Cipro 500 mg contains ciprofloxacin, a fluoroquinolone antibiotic. This summary concerns oral tablets, not eye or ear drops. The US label covers specified susceptible bacterial infections, including some urinary, gastrointestinal, skin and other infections. The current UK label restricts systemic ciprofloxacin to situations where commonly recommended antibiotics are inappropriate. It does not treat viral colds, and bacterial susceptibility cannot be assumed from symptoms alone.<\/p>\n
Fluoroquinolones can cause serious, sometimes prolonged or irreversible reactions involving tendons, nerves, muscles or mental health. Risk of tendon injury is higher with corticosteroids, older age and certain underlying medical conditions, but reactions can occur without these factors. New tendon pain, burning or numbness, marked weakness, hallucinations or severe mood changes need prompt medical assessment. Existing myasthenia gravis is particularly important because weakness may worsen. Sudden severe chest, back or abdominal pain requires emergency assessment because aortic complications are a recognised warning.<\/p>\n
Ciprofloxacin must not be combined with tizanidine because substantially increased exposure can cause profound sedation and low blood pressure. It can also increase exposure to theophylline, clozapine and ropinirole. Warfarin can require closer INR monitoring. Medicines that prolong the QT interval, and low potassium or magnesium, increase concern about abnormal heart rhythms. Antacids, iron, zinc, calcium-containing supplements and certain phosphate binders can reduce tablet absorption. A pharmacist should provide the product-specific separation instructions. Dairy products or calcium-fortified drinks taken alone are different from calcium included within an ordinary meal.<\/p>\n
Nausea, diarrhoea, headache and dizziness can occur; severe or bloody diarrhoea needs assessment. Blood glucose disturbances are especially relevant with insulin or diabetes medicines. Kidney impairment may require a different regimen. Pregnancy, breastfeeding, seizures and previous serious quinolone reactions should be disclosed. Seek help for allergic swelling or a blistering rash. Do not use another person's supply or choose a course from an online summary.<\/p>\n
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