{"id":6787,"date":"2021-01-13T09:38:51","date_gmt":"2021-01-13T09:38:51","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6787"},"modified":"2021-06-08T07:54:03","modified_gmt":"2021-06-08T07:54:03","slug":"ciproxin","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ciproxin\/","title":{"rendered":"Ciproxin – Ciprofloxacin uses, dose and side effects"},"content":{"rendered":"\n
\n\n50 mg \/ ml, granules and liquid for oral suspension . ciprofloxacin <\/p>\n\n\n\n
1. What Ciproxin is and what it is used for<\/h2>\n\n\n\n
Ciproxin 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\n\n\n
Adults<\/em><\/p>\n\n\n\n
Ciproxin is used in adults to treat the following bacterial infections:<\/p>\n\n\n\n
respiratory infections<\/li>
prolonged or recurrent ear or sinus infections<\/li>
urinary tract infections<\/li>
infection in the genitals of men and women<\/li>
infection in the gastrointestinal tract and infection in the abdomen<\/li>
skin and soft tissue infections<\/li>
the infection you in the skeleton and joints<\/li>
to prevent infection caused by Neisseria meningitidis<\/em><\/li>
exposure to anthrax bacteria via the respiratory tract<\/li><\/ul>\n\n\n\n
Ciprofloxacin can be used in the treatment of patients with low white blood cell count( neutropenia ) who have a fever suspected of being due to a bacterial infection. <\/p>\n\n\n\n
If you have a serious infection or one that is caused by more than one type of bacterium, you may be prescribed additional antibiotic treatment in addition to Ciproxin. <\/p>\n\n\n\n
Children and young people<\/em><\/p>\n\n\n\n
Ciproxin is used in children and adolescents, at the discretion of a medical specialist, to treat the following bacterial infections:<\/p>\n\n\n\n
lung and bronchial infections in children and adolescents suffering from cystic fibrosis<\/li>
complicated urinary tract infections, including infection that has reached the kidneys ( pyelonephritis )<\/li>
exposure to anthrax bacteria via the respiratory tract (suspected or confirmed)<\/li><\/ul>\n\n\n\n
Ciproxin can also be used to treat other particularly serious infections in children and adolescents when your doctor deems it necessary. <\/p>\n\n\n\n
2. What you need to know before you use Ciproxin<\/h2>\n\n\n\n
Do not take Ciproxin:<\/h2>\n\n\n\n
if you are allergic to the active substance or to other quinolone medicines or any of the other ingredients of this medicine (see section 6)<\/li>
if you are being treated with tizanidine (see section 2: Other medicines and Ciproxin)<\/li><\/ul>\n\n\n\n
Warnings and cautions<\/h2>\n\n\n\n
Before taking this medicine<\/p>\n\n\n\n
You should not take antibacterial fluoroquinolone\/quinolone medicines, including Ciproxin, if you have previously had any serious side effects from taking any quinolone or fluoroquinolone medicines. If this is the case, contact your doctor as soon as possible. <\/p>\n\n\n\n
Talk to your doctor or pharmacist before taking Ciproxin<\/strong><\/p>\n\n\n\n
if you have ever had kidney problems because your treatment may need to be adjusted<\/li>
if you suffer from epilepsy or other neurological diseases<\/li>
if you have experienced tendon problems during previous treatment with an antibiotic similar to Ciproxin<\/li>
if you are diabetic because there is a risk of you getting hypoglycemia from ciprofloxacin<\/li>
if you have myasthenia gravis<\/em> (a type of muscle weakness), as the symptoms may worsen<\/li>
if you have been diagnosed with an enlargement or “bulge” of a large blood vessel (aortic aneurysm or peripheral aneurysm in a large blood vessel)<\/li>
if you have had an aortic dissection (a rupture in the aortic wall)<\/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’s syndrome, or vascular Ehlers-Danlos syndrome, or vascular diseases such as Takayasu’s arteritis, giant cell arteritis, Beh\u00e7et’s disease, high blood pressure, or known atherosclerosis)<\/li>
