Cipro Xr Extended Release Tablets MedFacts

Cipro XR Extended-Release Tablets

Cipro XR Extended-Release Tablets is used for:

Treating urinary tract infections caused by certain bacteria.

Cipro XR Extended-Release Tablets is a fluoroquinolone antibiotic. It works by killing sensitive bacteria.

Do NOT use Cipro XR Extended-Release Tablets if:

• you are allergic to any of the ingredients contained in Cipro XR Extended-Release Tablets or to any other fluoroquinolone (eg, levofloxacin)
• you are taking cisapride

Contact your health care provider as soon as possible if any of the above applies to you.

Consider before using Cipro XR Extended-Release Tablets

Medical Conditions

There are medical conditions that can influence usage of Cipro XR Extended-Release Tablets. Tell your doctor or pharmacist if any of the medical conditions below applies to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any medicine (either prescription or nonprescription), herbal preparation, or dietary supplement
• if you are allergic to medicines, foods, or other substances
• if you have heart problems or a history of irregular heartbeat, low blood potassium levels, Alzheimer disease, a brain or nervous system disorder, a problem with the blood vessels in your brain, diarrhea, a stomach infection, liver problems, kidney problems, increased pressure in your brain, seizures, inflammation of your tendons, joint problems, or skin sensitivity to the sun

Drugs Interaction

There are medicines that may interact with Cipro XR Extended-Release Tablets. Inform your health care provider if you are taking any other medicines, in particular any from the list below:

• Antiarrhythmics (eg, amiodarone, disopyramide, dofetilide, quinidine), arsenic, cisapride, droperidol, H₁ antagonists (eg, astemizole, terfenadine), haloperidol, imidazole antifungals (eg, fluconazole), macrolide or ketolide antibiotics (eg, erythromycin, telithromycin), phenothiazines (eg, chlorpromazine), pimozide, serotonin receptor antagonist antiemetics (eg, dolasetron), or ziprasidone because risk of serious side effects, including irregular heartbeat and other heart problems, may be increased
• Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because risk of side effects, such as seizures, may be increased
• Anticoagulants (eg, warfarin), cyclosporine, methotrexate, sulfonylureas (eg, glyburide), theophyllines, or tizanidine because their actions and the risk of their side effects may be increased by Cipro XR Extended-Release Tablets
• Corticosteroids (eg, prednisone) because risk of tendon damage may be increased
• Probenecid because it may increase Cipro XR Extended-Release Tablets's actions and risk of Cipro XR Extended-Release Tablets's side effects

This may not be a complete list of all interactions that may occur. Clarify with your health care provider whether Cipro XR Extended-Release Tablets may interact with other medicines you take. Also, consult your health care provider in advance if you are going to start, stop, or change the dose of any medicine.

Cipro XR Extended-Release Tablets Usage Guidelines

You should use Cipro XR Extended-Release Tablets as recommended by your doctor. Read the medicine's label for precise dosing instructions.

• An extra patient leaflet is available with Cipro XR Extended-Release Tablets. Talk to your pharmacist if you have questions about this information.
• Take Cipro XR Extended-Release Tablets by mouth with or without food. The preferred dosing time is 2 hours after a meal.
• Swallow Cipro XR Extended-Release Tablets whole. Do not break, crush, or chew before swallowing.
• Take Cipro XR Extended-Release Tablets with a full glass of water (8 oz/240 mL).
• Drinking extra fluids while you are taking Cipro XR Extended-Release Tablets is recommended. Check with your doctor for instructions.
• If you also take any products containing magnesium, aluminum, calcium, iron, or zinc (eg, vitamins/minerals, antacids, quinapril); didanosine; sucralfate; or bismuth subsalicylate, do not take them within 6 hours before or 2 hours after taking Cipro XR Extended-Release Tablets. Check with your doctor if you have questions.
• If you also take sevelamer, do not take it within 4 hours before or after taking Cipro XR Extended-Release Tablets. Check with your doctor if you have questions.
• To clear up your infection completely, take Cipro XR Extended-Release Tablets for the full course of treatment. Keep taking it even if you feel better in a few days.
• Avoid taking Cipro XR Extended-Release Tablets with milk or milk products (such as yogurt or calcium-enriched juice) by themselves. However, taking Cipro XR Extended-Release Tablets as part of a full meal that contains milk or milk products is permitted.
• If you miss a dose of Cipro XR Extended-Release Tablets, take it as soon as you get it remembered if you remember on the same day. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses on the same day.

