ciprofloxacin and dexamethasone otic

Generic Name: ciprofloxacin and dexamethasone otic (SIP roe FLOX a sin and DEX a METH a sone OH tik)
Brand Name: Ciprodex

What is ciprofloxacin and dexamethasone otic?

Ciprofloxacin is an antibiotic that treats infections caused by bacteria.

Dexamethasone is a steroid. It reduces the actions of chemicals in the body that cause inflammation.

Ciprofloxacin and dexamethasone otic (for the ear) is a combination medicine used to treat infections inside the ear (also called otitis media), and infections of the ear canal (also called otitis externa).

Ciprofloxacin and dexamethasone may also be used for purposes not listed in this medication guide.

What is the most important information I should know about ciprofloxacin and dexamethasone otic?

You should not use this medicine if you have a viral infection affecting your ear canal, including herpes or chickenpox.

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What should I discuss with my healthcare provider before using ciprofloxacin and dexamethasone otic?

You should not use this medicine if you are allergic to ciprofloxacin or dexamethasone, or if you have:

  • a viral infection affecting your ear canal, including herpes or chickenpox; or

  • if you are allergic to any antibiotic similar to ciprofloxacin (Cipro), such as gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), or ofloxacin (Floxin).

To make sure this medicine is safe for you, tell your doctor if you have:

  • severe ear pain; or

  • hearing problems.

FDA pregnancy category C. It is not known whether ciprofloxacin and dexamethasone otic will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

It is not known whether ciprofloxacin and dexamethasone otic passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.

Ciprofloxacin and dexamethasone should not be used on a child younger than 6 months old.

How should I use ciprofloxacin and dexamethasone otic?

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. Ciprofloxacin and dexamethasone otic is for use only in the ears.

Shake the medicine well just before each use.

You may warm the medicine before use by holding the bottle in your hand for 1 or 2 minutes. Using cold ear drops can cause dizziness, especially in a child who has ear tubes in place.

To use the ear drops:

  • Lie down or tilt your head with your ear facing upward. Open the ear canal by gently pulling your ear back, or pulling downward on the earlobe when giving this medicine to a child.

  • Hold the dropper upside down over your ear and drop the correct number of drops into the ear.

  • Stay lying down or with your head tilted for 60 seconds. You may use a small piece of cotton to plug the ear and keep the medicine from draining out.

Do not touch the dropper tip or place it directly in your ear. It may become contaminated. Wipe the tip with a clean tissue but do not wash with water or soap.

Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics.

Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have new symptoms.

Store at room temperature away from moisture, heat, and light. Throw away any unused medicine after your treatment is finished.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

An overdose of this medicine is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while using ciprofloxacin and dexamethasone otic?

Avoid getting water in your ears while bathing or showering. Avoid swimming while you are treating an ear infection.

Avoid getting the medicine in your eyes.

Do not use other ear medications unless your doctor tells you to.

Ciprofloxacin and dexamethasone otic side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using this medicine and call your doctor at once if you have:

  • the first sign of any skin rash, no matter how mild;

  • drainage from your ears; or

  • severe burning or other irritation after using the ear drops.

Common side effects may include:

  • ear itching or pain, ear discomfort or fullness;

  • unusual taste in your mouth;

  • feeling irritable;

  • rash; or

  • a buildup of debris in the ear canal.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Ciprofloxacin and dexamethasone otic dosing information

Usual Adult Dose for Otitis Externa:

4 drops in the affected ear{s} twice daily for 7 days

Usual Pediatric Dose for Otitis Media:

>=6 months: 4 drops in the affected ear{s} twice daily for 7 days

Usual Pediatric Dose for Otitis Externa:

>=6 months: 4 drops in the affected ear{s} twice daily for 7 days

What other drugs will affect ciprofloxacin and dexamethasone otic?

It is not likely that other drugs you take orally or inject will have an effect on ciprofloxacin and dexamethasone used in the ears. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Where can I get more information?

  • Your pharmacist can provide more information about ciprofloxacin and dexamethasone otic.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 2.01. Revision Date: 2014-10-29, 1:59:13 PM.

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