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Contraindications for ciprofloxacin

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The most common side effects of this medicine are gastrointestinal symptoms, that often are mild and transient.

Particular attention should be paid to its adverse effects on the central nervous system and tendons while being treated with this medicinal product.

In clinical reserches, ciprofloxacin was associated with neurotoxicity and may cause partial epileptic status. It can also affect the mental state and cause confusion. The mechanism by which ciprofloxacin leads to the adverse effects of the CNS is not yet known.

In the FDA recommendations pay attention on use of fluoroquinolone antibiotics only in case of last resort because it may lead to permanent peripheral neuropathy.

Due to their efficiency and pressure from patients to resolve the infection as fast as possible, doctors, unfortunately, often prescribe these antibiotics despite their risks

However, it should be noted that most patients only experience mild CNS side effects, such as headache and drowsiness.

For the above reasons, ciprofloxacin should not be used in patients who have or have had neuropathy, anxiety, depression, anxiety, epilepsy, obsessive-compulsive disorder and other CNS disorders.

Fluoroquinolones can cause tendonitis (inflammation and tendon rupture) in approximately 0.15 to 0.40% of patients taking these antibiotics. Tendonitis can affect tendons in the hands or the Achilles tendon, shoulders and glutes. If you notice muscle pain, swelling, contact your doctor immediately. The risk of tendonitis is greater in the elderly.

Therefore, ciprofloxacin should not be used in patients who already have muscle problems.

Ciprofloxacin, pregnancy and lactation

The FDA classification has placed Ciprofloxacin in group C (the risk has been demonstrated in animals, but there are no studies in humans).

Since urinary tract infection is a common complication during pregnancy, it should be treated.
One study reported that ciprofloxacin does not cause malformations but should not be used as a first-line drug for the treatment of urinary tract infections during pregnancy. Other study examined 200 pregnant women to find out if this drug has adverse effects on the musculoskeletal system of the fetus. The connection between adverse effects and this drug was not established.

It is excreted in breast milk and breastfeeding should be avoided.


The dose and duration of treatment depend on the severity of the infection, the infection type, the patient’s age, the patient’s body weight, and the patient’s renal function.

Your health-care doctor should determine the appropriate dose of Cipro for you.

The usual dosage regimen involves the use of this medication twice a day.

It can be taken with or without food, but you should avoid the simultaneous use of dairy products with this medicine.


Janice Janice avatar

Antibiotic Cipro left a positive impression after taking. It was prescribed as a preventive therapy with a huge cut on my husband’s face. Cipro has an antimicrobial and anti-inflammatory effect. The price is not high, about $ 1 per tablet, the pack contains 60 tablets. We were prescribed Cipro for 7 days, 2 tablets per day. There are lots of side effects in the description of the drug, so you should take it with caution and only as prescribed by the doctor. I believe that the drug serves its purpose – it prevented suppuration of the cut. I didn’t like the instruction inside the pack, the font is so small that you cannot read the text without a magnifying glass. The cut healed quickly enough, the festering was removed. So I think the drug is quite effective and affordable. Also, the med did not cause any side effects.

Mary Mary avatar

Me and my husband constantly use this antibiotic for a very long time. Because of its wide spectrum of action, and especially to fight infection with colds. Once I caught a severe cold and decided to take a medical treatment at home, went to the pharmacy, where from a large selection of antibiotics I was advised not expensive but effective Ciprofloxacin 500mg tablets.
I want to say that the ratio of price and quality in the beginning was questioned by me, but taking a pill the third time my condition began to improve dramatically and after a couple of days the cold receded. In my experience, I drank the medicine just in case, until the end of the course of treatment. Having carefully studied the instructions, I do not give the children Cipro, as it is contraindicated to them. There are other contraindications.
In conclusion, I want to note that not expensive does not mean bad and Cipro proved it.