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Ciprofloxacin

Common Brand Names: Cipro, Cipro XR

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on March 27, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts

  • Brand Name: Cipro, Cipro XR
  • Generic Name: Ciprofloxacin
  • Uses: Treatment of bacterial infections
  • Drug Class: Fluoroquinolone antibiotic
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is ciprofloxacin?

Ciprofloxacin is an antibiotic commonly used to treat bacterial infections. It belongs to a subclass of antibiotics known as fluoroquinolones.

What conditions does ciprofloxacin treat?

Ciprofloxacin is prescribed to treat a wide range of bacterial infections, including:

  • Respiratory tract infections such as pneumonia, bronchitis, and sinusitis
  • Skin and soft tissue infections
  • Bone and joint infections
  • Gastrointestinal infections, including traveler's diarrhea
  • Sexually transmitted infections (STIs) like gonorrhea
  • Anthrax (both prevention and treatment)

Ciprofloxacin is effective against many types of bacteria, but it is not effective against infections caused by viruses such as the common cold or flu.

How does ciprofloxacin work?

Ciprofloxacin inhibits the action of certain enzymes essential for bacterial DNA replication. By interfering with these processes, ciprofloxacin prevents bacteria from multiplying and spreading, ultimately leading to their death.

It's important to note that ciprofloxacin should only be used to treat bacterial infections and not viral infections.

How do I take ciprofloxacin?

Ciprofloxacin is available in various forms, including oral tablets, extended-release tablets, oral suspension, and intravenous (IV) infusion.

The dosage and duration of ciprofloxacin treatment will depend on the type and severity of the infection, as well as your age, weight, kidney function, and medical history. It is crucial to follow your healthcare provider's instructions and complete the full course of treatment, even if you start feeling better before finishing the medication.

Ciprofloxacin tablets should be taken with a full glass of water. You can take them with or without food, depending on your preference. If you are using the oral suspension, shake the bottle well before each use to ensure that the medication is mixed properly.

For IV administration, ciprofloxacin will be administered by a healthcare professional in a clinical setting (like a hospital).

Consult your healthcare provider or pharmacist for specific instructions on how to take ciprofloxacin properly and follow their guidance throughout the treatment course.

How long until I feel better?

The time it takes to feel better while taking ciprofloxacin can vary depending on the type of infection being treated, its severity, and your overall health. Some people may experience symptom relief within a few days of starting treatment, while others may require a longer duration.

It's important to continue taking ciprofloxacin as prescribed by your healthcare provider and complete the full course of treatment, even if you start feeling better. Suddenly stopping treatment can lead to the development of antibiotic-resistant bacteria.

Are there other uses for ciprofloxacin?

In addition to treating bacterial infections, ciprofloxacin may have off-label uses or be part of combination therapies for certain conditions.

Off-label uses of ciprofloxacin may include:

  • Treating infections caused by specific bacteria that are susceptible to ciprofloxacin but not covered by standard treatment guidelines.
  • Preventing infections in certain high-risk individuals, such as those undergoing surgical procedures or traveling to areas with known bacterial risks.
  • Treating chronic or recurrent infections in cases where other antibiotics have been ineffective or contraindicated.

Discuss any alternative uses of ciprofloxacin with your healthcare provider to determine the appropriateness and safety of such treatments.

Dosage forms of ciprofloxacin

Ciprofloxacin is available in various dosage forms, including:

  • Oral tablets: Available in strengths ranging from 250mg to 1000mg.
  • Extended-release tablets: Available in strengths ranging from 500mg to 1000mg.
  • Oral suspension: Available in various concentrations for pediatric use.
  • Intravenous (IV) solution: Administered by healthcare professionals in clinical settings.

Generic versions of ciprofloxacin are available under different brand names.

Ciprofloxacin is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this drug.

Side Effects and Precautions for Ciprofloxacin


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What are the side effects of ciprofloxacin?

The use of ciprofloxacin has been shown to cause side effects in some patients.

Common mild side effects of ciprofloxacin use include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach pain or discomfort
  • Heartburn
  • Headache
  • Drowsiness

More severe side effects include:

  • Tendon inflammation or rupture
  • Joint pain or swelling
  • Muscle weakness or pain
  • Nerve damage (peripheral neuropathy) leading to tingling, numbness, or weakness in the limbs
  • Allergic reactions (like hives, itching, swelling of the face, lips, or throat, difficulty breathing, and rapid heartbeat)
  • Severe diarrhea with bloody or watery stools, abdominal cramps, and fever
  • Changes in mood or mental health, such as anxiety, confusion, hallucinations, or depression
  • Irregular heartbeat (arrhythmia)
  • Liver problems, including jaundice (yellowing of the skin or eyes), dark urine, or abdominal pain
  • Seizures or convulsions

Ciprofloxacin can cause bone and joint issues in children under 18. Because of this, it is rarely prescribed to children. If a provider is prescribing ciprofloxacin for your child, tell them about any joint issues your child may have before they start treatment.

