Ciprofloxacin 500 mg Tablet, 10-count
Other active recalls for Ciprofloxacin (different manufacturers) — 3 · tap to view
🆔 Identity & classification
Where does this data come from?
🏷️ RxNorm drug class
This medicine belongs to the Fluoroquinolone Antibacterial class.
Where does this data come from?
🏭 Manufacturer & labeler
Where does this data come from?
🩺 Clinical
Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Ciprofloxacin is also used to treat or prevent plague (a serious infection that may be spread on purpose as part of a bioterror attack) and inhalation anthrax (a serious infection that may be spread by anthrax germs in the air on purpose as part of a bioterror attack). Ciprofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria that cause infections. Antibiotics such as ciprofloxacin will not work for colds, flu, or other viral infections. Using antibiotics when they are not n...
Read the full MedlinePlus article ↗- Ciprofloxacin treats a wide range of bacterial infections — things like urinary tract infections, skin infections, bone and joint infections, infectious diarrhea, typhoid fever, an...
- What kinds of infections does ciprofloxacin actually treat?
- You can take ciprofloxacin with or without food — that part's flexible. But avoid taking it at the same time as milk, yogurt, or calcium-fortified juices, because dairy and calcium...
- The most common side effects are nausea, diarrhea, and vomiting — uncomfortable, but usually manageable. The ones that mean stop-and-call-your-doctor-now are tendon pain (especiall...
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Ciprofloxacin — tap one for details:
Ciprofloxacin may be associated with lower levels of 11 nutrients — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
Ask a licensed pharmacist directly — free, answered by our team.
💊 What it looks like
Where does this data come from?
🧪 Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII 3NXW29V3WO
Hypromellose is a plant-based thickener made from cellulose. It's used in medicines as a binder to hold ingredients together, a coating for tablets, and a thickener for liquids.
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UNII 70097M6I30
Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
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UNII OP1R32D61U
Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
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UNII 461P5CJN6T
Modified corn starch derived from cornstarch and treated with octenyl succinic anhydride. It acts as a thickener, stabilizer, and emulsifier to improve texture and prevent separation in the medicine.
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UNII 3WJQ0SDW1A
Polyethylene glycol is a synthetic liquid or solid polymer used in medicines as a solvent, lubricant, and humectant. It helps dissolve active ingredients, reduces friction during manufacturing, and retains moisture in the final product.
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UNII ETJ7Z6XBU4
Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
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UNII AG9B65PV6B
A starch derivative made from corn that helps tablets and capsules break apart quickly when swallowed. It acts as a disintegrant, allowing the medicine to dissolve and be absorbed in your stomach and intestines.
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UNII O8232NY3SJ
A plant-based carbohydrate derived from corn kernels. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in your stomach for absorption.
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UNII 15FIX9V2JP
Titanium dioxide is a bright white mineral powder commonly used as a colorant and opacifying agent. It makes pills and tablets white or lighter in color and helps make coatings non-transparent.
9 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
💲 Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
🔁 Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Ciprofloxacin 500 mg 00143-9928-01 | Hikma | 100 tablets | $0.124 | — | Availability likely | — |
| ciprofloxacin 500 mg 00904-7243-61 | Major | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 16252-0515-01 | Teva | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 43547-0689-10 | Solco | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 59651-0867-01 | Aurobindo | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 60687-0860-01 | American | 1 tablet | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 60687-0947-01 | American | 1 tablet | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 61442-0223-01 | Carlsbad | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 62135-0309-01 | Chartwell | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 65862-0077-01 | Aurobindo | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin Hydrochloride 500 mg 69367-0386-01 | Westminster | 100 tablets | $0.124 | AB | Availability likely | — |
| Ciprofloxacin 500 mg 58657-0676-01 | Method | 100 tablets | $0.159 | AB | FDA listed | — |
| Ciprofloxacin 500 mg 00615-8546-10 | NCS | 10 tablets | — | AB | Discontinued | — |
| Ciprofloxacin 500 mg 00615-8630-10 | NCS | 10 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 16571-0412-05 | Rising | 50 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 42708-0088-14 | QPharma | 14 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 42708-0192-14 | QPharma, | 14 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 43063-0547-01 | PD-Rx | 100 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 43063-0869-06 | PD-Rx | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 43063-0923-02 | PD-Rx | 2 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 50090-1648-00 | A-S | 20 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 50090-1649-00 | A-S | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin Hydrochloride 500 mg 50090-7843-00 | A-S | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin Hydrochloride 500 mg 50090-7848-01 | A-S | 14 tablets | — | AB | FDA listed | — |
| Cipro 500 mg 50419-0754-01 | Bayer | 100 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 51407-0165-01 | Golden | 100 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 51655-0216-20 | Northwind | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 51655-0490-20 | Northwind | 20 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 54348-0663-01 | PharmPak, | 1 tablet | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 55154-0193-00 | Cardinal | 1 tablet | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 59651-0977-15 | Aurobindo | 1500 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 60429-0042-20 | Golden | 20 tablets | — | — | FDA listed | — |
| Ciprofloxacin 500 mg 60760-0676-10 | St. | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 60760-0689-10 | ST. | 10 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 63187-0017-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 63629-1010-01 | Bryant | 100 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 66267-0716-02 | NuCare | 2 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 66267-0919-06 | NuCare | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 67046-1537-03 | Coupler | 30 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 67296-1848-02 | Redpharm | 20 tablets | — | AB | Discontinued | — |
| Ciprofloxacin 500 mg 67296-2135-01 | Redpharm | 14 tablets | — | AB | FDA listed | — |