if you have heart problems. Caution should be exercised when using ciprofloxacin, if you were born with or previously had problems with prolonged QT interval(seen on ECG, the electrical activity of the heart), have an imbalance of salts in the blood (especially low levels of potassium or magnesium ), have a very slow heart rhythm (so-called bradycardia ), have a weak heart ( heart failure ), have had a heart attack (heart attack), if you are a woman or elderly or if you are taking other medicines that cause abnormal ECG changes (see section 2: Other medicines and Ciproxin)<\/li>
if you or a family member are deficient in glucose -6-phosphate dehydrogenase (G6PD) because you are at risk of developing ciprofloxacin anemia.<\/li><\/ul>\n\n\n\n
To treat certain genital infections, your doctor may prescribe another antibiotic in addition to ciprofloxacin. If there is no improvement in symptoms after 3 days of treatment, you should consult a doctor. <\/p>\n\n\n\n
During treatment with Ciproxin<\/strong><\/p>\n\n\n\n
Tell your doctor immediately if any of the following occur during treatment with Ciproxin<\/strong>. Your doctor will decide if you need to stop taking Ciproxin. <\/p>\n\n\n\n
Severe, sudden allergic reaction<\/strong> (anaphylactic reaction \/ shock, angioedema ). Even with the first dose, there is a small risk that you will experience a severe allergic reaction with the following symptoms: chest tightness, dizziness, or fainting, or dizziness when you get up. If this happens, stop taking Ciproxin and contact your doctor immediately.<\/strong><\/li>
Long-term, debilitating, and potentially lasting serious side effects antibacterial fluoroquinolone\/quinolone<\/strong> drugs, including Ciproxin, have been linked to very rare but serious side effects. Some of these have been long-lasting (up to months or years), disabling, and possibly permanent. 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 ( paresthesia ), sensory disturbances in the form of impaired vision, taste, smell and hearing, depression, impaired memory, extreme fatigue, and severe sleep problems. If you suffer from any of these side effects after taking Ciproxin, you should contact your doctor immediately before continuing treatment. You and your doctor will decide if you should continue treatment or consider using another type of antibiotic.<\/li>
In rare cases, pain and swelling in the joints and inflammation or rupture of tendons can<\/strong> occur. 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 cortisone ( corticosteroids ). Inflammation and tendon rupture can occur within the first 48 hours after starting treatment but also up to several months after stopping treatment with Ciproxin. At the first sign of pain or inflammation of a tendon (eg in the ankle, wrist, elbow, shoulder, or knee), stop taking Ciproxin, consult a doctor, and rest the painful area. Avoid unnecessary effort as it may increase the risk of a tendon rupture.<\/li>
If you feel a sudden, severe pain in your stomach, chest, or back, you should immediately go to an emergency room.<\/li>
If you suffer from epilepsy <\/strong>or other n<\/b><\/span>eurological diseases<\/strong> such as decreased blood flow to the brain or stroke, you may experience side effects related to the central nervous system. If you get seizures, stop taking Ciproxin and contact your doctor immediately.<\/li>
In rare cases, you may experience symptoms of nerve damage ( neuropathy )<\/strong>such as pain, a burning sensation, tingling, numbness, and\/or weakness, especially in the feet and legs or in the hands and arms. If this happens, stop taking Ciproxin and contact your doctor immediately to prevent the development of a possible permanent condition.<\/li>
You may experience mental reactions<\/strong> the first time you take it<\/li>
antibiotics belonging to the quinolone group, this also applies to Ciproxin. If you suffer from depression<\/strong> or psychosis<\/strong>, your symptoms may get worse during treatment with Ciproxin. In rare cases, depression or psychosis can lead to suicidal ideation and self-harming behavior such as suicide attempts or completed suicide (see section 4, Possible side effects ). Contact your doctor immediately for depression, psychosis, suicidal thoughts, or suicidal behavior.<\/li>
