Ciprofloxacin/dexamethasone otic Disease Interactions
There are 2 disease interactions with ciprofloxacin / dexamethasone otic.
Otic agents (applies to ciprofloxacin/dexamethasone otic) perforated tympanic membrane
Major Potential Hazard, High plausibility. Applicable conditions: Chronic Otitis Media
The use of medications that are intended for the treatment of otitis externa or other conditions of the external ear canal should generally be avoided, or otherwise approached with caution, in patients with a perforated tympanic membrane due to the risk of toxicity from medication that may get into the middle ear. Caution is also advised in patients with longstanding, chronic otitis media because of the possibility of a perforated tympanic membrane in such patients.
Otic corticosteroids (applies to ciprofloxacin/dexamethasone otic) viral infections
Major Potential Hazard, High plausibility. Applicable conditions: Herpes Simplex Otitis Externa, Herpes Zoster Otitis Externa
The use of otic preparations containing corticosteroids is contraindicated in patients with viral infections of the external canal including varicella and herpes simplex otitis externa. Corticosteroids may decrease host resistance to infectious agents, thus prolonging the course and/or exacerbating the severity of the infection while encouraging the development of new or secondary infection. Normally, corticosteroids may be administered with caution provided it is accompanied by appropriate anti-infective agents. However, otic preparations that are currently available lack effective antiviral agents.
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- During pregnancy
- Drug class: otic steroids with anti-infectives
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Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
No interaction information available. |
Further information
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