ciprofloxacin (oral)

Pronunciation: SIP roe FLOX a sin

Brand: Cipro, Cipro XR, Proquin XR

Cipro 250 mg

slide 1 of 23, Cipro 250 mg,

round, white, imprinted with CIPRO, 250

Image of Cipro 250 mg
slide 1 of 23
    

Cipro XR 1000 mg

slide 2 of 23, Cipro XR 1000 mg,

oval, white, imprinted with BAYER, C1000 QD

Image of Cipro XR 1000 mg
slide 2 of 23
    

Cipro XR 500 mg

slide 3 of 23, Cipro XR 500 mg,

oblong, white, imprinted with BAYER, C500 QD

Image of Cipro XR 500 mg
slide 3 of 23
    

Ciprofloxacin 500 mg-APO

slide 4 of 23, Ciprofloxacin 500 mg-APO,

oval, white, imprinted with APO, CIP500

Image of Ciprofloxacin 500 mg-APO
slide 4 of 23
    

Ciprofloxacin 750 mg-DRR

slide 5 of 23, Ciprofloxacin 750 mg-DRR,

oblong, white, imprinted with R, 128

Image of Ciprofloxacin 750 mg-DRR
slide 5 of 23
    

Ciprofloxacin 750 mg-TEV

slide 6 of 23, Ciprofloxacin 750 mg-TEV,

oblong, white, imprinted with 93, 0865

Image of Ciprofloxacin 750 mg-TEV
slide 6 of 23
    

Cipro 100 mg

slide 7 of 23, Cipro 100 mg,

round, white, imprinted with CIPRO, 100

Image of Cipro 100 mg
slide 7 of 23
    

Cipro 750 mg

slide 8 of 23, Cipro 750 mg,

oval, white, imprinted with CIPRO, 750

Image of Cipro 750 mg
slide 8 of 23
    

Ciprofloxacin 250 mg-DRR

slide 9 of 23, Ciprofloxacin 250 mg-DRR,

oval, white, imprinted with R, 126

Image of Ciprofloxacin 250 mg-DRR
slide 9 of 23
    

Ciprofloxacin 500 mg-PAR

slide 10 of 23, Ciprofloxacin 500 mg-PAR,

oblong, white, imprinted with G, CF500

Image of Ciprofloxacin 500 mg-PAR
slide 10 of 23
    

Ciprofloxacin 750 mg-BAR

slide 11 of 23, Ciprofloxacin 750 mg-BAR,

oblong, white, imprinted with b816, 750

Image of Ciprofloxacin 750 mg-BAR
slide 11 of 23
    

Ciprofloxacin 750 mg-IVA

slide 12 of 23, Ciprofloxacin 750 mg-IVA,

oval, white, imprinted with Logo 5313, 750

Image of Ciprofloxacin 750 mg-IVA
slide 12 of 23
    

Cipro 500 mg

slide 13 of 23, Cipro 500 mg,

oval, white, imprinted with CIPRO, 500

Image of Cipro 500 mg
slide 13 of 23
    

Ciprofloxacin 250 mg-BAR

slide 14 of 23, Ciprofloxacin 250 mg-BAR,

round, white, imprinted with b 814, 250

Image of Ciprofloxacin 250 mg-BAR
slide 14 of 23
    

Ciprofloxacin 250 mg-IVA

slide 15 of 23, Ciprofloxacin 250 mg-IVA,

oval, white, imprinted with LOGO 5311, 250

Image of Ciprofloxacin 250 mg-IVA
slide 15 of 23
    

Ciprofloxacin 500 mg-IVA

slide 16 of 23, Ciprofloxacin 500 mg-IVA,

oval, white, imprinted with 500, LOGO 5312

Image of Ciprofloxacin 500 mg-IVA
slide 16 of 23
    

Ciprofloxacin 500 mg-RAN

slide 17 of 23, Ciprofloxacin 500 mg-RAN,

oval, white, imprinted with RX710

Image of Ciprofloxacin 500 mg-RAN
slide 17 of 23
    

Ciprofloxacin 250 mg-APO

slide 18 of 23, Ciprofloxacin 250 mg-APO,

round, white, imprinted with APO, CIP 250

Image of Ciprofloxacin 250 mg-APO
slide 18 of 23
    

Ciprofloxacin 250 mg-PAR

slide 19 of 23, Ciprofloxacin 250 mg-PAR,

round, white, imprinted with G, CF 250

Image of Ciprofloxacin 250 mg-PAR
slide 19 of 23
    

Ciprofloxacin 500 mg-BAR

slide 20 of 23, Ciprofloxacin 500 mg-BAR,

oblong, white, imprinted with b815, 500

Image of Ciprofloxacin 500 mg-BAR
slide 20 of 23
    

Ciprofloxacin 500 mg-DRR

slide 21 of 23, Ciprofloxacin 500 mg-DRR,

oval, white, imprinted with R, 127

Image of Ciprofloxacin 500 mg-DRR
slide 21 of 23
    

Ciprofloxacin 500 mg-TEV

slide 22 of 23, Ciprofloxacin 500 mg-TEV,

oblong, white, imprinted with 93, 0864

