HOW TO USE: Take tablets by mouth. Follow the directions
on the prescription label. Swallow cipro tablets whole with a full glass of
water. Although this medicine can be taken with meals, it is best to take ciprofloxacin
on an empty stomach. One hour before or two hours after meals is the preferred
time. Do not take with magnesium/aluminum antacids, sucralfate, Videx® (didanosine)
chewable/buffered tablets or pediatric powder, or with other products containing
calcium, iron or zinc. Cipro may be taken two hours before or six hours after
taking these products. Cipro should not be taken with dairy products (such
as milk or yogurt) or calcium-fortified juices alone; however, cipro may be
taken with a meal that contains these products. Take your doses at regular
intervals. Do not take your medicine more often than directed. Finish the full
course prescribed by your prescriber or health care professional even if you
think your condition is better. Do not stop taking except on your prescriber's
advice.
Contact your pediatrician or health care professional regarding the use
of this medicine in children. Special care may be needed.
SIDE EFFECTS: Side effects that you should report to your prescriber or
health care professional as soon as possible: difficulty breathing; fever;
hallucinations; increased sensitivity to the sun or ultraviolet light; irregular
heartbeat, palpitations or chest pain; joint, muscle or tendon pain; nervousness,
excitability, restlessness; reduced amount of urine; severe or watery diarrhea;
skin rash, itching; seizures (convulsions); swelling of the face or neck;
vomiting.
Side effects that usually do not require medical attention (report to your
prescriber or health care professional if they continue or are bothersome):
diarrhea; difficulty sleeping; dizziness, drowsiness; headache; nausea; stomach
upset.
PRECAUTIONS: Tell your prescriber or health care professional if your symptoms
do not improve in 2 to 3 days.If you get severe or watery diarrhea, do not
treat yourself. Call your prescriber or health care professional for advice.Make
sure you stay well hydrated while taking cipro. Drink several glasses of
water a day. This helps to prevent crystals of the drug from developing in
your urine.Cut down on drinks that contain caffeine. Cipro can increase the
stimulant effects of caffeine and cause heart, breathing and other problems.Keep
out of the sun, or wear protective clothing outdoors and use a sunscreen.
Do not use sun lamps or sun tanning beds or booths.You may get drowsy or
dizzy. Do not drive, use machinery, or do anything that needs mental alertness
until you know how cipro affects you. To reduce the risk of dizzy or fainting
spells, do not sit or stand up quickly, especially if you are an older patient.Antacids
can make cipro ineffective. If you get an upset stomach and want to take
an antacid, make sure there is an interval of at least 2 hours since you
last took cipro, or 6 hours before your next dose. Iron and zinc preparations
can also make ciprofloxacin ineffective. Do not take multivitamins at the
same time you take your ciprofloxacin tablets.If you notice pain or swelling
of a tendon or around a joint, stop taking cipro. Call your healthcare provider.
Rest the affected area. Do not exercise or take cipro until your healthcare
provider tells you to do so.
If you are going to have surgery, tell your prescriber or health care professional
that you are taking cipro.
DRUG INTERACTIONS: Acetazolamide; aluminum salts; antacids; caffeine; calcium
salts; citric acid; potassium citrate; sodium citrate products; didanosine,
ddI; iron supplements; magnesium salts; manganese; medicines for diabetes;
methazolamide; multivitamins containing calcium, iron, magnesium, manganese,
or zinc; mexiletine; NSAIDs such as Advil®, Aleve®, ibuprofen, Motrin®,
naproxen; phenytoin; probenecid; sodium bicarbonate; sucralfate; theophylline;
ursodiol; warfarin; zinc salts.
Tell your prescriber or health care professional about all other medicines
you are taking, including nonprescription medicines, nutritional supplements,
or herbal products. Also tell your prescriber or health care professional
if you are a frequent user of drinks with caffeine or alcohol, if you smoke,
or if you use illegal drugs. These may affect the way your medicine works.
Check with your health care professional before stopping or starting any
of your medicines.
NOTES: Prescriber needs to know if you have any of these conditions: dehydration;
kidney disease; liver disease; seizures (convulsions); stomach problems (especially
colitis); an unusual or allergic reaction to ciprofloxacin, other medicines,
foods, dyes, or preservatives; pregnant or trying to get pregnant; breast-feeding.
MISSED DOSE: If you miss a dose, take it as soon as you can. If it is almost
time for your next dose, take only that dose. Do not take double or extra
doses. This medication should be taken at regular intervals.
Store at room temperature below 30 degrees C (86 degrees F). Keep container
tightly closed. Throw away any unused medicine after the expiration date.
STORAGE: Store at room temperature between 59 and 86 degrees F (15 and 30
degrees C) away from light and moisture.
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