| Ciprofloxacin Hydrochloride 500 mg 67296-2208-01 | Redpharm | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68071-2267-01 | NuCare | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68071-2269-04 | NuCare | 4 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68071-2384-01 | NuCare | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68071-2404-02 | NuCare | 2 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68071-3610-01 | NuCare | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68071-3737-02 | NuCare | 2 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 68071-4122-01 | NuCare | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68788-8136-00 | Preferred | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 68788-8692-00 | Preferred | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 69117-0009-01 | Yiling | 500 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 69238-2433-01 | Amneal | 100 tablets | — | — | FDA listed | — |
| Ciprofloxacin 500 mg 70518-3063-00 | REMEDYREPACK | 30 tablets | — | — | Discontinued | — |
| Ciprofloxacin 500 mg 70518-4214-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 70518-4229-00 | REMEDYREPACK | 14 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 70934-0965-06 | Denton | 6 tablets | — | AB | Discontinued | — |
| Ciprofloxacin 500 mg 71205-0649-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71205-0997-00 | Proficient | 100 tablets | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 71335-0070-00 | Bryant | 7 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71335-1229-00 | Bryant | 7 tablets | — | AB | Discontinued | — |
| Ciprofloxacin 500 mg 71335-1347-00 | Bryant | 7 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71335-2046-00 | Bryant | 7 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71335-2054-00 | Bryant | 7 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71335-2450-00 | Bryant | 7 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71610-0081-83 | Aphena | 3600 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71610-0109-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 71610-0159-83 | Aphena | 3600 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72162-1741-02 | Bryant | 14 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72162-2425-01 | Bryant | 100 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72189-0111-14 | DIRECT | 14 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72189-0300-06 | DirectRx | 6 tablets | — | — | FDA listed | — |
| Ciprofloxacin 500 mg 72189-0623-10 | Direct_Rx | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72189-0627-10 | Direct_Rx | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72789-0065-20 | PD-Rx | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72789-0108-02 | PD-Rx | 2 tablets | — | — | FDA listed | — |
| Ciprofloxacin 500 mg 72789-0118-01 | PD-Rx | 100 tablets | — | — | FDA listed | — |
| Ciprofloxacin 500 mg 72789-0330-06 | PD-Rx | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72789-0511-10 | PD-Rx | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 72789-0520-06 | PD-Rx | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 76420-0045-06 | Asclemed | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 76420-0929-01 | Asclemed | 100 tablets | — | AB | FDA listed | — |
| Ciprofloxacin HCL 500 mg 80425-0192-01 | Advanced | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 80425-0492-01 | Advanced | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin Hydrochloride 500 mg 80425-0493-01 | Advanced | 20 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mgthis 82804-0130-10 | Proficient | 10 tablets | — | AB | FDA listed | — |
| Ciprofloxacin Hydrochloride 500 mg 82804-0260-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 82982-0050-14 | Pharmasource | 14 tablets | — | AB | Discontinued | — |
| Ciprofloxacin 500 mg 83008-0078-20 | Quality | 20 tablets | — | AB | Discontinued | — |
| Ciprofloxacin Hydrochloride 500 mg 83939-0002-01 | VERITYRX, | 1 tablet | — | AB | FDA listed | — |
| ciprofloxacin 500 mg 85293-0003-01 | Umasuto, | 100 tablets | — | AB | FDA listed | — |
| Ciprofloxacin 500 mg 85766-0100-01 | Sportpharm | 100 tablets | — | AB | FDA listed | — |
Where does this data come from?
⏳ Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
📊 Medicare Part D spend CMS · PART D · 2026 (Q1)
📦 Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Status |
|---|---|---|---|
| 82804-0130-06 | 6 TABLET in 1 BOTTLE (82804-130-06) | 2024-09-05 | Active |
| 82804-0130-10 You're viewing this | 10 TABLET in 1 BOTTLE (82804-130-10) | 2024-09-05 | Active |
| 82804-0130-14 | 14 TABLET in 1 BOTTLE (82804-130-14) | 2024-09-05 | Active |
| 82804-0130-20 | 20 TABLET in 1 BOTTLE (82804-130-20) | 2024-09-05 | Active |
| 82804-0130-30 | 30 TABLET in 1 BOTTLE (82804-130-30) | 2025-04-28 | Active |
You're viewing one of 5 pack sizes for this product.
Pack size FAQ
What quantity is in NDC 82804-0130-10?
What is the difference between NDC 82804-0130-10 and NDC 82804-0130-06?
What NDC number is used to bill for this package of Ciprofloxacin 500 mg Tablet?
🧭 About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |
Questions about this listing
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📄 Full prescribing information FDA SPL
🚨 Boxed Warning ▾
WARNING: SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS AND EXACERBATION OF MYASTHENIA GRAVIS • Fluoroquinolones, including ciprofloxacin, have been associated with disabling and potentially irreversible serious adverse reactions that have occurred together [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] including: • Tendinitis and tendon rupture [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Peripheral neuropathy [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )] • Central nervous system effects [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Discontinue ciprofloxacin immediately and avoid the use of fluoroquinolones, including ciprofloxacin, in patients who experience any of these serious adverse reactions [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] .
Fluoroquinolones, including ciprofloxacin, may exacerbate muscle weakness in patients with myasthenia gravis. Avoid ciprofloxacin in patients with known history of myasthenia gravis [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] . • Because fluoroquinolones, including ciprofloxacin, have been associated with serious adverse reactions [see Warnings and Precautions ( Error!
Hyperlink reference not valid. – Error! Hyperlink reference not valid. )] , reserve ciprofloxacin for use in patients who have no alternative treatment options for the following indications: • Acute exacerbation of chronic bronchitis [see Indications and Usage ( Error! Hyperlink reference not valid. )] • Acute uncomplicated cystitis [see Indications and Usage ( Error!
Hyperlink reference not valid. )] • Acute sinusitis [see Indications and Usage ( Error! Hyperlink reference not valid. )] WARNING: SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS AND EXACERBATION OF MYASTHENIA GRAVIS See full prescribing information for complete boxed warning. • Fluoroquinolones, including ciprofloxacin, have been associated with disabling and potentially irreversible serious adverse reactions that have occurred together ( Error! Hyperlink reference not valid.), including: • Tendinitis and tendon rupture ( Error!
Hyperlink reference not valid.) • Peripheral neuropathy ( Error! Hyperlink reference not valid.) • Central nervous system effects ( Error! Hyperlink reference not valid.) Discontinue ciprofloxacin immediately and avoid the use of fluoroquinolones, including ciprofloxacin, in patients who experience any of these serious adverse reactions ( Error!
Hyperlink reference not valid.) • Fluoroquinolones, including ciprofloxacin, may exacerbate muscle weakness in patients with myasthenia gravis. Avoid ciprofloxacin in patients with known history of myasthenia gravis. ( Error!
Hyperlink reference not valid.) • Because fluoroquinolones, including ciprofloxacin, have been associated with serious adverse reactions ( Error! Hyperlink reference not valid.- Error! Hyperlink reference not valid.), reserve ciprofloxacin for use in patients who have no alternative treatment options for the following indications: • Acute exacerbation of chronic bronchitis ( Error!
