Generic Name: Ciprofloxacin Oral Suspension (SIP roe FLOX a sin)
Brand Name: Cipro
Medically reviewed: April 4, 2018
- This medicine may cause very bad side effects. These include irritated or torn tendons; nerve problems in the arms, hands, legs, or feet; and nervous system problems. These side effects can happen alone or at the same time. They can happen within hours to weeks after starting this drug. Some of these side effects may not go away, and may lead to disability or death. Talk with the doctor.
- The chance of irritated or torn tendons is greater in people over the age of 60; heart, kidney, or lung transplant patients; or people taking steroid drugs. Tendon problems can happen as long as several months after treatment. Call your doctor right away if you have pain, bruising, or swelling in the back of the ankle, shoulder, hand, or other joints. Call you doctor right away if you are not able to move or bear weight on a joint or if you hear or feel a snap or pop.
- Call your doctor right away if you have signs of nerve problems. These may include not being able to handle heat or cold; change in sense of touch; or burning, numbness, tingling, pain, or weakness in the arms, hands, legs, or feet.
- Call your doctor right away if you have signs of nervous system problems. These may include anxiety, bad dreams, trouble sleeping, change in eyesight, dizziness, feeling confused, feeling nervous or agitated, feeling restless, hallucinations (seeing or hearing things that are not there), new or worse behavior or mood changes like depression or thoughts of killing yourself, seizures, or very bad headaches.
- Do not take if you have myasthenia gravis. Very bad and sometimes deadly breathing problems have happened with Cipro (ciprofloxacin oral suspension) in people who have myasthenia gravis.
- For some health problems, Cipro (ciprofloxacin oral suspension) is only for use when other drugs cannot be used or have not worked. Talk with the doctor to be sure that the benefits of Cipro (ciprofloxacin oral suspension) are more than the risks.
Uses of Cipro:
- It is used to treat or prevent bacterial infections.
What do I need to tell my doctor BEFORE I take Cipro?
- If you have an allergy to ciprofloxacin or any other part of Cipro (ciprofloxacin oral suspension).
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have any of these health problems: Long QTc on ECG or other heartbeat that is not normal, slow heartbeat, or low potassium or magnesium levels.
- If you have kidney problems.
- If you have heart failure (weak heart).
- If you have had a recent heart attack.
- If you have ever had any of these health problems: Nerve problems or tendon problems.
- If you have had tendons get irritated or torn when taking Cipro (ciprofloxacin oral suspension) or an alike drug in the past.
- If you have been taking any drugs to treat a heartbeat that is not normal.
- If you are taking any drugs that can cause a certain type of heartbeat that is not normal (prolonged QT interval). There are many drugs that can do this. Ask your doctor or pharmacist if you are not sure.
- If you are taking any of these drugs: Duloxetine, theophylline, tizanidine, or zolpidem.
- If you are breast-feeding or plan to breast-feed.
This is not a list of all drugs or health problems that interact with Cipro (ciprofloxacin oral suspension).
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Cipro (ciprofloxacin oral suspension) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Cipro?
- Tell all of your health care providers that you take Cipro (ciprofloxacin oral suspension). This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert until you see how Cipro (ciprofloxacin oral suspension) affects you.
- Have your blood work checked if you are on Cipro (ciprofloxacin oral suspension) for a long time. Talk with your doctor.
- If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
- Tell your doctor if you have signs of high or low blood sugar like breath that smells like fruit, dizziness, fast breathing, fast heartbeat, feeling confused, feeling sleepy, feeling weak, flushing, headache, more thirsty or hungry, passing urine more often, shaking, or sweating.
- This medicine may affect how much of some other drugs are in your body. If you are taking other drugs, talk with your doctor. You may need to have your blood work checked more closely while taking Cipro (ciprofloxacin oral suspension) with your other drugs.
- Do not use longer than you have been told. A second infection may happen.
- Tell your doctor if you take a drug that has caffeine, or you eat or drink products that have caffeine, like tea, coffee, cola, or chocolate.
- You may get sunburned more easily. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.
- Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.
- Very bad and sometimes deadly allergic reactions have rarely happened. Talk with your doctor.
- Rarely, very bad and sometimes deadly effects have happened with Cipro (ciprofloxacin oral suspension). These include muscle or joint, kidney, liver, blood, and other problems. Talk with the doctor if you have questions.
- A type of abnormal heartbeat (prolonged QT interval) can happen with Cipro (ciprofloxacin oral suspension). Call your doctor right away if you have a fast heartbeat, a heartbeat that does not feel normal, or if you pass out.
- If you are over the age of 60, use Cipro (ciprofloxacin oral suspension) with care. You could have more side effects.
- Use care in children younger than 18 years of age. Talk with the doctor.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Cipro (ciprofloxacin oral suspension) while you are pregnant.
How is this medicine (Cipro) best taken?
Use Cipro (ciprofloxacin oral suspension) as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Take Cipro (ciprofloxacin oral suspension) at the same time of day.
- Take with or without food.
- Take with a full glass of water.
- Shake well for about 15 seconds before each use.
- Measure liquid doses carefully. Use the measuring device that comes with Cipro (ciprofloxacin oral suspension).
- Do not chew the mixture.
- Keep lid tightly closed.
- Do not put liquid suspension down a feeding tube.
- After using the measuring spoon, clean with soap and water and be sure it is completely dry before using it again.
- Throw away any part not used after treatment is done.
- Do not take Cipro (ciprofloxacin oral suspension) along with dairy products, like milk or yogurt, or calcium-rich juices. This medicine may be taken with a full meal if the meal has these products.
- Take Cipro (ciprofloxacin oral suspension) 2 hours before or 6 hours after antacids, didanosine, lanthanum, sucralfate, quinapril, bismuth, sevelamer, multivitamins, or other products that contain magnesium, calcium, aluminum, iron, or zinc.
- To gain the most benefit, do not miss doses.
- Keep using Cipro (ciprofloxacin oral suspension) as you have been told by your doctor or other health care provider, even if you feel well.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
See also: Dosage Information (in more detail)
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
- Chest pain or pressure.
- Feeling very tired or weak.
- Shortness of breath.
- Any unexplained bruising or bleeding.
- Trouble walking.
- Vaginal itching or discharge.
- White patches in mouth.
- Fever or chills.
- Sore throat.
- Ringing in ears.
- Muscle pain or weakness.
- Very bad and sometimes deadly liver problems have happened with Cipro (ciprofloxacin oral suspension). Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
- It is common to have diarrhea when taking Cipro (ciprofloxacin oral suspension). Rarely, a very bad form of diarrhea called Clostridium difficile (C diff)–associated diarrhea (CDAD) may occur. Sometimes, this has led to a deadly bowel problem (colitis). CDAD may happen while you are taking Cipro (ciprofloxacin oral suspension) or within a few months after you stop taking it. Call your doctor right away if you have stomach pain or cramps, very loose or watery stools, or bloody stools. Do not try to treat loose stools without first checking with your doctor.
What are some other side effects of Cipro?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Upset stomach or throwing up.
- Loose stools (diarrhea).
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
See also: Side effects (in more detail)
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Cipro?
- Store liquid (suspension) at room temperature or in a refrigerator. Do not freeze. Throw away any part not used after 2 weeks.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time Cipro (ciprofloxacin oral suspension) is refilled. If you have any questions about Cipro (ciprofloxacin oral suspension), please talk with the doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
More about Cipro (ciprofloxacin)
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- Dosage Information
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- Drug class: quinolones
Other brands: Proquin XR