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Ciprofloxacin
Ciprofloxacin is a prescription medication used to treat a variety of bacterial infections including urinary tract infections, pneumonia, and sinus infections. Ciprofloxacin belongs to a group of antibiotics called fluoroquinolones, which work by killing the bacteria that cause infections.
This medication comes as a tablet, an oral suspension (liquid), and an intravenous (IV) solution. The tablet and suspension are usually taken twice daily, in the morning and evening, with or without food. Ciprofloxacin also comes as an extended-release tablet that is taken once a day, with or without food. Swallow ciprofloxacin tablets whole. Do not split, crush, or chew tablets.
Common side effects include nausea, vomiting, and diarrhea. Ciprofloxacin can cause dizziness. Do not drive or operate machinery until you know how ciprofloxacin affects you.
Ciprofloxacin is a prescription medication used to treat certain infections caused by certain germs called bacteria. It is used to treat a variety of infections, some of which include infections of the:
It is also used to reduce the incidence or progression of disease following exposure to inhaled anthrax.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Ciprofloxacin may be found in some form under the following brand names:
Ciprofloxacin is part of the drug class:
Serious side effects have been reported with ciprofloxacin. See “Drug Precautions” section.
This is not a complete list of ciprofloxacin side effects. Tell your doctor about any side effect that bothers you, or that does not go away.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal and dietary supplements. Ciprofloxacin and other medicines can affect each other causing side effects. Especially tell your doctor if you take:
Certain medicines may keep ciprofloxacin from working correctly. Take ciprofloxacin either 2 hours before or 6 hours after taking these products:
Ask your doctor or pharmacist if you are not sure if any of your medicines are listed above.
Know the medicines you take. Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine.
Ciprofloxacin belongs to a class of antibiotics called fluoroquinolones. Ciprofloxacin can cause side effects that may be serious or even cause death. If you get any of the following serious side effects, get medical help right away. Talk with your healthcare provider about whether you should continue to take ciprofloxacin.
1.  Tendon rupture or swelling of the tendon (tendinitis)
2.  Worsening of myasthenia gravis (a disease which causes muscle weakness). Fluoroquinolones like ciprofloxacin may cause worsening of myasthenia gravis symptoms, including muscle weakness and breathing problems. Call your healthcare provider right away if you have any worsening muscle weakness or breathing problems.
Other serious side effects of ciprofloxacin include:
Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods.
While taking ciprofloxacin you should limit your caffeine intake as this medication may lead to the accumulation of caffeine by interfering with the body’s ability to remove it. Caffeine-containing products include coffee, tea, energy drinks, soft drinks (colas), chocolate, and other foods and beverages.
Ciprofloxacin should not be taken with dairy products  (like milk or yogurt) or calcium-fortified juices alone since ciprofloxacin absorption may be significantly reduced; however, ciprofloxacin may be taken with a meal that contains these products.
Tell your doctor about all your medical conditions, including if you:
Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal and dietary supplements. 
Tell your doctor if you are pregnant or plan to become pregnant.
The FDA categorizes medications based on safety for use during pregnancy. Five categories – A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.
Ciprofloxacin falls into category C. There are no well-controlled studies that have been done in pregnant women. Ciprofloxacin should be used during pregnancy only if the possible benefit outweighs the possible risk to the unborn baby.
Tell your doctor if you are breastfeeding or plan to breastfeed.
Ciprofloxacin has been detected in human breast milk. Because of the possibility for adverse reactions in nursing infants from ciprofloxacin, a choice should be made whether to stop nursing or to stop use of this medication. The importance of the drug to the mother should be considered.
If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of ciprofloxacin at the same time.
To be sure that all of the bacteria are killed and to lower the chance that the bacteria will become resistant to ciprofloxacin, do not skip any doses, or stop taking ciprofloxacin even if you begin to feel better. Finish your prescribed treatment, unless:
Take ciprofloxacin exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.
The ciprofloxacin dose your doctor recommends will be based on the following:
Doses vary, but usually range between 250 mg to 750 mg every 12 hours. Ciprofloxacin is often prescribed for 7 to 14 days, although sometimes it can be prescribed as a single dose or for treatment lasting 60 days.
For anthrax exposure, the recommended adult ciprofloxacin dose is 500 mg every 12 hours, for 60 days.
If you take too much ciprofloxacin, call your healthcare provider or get medical help immediately.
Keep ciprofloxacin and all medicines out of the reach of children.
Fluoroquinolones, including ciprofloxacin, are associated with an increased risk of tendinitis and tendon rupture in all ages. This risk is further increased in older patients usually over 60 years of age, in patients taking corticosteroid drugs, and in patients with kidney, heart or lung transplants.
Fluoroquinolones, including ciprofloxacin, may exacerbate muscle weakness in persons with myasthenia gravis. Avoid ciprofloxacin in patients with known history of myasthenia gravis.

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