Hyperlink reference not valid.) • Acute uncomplicated cystitis ( Error! Hyperlink reference not valid.) • Acute sinusitis ( Error! Hyperlink reference not valid.)
🎯 Indications and Usage ▾
1 INDICATIONS AND USAGE Click here to enter Indications Ciprofloxacin is a fluoroquinolone antibacterial indicated in adults (18 years of age and older) with the following infections caused by designated, susceptible bacteria and in pediatric patients where indicated: • Skin and Skin Structure Infections ( Error! Hyperlink reference not valid. ) • Bone and Joint Infections ( Error! Hyperlink reference not valid. ) • Complicated Intra-Abdominal Infections ( Error!
Hyperlink reference not valid. ) • Infectious Diarrhea ( Error! Hyperlink reference not valid. ) • Typhoid Fever (Enteric Fever) ( Error! Hyperlink reference not valid. ) • Uncomplicated Cervical and Urethral Gonorrhea ( Error!
Hyperlink reference not valid. ) • Inhalational Anthrax post-exposure in adult and pediatric patients ( Error! Hyperlink reference not valid. ) • Plague in adult and pediatric patients ( Error! Hyperlink reference not valid. ) • Chronic Bacterial Prostatitis ( Error!
Hyperlink reference not valid. ) • Lower Respiratory Tract Infections ( Error! Hyperlink reference not valid. ) • Acute Exacerbation of Chronic Bronchitis • Urinary Tract Infections ( Error! Hyperlink reference not valid. ) • Urinary Tract Infections (UTI) • Acute Uncomplicated Cystitis • Complicated UTI and Pyelonephritis in Pediatric Patients • Acute Sinusitis ( Error!
Hyperlink reference not valid. ) Usage To reduce the development of drug-resistant bacteria and maintain the effectiveness of ciprofloxacin and other antibacterial drugs, ciprofloxacin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. ( Error! Hyperlink reference not valid. )
1.1Skin and Skin Structure Infections Ciprofloxacin tablets are indicated in adult patients for treatment of skin and skin structure infections caused by Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae, Proteus mirabilis, Proteus vulgaris, Providencia stuartii, Morganella morganii, Citrobacter freundii, Pseudomonas aeruginosa, methicillin-susceptible Staphylococcus aureus, methicillin-susceptible Staphylococcus epidermidis, or Streptococcus pyogenes.
1.2Bone and Joint Infections Ciprofloxacin tablets are indicated in adult patients for treatment of bone and joint infections caused by Enterobacter cloacae, Serratia marcescens, or Pseudomonas aeruginosa.
1.3Complicated Intra-Abdominal Infections Ciprofloxacin tablets are indicated in adult patients for treatment of complicated intra-abdominal infections (used in combination with metronidazole) caused by Escherichia coli, Pseudomonas aeruginosa, Proteus mirabilis, Klebsiella pneumoniae, or Bacteroides fragilis .
1.4Infectious Diarrhea Ciprofloxacin tablets are indicated in adult patients for treatment of infectious diarrhea caused by Escherichia coli (enterotoxigenic isolates), Campylobacter jejuni, Shigella boydii † , Shigella dysenteriae, Shigella flexneri or Shigella sonnei † when antibacterial therapy is indicated. † Although treatment of infections due to this organism in this organ system demonstrated a clinically significant outcome, efficacy was studied in fewer than 10 patients.
1.5Typhoid Fever (Enteric Fever) Ciprofloxacin tablets are indicated in adult patients for treatment of typhoid fever (enteric fever)caused by Salmonella typhi. The efficacy of ciprofloxacin in the eradication of the chronic typhoid carrier state has not been demonstrated.
1.6Uncomplicated Cervical and Urethral Gonorrhea Ciprofloxacin tablets are indicated in adult patients for treatment of uncomplicated cervical and urethral gonorrhea due to Neisseria gonorrhoeae [see Warnings and Precautions ( Error! Hyperlink reference not valid. )].
1.7Inhalational Anthrax (Post-Exposure) Ciprofloxacin tablets are indicated in adults and pediatric patients from birth to 17 years of age for inhalational anthrax (post-exposure) to reduce the incidence or progression of disease following exposure to aerosolized Bacillus anthracis. Ciprofloxacin…
⏱️ Dosage and Administration ▾
2 DOSAGE AND ADMINISTRATION Ciprofloxacin tablets should be administered orally as described in the appropriate Dosage Guidelines tables. Adult Dosage Guidelines Infection Dose Frequency Duration Skin and Skin Structure 500 -750 mg every 12 hours 7 to 14 days Bone and Joint 500-750 mg every 12 hours 4 to 8 weeks Complicated Intra-Abdominal 500 mg every 12 hours 7 to 14 days Infectious Diarrhea 500 mg every 12 hours 5 to 7 days Typhoid Fever 500 mg every 12 hours 10 days Uncomplicated Gonorrhea 250 mg single dose single dose Inhalational anthrax (post-exposure) 500 mg every 12 hours 60 days Plague 500–750 mg every 12 hours 14 days Chronic Bacterial Prostatitis 500 mg every 12 hours 28 days Lower Respiratory Tract 500 -750 mg every 12 hours 7 to 14 days Urinary Tract 250-500 mg every 12 hours 7 to 14 days Acute Uncomplicated Cystitis 250 mg every 12 hours 3 days Acute Sinusitis 500 mg every 12 hours 10 days • Adults with creatinine clearance 30–50 mL/min 250–500 mg q 12 h ( Error!
