If you don't have these reliable forms of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or by drinking fruit juice or non- diet soda. Tell your doctor right away about the reaction and the use of this product. To help prevent low blood sugar , eat meals on a regular schedule, and do not skip meals. Your doctor may need to switch you to another antibiotic or adjust your diabetes medications if any reaction occurs.
This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Talk to your doctor if you are using marijuana. This medication may make you more sensitive to the sun. Limit your time in the sun.
Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Ciprofloxacin may cause live bacterial vaccines such as typhoid vaccine to not work as well.
Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs , nonprescription drugs, and herbal products. Older adults may be more sensitive to the side effects of this drug, especially tendon problems especially if they are also taking corticosteroids such as prednisone or hydrocortisone and QT prolongation see above. During pregnancy , this medication should be used only when clearly needed.
Toxic levels of theophylline can lead to seizures, and disturbances in heart rhythm. If concurrent use of ciprofloxacin and theophylline cannot be avoided, frequent blood tests to monitor theophylline blood levels are recommended. Ciprofloxacin increases the effect of tizanidine Zanaflex that is used to treat muscle spasticity. Therefore, the two drugs should not be combined.
Iron salts for example, ferrous sulfate may reduce the absorption of ciprofloxacin because of formation of a ciprofloxacin-iron complex that is not absorbable. Antacids also may reduce the absorption of ciprofloxacin. If patients are receiving iron salts or antacids and ciprofloxacin, the ciprofloxacin should be given two hours before or six hours after the iron salt or antacid.
Ciprofloxacin may increase the blood thinning effect of warfarin Coumadin , Jantoven. The reason for this is unknown. Anticoagulant activity should be monitored after starting or stopping ciprofloxacin. Sevelamer Renagel may reduce the absorption of ciprofloxacin and possibly reduce the effectiveness of ciprofloxacin.
Milk and orange juice also may reduce the absorption of ciprofloxacin. Ciprofloxacin, as with iron and antacids, should be given two hours before or six hours after milk or orange juice. Administration of ciprofloxacin with diabetic medications for example glyburide [Micronase, Diabeta, Glynase, Prestab] may lead to severe low blood glucose. Ciprofloxacin may increase blood concentrations of sildenafil Viagra that is used for treating erectile dysfunction. This combination should be avoided if possible.
Patients taking Cipro, Cipro XR can develop sensitivity of the skin to direct sunlight photosensitivity and should avoid exposure to sunlight or use sunblock. Fluoroquinolones worsen low blood glucose levels when combined with sulfonylureas, for example, glyburide Micronase, Diabeta, Glynase, Prestab.
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