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Before
taking ciprofloxacin, tell your doctor and pharmacist if you are
allergic to ciprofloxacin; other quinolone and fluoroquinolone
antibiotics such as cinoxacin (Cinobac), enoxacin (Penetrex),
gatifloxacin (Tequin), gemifloxacin (Factive), levofloxacin (Levaquin),
lomefloxacin (Maxaquin), moxifloxacin (Avelox), nalidixic acid
(NegGram), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin
(Zagam), trovafloxacin and alatrofloxacin combination (Trovan); or any
other medications. tell your doctor and pharmacist what other
prescription and nonprescription medications, vitamins, nutritional
supplements, and herbal products you are taking. Be sure to mention any
of the following: acetazolamide (Diamox); anticoagulants (blood
thinners) such as warfarin (Coumadin); brinzolamide (Azopt); cancer
chemotherapy medications; chloroquine (Aralen); cyclosporine (Neoral,
Sandimmune), dichlorphenamide (Daranide); dorzolamide (Cosopt,
Trusopt); glyburide (DiaBeta, Glycron, Glynase, Micronase); isoniazid
(INH, Nydrazid); medications for depression , pain, or mental illness;
medications for diarrhea, such as dicyclomine (Bentyl), diphenoxylate
(Lomotil), and loperamide (Imodium); medications that contain caffeine
(NoDoz, Vivarin, others); methazolamide (GlaucTabs, Nepatazane);
methocarbamol (Robaxin); metoclopramide (Reglan); methotrexate
(Rheumatrex, Trexall); mycophenolate mofetil (CellCept); neostigmine
(Prostigmin); nonsteroidal anti-inflammatory medications (NSAIDs) such
as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); oral
steroids such as dexamethasone (Decadron, Dexone), methylprednisolone
(Medrol), and prednisone (Deltasone); other antibiotics; phenytoin
(Dilantin, Phenytek); physostigmine (Antilirium); potassium citrate and
citric acid (Cytra-K, Polycitra-K); probenecid (Benemid);
pyridostigmine (Mestinon, Regonol); pyrimethamine (Daraprim); sedatives
and sleeping pills; sodium bicarbonate (Soda Mint, baking soda); sodium
citrate and citric acid (Bicitra, Oracit); theophylline (Theobid,
Theo-Dur, Slo-bid, others); or tacrolimus (Prograf). Your doctor may
need to change the doses of your medications or monitor you carefully
for side effects. if you are taking antacids (Maalox, Mylanta);
didanosine (Videx) chewable tablets or solution (liquid); calcium,
iron, zinc or vitamin supplements; or sucralfate (Carafate), take them
6 hours before or 2 hours after ciprofloxacin. tell your doctor if you
have or have ever had arthritis; dementia (memory loss and personality
changes); depression; mental illness; diarrhea during or after
antibiotic therapy; recent head injury; seizures; stroke or
mini-stroke; or kidney or liver disease. you should know that
ciprofloxacin and other similar antibiotics have caused serious and
occasionally fatal allergic reactions in some patients. If you develop
hives; difficulty breathing or swallowing; rapid, irregular or pounding
heartbeat; fainting; dizziness; blurred vision, or other symptoms of a
severe allergic reaction, seek emergency medical care right away. If
you develop a skin rash, stop taking gemifloxacin and call your doctor.
Call your doctor if you experience other signs of an allergic reaction
such as itching; tingling; swelling of the face, throat, tongue, lips,
eyes, hands, feet, ankles, or lower legs; fever; hoarseness; joint or
muscle pain; unusual bruising or bleeding; extreme tiredness; lack of
energy; loss of appetite; pain in the upper right part of the stomach;
yellowing of the skin or eyes; flu- like symptoms; or upset stomach.
tell your doctor if you have ever had tendonitis (swelling or tearing
of the fiber that connects a bone to a muscle) and if you participate
in regular athletic activity. If you experience symptoms of tendonitis,
such as pain, swelling, tenderness, stiffness, or difficulty in moving
a muscle, stop taking ciprofloxacin, rest, and call your doctor
immediately. tell your doctor if you are pregnant, plan to become
pregnant, or are breast-feeding. If you become pregnant while taking
ciprofloxacin, call your doctor. if you are having surgery, including
dental surgery, tell the doctor or dentist that you are taking
ciprofloxacin. you should know that ciprofloxacin may cause dizziness,
lightheadedness, and tiredness. Do not drive a car or operate machinery
until you know how this medication affects you. plan to avoid
unnecessary or prolonged exposure to sunlight or ultraviolet light
(tanning beds) and to wear protective clothing, sunglasses, and
sunscreen. Ciprofloxacin may make your skin sensitive to sunlight. you
should know that ciprofloxacin may cause diarrhea during or after your
treatment. You should not treat this diarrhea with over the counter
medications. Instead, call your doctor to find out what to do. |