Hyperlink reference not valid. ) • Adults with creatinine clearance 5–29 mL/min 250–500 mg q 18 h ( Error! Hyperlink reference not valid. ) • Patients on hemodialysis or peritoneal dialysis 250–500 mg q 24 h (after dialysis) ( Error! Hyperlink reference not valid. ) Pediatric Oral Dosage Guidelines Infection Dose Frequency Duration Complicated UTI and Pyelonephritis (1 to 17 years of age) 10–20 mg/kg (maximum 750 mg per dose) Every 12 hours 10–21 days Inhalational Anthrax (Post-Exposure) 15 mg/kg (maximum 500 mg per dose) Every 12 hours 60 days Plague 15mg/kg (maximum 500 mg per dose) Every 8 to 12 hours 14days
2.1Dosage in Adults The determination of dosage and duration for any particular patient must take into consideration the severity and nature of the infection, the susceptibility of the causative microorganism, the integrity of the patient’s host-defense mechanisms, and the status of renal and hepatic function. Ciprofloxacin Tablets may be administered to adult patients when clinically indicted at the discretions of the physician. Table 1: Adult Dosage Guidelines Infection Dose Frequency Usual Durations 1 Skin and Skin Structure 500 -750 mg every 12 hours 7 to 14 days Bone and Joint 500-750 mg every 12 hours 4 to 8 weeks Complicated Intra-Abdominal 2 500 mg every 12 hours 7 to 14 days Infectious Diarrhea 500 mg every 12 hours 5 to 7 days Typhoid Fever 500 mg every 12 hours 10 days Uncomplicated Urethral and Cervical Gonococcal Infections 250 mg single dose single dose Inhalational anthrax (post-exposure) 3 500 mg every 12 hours 60 days Plague 3 500–750 mg every 12 hours 14 days Chronic Bacterial Prostatitis 500 mg every 12 hours 28 days Lower Respiratory Tract Infections 500 -750 mg every 12 hours 7 to 14 days Urinary Tract Infections 250-500 mg every 12 hours 7 to 14 days Acute Uncomplicated Cystitis 250 mg every 12 hours 3 days Acute Sinusitis 500 mg every 12 hours 10 days 1 Generally ciprofloxacin should be continued for at least 2 days after the signs and symptoms of infection have disappeared, except for inhalational anthrax (post-exposure).
2 Used in conjunction with metronidazole. 3 Begin drug administration as soon as possible after suspected or confirmed exposure. Conversion of IV to Oral Dosing in Adults Patients whose therapy is started with Ciprofloxacin IV may be switched to ciprofloxacin tablets when clinically indicated at the discretion of the physician (Table 2) [see Clinical Pharmacology ( Error!
Hyperlink reference not valid. )]. Table 2: Equivalent AUC Dosing Regimens Ciprofloxacin Oral Dosage Equivalent Ciprofloxacin IV Dosage 250 mg Tablet every 12 hours 200 mg intravenous every 12 hours 500 mg Tablet every 12 hours 400 mg intravenous every 12 hours 750 mg Tablet every 12 hours 400 mg intravenous every 8 hours
2.2Dosage in Pediatric Patients Dosing and initial route of therapy (that is, IV or oral) for cUTI or pyelonephritis should be determined by the severity of the infection. Ciprofloxacin tablets should be administered…
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS AND STRENGTHS • Ciprofloxacin Tablets, USP 500 mg, white, oval shaped tablets, plain on one side, and “Y102” with no breakline on the other side. • Tablets: 500 mg (3)
⛔ Contraindications ▾
4 CONTRAINDICATIONS Click here to enter Contraindications • Known hypersensitivity to ciprofloxacin or other quinolones ( Error! Hyperlink reference not valid. , Error! Hyperlink reference not valid. Error! Hyperlink reference not valid. ) • Concomitant administration with tizanidine Error! Hyperlink reference not valid.
4.1Hypersensitivity Ciprofloxacin tablets are contraindicated in persons with a history of hypersensitivity to ciprofloxacin, any member of the quinolone class of antibacterials, or any of the product components [see Warnings and Precautions ( Error! Hyperlink reference not valid. )].
4.2Tizanidine Concomitant administration with tizanidine is contraindicated [see Drug Interactions ( Error! Hyperlink reference not valid. )].
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS Click here to enter Warnings and Precautions • Hypersensitivity and other serious reactions: Serious and sometimes fatal reactions (for example, anaphylactic reactions) may occur after the first or subsequent doses of ciprofloxacin. Discontinue ciprofloxacin at the first sign of skin rash, jaundice or any sign of hypersensitivity. ( Error!
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Hyperlink reference not valid. ) • Clostridioides difficile-associated diarrhea: Evaluate if colitis occurs. ( Error! Hyperlink reference not valid. ) • QT Prolongation: Prolongation of the QT interval and isolated cases of torsade de pointes have been reported.
Avoid use in patients with known prolongation, those with hypokalemia, and with other drugs that prolong the QT interval. ( Error! Hyperlink reference not valid. , Error!
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5.1Disabling and Potentially Irreversible Serious Adverse Reactions Including Tendinitis and Tendon Rupture, Peripheral Neuropathy, and Central Nervous System Effects Fluoroquinolones, including ciprofloxacin, have been associated with disabling and potentially irreversible serious adverse reactions from different body systems that can occur together in the same patient. Commonly seen adverse reactions include tendinitis, tendon rupture, arthralgia, myalgia, peripheral neuropathy, and central nervous system effects (hallucinations, anxiety, depression, insomnia, severe headaches, and confusion).
These reactions can occur within hours to weeks after starting ciprofloxacin. Patients of any age or without pre-existing risk factors have experienced these adverse reactions [see Warnings and Precautions ( Error! Hyperlink reference not valid. , Error!
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In addition, avoid the use of fluoroquinolones, including ciprofloxacin, in patients who have experienced any of these serious adverse reactions associated with fluoroquinolones.
5.2Tendinitis and Tendon Rupture Fluoroquinolones, including ciprofloxacin, have been associated with an increased risk of tendinitis and tendon rupture in all ages [see Warnings and Precautions ( Error! Hyperlink reference not valid. ) and Adverse Reactions ( Error! Hyperlink reference not valid. )] .
This adverse reaction most frequently involves the Achilles tendon, and has also been reported with the rotator cuff (the shoulder), the hand, the biceps, the thumb, and other tendons. Tendinitis or tendon rupture can occur, within hours or days of starting ciprofloxacin, or as long as several months after completion of fluoroquinolone therapy. Tendinitis and tendon rupture can occur bilaterally.
The risk of developing fluoroquinolone-associated tendinitis and tendon rupture is increased in patients over 60 years of age, in patients taking corticosteroid drugs, and in patients with kidney, heart or lung transplants. Other factors that may independently increase the risk of tendon rupture include strenuous physical activity, renal failure, and previous tendon disorders such as rheumatoid arthritis. Tendinitis and tendon rupture have also occurred in patients taking fluoroquinolones who do not have the above risk factors.
