Treats infections. Also treats anthrax infection after possible exposure. This medicine is a fluoroquinolone antibiotic.
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
Do not use this medicine if you have had an allergic reaction to ciprofloxacin or any other quinolone antibiotic (such as levofloxacin, Avelox®, Levaquin®, Vigamox®). Do not use this medicine together with tizanidine (Zanaflex®).
How to Use This Medicine
Liquid, Tablet, Long Acting Tablet
- Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
- Do not take this medicine with milk, yogurt, or other dairy products. Do not drink juice that has calcium in it when you take this medicine. You may have dairy products or juice as part of a larger meal and then take this medicine with that meal.
- Swallow the extended-release tablet whole. Do not crush, break, or chew it.
- Shake the oral liquid for at least 15 seconds just before each use. The oral liquid has small microcapsules floating in it. These microcapsules may look like bubbles or small beads. Do not chew the microcapsules when you drink the liquid. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.
- Drink extra fluids so you will pass more urine while you are using this medicine. This will keep your kidneys working well and help prevent kidney problems.
- Keep using this medicine for the full treatment time, even if you feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon.
- This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one.
If a dose is missed:
- If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.Do not take more than 1 extended-release tablet (Cipro® XR) each day.
How to Store and Dispose of This Medicine
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. You may store the oral liquid at room temperature or in the refrigerator. Do not freeze. Throw away any liquid that you do not use after 14 days.
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
- Keep all medicine away from children and never share your medicine with anyone.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Make sure your doctor knows if you use a steroid medicine (such as hydrocortisone, methylprednisolone, prednisolone, prednisone). Your risk of tendon problems may increase if you use this medicine together with a steroid.
- Make sure your doctor knows if you are also using theophylline (Elixophyllin®, Theo-Dur®, Theo-24®, Uniphyl®). Avoid products that have caffeine while you are using this medicine.
- Make sure your doctor knows if you also use clozapine (Clozaril®), cyclosporine (Gengraf®, Neoral®, Sandimmune®), duloxetine (Cymbalta®), lidocaine (Xylocaine®), methotrexate (Folex®, Rheumatrex®, Trexall®), metoclopramide (Reglan®), pentoxifylline (Trental®), phenytoin (Dilantin®), probenecid (Benemid®), ropinirole (Requip®), sildenafil (Viagra®). Tell your doctor if you use a blood thinner (such as warfarin, Coumadin®, Jantoven®), diabetes medicine (such as glimepiride, glipizide, glyburide, Amaryl®), heart rhythm medicine (such as disopyramide, Norpace®, amiodarone, dofetilitde, Cordarone®, Tikosyn®), or an NSAID pain or arthritis medicine (such as diclofenac, ibuprofen, naproxen, Advil®, Aleve®, Celebrex®, Voltaren®).
- Make sure your doctor knows if you also use medicine for depression (such as amitriptyline, fluoxetine, nortriptyline, Elavil®), medicine to treat an infection (such as azithromycin, clarithromycin, erythromycin, Zithromax®), or medicine to treat mental illness (such as haloperidol, olanzapine, pimozide, prochlorperazine, quetiapine, thioridazine, ziprasidone, Mellaril®).
- Some medicines can change with the way ciprofloxacin works in your body. Tell your doctor if you use an antacid that contains magnesium or aluminum (such as Maalox®, Mylanta®) or any vitamin or mineral supplements that contain calcium, zinc, or iron. Also talk with your doctor if you use lanthanum carbonate (Fosrenol®), sevelamer (Renagel®), sucralfate (Carafate®), or didanosine (Videx®). Take these medicines at least 2 hours before or 6 hours after you take ciprofloxacin.
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant or breastfeeding, or if you have myasthenia gravis, tendon or joint problems, kidney disease, liver disease, diabetes, heart disease, heart rhythm problems, low magnesium or potassium levels, or a history of seizures, epilepsy, head injury, or stroke.
- This medicine may make your skin more sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid sunlamps and tanning beds.
- This medicine may rarely cause inflammation or tearing of a tendon, especially the tendon in the back of your leg. (Tendons attach muscles to bones.) This can occur while you are taking the medicine or after you finish treatment. Your risk may be higher if you are older than 60 years of age, use a steroid medicine, have severe kidney problems, have a history of tendon problems (including rheumatoid arthritis), or have received a heart, lung, or kidney transplant. Check with your doctor right away if you have sudden pain, swelling, or bruises after exercise. Also call your doctor if you have joint pain, have trouble moving a joint, or cannot bear weight.
- If you have severe diarrhea, ask your doctor before taking any medicine to stop the diarrhea.Diarrhea may occur 2 months or more after you stop taking this medicine.
- Contact your doctor right away if you have any changes to your heart rhythm. You might feel dizzy or faint, or you might have fast, pounding, or uneven heartbeat. Make sure your doctor knows if you or anyone in your family has ever had a heart rhythm problem such as QT prolongation.
- This medicine may make you dizzy, drowsy, or lightheaded. Do not drive, use machines, or do anything that could be dangerous until you know how this medicine affects you.
- If your symptoms do not improve or if they get worse, call your doctor.
- Your doctor will need to check your blood or urine at regular visits while you are using this medicine. Be sure to keep all appointments.
- Use this medicine to treat only the infection your doctor has prescribed it for. Do not use this medicine for any infection or condition that has not been checked by a doctor. This medicine will not treat the flu or the common cold.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Blistering, peeling, or red skin rash
- Confusion, unusual thoughts or behavior
- Diarrhea that may contain blood
- Fast, slow, pounding, or uneven heartbeat
- Lightheadedness, dizziness, or fainting
- Muscle or joint pain
- Nausea, vomiting, loss of appetite, pain in your upper stomach, yellow eyes or skin
- Numbness, tingling, weakness, or burning pain in your hands, arms, legs, or feet
- Pain or swelling in your knee, ankle, shoulder, elbow, hand, or wrist
- Seizures or tremors
- Severe sunburn
- Unusual bleeding, bruising, tiredness, or weakness
If you notice these less serious side effects, talk with your doctor:
- Mild nausea, vomiting, diarrhea, or stomach pain