Ciprofloxacin/ dexamethasone

Generic Name: ciprofloxacin/dexamethasone (sip-row-FLOX-ah-sin/dex-ah-METH-ah-sone)
Brand Name: Ciprodex

Ciprofloxacin/ dexamethasone is used for:

Treating ear infections caused by certain bacteria.

Ciprofloxacin/dexamethasone is a quinolone antibiotic and corticosteroid combination. It works by killing bacteria by stopping the production of essential proteins needed by the bacteria to survive. It also reduces inflammation (redness, swelling, itching).

Do NOT use ciprofloxacin/ dexamethasone if:

  • you are allergic to any ingredient in ciprofloxacin/dexamethasone or any other fluoroquinolone (eg, levofloxacin) or corticosteroid (eg, prednisone)
  • you have a viral infection of the outer ear, including herpes

Contact your doctor or health care provider right away if any of these apply to you.

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Before using ciprofloxacin/ dexamethasone:

Some medical conditions may interact with ciprofloxacin/dexamethasone. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with ciprofloxacin/dexamethasone. Because little, if any, of ciprofloxacin/dexamethasone is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if ciprofloxacin/dexamethasone may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use ciprofloxacin/ dexamethasone:

Use ciprofloxacin/dexamethasone as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with ciprofloxacin/dexamethasone. Talk to your pharmacist if you have questions about this information.
  • Shake well before each use.
  • Ciprofloxacin/dexamethasone is only for the ear. Do not get it in your eyes, nose, or mouth.
  • Wash hands before and after using ciprofloxacin/dexamethasone.
  • Before using, hold the ear drop container in your hand for a few minutes to avoid dizziness that may result from putting cold drops into the ear.
  • If possible, it may be easier to have another person place the drops in your ear.
  • To use ciprofloxacin/dexamethasone for a middle ear infection in a child with ear tubes, the child should lie down so that the affected ear faces up. Place the dropper directly over the ear and drop the correct number of drops into the ear canal. Gently press the cartilage flap covering the opening to the ear 5 times in a pumping motion. This will allow the medicine to pass into the middle ear. Keep the ear facing up for at least 60 seconds so the medicine can run to the bottom of the ear canal.
  • To use ear drops for an outer ear infection, lie down or tilt your head so that the affected ear faces up. Gently pull the earlobe up and back to straighten the ear canal. Drop the medicine into the ear canal. Keep the ear facing up for at least 60 seconds so the medicine can run to the bottom of the ear canal. A clean cotton plug may be gently inserted into the ear canal to prevent medicine from leaking out.
  • To prevent germs from contaminating your medicine, do not touch the applicator to any surface, including the ear. Keep the container tightly closed.
  • To clear up your infection completely, use ciprofloxacin/dexamethasone for the full course of treatment. Keep using it even if you feel better in a few days.
  • If you miss a dose of ciprofloxacin/dexamethasone, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use ciprofloxacin/dexamethasone.

Important safety information:

  • Be sure to use ciprofloxacin/dexamethasone for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
  • Long-term or repeated use of ciprofloxacin/dexamethasone may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
  • Do not use ciprofloxacin/dexamethasone longer than recommended by your doctor. If you develop 2 or more ear infections in a 6-month period, contact your doctor. You may require further evaluation and a different kind of treatment. Report any discharge from the ear that occurs after the treatment has been completed.
  • Do not get ciprofloxacin/dexamethasone in your eyes. If ciprofloxacin/dexamethasone gets in your eyes, immediately flush them with cool tap water.
  • Talk to your doctor about how to space your doses if you are using other ear drops.
  • Do not use ciprofloxacin/dexamethasone for other ear infections or conditions without checking with your doctor.
  • If your symptoms do not get better within 7 days or if they get worse, check with your doctor.
  • Ciprofloxacin/dexamethasone should not be used in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using ciprofloxacin/dexamethasone while you are pregnant. It is not known if ciprofloxacin/dexamethasone is found in breast milk after topical use. Do not breast-feed while taking ciprofloxacin/dexamethasone.

Possible side effects of ciprofloxacin/ dexamethasone:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Discomfort, pain, or itching in the ear.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); decreased hearing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org ), or emergency room immediately. Symptoms may include swelling or infection of the surrounding skin.

Proper storage of ciprofloxacin/dexamethasone:

Store ciprofloxacin/dexamethasone at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Avoid freezing. Do not store in the bathroom. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Throw away any unused medicine after your treatment has finished. Keep ciprofloxacin/dexamethasone out of the reach of children and away from pets.

General information:

  • If you have any questions about ciprofloxacin/dexamethasone, please talk with your doctor, pharmacist, or other health care provider.
  • Ciprofloxacin/dexamethasone is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take ciprofloxacin/dexamethasone or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about ciprofloxacin/dexamethasone. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to ciprofloxacin/dexamethasone. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using ciprofloxacin/dexamethasone.

Issue Date: December 3, 2014
Database Edition 14.4.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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