Discontinue ciprofloxacin immediately if the patient experiences pain, swelling, inflammation or rupture of a tendon. Avoid fluoroquinolones, including ciprofloxacin, in patients who have a history of tendon disorders or have experienced tendinitis or tendon rupture [see Adverse Reactions ( Error! Hyperlink reference not valid. )].
5.3Peripheral Neuropathy Fluoroquinolones, including ciprofloxacin, have been associated with an increased risk of peripheral neuropathy. Cases of sensory or senso…
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS The following serious and otherwise important adverse drug reactions are discussed in greater detail in other sections of labeling: • Disabling and Potentially Irreversible Serious Adverse Reactions [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Tendinitis and Tendon Rupture [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Peripheral Neuropathy [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )] • Central Nervous System Effects [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] Exacerbation of Myasthenia Gravis [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Other Serious and Sometimes Fatal Adverse Reactions [see Warnings and Precautions ( 5.6 )] • Hypersensitivity Reactions [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )] • Hepatotoxicity [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Risk of Aortic Aneurysm and Dissection [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Serious Adverse Reactions with Concomitant Theophylline [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )] • Clostridioides difficile -Associated Diarrhea [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Prolongation of the QT Interval [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Musculoskeletal Disorders in Pediatric Patients [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )] • Photosensitivity/Phototoxicity [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] • Development of Drug Resistant Bacteria [see Warnings and Precautions ( Error! Hyperlink reference not valid. )] The most common adverse reactions ≥1% were nausea, diarrhea, liver function tests abnormal, vomiting, and rash.
( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact [Solco Healthcare US, LLC at 1-866-257-2597] or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Adult Patients During clinical investigations with oral and parenteral ciprofloxacin, 49,038 patients received courses of the drug. The most frequently reported adverse reactions, from clinical trials of all formulations, all dosages, all drug-therapy durations, and for all indications of ciprofloxacin therapy were nausea (2.5%), diarrhea (1.6%), liver function tests abnormal (1.3%), vomiting (1%), and rash (1%).
Table 5: Medically Important Adverse Reactions That Occurred in less than 1% of Ciprofloxacin Patients System Organ Class Adverse Reactions Body as a Whole Headache Abdominal Pain/Discomfort Pain Cardiovascular Syncope Angina Pectoris Myocardial Infarction Cardiopulmonary Arrest Tachycardia Hypotension Central Nervous System Restlessness Dizziness Insomnia Nightmares Hallucinations Paranoia Psychosis (toxic) Manic Reaction Irritability Tremor Ataxia Seizures (including Status Epilepticus) Malaise Anorexia Phobia Depersonalization Depression (potentially culminating in self- injurious behavior (such as suicidal ideations/thoughts and attempted or completed suicide) Paresthesia Abnormal Gait Migraine Gastrointestinal Intestinal Perforation Gastrointestinal Bleeding Cholestatic Jaundice Hepatitis Pancreatitis Hemic/Lymphatic Petechia Metabolic/Nutritional Hyperglycemia Hypoglycemia Musculoskeletal Arthralgia Joint Stiffness Muscle Weakness Renal/Urogenital Interstitial Nephritis Renal Failure Respiratory Dyspnea Laryngeal Edema Hemoptysis Bronchospasm Skin/Hypersensitivity Anaphylactic Reactions including life-threatening anaphylactic shock Erythema Multiforme/Stevens-Johnson Syndrome Exfoliative Dermati…
🔄 Drug Interactions ▾
7 DRUG INTERACTIONS Ciprofloxacin is an inhibitor of human cytochrome P450 1A2 (CYP1A2) mediated metabolism. Co-administration of ciprofloxacin with other drugs primarily metabolized by CYP1A2 results in increased plasma concentrations of these drugs and could lead to clinically significant adverse events of the co-administered drug. Table 8: Drugs That are Affected by and Affecting Ciprofloxacin Drugs That are Affected by Ciprofloxacin Drug(s) Recommendation Comments Tizanidine Contraindicated Concomitant administration of tizanidine and ciprofloxacin is contraindicated due to the potentiation of hypotensive and sedative effects of tizanidine [see Contraindications ( Error!
Hyperlink reference not valid. )]. Theophylline Avoid Use (Plasma Exposure Likely to be Increased and Prolonged) Concurrent administration of ciprofloxacin with theophylline may result in increased risk of a patient developing central nervous system (CNS) or other adverse reactions. If concomitant use cannot be avoided, monitor serum levels of theophylline and adjust dosage as appropriate [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )]. Drugs Known to Prolong QT Interval Avoid Use Ciprofloxacin may further prolong the QT interval in patients receiving drugs known to prolong the QT interval (for example, class IA or III antiarrhythmics, tricyclic antidepressants, macrolides, antipsychotics) [see Warnings and Precautions ( Error! Hyperlink reference not valid. ) and Use in Specific Populations ( Error!
Hyperlink reference not valid. )]. Oral antidiabetic drugs Use with caution Glucose-lowering effect potentiated Hypoglycemia sometimes severe has been reported when ciprofloxacin and oral antidiabetic agents, mainly sulfonylureas (for example, glyburide, glimepiride), were co-administered, presumably by intensifying the action of the oral antidiabetic agent. Fatalities have been reported.
Monitor blood glucose when ciprofloxacin is co-administered with oral antidiabetic drugs [see Adverse Reactions ( Error! Hyperlink reference not valid. )]. Phenytoin Use with caution Altered serum levels of phenytoin (increased and decreased) To avoid the loss of seizure control associated with decreased phenytoin levels and to prevent phenytoin overdose-related adverse reactions upon ciprofloxacin discontinuation in patients receiving both agents, monitor phenytoin therapy, including phenytoin serum concentration during and shortly after co-administration of ciprofloxacin with phenytoin.
Cyclosporine Use with caution (transient elevations in serum creatinine) Monitor renal function (in particular serum creatinine) when ciprofloxacin is co-administered with cyclosporine. Anti-coagulant drugs Use with caution (Increase in anticoagulant effect) The risk may vary with the underlying infection, age and general status of the patient so that the contribution of ciprofloxacin to the increase in INR (international normalized ratio) is difficult to assess. Monitor prothrombin time and INR frequently during and shortly after co- administration of ciprofloxacin with an oral anti-coagulant (for example, warfarin).
