Cipro Nhỏ Tai
Mica Withington
Ciprofloxacin may not be appropriate for some of the infections listed above, depending on which germs are causing the infection. Bacteria in some locations may have developed resistance to ciprofloxacin, which will make it less effective.
Oral Tablets. Most ciprofloxacin oral tablets should be stored at room temperature, which is generally between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C), for shorter periods of time, such as when transporting it. Medicine should generally be stored in a cool, dry place, in a tightly closed container.
Oral Liquid. Cipro oral liquid should be stored at room temperature, which is generally between 68 F to 77 F (20 C to 25 C) for 14 days. It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C), for shorter periods of time, such as when transporting it. You should not freeze it. Safely throw away any unused portion after the full treatment is finished.
There may be other side effects of ciprofloxacin that are not listed here. Contact your healthcare provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at www.fda.gov/medwatch or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at www.health.gc.ca/medeffect or by calling 866-234-2345.
Tendon Problems. Tendons are the connectors between your bones and muscles. Problems with tendons can happen in people who are taking ciprofloxacin or who have taken it in the past several months. This can possibly lead to tendon swelling, also called tendonitis, or tearing of the tendon. It is most common with then tendon on the back of your ankle, called the Achilles tendon, but can also happen with other tendons.
Nerve Problems. Nerves are the fibers that carry sensations from your body to the brain. Damage to these nerves, called peripheral neuropathy, can happen in people who are taking ciprofloxacin. Stop taking ciprofloxacin and call your healthcare provider if you develop pain, burning, tingling, numbness, or weakness in your arms, hands, legs, or feet.
Seizures. Some people who have taken ciprofloxacin have reporting having seizures. There are many different types of seizures and some of them are not easy to recognize. Stop taking ciprofloxacin and call your healthcare provider if you experience any of the following signs that a seizure is happening or could happen.
Severe Allergic Reactions. Ciprofloxacin can cause allergic reactions, which can be serious. Stop using ciprofloxacin and get help right away if you have any of the following symptoms of a serious allergic reaction.
Liver Damage. Liver damage, also called hepatotoxicity, can happen when taking ciprofloxacin. Call your healthcare provider right away if you have any of the following symptoms of liver damage.
Aortic Aneurysm and Dissection. Tell your healthcare provider if you have ever had swelling or a tear in the large artery that carries blood from the heart, called the aorta. Get emergency help right away if you have sudden symptoms related to this condition, such as chest pain, stomach pain, or back pain.
Heart Rhythm Changes. Ciprofloxacin may cause a rare dangerous heart rhythm problems called QT prolongation and torsade de pointes. Some people have a higher risk of this, including people who are older, have other people in their family who have had these conditions, have low potassium or magnesium, or who take some medicines for other heart rhythm problems. Tell your healthcare provider right away if you faint or have changes in your heart rate or rhythm, such as fast or skipping heartbeat.
Sensitivity to Sunlight. Your skin may be very sensitive to light from the sun and devices that give off similar light, such as sunlamps and tanning beds, while you are taking certain drugs, including ciprofloxacin. This is called photosensitivity. Use sunscreen and wear a hat and clothes that cover your skin if you need to be in the sunlight. Exposing your skin to this kind of light, even for a short time, can cause your skin to be severely sunburned, blistered, or swollen. Tell your healthcare provider right away if any of these happen.
Drug Interactions. Ciprofloxacin should not be taken while you are using certain other medicines. Before using ciprofloxacin, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section below for more details.
Myasthenia Gravis. Myasthenia gravis (MG) is a condition that can cause muscle weakness. Ciprofloxacin can make this condition worse. It should not be used in people who have a history of this condition.
Ciprofloxacin can make your skin more sensitive to light from the sun, sunlamps, and tanning beds. This is called photosensitivity. Exposure to this light can cause severe sunburns, blisters, and swelling. If you need to be in sunlight, wear sunscreen, a hat, and clothing that covers your skin.
Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if ciprofloxacin is right for you.
Other Medicines and Supplements. Ciprofloxacin may interact with other medicines and supplements. Before using ciprofloxacin, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section below for more details.
Breastfeeding. Ciprofloxacin passes into breast milk. You should not breastfeed while using ciprofloxacin or for two days after you finish using it. You may pump and throw away your breast milk during this time. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.
It is important to complete your prescribed course of ciprofloxacin, even if your symptoms get better or go away. This will reduce the risk that future infections are resistant to ciprofloxacin or other similar medicines.
If you miss a dose of ciprofloxacin or Cipro tablets or liquid and it is still more than 6 hours until your next scheduled dose, take your missed dose right away. Then take your next dose at the regular time.
Taking ciprofloxacin increases the risk that you will develop tendinitis (swelling of a fibrous tissue that connects a bone to a muscle) or have a tendon rupture (tearing of a fibrous tissue that connects a bone to a muscle) during your treatment or for up to several months afterward. These problems may affect tendons in your shoulder, your hand, the back of your ankle, or in other parts of your body. Tendinitis or tendon rupture may happen to people of any age, but the risk is highest in people over 60 years of age. Tell your doctor if you have or have ever had a kidney, heart, or lung transplant; kidney disease; a joint or tendon disorder such as rheumatoid arthritis (a condition in which the body attacks its own joints, causing pain, swelling, and loss of function); or if you participate in regular physical activity. Tell your doctor and pharmacist if you are taking oral or injectable steroids such as dexamethasone, methylprednisolone (Medrol), or prednisone (Rayos). If you experience any of the following symptoms of tendinitis, stop taking ciprofloxacin, rest, and call your doctor immediately: pain, swelling, tenderness, stiffness, or difficulty in moving a muscle. If you experience any of the following symptoms of tendon rupture, stop taking ciprofloxacin and get emergency medical treatment: hearing or feeling a snap or pop in a tendon area, bruising after an injury to a tendon area, or inability to move or to bear weight on an affected area.
Taking ciprofloxacin may cause changes in sensation and nerve damage that may not go away even after you stop taking ciprofloxacin. This damage may occur soon after you begin taking ciprofloxacin. Tell your doctor if you have ever had peripheral neuropathy (a type of nerve damage that causes tingling, numbness, and pain in the hands and feet). If you experience any of the following symptoms, stop taking ciprofloxacin and call your doctor immediately: numbness, tingling, pain, burning, or weakness in the arms or legs; or a change in your ability to feel light touch, vibrations, pain, heat, or cold.
Taking ciprofloxacin may affect your brain or nervous system and cause serious side effects. This can occur after the first dose of ciprofloxacin. Tell your doctor if you have or have ever had seizures, epilepsy, cerebral arteriosclerosis (narrowing of blood vessels in or near the brain that can lead to stroke or ministroke), stroke, changed brain structure, or kidney disease. If you experience any of the following symptoms, stop taking ciprofloxacin and call your doctor immediately: seizures; tremors; dizziness; lightheadedness; headaches that won't go away (with or without blurred vision); difficulty falling asleep or staying asleep; nightmares; not trusting others or feeling that others want to hurt you; hallucinations (seeing things or hearing voices that do not exist); thoughts or actions towards hurting or killing yourself; feeling restless, anxious, nervous, depressed, memory changes, or confused, or other changes in your mood or behavior.
Taking ciprofloxacin may worsen muscle weakness in people with myasthenia gravis (a disorder of the nervous system that causes muscle weakness) and cause severe difficulty breathing or death. Tell your doctor if you have myasthenia gravis. Your doctor may tell you not to take ciprofloxacin. If you have myasthenia gravis and your doctor tells you that you should take ciprofloxacin, call your doctor immediately if you experience muscle weakness or difficulty breathing during your treatment.
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