Image of Ciprofloxacin 500 mg-TEV
slide 22 of 23
    

Ciprofloxacin 750 mg-APO

slide 23 of 23, Ciprofloxacin 750 mg-APO,

oval, white, imprinted with APO, CIP750

Image of Ciprofloxacin 750 mg-APO
slide 23 of 23
    

What is the most important information I should know about ciprofloxacin?

You should not use this medication if you are also taking tizanidine.

You may not be able to use ciprofloxacin if you have a muscle disorder. Tell your doctor if you have a history of myasthenia gravis.

Ciprofloxacin may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body), especially in the Achilles' tendon of the heel. This effect may be more likely to occur if you are over 60, if you take steroid medication, or if you have had a kidney, heart, or lung transplant.

Stop taking ciprofloxacin and call your doctor at once if you have sudden pain, swelling, bruising, tenderness, stiffness, or movement problems in any of your joints. Rest the joint until you receive medical care or instructions.

What is ciprofloxacin?

Ciprofloxacin is an antibiotic in a group of drugs called fluoroquinolones (flor-o-KWIN-o-lones). Ciprofloxacin fights bacteria in the body.

Ciprofloxacin is used to treat different types of bacterial infections. Ciprofloxacin is also used to treat people who have been exposed to anthrax.

Ciprofloxacin may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking ciprofloxacin?

You should not use this medication if you are allergic to ciprofloxacin, or if:

  • you are also taking tizanidine; or
  • you are allergic to other fluoroquinolones (gemifloxacin, levofloxacin, moxifloxacin, ofloxacin, norfloxacin, and others).

You may not be able to use ciprofloxacin if you have a muscle disorder. Tell your doctor if you have a history of myasthenia gravis.

To make sure ciprofloxacin is safe for you, tell your doctor if you have:

  • a heart rhythm disorder, especially if you take medication to treat it;
  • a personal or family history of Long QT syndrome;
  • tendon problems, arthritis or other joint problems (especially in children);
  • a muscle or nerve disorder;
  • trouble swallowing pills;
  • liver disease;
  • kidney disease (or if you are on dialysis);
  • seizures or epilepsy;
  • a history of head injury or brain tumor;
  • diabetes (especially if you take oral diabetes medication);
  • low levels of potassium in your blood (hypokalemia);
  • if you use a blood thinner (warfarin, Coumadin) and have "INR" or prothrombin time tests.

Ciprofloxacin may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body), especially in the Achilles' tendon of the heel. This can happen during treatment or up to several months after you stop taking ciprofloxacin. Tendon problems may be more likely to occur if you are over 60, if you take steroid medication, or if you have had a kidney, heart, or lung transplant.

FDA pregnancy category C. It is not known whether ciprofloxacin will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Ciprofloxacin can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.

How should I take ciprofloxacin?

Ciprofloxacin is usually taken every 12 hours. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Take this medicine with a full glass of water (8 ounces). Drink several extra glasses of fluid each day while you are taking ciprofloxacin. Ciprofloxacin may be taken with or without food, but take it at the same time each day.

