What Are The Side Effects Of Ciprofloxacin
Get emergency medical help if you have signs of an allergic reaction or a severe skin reaction .
Ciprofloxacin can cause serious side effects, including tendon problems, damage to your nerves , serious mood or behavior changes , or low blood sugar .
Stop taking this medicine and call your doctor at once if you have:
- low blood sugar–headache, hunger, irritability, dizziness, nausea, fast heart rate, or feeling shaky
- nerve damage symptoms–numbness, tingling, burning pain in your hands, arms, legs, or feet:
- serious mood or behavior changes–nervousness, confusion, agitation, paranoia, hallucinations, memory problems, trouble concentrating, thoughts of suicide or
- signs of tendon rupture–sudden pain, swelling, bruising, tenderness, stiffness, movement problems, or a snapping or popping sound in any of your joints .
In rare cases, ciprofloxacin may cause damage to your aorta, the main blood artery of the body. This could lead to dangerous bleeding or death. Get emergency medical help if you have severe and constant pain in your chest, stomach, or back.
Also, stop using ciprofloxacin and call your doctor at once if you have:
Common side effects may include:
- nausea, vomiting, diarrhea, stomach pain
- abnormal liver function tests.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Why Antibiotics Didnt Help Your Sinusitis
In one study, it was found that patients who took antibiotics healed at the same rate as patients who took a placebo. In both cases, 40% of patients were symptom free by a week, and the remaining patients symptoms resolved by 10 days. Despite these results, antibiotics are consistently prescribed by doctors for sinusitis.
Why Wont My Sinus Infection Go Away with Antibiotics?
There are few reasons that antibiotics may be ineffective for sinusitis. Antibiotics are only capable of killing bacteria, so inflammation from other sources cant be managed by them. Sinusitis is often a result of a viral infection like a cold or the flu. Viruses replicate by infecting body cells, which makes killing them much more difficult than bacteria. For better and worse, the immune response is the quickest way to manage these infections. Home remedies and over the counter medications can help make being sick more tolerable, but dont actively fight the infection.
Sinus inflammation can also be a result of allergies. Allergies are an overactive immune response to something like pollen or dust. In this case theres no infection to fight, so antibiotics provide no benefit at all. Allergies are best handled by nasal sprays, decongestants, and allergy immunotherapy. Allergy immunotherapy is the best way to prevent allergic sinusitis from becoming a chronic issue. Immunotherapy works by exposing patients to low doses of allergens and reducing the immune response over time.
How Much Should I Take
Youll likely be prescribed a seven-day course of clindamycin for a tooth infection. On each of those seven days, youll likely need to take a dose every six hours or so.
There may be one or two capsules in a dose. Be sure to carefully follow the instructions provided with your prescription.
You can take clindamycin either before or after eating. Some people experience throat irritation when taking clindamycin, but following the dose with a full glass of water can help you avoid this.
Don’t Miss: What Antibiotics Treat Sinus Infections In Adults
Alternative Antibiotics To Cipro
In patients with an allergic reaction to Ciprofloxacin, using an alternative antibiotic is a must-do. It is also useful to know alternatives to Cipro if you dont find the medication youre looking for.
Cipro is a common antibiotic, and all pharmacies should have it. But maybe the bacteria youre trying to fight is resistant, and you need another. Cipro is a potent antibiotic, as we will see in this section. But it has many alternatives, which can be prescribed for different reasons.
How Effective Is Ciprofloxacin For Sinus Infection
Ciprofloxacin is generally considered very effective for sinus infections, and is prescribed and recommended by health care providers in most places. A lot of its specific efficacy depends on the individual, and it isnt always a good fit for every patient. In most instances, though, this drug is able to cure sinus infections and related ailments in a matter of days, and can restore health much faster than other comparable remedies. People who have recurring sinus infections might find that treatments stop being as effective over time, and in these cases a stronger drug may be needed. Ciprofloxacin is usually considered to be one of the safest antibiotics available, but like most medications, it does have a number of side effects and precautions. Patients are usually advised to talk about the choice to start taking this drug with their doctor or other healthcare provider.
Understanding Sinus Infections
Sinus infection, which is commonly referred to as sinusitis in the medical community, is a common ailment that occurs when there is inflammation in the nasal passages. Inflammation, in turn, can result in the buildup of mucus in the nose, which promotes the growth and spread of bacteria pressure in the eye area and upper face is a common result, along with bad breath, fever, and sore throat.
Why Ciprofloxacin Works
Don’t Miss: Can Infected Teeth Cause Sinus Problems
What Are The Most Common Antibiotics Used For Sinusitis
Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. While often prescribed twice daily, it is even more effective if taken in 3 or 4 divided doses. Amoxicillin is typically prescribed for 7-10 days at a time. While it is critical to finish the entire 10 day course of antibiotics when treating strep throat, there is evidence that shorter courses of treatment may be sufficient for most cases of sinusitis. Amoxicillin is closely related to the parent compound penicillin and should not be prescribed in patients who are penicillin allergic.
