Cipro XR

Generic Name: Ciprofloxacin

  • What is this medication and its most common uses?

    Cipro XR is an extended-release tablet (a type of tablet that releases medicine into your body throughout the day) used to treat bacterial infections of the urinary tract and kidneys.

  • What should I know when beginning and continuing on this medication?

    How does this medication work?

    Cipro XR works by stopping the growth of bacteria, thereby treating your infection.

    What are the beneficial effects of this medication and when should I begin to have results?

    What: Cipro XR may help relieve symptoms of bacterial infections and may eliminate the bacteria causing the infection.

    When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Cipro XR exactly as your healthcare provider has prescribed for the full course of treatment, even if your symptoms improve earlier.

    How do I know it is working?

    You may start to notice an improvement in your symptoms. This is a good indicator that your medication is working. Your healthcare provider may ask you questions and order tests to assess how well your infection is being treated.

  • What are the possible side effects of this medication?

    The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

    Cipro XR can cause tendon (tough cords of tissue that connect muscles to bones) problems (such as rupture or swelling). Some tendon problems include pain, swelling, tears, and inflammation of tendons including the back of the ankle (Achilles), shoulder, hand, or other tendon sites. Your risk of tendon problems while taking Cipro XR is higher if you are over 60 years of age; are taking corticosteroids (such as prednisone); or have had a kidney, heart, or lung transplant. Call your healthcare provider right away at the first sign of tendon pain, swelling, or inflammation. Also, get medical help right away if you hear or feel a snap or pop in a tendon area, bruise right after an injury in a tendon area, or are unable to move the affected area or bear weight.

    Cipro XR may cause worsening of myasthenia gravis (a disease characterized by long-lasting fatigue and muscle weakness) symptoms. Call your healthcare provider right away if you develop worsening muscle weakness or breathing problems.

    More common side effects may include: dizziness, headache, nausea, vomiting, diarrhea, vaginal yeast infection.

    Less common side effects may include:

    Serious or severe allergic reactions with symptoms such as skin rash, tingling, hives, swelling of your face or throat, difficulty breathing or swallowing, rapid heartbeat, or yellowing of the skin or whites of the eyes.

    Central nervous system effects, such as seizures, hallucinations, restlessness, shaking, anxiousness or nervousness, confusion, depression, trouble sleeping, nightmares, lightheadedness, suspiciousness, or suicidal thoughts or actions.

    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 Cipro XR.

    Damage to the nerves in your arms, hands, legs, or feet, with symptoms such as pain, burning, tingling, numbness, or weakness in any of these areas of your body.

    Serious heart rhythm changes, with symptoms such as fast or slow heartbeat, or fainting.

    Sensitivity to sunlight.

  • Who should not take this medication?

    Do not take Cipro XR if you are allergic to it, any of its ingredients, or similar antibiotics (such as levofloxacin or moxifloxacin).

    Do not take Cipro XR if you are taking a medicine called tizanidine.

    Do not take Cipro XR to treat viral infections (such as the common cold).

  • What should I tell my healthcare provider before I take the first dose of this medication?

    Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Cipro XR. Also, talk to your healthcare provider about your complete medical history, especially if you have tendon, joint, nerve, or kidney problems; myasthenia gravis; seizures; rheumatoid arthritis (a type of arthritis that involves inflammation of the joints); trouble swallowing pills; or if you or anyone in your family has an irregular heartbeat, especially prolonged QT interval (very fast or abnormal heartbeats).

  • What is the usual dosage?

    The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

    Adults: The recommended dose is 500 milligrams (mg) or 1000 mg once a day. Your healthcare provider will prescribe the appropriate dose and duration for you based on the type and severity of your infection.

    If you have kidney impairment, your healthcare provider may adjust your dose appropriately.

  • How should I take this medication?

    Take Cipro XR exactly as prescribed by your healthcare provider for the full course of treatment, even if your symptoms improve earlier. Do not change your dose or stop taking Cipro XR without first talking to your healthcare provider.

    Take Cipro XR with or without food.

    Take Cipro XR one time each day at about the same time each day.

    Swallow Cipro XR tablets whole. Do not split, crush, or chew the tablets.

    Drink plenty of fluids while you are taking Cipro XR.

    Take Cipro XR two hours before or six hours after taking antacids containing magnesium or aluminum, sevelamer, lanthanum carbonate, sucralfate, didanosine, chewable/buffered tablets or pediatric powder, or other products that contain calcium, iron, or zinc.

  • What should I avoid while taking this medication?

    Do not take Cipro XR with dairy products (such as milk or yogurt) or calcium-fortified juices alone, but you can take it with a meal that contains these products.

    Do not skip doses. Skipping doses or not completing the full course of Cipro XR can decrease its effectiveness and can lead to the growth of bacteria that are resistant to the effects of Cipro XR.

    Do not drive, operate machinery, or engage in other activities that require mental alertness or coordination until you know how Cipro XR affects you.

    Do not expose yourself to sunlamps or tanning beds, and try to limit your time in the sun, as Cipro XR can increase your sensitivity to light. If you need to be outdoors, use sunscreen and wear a hat and loose-fitting clothes to protect your skin for the sun.

  • What are the possible food and drug interactions associated with this medication?

    If Cipro XR is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Cipro XR may interact with numerous medications. Therefore, it is very important that you tell your healthcare provider about any other medications you are taking.

  • May I receive this medication if I am pregnant or breastfeeding?

    The effects of Cipro XR during pregnancy are unknown. Cipro XR can be found in your breast milk if you take it while breastfeeding. Do not take Cipro XR while breastfeeding. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of this medication?

    If you miss a dose of Cipro XR, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular schedule. Do not take more than one dose in one day.

  • How should I store this medication?

    Store at room temperature.

Meet the Pharmacists

I'm Beth Isaac, PharmD. Welcome to PDR Health!

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