Methotrexate Use with caution Inhibition of methotrexate renal tubular transport potentially leading to increased methotrexate plasma levels Potential increase in the risk of methotrexate associated toxic reactions. Therefore, carefully monitor patients under methotrexate therapy when concomitant ciprofloxacin therapy is indicated. Ropinirole Use with caution Monitoring for ropinirole-related adverse reactions and appropriate dose adjustment of ropinirole is recommended during and shortly after co-administration with ciprofloxacin [see Warnings and Precautions ( Error!
Hyperlink reference not valid. )]. Clozapine Use with caution Careful monitoring of clozapine associated adverse reactions and appropriate adjustment of clozapine dosage during and shortly after co-administration with ciprofloxacin are advised. NSAIDs Use with caution Non-steroidal anti-i…
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS Click here to enter Use in Specific Populations Lactation: Breastfeeding is not recommended during treatment, but a lactating woman may pump and discard breastmilk during treatment and an additional 2 days after the last dose. In patients treated for inhalational anthrax (post exposure), consider the risks and benefits of continuing breastfeeding. ( Error!
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8.1Pregnancy Risk Summary Prolonged experience with ciprofloxacin in pregnant women over several decades, based on available published information from case reports, case control studies and observational studies on ciprofloxacin administered during pregnancy, have not identified any drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes (see Data). Oral administration of ciprofloxacin during organogenesis at doses up to 100 mg/kg to pregnant mice and rats, and up to 30 mg/kg to pregnant rabbits did not cause fetal malformations (see Data) .
These doses were up to 0.3, 0.6, and 0.4 times the maximum recommended clinical oral dose in mice, rats, and rabbits, respectively, based on body surface area. The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes.
In the U.S. general population, the estimated background risks of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Data Human Data While available studies cannot definitively establish the absence of risk, published data from prospective observational studies over several decades have not established an association with ciprofloxacin use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. Available studies have methodological limitations including small sample size and some of them are not specific for ciprofloxacin.
A controlled prospective observational study followed 200 women exposed to fluoroquinolones (52.5% exposed to ciprofloxacin and 68% first trimester exposures) during gestation. In utero exposure to fluoroquinolones during embryogenesis was not associated with increased risk of major malformations. The reported rates of major congenital malformations were 2.2% for the fluoroquinolone group and 2.6% for the control group (background incidence of major malformations is 1–5%).
Rates of spontaneous abortions, prematurity and low birth weight did not differ between the groups and there were no clinically significant musculoskeletal dysfunctions up to one year of age in the ciprofloxacin exposed children. Another prospective follow-up study reported on 549 pregnancies with fluoroquinolone exposure (93% first trimester exposures). There were 70 ciprofloxacin exposures, all within the first trimester.
The malformation rates among live-born babies exposed to ciprofloxacin and to fluoroquinolones overall were both within background incidence ranges. No specific patterns of congenital abnormalities were found. The study did not reveal any clear adverse reactions due to in utero exposure to ciprofloxacin.
No differences in the rates of prematurity, spontaneous abortions, or birth weight were seen in women exposed to ciprofloxacin during pregnancy. However, these small postmarketing epidemiology studies, of which most experience is from short term, first trimester exposure, are insufficient to evaluate the risk for less common defects or to permit reliable and definitive conclusions regarding the safety of ciprofloxacin in pregnant women and their developing fetuses. Animal Data Developmental toxicology studies have been performed with ciprofloxacin in rats, mice, and rabbits.
In rats and mice, oral doses up to 100 mg/kg ad…
🤰 Pregnancy ▾
8.1Pregnancy Risk Summary Prolonged experience with ciprofloxacin in pregnant women over several decades, based on available published information from case reports, case control studies and observational studies on ciprofloxacin administered during pregnancy, have not identified any drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes (see Data). Oral administration of ciprofloxacin during organogenesis at doses up to 100 mg/kg to pregnant mice and rats, and up to 30 mg/kg to pregnant rabbits did not cause fetal malformations (see Data) .
These doses were up to 0.3, 0.6, and 0.4 times the maximum recommended clinical oral dose in mice, rats, and rabbits, respectively, based on body surface area. The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes.
In the U.S. general population, the estimated background risks of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Data Human Data While available studies cannot definitively establish the absence of risk, published data from prospective observational studies over several decades have not established an association with ciprofloxacin use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. Available studies have methodological limitations including small sample size and some of them are not specific for ciprofloxacin.
A controlled prospective observational study followed 200 women exposed to fluoroquinolones (52.5% exposed to ciprofloxacin and 68% first trimester exposures) during gestation. In utero exposure to fluoroquinolones during embryogenesis was not associated with increased risk of major malformations. The reported rates of major congenital malformations were 2.2% for the fluoroquinolone group and 2.6% for the control group (background incidence of major malformations is 1–5%).
Rates of spontaneous abortions, prematurity and low birth weight did not differ between the groups and there were no clinically significant musculoskeletal dysfunctions up to one year of age in the ciprofloxacin exposed children. Another prospective follow-up study reported on 549 pregnancies with fluoroquinolone exposure (93% first trimester exposures). There were 70 ciprofloxacin exposures, all within the first trimester.
The malformation rates among live-born babies exposed to ciprofloxacin and to fluoroquinolones overall were both within background incidence ranges. No specific patterns of congenital abnormalities were found. The study did not reveal any clear adverse reactions due to in utero exposure to ciprofloxacin.
No differences in the rates of prematurity, spontaneous abortions, or birth weight were seen in women exposed to ciprofloxacin during pregnancy. However, these small postmarketing epidemiology studies, of which most experience is from short term, first trimester exposure, are insufficient to evaluate the risk for less common defects or to permit reliable and definitive conclusions regarding the safety of ciprofloxacin in pregnant women and their developing fetuses. Animal Data Developmental toxicology studies have been performed with ciprofloxacin in rats, mice, and rabbits.
In rats and mice, oral doses up to 100 mg/kg administered during organogenesis (Gestation Days, GD, 6-17) were not associated with adverse developmental outcomes, including embryofetal toxicity or malformations. In rats and mice, a 100 mg/kg dose is approximately 0.6 and 0.3 times the maximum daily human oral dose (1500 mg/day) based upon body surface area, respectively. In a series of rabbit developmental toxicology studies, does received oral or intravenous ciprofloxacin for one of the following 5 day periods: GD 6 to 10, GD 10 to 14, or GD 14 to 18, intended to cover the period of organogenesis.