Clarify with your health care provider any issues you may have about usage of Cipro XR Extended-Release Tablets.

Important safety information on cipro

• Cipro XR Extended-Release Tablets may cause drowsiness, dizziness, blurred vision, or lightheadedness. There effects may be worsened when this medicine is taken with aclohol or other medicines. Use Cipro XR Extended-Release Tablets with caution. Refrain from driving or performing other possibly dangerous activities until you know how you react to it.
• Be sure to use Cipro XR Extended-Release Tablets for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Long-term or repeated use of Cipro XR Extended-Release Tablets may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Cipro XR Extended-Release Tablets only works against bacteria; it does not treat viral infections (eg, the common cold).
• Avoid large amounts of food or drink that have caffeine (eg, coffee, tea, cocoa, cola, chocolate).
• Rest and avoid exercise until further instruction from your doctor if you experience pain or swelling of a tendon.
• Diabetes patients - Cipro XR Extended-Release Tablets may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Cipro XR Extended-Release Tablets may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Cipro XR Extended-Release Tablets. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Use Cipro XR Extended-Release Tablets with caution in OLDER PATIENTS, because they may be more sensitive to its effects (eg, tendon problems), especially if they take corticosteroids (eg, prednisone). They may also be more sensitive to other effects (eg, irregular heartbeat).
• Caution is advised when using Cipro XR Extended-Release Tablets in CHILDREN; they may be more sensitive to its effects, especially joint and tendon problems.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Cipro XR Extended-Release Tablets while you are pregnant. Cipro XR Extended-Release Tablets is found in breast milk. Do not breast-feed while taking Cipro XR Extended-Release Tablets.

Side effects may be caused by Cipro XR Extended-Release Tablets

All medicines may cause side effects, but many people have no, or minor, side effects. Consult your doctor if any of the most COMMON side effects from the list below persist or start bothering you:

Diarrhea; dizziness; headache; nausea; restlessness; stomach upset; vision changes; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; anxiety; bizarre behavior; bloody stools; change in sense of touch or temperature; chest pain; confusion; convulsions; dark urine (or unusual change in amount of urine); depression; easy bruising or bleeding; fever; hallucinations; increased pressure in the head; inflammation, pain, or rupture of a tendon; irregular heartbeat; joint pain or swelling; loss of consciousness; mental changes; muscle pain; nervousness; nightmares; oral thrush; pain; pale stools; persistent loss of appetite; persistent sore throat; red, swollen, blistered, or peeling skin; seizures; severe or continuing diarrhea; sleeplessness; stomach cramps/pain; suicidal thoughts; sun sensitivity (sunburn easily); tingling, burning, numbness, or weakness of arms and legs; tremors; unusual fatigue; vaginal yeast infection; weakness; yellowing of the skin or eyes.

It sholud be noted, that this is not a full list of possible side effects. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Store Cipro XR Extended-Release Tablets at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cipro XR Extended-Release Tablets out of the reach of children and away from pets.

General information:

• If you have any questions on Cipro XR Extended-Release Tablets, please consult your doctor, pharmacist, or health care provider.
• Cipro XR Extended-Release Tablets is supposed to be used only by the patient it is prescribed to. Do not share it with other people.
• If your symptoms do not improve or even become worse, inform your doctor.

This article is a summary only, and it does not provide all the information about Cipro XR Extended-Release Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.