Do not take ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink these products as part of a regular meal, but do not use them alone when taking ciprofloxacin. They could make the medication less effective.

Do not crush, chew, or break an extended-release tablet. Swallow it whole.

Shake the oral suspension (liquid) for at least 15 seconds just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Do not give ciprofloxacin oral suspension through a feeding tube.

Swallow the liquid without chewing the medicine beads you may notice in the liquid.

Use this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Ciprofloxacin will not treat a viral infection such as the common cold or flu.

If you are being treated for gonorrhea, your doctor may also have you tested for syphilis, another sexually transmitted disease.

Do not share this medication with another person (especially a child), even if they have the same symptoms you have.

Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze. Throw away any unused liquid after 14 days.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking ciprofloxacin?

You may be taking certain other medicines that should not be taken at the same time as ciprofloxacin. Avoid taking the following medicines within 6 hours before or 2 hours after you take ciprofloxacin. These other medicines can make ciprofloxacin much less effective when taken at the same time:

  • antacids that contain magnesium or aluminum (such as Maalox, Mylanta, or Rolaids), or the ulcer medicine sucralfate (Carafate);
  • didanosine (Videx) powder or chewable tablets;
  • vitamin or mineral supplements that contain calcium, iron, or zinc.

Avoid caffeine while you are taking ciprofloxacin, because the medication can make the effects of caffeine stronger.

Avoid exposure to sunlight or tanning beds. Ciprofloxacin can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Call your doctor if you have severe burning, redness, itching, rash, or swelling after being in the sun.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking ciprofloxacin and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

Ciprofloxacin may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of ciprofloxacin?

Get emergency medical help if you have any of these signs of an allergic reaction: hives, or the first sign of a skin rash; fast heartbeat, difficult breathing; swelling of your face, lips, tongue, or throat.

Ciprofloxacin may cause swelling or tearing of (rupture) a tendon. Ciprofloxacin can also have serious effects on your nerves, and may cause permanent nerve damage. Stop taking this medicine and call your doctor at once if you have:

  • signs of tendon rupture --sudden pain, swelling, bruising, tenderness, stiffness, movement problems, or a snapping or popping sound in any of your joints (rest the joint until you receive medical care or instructions); or
  • nerve symptoms --numbness, tingling, burning pain, or being more sensitive to temperature, light touch, or the sense of your body position.

Stop using ciprofloxacin and call your doctor at once if you have:

  • headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;
  • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • muscle weakness or trouble breathing;
  • diarrhea that is watery or bloody;
  • sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, easy bruising or bleeding;
  • depression, confusion, hallucinations, paranoia, tremors, feeling restless or anxious, unusual thoughts or behavior, insomnia, nightmares;
  • seizure (convulsions); or
  • increased pressure inside the skull-- severe headaches, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes.

Common side effects may include:

  • stomach discomfort, vomiting, mild diarrhea;
  • vaginal itching or discharge;
  • mild dizziness; or
  • mild headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect ciprofloxacin?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with ciprofloxacin, especially:

  • cyclosporine, methotrexate, metoclopramide, omeprazole, pentoxifylline, phenytoin, probenecid, ropinirole, sildenafil, theophylline;
  • a diuretic or "water pill";
  • heart rhythm medication --amiodarone, disopyramide, dofetilide, dronedarone, procainamide, quinidine, sotalol, and others;
  • medicine to treat depression or mental illness --amitriptylline, clomipramine, clozapine, desipramine, duloxetine, iloperidone, imipramine, nortriptyline, and others; or
  • NSAIDs (nonsteroidal anti-inflammatory drugs) --aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete. Other drugs may interact with ciprofloxacin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

Your pharmacist can provide more information about ciprofloxacin.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2015 Cerner Multum, Inc. Version: 16.02. Revision date: 4/13/2014.

Your use of the content provided in this service indicates that you have read, understood and agree to the End-User License Agreement, which can be accessed by clicking on this link.