Ciprodex

Generic Name: Dexamethasone

  • What is Ciprodex?

    Ciprodex is an antibiotic-steroid combination eardrop used to treat middle ear infections in children ≥6 months. It is also used to treat outer ear canal infections in children of the same age, adults, and elderly patients.

  • What is the most important information I should know about Ciprodex?

    Ciprodex may allow other bacteria to grow in the ear, such as yeast and fungus. If there is still an ear infection after the course of Ciprodex has been completed, or if there are two or more episodes of ear infection in 6 months, your doctor may conduct other tests to determine the cause.

    Be sure to use Ciprodex for the full course of treatment. If you do not, the medicine may not clear up your infection completely or may create resistant bacteria. This could make the infection harder to treat in the future.

    Discontinue Ciprodex right away at the first sign of a skin rash or an allergic reaction. Talk to your doctor if you have had an allergic reaction to any similar antibiotics before.

    Do not get Ciprodex in your eyes, nose, or throat. If Ciprodex gets in your eyes, immediately flush them with cool tap water.

  • Who should not take Ciprodex?

    Do not use Ciprodex if you are allergic to any of its ingredients or if you have a history of allergic reactions to ciprofloxacin or any similar antibiotics, or to dexamethasone or any similiar type of steroid.

  • What should I tell my doctor before I take the first dose of Ciprodex?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Ciprodex. Also, talk to your doctor about your complete medical history, especially if you have experienced more than two ear infections in the past 6 months.

  • What is the usual dosage?

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

    Adults and children ≥6 months: The usual dose is 4 drops per infected ear, twice a day (12 hours apart) for 1 week.

  • How should I take Ciprodex?

    Wash your hands before and after using Ciprodex. Shake Ciprodex before each use and warm by holding the bottle in your hands for 1-2 minutes.

    Do not take this medication by mouth or by injection. Throw away any portion you do not use.

    For the middle ear: Lie down with the affected ear facing up. Hold the Ciprodex dropper directly over the ear and place the appropriate number of drops into the ear. Gently press the cartilage flap covering the opening to the ear five times in a pumping motion. This will allow the medicine to pass into the middle ear. Keep the ear facing up for at least 1 minute so the medicine can run to the bottom of the ear canal. Switch positions and repeat on the other ear if necessary.

    For the outer ear: Lie down or tilt your head so that the affected ear faces up. Gently pull the earlobe up and back to straighten the ear canal. Place the appropriate number of drops into the ear. Keep the ear facing up for at least 1 minute so that the medicine can run to the bottom of the ear canal. A clean cotton plug may be gently inserted into the ear canal to prevent the medicine from leaking out. Switch positions and repeat on the other ear if necessary.

  • What should I avoid while taking Ciprodex?

    When bathing, avoid getting the infected ear(s) wet. Also, avoid swimming unless your doctor has told you otherwise. It is important that the infected ears remain clean and dry.

    Avoid contaminating the bottle tip with material from the ear, fingers, or other sources.

  • What are possible food and drug interactions associated with Ciprodex?

    Some medicines may interact with Ciprodex. However, the risk of interaction with other medicines is low because there is a very small amount, if any, of Ciprodex absorbed into the blood. Inform your doctor of any other medications you are taking before starting treatment with Ciprodex.

  • What are the possible side effects of Ciprodex?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: abnormal taste, dizziness if drops are applied cold, ear congestion, ear infection, ear pain, ear residue, irritability

  • Can I receive Ciprodex if I am pregnant or breastfeeding?

    The effects of Ciprodex during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Ciprodex?

    If you miss a dose of Ciprodex, apply it as soon as possible. If it is almost time for your next dose, skip it and continue on your regular dosing schedule. Do not take two doses at once.

  • How should I store Ciprodex?

    Store at room temperature, away from heat, moisture, and light. Avoid freezing.

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I'm Kristen Dore, PharmD. Welcome to PDR Health!

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