Ciprofloxacin Hydrochloride description, usages, side effects, indications, overdosage, supplying and lots more!

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Ciprofloxacin Hydrochloride

REMEDYREPACK INC.


FULL PRESCRIBING INFORMATION: CONTENTS*




FULL PRESCRIBING INFORMATION

BOXED WARNING

WARNING
Fluoroquinolones, including ciprofloxacin, are associated with an increased risk of tendinitis and tendon rupture in all ages. This risk is further increased in older patients usually over 60 years of age, in patients taking corticosteroid drugs, and in patients with kidney, heart or lung transplants (see WARNINGS).
Fluoroquinolones, including ciprofloxacin, may exacerbate muscle weakness in persons with myasthenia gravis. Avoid ciprofloxacin in patients with known history of myasthenia gravis (see WARNINGS).


CIPROFLOXACIN HYDROCHLORIDE DESCRIPTION


Ciprofloxacin Hydrochloride






CLINICAL PHARMACOLOGY

Absorption







Distribution


Metabolism


Excretion




Drug-Drug Interactions





Special Populations




MICROBIOLOGY
























Susceptibility Tests

Dilution Techniques















Diffusion Techniques


















INDICATIONS & USAGE



Adult Patients














Pediatric patients (1 to 17 years of age)




Adult and Pediatric Patients






CIPROFLOXACIN HYDROCHLORIDE CONTRAINDICATIONS




WARNINGS

Tendinopathy and Tendon Rupture


Exacerbation of Myasthenia Gravis


Pregnant Women


Pediatrics



Cytochrome P450 (CYP450)


Central Nervous System Disorders


Theophylline


Hypersensitivity Reactions










Pseudomembranous Colitis




Peripheral Neuropathy


Syphilis


PRECAUTIONS

General


Central Nervous System


Renal Impairment


Photosensitivity/Phototoxicity




INFORMATION FOR PATIENTS


  • ●that fluoroquinolones like ciprofloxacin may cause worsening of myasthenia gravis symptoms, including muscle weakness and breathing problems. Patients should call their healthcare provider right away if they have any worsening muscle weakness or breathing problems.
  • ●that antibacterial drugs including ciprofloxacin tablets should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold). When ciprofloxacin tablets are prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may (1) decrease the effectiveness of the immediate treatment and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by ciprofloxacin tablets or other antibacterial drugs in the future.
  • ●that ciprofloxacin may be taken with or without meals and to drink fluids liberally. As with other quinolones, concurrent administration of ciprofloxacin with magnesium/aluminum antacids, or sucralfate, Videx
  • ●that ciprofloxacin may be associated with hypersensitivity reactions, even following a single dose, and to discontinue the drug at the first sign of a skin rash or other allergic reaction.
  • ●that photosensitivity/phototoxicity has been reported in patients receiving quinolones. Patients should minimize or avoid exposure to natural or artificial sunlight (tanning beds or UVA/B treatment) while taking quinolones. If patients need to be outdoors while using quinolones, they should wear loose-fitting clothes that protect skin from sun exposure and discuss other sun protection measures with their physician. If a sunburn-like reaction or skin eruption occurs, patients should contact their physician.
  • ●that peripheral neuropathies have been associated with ciprofloxacin use. If symptoms of peripheral neuropathy including pain, burning, tingling, numbness and/or weakness develop, they should discontinue treatment and contact their physicians.
  • ●that ciprofloxacin may cause dizziness and lightheadedness; therefore, patients should know how they react to this drug before they operate an automobile or machinery or engage in activities requiring mental alertness or coordination.
  • ●that ciprofloxacin increases the effects of tizanidine (ZanaflexPatients should not use ciprofloxacin if they are already taking tizanidine.
  • ●that ciprofloxacin may increase the effects of theophylline and caffeine. There is a possibility of caffeine accumulation when products containing caffeine are consumed while taking quinolones.
  • ●that convulsions have been reported in patients receiving quinolones, including ciprofloxacin, and to notify their physician before taking this drug if there is a history of this condition.
  • ●that ciprofloxacin has been associated with an increased rate of adverse events involving joints and surrounding tissue structures (like tendons) in pediatric patients (less than 18 years of age). Parents should inform their child's physician if the child has a history of joint-related problems before taking this drug. Parents of pediatric patients should also notify their child's physician of any joint-related problems that occur during or following ciprofloxacin therapy (see WARNINGS, PRECAUTIONS, Pediatric Use and ADVERSEREACTIONS).
  • ●that diarrhea is a common problem caused by antibiotics which usually ends when the antibiotic is discontinued. Sometimes after starting treatment with antibiotics, patients can develop watery and bloody stools (with or without stomach cramps and fever) even as late as two or more months after having taken the last dose of the antibiotic. If this occurs, patients should contact their physician as soon as possible.

DRUG INTERACTIONS















CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY



















PREGNANCY

Teratogenic Effects

Pregnancy Category C






NURSING MOTHERS



PEDIATRIC USE



Inhalational Anthrax (Post-Exposure)


Complicated Urinary Tract Infection and Pyelonephritis


Cystic Fibrosis



GERIATRIC USE





CIPROFLOXACIN HYDROCHLORIDE ADVERSE REACTIONS

Adverse Reactions in Adult Patients

















Adverse Reactions in Pediatric Patients











Postmarketing Adverse Events




Adverse Laboratory Changes




OVERDOSAGE




DOSAGE & ADMINISTRATION






Conversion of I.V. to Oral Dosing in Adults




Adults with Impaired Renal Function










DOSAGE AND ADMINISTRATION - PEDIATRICS








HOW SUPPLIED








ANIMAL PHARMACOLOGY & OR TOXICOLOGY






CLINICAL STUDIES

Complicated Urinary Tract Infection and PyelonephritisEfficacy in Pediatric Patients








INHALATIONAL ANTHRAX IN ADULTS AND PEDIATRICSADDITIONAL INFORMATION





REFERENCES







SPL MEDGUIDE

CIPROFLOXACIN TABLETS USP





























































































































































PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION















Ciprofloxacin Hydrochloride






Ciprofloxacin Hydrochloride



PACKAGE LABEL.PRINCIPAL DISPLAY PANEL













Ciprofloxacin Hydrochloride

Ciprofloxacin Hydrochloride TABLET

Product Information

Product Type Human prescription drug label Item Code (Source) NDC:49349-453(NDC:0172-5312)
Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety

Ingredient Name Basis of Strength Strength
CIPROFLOXACIN HYDROCHLORIDE CIPROFLOXACIN 500 mg

Inactive Ingredients

Ingredient Name Strength
SILICON DIOXIDE
HYPROMELLOSES
MAGNESIUM STEARATE
cellulose, microcrystalline
POLYDEXTROSE
polyethylene glycol
STARCH, CORN
SODIUM STARCH GLYCOLATE TYPE A POTATO
talc
titanium dioxide
triacetin

Product Characteristics

Color Size Imprint Code Shape
white 16 mm TEVA;5312 OVAL

Packaging

# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:49349-453-02 30 in 1 BLISTER PACK
2 NDC:49349-453-03 20 in 1 BLISTER PACK

Marketing Information

Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA076089 2011-08-04


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Be sure to consult your doctor before taking any medication!
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