This means it works against many different types of bacteria. However, many bacteria have grown to be resistant to Cipro.
Resistant bacteria can no longer be treated with a certain drug. Cipro begins to work against bacterial infections within hours of when you take it. However, you may not notice improvement in your symptoms for a few days. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs. The typical dosage for immediate-release Cipro is — mg every 12 hours for up to 14 days.
Your doctor will determine the best form and dosage of Cipro for your condition. If you have kidney disease, your doctor may prescribe Cipro at a lower dose or have you take the medication less frequently. If you miss a dose, take it as soon as you can. You might start to feel better before you finish your entire Cipro treatment. Cipro tablets and suspension should be taken at about the same time each day in the morning and the evening.
Cipro can be taken with or without food. Either way you take it, be sure to consume plenty of fluids while taking Cipro.
It should be taken at least two hours before or after consuming these products. However, Cipro can be taken along with a meal that contains dairy products or calcium-fortified foods or drinks. Cipro tablets and Cipro XR extended-release tablets should not be crushed, split, or chewed.
They should be swallowed whole. Cipro can interact with several other medications. It can also interact with certain supplements as well as certain foods. Different interactions can cause different effects. For instance, some can interfere with how well a drug works, while others can cause increased side effects.
Below is a list of medications that can interact with Cipro. This list does not contain all drugs that may interact with Cipro. Before taking Cipro, be sure to tell your doctor and pharmacist about all prescription, over-the-counter, and other drugs you take.
Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Many antacids such as Tums, Gaviscon, and Maalox contain calcium carbonate, magnesium hydroxide, and aluminum hydroxide. These ingredients can bind to Cipro and prevent your body from absorbing it. This can decrease how well Cipro works.
To avoid this interaction, take Cipro at least two hours before taking an antacid, or six hours afterward. Taking Cipro with oral anticoagulant drugs such as warfarin Coumadin, Jantoven might increase the anticoagulant effects.
This might result in increased bleeding. If you take an anticoagulant, your doctor may need to monitor your bleeding risk more frequently if you take Cipro. Certain medications prolong your QT interval, which means they might affect the rhythm of your heartbeat. Taking Cipro with these drugs can increase the risk of having a dangerous irregular heartbeat.
Cipro should be avoided or used very carefully with these medications. Taking Cipro with clozapine Versacloz, Fazaclo ODT can increase the levels of clozapine in the body and increase the risk of clozapine side effects.
Cipro can increase the blood sugar-lowering effects of certain diabetes drugs, such as glyburide Diabeta, Glynase PresTabs and glimepiride Amaryl. This might cause blood sugar levels to become too low. Taking Cipro with methotrexate Rasuvo, Otrexup can increase the levels of methotrexate in your body and increase the risk of methotrexate side effects.
Taking Cipro with ropinirole Requip, Requip XL can increase the levels of ropinirole in the body and increase the risk of ropinirole side effects. Taking Cipro with the seizure drug phenytoin Dilantin, Dilantin, Phenytek can cause phenytoin levels in the body to become too low. This can result in uncontrolled seizures in people taking phenytoin for epilepsy. Taking Cipro with sildenafil Viagra , Revatio can increase the levels of sildenafil in your body and increase the risk of sildenafil side effects.
Taking Cipro with theophylline can increase levels of theophylline in your body. This can cause serious theophylline side effects.
These include nausea, vomiting, jitters, irritability, abnormal heartbeat, heart attack, seizures, and breathing failure. Cipro and theophylline should not be taken together if possible. Cipro can increase the sedative and blood pressure effects of tizanidine Zanaflex.
This might result in excessive sedation from zolpidem. Cipro can prolong your QT interval, which means it might affect the rhythm of your heartbeat. Using these drugs together might increase the risk of a dangerous irregular heartbeat. Some vitamin and supplement products can bind to Cipro and prevent your body from absorbing it.
These supplements include:. To avoid this interaction, you should take Cipro at least two hours before you take these supplements, or at least six hours afterward. Dairy foods or calcium-fortified juice can bind to Cipro and prevent your body from absorbing it.
To avoid this interaction, you should take Cipro at least two hours before you consume these foods, or at least two hours afterward. Cipro can increase the effects of caffeine consumed from coffee, tea, chocolate, and other sources. This might increase the risk of caffeine-related side effects such as nervousness, jitteriness, and trouble sleeping. Taking Cipro with alcohol will not make the antibiotic less effective, but the combination might increase the risk of certain side effects or make side effects worse.
Examples of side effects that might be more likely to occur, or worsened by alcohol use, include:. You may take this medicine with or without food. Drink plenty of fluids while you are using this medicine. Drinking extra water will help prevent some unwanted effects of ciprofloxacin. Do not take this medicine alone with milk, yogurt, or other dairy products. Do not drink any juice with calcium added when you take this medicine. It is okay to have dairy products or juice as part of a larger meal when you take this medicine.