Cephalosporins and Augmentin are considered broad-spectrum antibiotics because they have enhanced effectiveness against a wider range of bacteria, including those that are resistant to ordinary penicillin or amoxicillin. If the patient does not improve within the first week on amoxicillin, a change to Augmentin or to a cephalosporin such as Ceftin, Cefzil, Omnicef, or Suprax is reasonable. Although these drugs have a similar mechanism of action to penicillin, they generally can be taken in adequate doses once or twice daily. These medications should be used with extreme caution in patients with a history of penicillin allergy, as cross-reaction may occur.
When To Consider Antibiotics For Sinus Infections
AAAAI advises that antibiotics for sinus infections should be considered only if you develop a fever of 102° F or higher, you have severe face pain and tenderness, your symptoms last longer than a week or so, or your symptoms improve and then worsen again.
Some patients with acute sinusitis do need antibiotics, and if they continue with a worsening infection without treatment, they can suffer dramatic complications such as loss of vision, meningitis, or brain abscess, Patel says.
If your doctor says you need an antibiotic, ask for generic amoxicillin/clavulanate, according to guidelines from UpToDate, which provides evidence-based treatment information to healthcare providers. Its usually the best choice and works as well as more expensive brand-name antibiotics.
Avoid taking fluoroquinolones, a group of antibiotics that includes ciprofloxacin and levofloxacin . Although widely used, the antibiotics are inappropriate for treating sinus infections and they pose serious risks.
In 2016, after a safety review, the Food and Drug Administration linked fluoroquinolones to disabling and potentially permanent side effects. The agency advised against using the drugs to treat common illnessesbronchitis, sinus infections, and urinary tract infections.
You May Like: How To Get Rid Of Chronic Sinus Infection Naturally
Are There Alternatives To Levofloxacin
Levofloxacin may have been discontinued, but it isnt the only fluoroquinolone antibiotic out there. In fact, there are other prescription antibiotics that can treat a similar scope of infections. Healthcare providers have multiple treatment options for common bacterial infections. The generic version of the drug, levofloxacin, is still prescribed and widely available. The most frequently-used levofloxacin alternatives include:
Your prescribing doctor can help you decide which levofloxacin alternative is best for you based on the infection being treated, your age, pre-existing conditions, and other factors. A SingleCare discount card may help you save on your next prescription at your local pharmacy.
Dont Miss:Good Remedies For Sinus Infection
How To Prevent Sinus Infections
Here are the top 10 tips that can help in prevention sinusitis in the future-
- Wash hands regularly to prevent frequently-touched objects such as doorknobs, switches, etc, from getting contaminated.
- Avoid coughing in the open air or into your hands.
- Stay indoors till the symptoms dont go away.
- Keep the infected persons drinking glasses, utensils, water bottles, or food separate.
- Using a new toothbrush after the tonsillitis patient has recovered.
- Keep the shared living spaces clean and disinfected regularly.
If you are suffering from sinusitis for very long and not responded to the antibiotics, get in touch with a Pristyn Care ENT doctor who can prescribe other treatment options including surgery.
Don’t Miss: Are Bacterial Sinus Infections Contagious
Effects Of Minocycline On Hiv Infection
In addition to the effects of minocycline on CD4+ T-cells and viral replication, the decreased monocyte/macrophage activation caused by this antibiotic can also play a neuroprotective role in SIV-AIDS. Ratai et al. reported, in a non-human primate model of accelerated neuro-AIDS, that none of the minocycline-treated animals developed SIV encephalitis. More recently, Campbell et al. also concluded that, not only its effects on T-cells, but also its inhibitory effect on monocyte activation, correlate with neuronal protection in SIV neuro-AIDS. The authors observed that the reduction of viral replication in CD14+ monocytes in vitro after minocycline treatment was directly related to impaired traffic of these cells into the brain. Therefore, there was a correlation between the expansion of activated monocytes and neuronal protection with minocycline. This may result in decreased replication or abundance of CD14+CD16+ target cells for HIV and SIV in vivo, as shown in a rapid model of SIV-neuropathogenesis in rhesus macaques. In this model, minocycline treatment resulted in neuronal protection: it reduced the activation of monocytes and their accumulation in the lymph nodes of treated animals, and inhibited the expression of several markers critical for monocyte traffic and function . These results indicate that the anti-viral effects of minocycline are linked to its ability to reduce the activation of monocytes and their permissiveness to viral infection.
Are Antibiotics Effective In Curing Sinusitis
According to a clinical review published in the New England Journal of Medicine, patients suffering from acute sinusitis were reviewed for four weeks. The discerning fact that emerged was most sinus infections will improve or clears on their own with antibiotics.
However, antibiotic resistance is a significant issue who regularly consumes antibiotics. Several bacteria carry a gene for antibiotic resistance that turns on when it comes in contact with an antibiotic. After a course of 4-7 days of antibiotics, the person may stop responding to the antibiotics. In such cases, it is imperative to meet an ENT specialist.