Seek medical attention immediately if you experience any severe symptoms while taking ciprofloxacin. If you experience mild side effects that become severe or do not go away after a few days, speak to a healthcare provider right away.

What should I tell my healthcare provider before using ciprofloxacin?

Tell your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with ciprofloxacin. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with this drug.

Tell your provider if you are taking these medications or supplements:

  • Corticosteroids
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Other antibiotics
  • Antidepressants
  • Medications used to treat heart rhythm disorders
  • Blood thinners (anticoagulants)
  • Antacids containing aluminum or magnesium
  • Iron or zinc supplements
  • Theophylline (used to treat asthma)
  • Warfarin or other anticoagulants

You should also mention medical conditions such as:

  • Tendon problems or disorders
  • Myasthenia gravis (a neuromuscular disorder)
  • Liver or kidney disease
  • Heart rhythm disorders or conditions affecting the heart
  • Diabetes
  • Central nervous system disorders
  • Seizures or epilepsy
  • Low levels of potassium or magnesium in the blood

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using ciprofloxacin to assess potential risks and benefits.

Are there any other special instructions I should follow?

Drink plenty of fluids while taking ciprofloxacin to stay hydrated unless otherwise instructed by your doctor.

Avoid prolonged exposure to sunlight and UV rays while on ciprofloxacin, as it can increase the risk of sunburn and skin sensitivity. Use sunscreen and protective clothing when outdoors.

Do not take ciprofloxacin with dairy products, calcium-fortified juices, or antacids containing calcium, magnesium, or aluminum, as these can interfere with the medication's absorption.

Avoid consuming products with caffeine (like coffee, chocolate, energy drinks, and certain teas) while taking ciprofloxacin. When combined with caffeine, ciprofloxacin can cause nervousness, anxiety, insomnia, or restlessness.

Your healthcare provider will provide specific instructions regarding the use of ciprofloxacin with food, beverages, and other medications. It's essential to follow their guidance to ensure the effectiveness of the treatment and minimize the risk of side effects.

What should I do in case of an overdose?

Symptoms of a ciprofloxacin overdose may include:

  • Dizziness
  • Tremors or shaking
  • Confusion
  • Hallucinations
  • Seizures
  • Nausea and vomiting
  • Diarrhea
  • Abdominal pain or cramps
  • Rapid or irregular heartbeat (arrhythmia)
  • Difficulty breathing
  • Loss of consciousness

If you experience any of these symptoms, call the poison control helpline at 1-800-222-1222. If an individual has collapsed, is having seizures, or is unresponsive, call 9-1-1 immediately.

Proper Use & Dosage Information for Ciprofloxacin


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose for ciprofloxacin?

Ciprofloxacin is available in various forms:

  • Oral tablets (250 mg, 500 mg, 750 mg)
  • Oral suspension (250 mg/5 ml, 500 mg/5 ml)

The typical starting dose of ciprofloxacin can vary depending on the specific infection being treated, the patient's age, weight, medical history, and other individual factors. It is crucial to follow your healthcare provider's instructions regarding dosage and administration carefully.

For the treatment of bacterial infections, the typical starting doses may be:

  • For pyelonephritis: 500 mg to 750 mg taken orally every 12 hours for 7 to 14 days.
  • For respiratory tract infections, skin infections, bone and joint infections, and other bacterial infections: Dosage and duration will vary based on the specific condition and severity.

Your healthcare provider will assess your medical history, current medications, and the nature of your infection to determine the most appropriate starting dose and duration of treatment for you.

Ciprofloxacin should be taken exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or make changes to your medication regimen without consulting your provider.

If you have any questions about your dosage, contact your healthcare provider. If you want to talk to a provider right away, book an online doctor appointment on Sesame to discuss your concerns.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember it. If it's almost time for another dose of ciprofloxacin, skip the missed dose and take your next dose as scheduled. Do not take or apply a double dose of ciprofloxacin.

What do I do if I'm feeling better?

Do not discontinue or alter your ciprofloxacin dosage without consulting with your healthcare provider. Follow your healthcare provider's instructions regarding dosing and other recommendations for taking ciprofloxacin.

How should I store ciprofloxacin?

Store ciprofloxacin as directed by your healthcare provider or pharmacist. Proper storage is essential to maintain the medication's effectiveness. Ciprofloxacin should be stored at room temperature, away from excessive heat, light, and moisture.

Liquid ciprofloxacin should be discarded after two weeks (14 days).

Keep the medication out of the reach of children and ensure that the container is tightly closed.

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