If concurrent use of ciprofloxacin and theophylline cannot be avoided, frequent blood tests to monitor theophylline blood levels are recommended. Ciprofloxacin increases the effect of tizanidine Zanaflex that is used to treat muscle spasticity. Therefore, the two drugs should not be combined.
Iron salts for example, ferrous sulfate may reduce the absorption of ciprofloxacin because of formation of a ciprofloxacin-iron complex that is not absorbable. Antacids also may reduce the absorption of ciprofloxacin. If patients are receiving iron salts or antacids and ciprofloxacin, the ciprofloxacin should be given two hours before or six hours after the iron salt or antacid.
Ciprofloxacin may increase the blood thinning effect of warfarin Coumadin , Jantoven. The reason for this is unknown. Anticoagulant activity should be monitored after starting or stopping ciprofloxacin. Drink several extra glasses of fluid each day while you are taking ciprofloxacin. Ciprofloxacin may be taken with or without food, but take it at the same time each day.
Shake the oral suspension liquid for at least 15 seconds just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
When taking the oral liquid, swallow it without chewing the medicine beads you may notice in the liquid. Do not crush, chew, or break an extended-release tablet. Breaking the pill may cause too much of the drug to be released at one time. Do not take ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink these products as part of a regular meal, but do not use them alone when taking ciprofloxacin.
This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Talk to your doctor if you are using marijuana. This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Ciprofloxacin may cause live bacterial vaccines such as typhoid vaccine to not work as well.
Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs , nonprescription drugs, and herbal products.
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