This was an attempt to…
🧒 Pediatric Use ▾
8.4Pediatric Use Although effective in clinical trials, ciprofloxacin is not a drug of first choice in the pediatric population due to an increased incidence of adverse reactions compared to controls. Quinolones, including ciprofloxacin, cause arthropathy (arthralgia, arthritis), in juvenile animals [seeWarnings and Precautions ( Error! Hyperlink reference not valid. ) and Nonclinical Toxicology ( Error!
Hyperlink reference not valid. )]. Complicated Urinary Tract Infection and Pyelonephritis Ciprofloxacin tablets are indicated for the treatment of cUTI and pyelonephritis due to Escherichia coli in pediatric patients 1 to 17 years of age. Although effective in clinical trials, ciprofloxacin is not a drug of first choice in the pediatric population due to an increased incidence of adverse reactions compared to the controls, including events related to joints and/or surrounding tissues [see Adverse Reactions ( Error!
Hyperlink reference not valid. ) and Clinical Studies ( Error! Hyperlink reference not valid. )]. Inhalational Anthrax (Post-Exposure) Ciprofloxacin is indicated in pediatric patients from birth to 17 years of age, for inhalational anthrax (post-exposure).
The risk-benefit assessment indicates that administration of ciprofloxacin to pediatric patients is appropriate [see Dosage and Administration ( Error! Hyperlink reference not valid. ) and Clinical Studies ( Error! Hyperlink reference not valid. )].
Plague Ciprofloxacin is indicated in pediatric patients from birth to 17 years of age, for treatment of plague, including pneumonic and septicemic plague due to Yersinia pestis ( Y. pestis ) and prophylaxis for plague. Efficacy studies of ciprofloxacin could not be conducted in humans with pneumonic plague for feasibility reasons. Therefore, approval of this indication was based on an efficacy study conducted in animals.
The risk-benefit assessment indicates that administration of ciprofloxacin to pediatric patients is appropriate [see Indications and Usage ( Error! Hyperlink reference not valid. ), Dosage and Administration ( Error! Hyperlink reference not valid. ) and Clinical Studies ( Error!
Hyperlink reference not valid. ).]
🧓 Geriatric Use ▾
8.5Geriatric Use Geriatric patients are at increased risk for developing severe tendon disorders including tendon rupture when being treated with a fluoroquinolone such as ciprofloxacin. This risk is further increased in patients receiving concomitant corticosteroid therapy. Tendinitis or tendon rupture can involve the Achilles, hand, shoulder, or other tendon sites and can occur during or after completion of therapy; cases occurring up to several months after fluoroquinolone treatment have been reported.
Caution should be used when prescribing ciprofloxacin to elderly patients especially those on corticosteroids. Patients should be informed of this potential adverse reaction and advised to discontinue ciprofloxacin and contact their healthcare provider if any symptoms of tendinitis or tendon rupture occur [see Boxed Warning, Warnings and Precautions ( Error! Hyperlink reference not valid. ), and Adverse Reactions ( Error!
Hyperlink reference not valid. )]. Epidemiologic studies report an increased rate of aortic aneurysm and dissection within two months following use of fluoroquinolones, particularly in elderly patients [see Warnings and Precautions ( Error! Hyperlink reference not valid. )].
In a retrospective analysis of 23 multiple-dose controlled clinical trials of ciprofloxacin encompassing over 3500 ciprofloxacin-treated patients, 25% of patients were greater than or equal to 65 years of age and 10% were greater than or equal to 75 years of age. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals on any drug therapy cannot be ruled out.
Ciprofloxacin is known to be substantially excreted by the kidney, and the risk of adverse reactions may be greater in patients with impaired renal function. No alteration of dosage is necessary for patients greater than 65 years of age with normal renal function. However, since some older individuals experience reduced renal function by virtue of their advanced age, care should be taken in dose selection for elderly patients, and renal function monitoring may be useful in these patients [see Dosage and Administration ( Error!
Hyperlink reference not valid. ) and Clinical Pharmacology ( Error! Hyperlink reference not valid. )]. In general, elderly patients may be more susceptible to drug-associated effects on the QT interval.
Therefore, precaution should be taken when using ciprofloxacin with concomitant drugs that can result in prolongation of the QT interval (for example, class IA or class III antiarrhythmics) or in patients with risk factors for torsade de pointes (for example, known QT prolongation, uncorrected hypokalemia) [see Warnings and Precautions ( Error! Hyperlink reference not valid. )].
🆘 Overdosage ▾
10 OVERDOSAGE In the event of acute overdosage, reversible renal toxicity has been reported in some cases. Empty the stomach by inducing vomiting or by gastric lavage. Observe the patient carefully and give supportive treatment, including monitoring of renal function, urinary pH and acidify, if required, to prevent crystalluria and administration of magnesium, aluminum, or calcium containing antacids which can reduce the absorption of ciprofloxacin.
Adequate hydration must be maintained. Only a small amount of ciprofloxacin (less than 10%) is removed from the body after hemodialysis or peritoneal dialysis.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY Click here to enter Clinical Pharmacology
12.1Mechanism of Action Ciprofloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( Error! Hyperlink reference not valid. )].
12.3Pharmacokinetics Absorption The absolute bioavailability of Ciprofloxacin when given as an oral tablet is approximately 70% with no substantial loss by first pass metabolism. Ciprofloxacin maximum serum concentrations (C max ) and area under the curve (AUC) are shown in the chart for the 250 mg to 1000 mg dose range (Table 9). Table 9: Ciprofloxacin C max and AUC Following Administration of Single Doses of Ciprofloxacin Tablets to Healthy Subjects Dose (mg) C max (mcg/mL) AUC (mcg•hr/mL) 250 1.2 4.8 500 2.4 11.6 750 4.3 20.2 1000 5.4
30.8Maximum serum concentrations are attained 1 to 2 hours after oral dosing. Mean concentrations 12 hours after dosing with 250, 500, or 750 mg are 0.1, 0.2, and 0.4 mcg/mL, respectively. The serum elimination half-life in subjects with normal renal function is approximately 4 hours.