It is best to take these medicines at least 2 hours before or 4 to 6 hours after taking ciprofloxacin. These medicines may keep ciprofloxacin from working properly. 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. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible.
If you experience any of the following symptoms, stop taking ciprofloxacin and call your doctor immediately: numbness, tingling, pain, burning, or weakness in the arms or legs; or a change in your ability to feel light touch, vibrations, pain, heat, or cold. Taking ciprofloxacin may affect your brain or nervous system and cause serious side effects. This can occur after the first dose of ciprofloxacin. Tell your doctor if you have or have ever had seizures, epilepsy, cerebral arteriosclerosis narrowing of blood vessels in or near the brain that can lead to stroke or ministroke , stroke, changed brain structure, or kidney disease.
If you experience any of the following symptoms, stop taking ciprofloxacin and call your doctor immediately: seizures; tremors; dizziness; lightheadedness; headaches that won't go away with or without blurred vision ; difficulty falling asleep or staying asleep; nightmares; not trusting others or feeling that others want to hurt you; hallucinations seeing things or hearing voices that do not exist ; thoughts or actions towards hurting or killing yourself; feeling restless, anxious, nervous, depressed, memory changes, or confused, or other changes in your mood or behavior.
Taking ciprofloxacin may worsen muscle weakness in people with myasthenia gravis a disorder of the nervous system that causes muscle weakness and cause severe difficulty breathing or death. Tell your doctor if you have myasthenia gravis. Your doctor may tell you not to take ciprofloxacin.
If you have myasthenia gravis and your doctor tells you that you should take ciprofloxacin, call your doctor immediately if you experience muscle weakness or difficulty breathing during your treatment.
Your doctor or pharmacist will give you the manufacturer's patient information sheet Medication Guide when you begin treatment with ciprofloxacin.
Read the information carefully and ask your doctor or pharmacist if you have any questions. Ciprofloxacin is used to treat or prevent certain infections caused by bacteria such as pneumonia; gonorrhea a sexually transmitted disease ; typhoid fever a serious infection that is common in developing countries ; infectious diarrhea infections that cause severe diarrhea ; and infections of the skin, bone, joint, abdomen stomach area , and prostate male reproductive gland , Ciprofloxacin is also used to treat or prevent plague a serious infection that may be spread on purpose as part of a bioterror attack and inhalation anthrax a serious infection that may be spread by anthrax germs in the air on purpose as part of a bioterror attack.
Ciprofloxacin may also be used to treat bronchitis, sinus infections, or urinary tract infections but should not be used for bronchitis and sinus infections, or certain types of urinary tract infections if there are other treatment options. Ciprofloxacin extended-release long-acting tablets are used to treat kidney and urinary tract infections; however, some types of urinary tract infections should only be treated with ciprofloxacin extended release tablets if no other treatment options are available.
Ciprofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria that cause infections. Antibiotics such as ciprofloxacin will not work for colds, flu, or other viral infections. Using antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment.
Ciprofloxacin comes as a tablet, a suspension liquid , and an extended-release tablet to take by mouth with or without food. The tablets and suspension are usually taken twice a day, and the extended-release tablets are usually taken once a day.
When used to treat gonorrhea, the tablets and suspension may be given as a single dose. Take ciprofloxacin at around the same time s every day. The length of your treatment depends on the type of infection you have. Your doctor will tell you how long to take ciprofloxacin. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Take ciprofloxacin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. One type of ciprofloxacin cannot be substituted for another. Be sure that you receive only the type of ciprofloxacin that was prescribed by your doctor. Ask your pharmacist if you have any questions about the type of ciprofloxacin you were given. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Use the medicine exactly as directed. Shake the oral suspension liquid for 15 seconds before you measure a dose.
Use the dosing syringe provided, or use a medicine dose-measuring device not a kitchen spoon. Do not give ciprofloxacin oral suspension through a feeding tube. Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Ciprofloxacin will not treat a viral infection such as the flu or a common cold. 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. If you take regular tablets or oral suspension : Take the medicine as soon as you can, but skip the missed dose if your next dose is due in less than 6 hours.
If you take extended-release tablets : Take the medicine as soon as you can, but skip the missed dose if your next dose is due in less than 8 hours. You should start to feel better within a few days of taking ciprofloxacin, but this will depend on the type of infection you have. Your dose of ciprofloxacin will depend on your medical condition, overall health, age, and other factors.
Be sure to take all the medicine your doctor prescribes, even if you feel better. Stopping ciprofloxacin too soon could cause the bacteria to become resistant to antibiotics. Ciprofloxacin may be used to treat or prevent a variety of secondary health conditions, including:.
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