Ciprofloxacin
Brand: Cipro
Boxed warning
Disabling and potentially irreversible tendinitis and tendon rupture, peripheral neuropathy, and CNS effects; may worsen myasthenia gravis.
- Caution
- QT prolongation, blood sugar disturbances, aortic aneurysm and dissection, and photosensitivity.
- Pregnancy
- Avoid in pregnancy unless no alternative: cartilage effects seen in animal studies.
Common side effects
- Nausea
- Diarrhea
- Dizziness
- Tendon pain
- Photosensitivity
Key interactions
- Separate from dairy, antacids, iron, and calcium
- Adds bleeding risk with warfarin
- QT risk with other QT-prolonging drugs
Counseling points
- Take doses spaced evenly
- Separate from dairy and antacids by 2-6 hours
- Report tendon pain or swelling
- Use sun protection
- Finish the full course
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