Also Check: Nose X Ray For Sinus
How Much Bactrim Should I Take For A Sinus Infection
Your healthcare provider will prescribe the appropriate dose of Bactrim to treat your individual symptoms. Bactrim comes in two strengths:
- Bactrim 400-80 milligrams
- Bactrim DS 800-160 milligrams
In this case, DS means double strength. The dose may be adjusted based on the patients age, weight, kidney function, or illness. Depending on these factors, your provider could prescribe anywhere from one to two tablets of Bactrim DS 800-160 milligrams or Bactrim 400-80 milligrams every 12 to 24 hours. The dose for children is based on weight and often comes in a liquid form. Bactrim should never be given to infants younger than 2 months old.
The dose of antibiotic and length of treatment depend on the illness or the bacteria likely causing the illness. More aggressive infections require longer treatments and higher-strength antibiotics than other infections.
Like most antibiotics, it may take three to four days for people to notice improvement after starting Bactrim. Be sure to take the medication as directed. You should finish taking the full course of antibiotics, even after you start to feel better.
What Are The Warnings And Precautions For Those Taking Ciprofloxacin
Consider the following precautions if youre using Ciprofloxacin for a urinary tract infection or any other:
- Inform your doctor or pharmacist if youre allergic or had an adverse effect after taking Cipro.
- Inform your doctor about irregular heartbeat problems or any other relevant medical history.
- Talk to your doctor if you experience a rapid heartbeat. Ciprofloxacin may trigger QT prolongation in the electrocardiogram.
- Talk to your doctor if you experience muscle weakness. In some cases, Cipro can cause tendon rupture or myasthenia gravis.
- Inform your doctor if you have episodes of diarrhea or vomiting. They may reduce your levels of magnesium and potassium in the blood and trigger heartbeat problems.
- If you have diabetes, check your blood sugar regularly.
- Limit your sun exposure and use sunscreen and protective clothing.
Recommended Reading: Treatment For Recurrent Sinus Infections
Nice Is Advising Healthcare Professionals To Tell Their Patients That A Sinus Infection Will Likely Clear
27 October 2017
The final guidance, developed with Public Health England, makes recommendations for treating acute sinusitis.
In most cases, people who have sinusitis will start to feel better within two-to-three weeks. The infection is usually viral, which means antibiotics should not be routinely prescribed, the guidance says.
Instead, NICE says healthcare professionals should advise their patients on how to manage their aches and pains with paracetamol.
They should also tell them that there is no evidence oral decongestants or steam inhalation will make any difference. And inform them that they should seek further medical advice if their symptoms get worse, or last for more than three weeks.
Dr Tessa Lewis, GP and chair of the managing common infections guidance committee, said: We know that most people with sinus infections will recover in a couple of weeks without needing any antibiotics, but that doesnt mean we should be sending them home without any information or advice.
Health professionals can help their patients cope with this infection and the sometimes unpleasant symptoms it can cause. They should tell them that theyll probably be feeling this way for a while, and that unless they are very unwell, the best thing to do is to take paracetamol and take it easy.
Professor Gillian Leng, deputy chief executive at NICE said:Antibiotic resistance is one of the greatest dangers to our health, which is why we must all work together to fight it.
What Special Dietary Instructions Should I Follow
Do not drink or eat a lot of caffeine-containing products such as coffee, tea, energy drinks, cola, or chocolate. Ciprofloxacin may increase nervousness, sleeplessness, heart pounding, and anxiety caused by caffeine.
Make sure you drink plenty of water or other fluids every day while you are taking ciprofloxacin.
Also Check: Does Ibuprofen Help With Sinus Congestion
Why Are Antibiotics Important
Antibiotics are one of the most common classifications of drugs used to treat bacterial infections. Since their introduction to the world of medicine, they have helped treat countless people, especially those with infectious diseases.
Antibiotics are very crucial during surgeries and are used to prevent patients from getting any infections from the cut. Without antibiotics, there is a higher chance of blood poisoning and the more complicated surgeries would not be possible to perform.
When Do The Side Effects Of Cipro Go Away
The side effects of Ciprofloxacin can last for as long as the treatment is held. In most cases, stopping the medication is the best way to end the severe side effects listed above.
However, some of them may be long-lasting, and others may not go away. It depends on the side effect and the reason it was triggered in the first place.
Ciprofloxacin is never prescribed for over 3 months to prevent long-lasting side effects. However, the majority of them are transient. After stopping the medication, it may take around one day or two, and they go away.
Read Also: The Best Medicine For A Sinus Infection
How To Take Ciprofloxacin
Use Ciprofloxacin exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Take ciprofloxacin at the same time each day, with or without food.
Shake the oral suspension for 15 seconds before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device . Do not give ciprofloxacin oral suspension through a feeding tube.
Swallow the extended-release tablet whole and do not crush, chew, or break it.
Drink plenty of liquids while you are taking ciprofloxacin.
Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Ciprofloxacin will not treat a viral infection such as the flu or a common cold.
Do not share ciprofloxacin with another person.
Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze. Throw away any unused liquid after 14 days.
If you take regular tablets or oral suspension: Take the medicine as soon as you can, but skip the missed dose if your next dose is due in less than 6 hours.
If you take extended-release tablets: Take the medicine as soon as you can, but skip the missed dose if your next dose is due in less than 8 hours.