Antibiotics quinolone can cause disturbances in blood sugar level<\/strong>, both a reduction in normal blood sugar (hypoglycemia) and an increase of the normal blood sugar level ( hyperglycemia ) (see section 4. Possible adverse s<\/em> ). Disorders of blood sugar levels occur mainly in elderly diabetic patients who are on concomitant treatment with oral diabetes medicines that lower blood sugar levels (eg glibenclamide) or insulin . Loss of consciousness due to severe hypoglycemia (hypoglycaemic coma ) has been reported. If you have diabetes, your blood sugar should be monitored carefully.<\/li>
Diarrhea<\/strong> can occur while you are taking antibiotics , including Ciproxin, or even several weeks after you stop taking them. If this becomes severe or persistent or if you notice blood or mucus in your stool, stop taking Ciproxin and contact your doctor immediately as this can be life-threatening. Do not take medicines that stop or reduce bowel movements.<\/li>
If your vision becomes worse,<\/strong> or if your eyes are affected<\/strong> in any other way, contact an ophthalmologist immediately.<\/li>
Your skin becomes more sensitive to sunlight or ultraviolet (UV) light<\/strong> when you take Ciproxin. Avoid exposure to strong sunlight or artificial UV light such as tanning beds.<\/li>
Tell your doctor or laboratory staff that you are taking Ciproxin if you are going to have a blood or urine sample.<\/strong><\/li>
Tell your doctor if you suffer from kidney problems<\/strong> as the dose may need to be adjusted.<\/li>
Ciproxin can cause liver damage<\/strong>. If you notice any symptoms such as loss of appetite, jaundice (yellowish skin), dark urine, itching, or soreness in the stomach, you should contact your doctor immediately.<\/li>
Ciproxin can cause a decrease in the number of white blood cells and your resistance to infection may be reduced. <\/strong>If you experience an infection with symptoms such as fever and severe deterioration of your general condition, or fever with local symptoms of infection such as sore throat \/ pharynx \/ mouth or urinary incontinence, contact your doctor immediately. A blood sample will be taken to check for a possible decline in white blood cells (agranulocytosis). It is important to inform your doctor about your medicine.<\/li><\/ul>\n\n\n\n
Other medicines and Ciproxin<\/h2>\n\n\n\n
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n
Do not take Ciproxin with tizanidine<\/strong> as it may cause side effects such as low blood pressure and fatigue (see section 2: \u201cDo not take Ciproxin\u201d).<\/p>\n\n\n\n
It is known that the following drugs interact with Ciproxin in your body. Taking Ciproxin with these medicines may affect the therapeutic effect of these medicines. It can also increase the risk of experiencing side effects. <\/p>\n\n\n\n
Tell your doctor if you are taking:<\/strong><\/p>\n\n\n\n
Vitamin K antagonist (eg warfarin, acenocoumarin, phenprocoumon or fluindione) or other anticoagulants (dilutes the blood)<\/li>
probenecid (for gout )<\/li>
methotrexate (for special types of cancer, psoriasis, rheumatoid arthritis )<\/li>
theophylline (for respiratory problems)<\/li>
tizanidine (for muscle spasticity in multiple sclerosis )<\/li>
olanzapine (an antipsychotic )<\/li>
clozapine (an antipsychotic )<\/li>
ropinirole (for Parkinson’s disease )<\/li>
phenytoin (for epilepsy )<\/li>
metoclopramide (for nausea and vomiting)<\/li>
ciclosporin (for skin conditions, rheumatoid arthritis, and for organ transplantation)<\/li>
other medicines that can change your heart rhythm: medicines belonging to the antiarrhythmic group (eg quinidine, hydroquinone, disopyramide, amiodarone, sotalol, dofetilide, ibutilide), certain antidepressants, certain bactericidal medicines (belonging to the macrolide group ), certain medicines against mental illness<\/li>
zolpidem (for insomnia)<\/li><\/ul>\n\n\n\n
Ciproxin may increase the<\/strong> levels of the following substances in your blood:<\/p>\n\n\n\n