-block-list\"><li>The active substance is&nbsp;ciprofloxacin.One film-coated tablet contains 250 mg&nbsp;ciprofloxacin&nbsp;(as hydrochloride monohydrate).One film-coated tablet contains 500 mg&nbsp;ciprofloxacin&nbsp;(as hydrochloride monohydrate).One film-coated tablet contains 750 mg of&nbsp;ciprofloxacin&nbsp;(as hydrochloride monohydrate).<\/li><li>The other ingredients are microcrystalline cellulose, sodium starch glycolate (type A), povidone 25000, anhydrous&nbsp;colloidal&nbsp;silica, stearic acid, magnesium stearate, croscarmellose sodium, hypromellose, macrogol 6000, talc, titanium dioxide (E 171).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 250 mg film-coated tablets are white, round, scored on one side and marked \u201ccip 250\u201d on one side.<\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 500 mg film-coated tablets are white, oblong, scored on both sides and marked \u201ccip 500\u201d on one side.<\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 750 mg film-coated tablets are white, oblong, scored on both sides and marked \u201ccip 750\u201d on one side.<br><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 250 mg film-coated tablets<\/p>\n\n\n\n<p>6, 10, 12, 14, 20, 28 and 100 film-coated tablets in PVC \/ aluminum or PP \/ aluminum blister.<\/p>\n\n\n\n<p>Hospital packs containing 20, 30, 50 (10 x 5) and 160 film-coated tablets.<br><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 500 mg film-coated tablets<\/p>\n\n\n\n<p>10, 12, 14, 16, 20, 28, 50 (10 x 5) and 100 film-coated tablets in PVC \/ aluminum or PP \/ aluminum blister.<\/p>\n\n\n\n<p>Hospital packs containing 20, 30, 100, 120 and 160 film-coated tablets.<br><\/p>\n\n\n\n<p>Ciprofloxacin&nbsp;Hexal 750 mg film-coated tablets<\/p>\n\n\n\n<p>10, 20 and 100 film-coated tablets in PVC \/ aluminum or PP \/ aluminum blister.&nbsp;Hospital packs containing 20, 30, 50 (10 x 5) and 160 film-coated tablets.<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><em>Marketing Authorisation Holder<\/em><\/p>\n\n\n\n<p>HEXAL A \/ S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<br><\/p>\n\n\n\n<p><em>Manufacturer<\/em><\/p>\n\n\n\n<p>SC Sandoz S: RL, 7A Livezeni Street, 540472 Targu Mures, Romania<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ciprofloxacin Hexal contains the active substance ciprofloxacin. Ciprofloxacin is an antibiotic in the group of fluoroquinolones. 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":[7164,7196,7198,7199,7166,7179,2212,2211,7165,7197],"class_list":["post-6775","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-ciprofloxacin","tag-ciprofloxacin-hexal","tag-ciprofloxacin-hexal-side-effects","tag-ciprofloxacin-hexal-tablet","tag-ciprofloxacin-side-effects","tag-ciprofloxacin-tablet","tag-medicine","tag-tablets","tag-what-is-ciprofloxacin","tag-what-is-ciprofloxacin-hexal"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6775","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=6775"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6775\/revisions"}],"predecessor-version":[{"id":11436,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6775\/revisions\/11436"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6775"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6775"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6775"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}