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Cipro (Ciprofloxacin) - Purchase Online
Brand Names: Cipro, Cipro XR (Extended Release), Ciproxin, Ciprobay
Generic Name: ciprofloxacin
Manufactured by: Bayer A.G. HealthCare Bayer Pharmaceuticals Corporation
Ciprofloxacin's Systematic (IUPAC) name:
1-cyclopropyl-6-fluoro-4-oxo-7-piperazin-1-yl-quinoline-3-carboxylic acid
Chemical Formula: C17H18FN3O3
Cipro is an antibiotic in a group of drugs called fluoroquinolones. It fights bacteria in the body. It blocks bacterial DNA replication by binding itself to an enzyme called DNA gyrase, thereby causing double-stranded breaks in the bacterial chromosome and stopping bacteria's replication cycle. Antibacterial drugs including Cipro Tablets and Cipro Oral Suspension should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold).
Cipro is used to treat different types of bacterial infections. It may also be used to prevent or slow anthrax after exposure. The drug is available for oral, parenteral and topical use. It is used in lower respiratory infections (pneumonias), urinary tract infections, STDs, septicemias, Legionellosis and atypical Mycobacteria.
It is contraindicated in children (except for serious infections and anthrax post-exposure), pregnancy, and in patients with epilepsy. Dose adjustment or avoidance may be necessary with liver or renal failure.
Ciprofloxacin has not been shown to be effective in the treatment of syphilis. Antimicrobial agents used in high dose for short periods of time to treat gonorrhea may mask or delay the symptoms of incubating syphilis. All patients with gonorrhea should have a serologic test for syphilis at the time of diagnosis. Patients treated with ciprofloxacin should have a follow-up serologic test for syphilis after three months.
Ciprofloxacin is available in oral tablets (250, 500, 750, and 1000 mg), as well as ready-made infusion bottles (200 and 400 mg). A combination preparation of ciprofloxacin 500 mg and tinidazole 600 mg is marketed under the name Ciplox-TZ for infections where anaerobes or protozoa together with ciprofloxacin-sensitive aerobes are likely.
CIPRO (ciprofloxacin hydrochloride) Tablets are supplied as:
Each tablet or is coded with the word ?BAYER? on one side and words, ?CIP 250?, ?CIP 500? or ?CIP 750? (according to the medication dose) on the reverse side. CIPRO 250 mg, 500 mg, and 750 mg are available in bottles of 50, 100, and Unit Dose packages of 100. Store below 30?C (86?F).
Ciprofloxacin Oral Suspension is available in 5% (5 g ciprofloxacin in 100 mL) and 10% (10 g ciprofloxacin in 100 mL) strengths. Ciprofloxacin Oral Suspension is a white to slightly yellowish suspension with strawberry flavor which may contain yellow-orange droplets. The drug product is composed of two components (microcapsules and diluent) which must be combined prior to dispensing.
Microcapsules and diluent should be stored below 25?C (77?F) and protected from freezing. Reconstituted product may be stored below 30?C (86?F) for 14 days. Protect from freezing. A teaspoon is provided for the patient.
One teaspoonful (5 mL) of 5% ciprofloxacin oral suspension = 250 mg of ciprofloxacin. One teaspoonful (5 mL) of 10% ciprofloxacin oral suspension = 500 mg of ciprofloxacin.
When preparing the suspension, pour the microcapsules from the small bottle completely into the larger bottle of diluent. Do not add water to the suspension. Close the large bottle completely vigorously for about 15 seconds. The suspension is ready for use. Do not to chew the microcapsules when drinking the suspension.
Ciprofloxacin has been associated with an increased rate of adverse events involving joints and surrounding tissue structures (like tendons) in pediatric patients (less than 18 years of age). Parents should inform their child's physician if the child has a history of joint-related problems before taking this drug.
Patients over 65 years of age are at increased risk for developing severe tendon disorders including tendon rupture when being treated with Cipro. This risk is further increased in patients receiving concomitant corticosteroid therapy. Patients should be informed of this potential side effect and advised to discontinue therapy and inform their physicians if any tendon symptoms occur.
The major adverse effect seen with use is gastrointestinal irritation, common with many antibiotics. Diarrhea is a common problem caused by antibiotics which usually ends when the antibiotic is discontinued.
Certain medicines should be taken at least 2 hours after or 6 hours before you take Cipro. This includes didanosine (Videx) chewable/buffered tablets or powder; sucralfate (Carafate); antacids that contain calcium, magnesium or aluminum (such as Tums or Rolaids); or vitamin or mineral supplements that contain calcium, iron, or zinc. Do not use Cipro if you are also taking tizanidine (Zanaflex).
Avoid caffeine while you are taking Cipro, because the medication can make the effects of caffeine stronger.
Do not take Cipro with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink dairy products or calcium-fortified juice with a regular meal, but do not use them alone when taking Cipro. They could make the medication less effective.
Taking this medication can make your skin more sensitive to sunlight. Avoid exposure to sunlight, sun lamps, or tanning beds.
Before taking this medication, tell your doctor if you have:
If you have any of these conditions, you may not be able to use Cipro or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category C: This medication may be harmful to an unborn baby. Do not use this medication without telling your doctor if you are pregnant. Tell your doctor if you become pregnant during treatment. Cipro passes into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Take this medication exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
Dosage in Respiratory tract infection is 500-1500 mg a day in 2 doses. Take each dose with a full glass of water. Drink several extra glasses of fluid each day while you are taking Cipro.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Overdose symptoms may include seizures, urination problems, weakness, or blue lips with pale skin.
Cipro can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Stop using Cipro and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Cipro and call your doctor at once if you have any of these serious side effects:
Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Before taking this medication, tell your doctor if you are taking any of the following drugs:
Because of its general safety, potency and broad spectrum activity, ciprofloxacin was initially reserved as a drug of last resort for use on difficult and antibiotic-resistant infections. As with any antibiotic, however, increasing time and usage has led to an increase in ciprofloxacin-resistant infections, mainly in the hospital setting.
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