Serum concentrations increase proportionately with doses up to 1000 mg . A 500 mg oral dose given every 12 hours has been shown to produce an AUC equivalent to that produced by an intravenous infusion of 400 mg ciprofloxacin given over 60 minutes every 12 hours. A 750 mg oral dose given every 12 hours has been shown to produce an AUC at steady-state equivalent to that produced by an intravenous infusion of 400 mg given over 60 minutes every 8 hours.
A 750 mg oral dose results in a C max similar to that observed with a 400 mg intravenous dose. A 250 mg oral dose given every 12 hours produces an AUC equivalent to that produced by an infusion of 200 mg ciprofloxacin given every 12 hours (Table 10). Table 10:Steady-state Pharmacokinetic Parameters Following Multiple Oral and Intravenous Doses (Adults) Parameters 500 mg 400 mg 750 mg 400 mg every 12 hours, orally every 12 hours, intravenously every 12 hours, orally every 8 hours, intravenously AUC 0-24h,ss (μg•h/mL) 27.4 * 25.4 * 31.6 * 32.9 ** C max,ss (μg/mL) 2.97 4.56 3.59 4.07 *: AUC 0–12h x 2 **: AUC 0–8h x 3 Food When ciprofloxacin tablets are given concomitantly with food, there is a delay in the absorption of the drug, resulting in peak concentrations that occur closer to 2 hours after dosing rather than 1 hour.
The overall absorption of ciprofloxacin tablets, however, is not substantially affected. Avoid concomitant administration of ciprofloxacin with dairy products (like milk or yogurt) or calcium-fortified juices alone since decreased absorption is possible; however, ciprofloxacin may be taken with a meal that contains these products. Distribution The binding of ciprofloxacin to serum proteins is 20% to 40% which is not likely to be high enough to cause significant protein binding interactions with other drugs.
After oral administration, ciprofloxacin is widely distributed throughout the body. Tissue concentrations often exceed serum concentrations in both men and women, particularly in genital tissue including the prostate. Ciprofloxacin is present in active form in the saliva, nasal and bronchial secretions, mucosa of the sinuses, sputum, skin blister fluid, lymph, peritoneal fluid, bile, and prostatic secretions.
Ciprofloxacin has also been detected in lung, skin, fat, muscle, cartilage, and bone. The drug diffuses into the cerebrospinal fluid (CSF); however, CSF concentrations are generally less than 10% of peak serum concentrations. Low levels of the drug have been detected in the aqueous and vitreous humors of the eye.
Metabolism Four metabolites have been identified in human urine which together account for approximately 15% of an oral dose. The metabolites have antimicrobial activity, but are less active than unchanged ciprofloxacin. Ciprofloxacin is an inhibitor of human cytochrome P450 1A2 (CYP1A2) mediated metabolism.
Co-administration of ciprofloxacin with other drugs primarily metabolized by CYP1A2 results in inc…
🧬 Mechanism of Action ▾
12.1Mechanism of Action Ciprofloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( Error! Hyperlink reference not valid. )].
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING Ciprofloxacin Tablets, USP 500 mg are available as oval shaped, white film-coated tablets, debossed with “Y102” on one side. Ciprofloxacin Tablets, USP 500 mg are available in bottles of 6, 10, 14 and 20. Strength NDC Code Tablet Identification Bottles of 6 500 mg NDC 82804-130-06 Y102 Bottles of 10 500 mg NDC 82804-130-10 Y102 Bottles of 14 500 mg NDC 82804-130-14 Y102 Bottles of 20 500 mg NDC 82804-130-20 Y102 Bottles of 30 500 mg NDC 82804-130-30 Y102 Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].
Preserve in well-closed container.
📋 Description ▾
11 DESCRIPTION Ciprofloxacin Tablets, USP are synthetic antimicrobial agents for oral administration. Ciprofloxacin hydrochloride, USP, a fluoroquinolone, is the monohydrochloride monohydrate salt of 1-cyclopropyl- 6-fluoro- 1,4-dihydro- 4-oxo- 7-(1-piperazinyl)- 3-quinolinecarboxylic acid. It is a faintly yellowish to light yellow crystalline substance with a molecular weight of 385.8.
Its empirical formula is C 17 H 18 FN 3 O 3 •HCl•H 2 O and its chemical structure is as follows: Ciprofloxacin is 1-cyclopropyl- 6-fluoro- 1,4-dihydro- 4-oxo- 7-(1-piperazinyl)- 3-quinolinecarboxylic acid. Its empirical formula is C17H18FN3O3 and its molecular weight is 331.4. It is a faintly yellowish to light yellow crystalline substance and its chemical structure is as follows: Ciprofloxacin film-coated tablets are available in 250 mg and 500 mg (ciprofloxacin equivalent) strengths.
Ciprofloxacin Tablets, USP are white. The inactive ingredients are colloidal silicon dioxide, corn starch, partially pregelatinized maize starch, magnesium stearate, microcrystalline cellulose, sodium starch glycolate (starch from non-GMO potatoes), hypromellose, titanium dioxide and PEG. C17H18FN3O3•HCl•H2O C17H18FN3O3
💬 Information for Patients ▾
17 PATIENT COUNSELING INFORMATION Advise the patient to read the FDA -approved patient labeling. (Medication Guide) Serious Adverse Reactions Advise patients to stop taking ciprofloxacin tablets if they experience an adverse reaction and to call their healthcare provider for advice on completing the full course of treatment with another antibacterial drug. Inform patients of the following serious adverse reactions that have been associated with ciprofloxacin or other fluoroquinolone use: • Disabling and potentially irreversible serious adverse reactions that may occur together: Inform patients that disabling and potentially irreversible serious adverse reactions, including tendinitis and tendon rupture, peripheral neuropathies, and central nervous system effects, have been associated with use of ciprofloxacin tablets and may occur together in the same patient.
Inform patients to stop taking ciprofloxacin tablets immediately if they experience an adverse reaction and to call their healthcare provider. • Tendinitis and tendon rupture: Instruct patients to contact their healthcare provider if they experience pain, swelling, or inflammation of a tendon, or weakness or inability to use one of their joints; rest and refrain from exercise; and discontinue ciprofloxacin tablets treatment. Symptoms may be irreversible. The risk of severe tendon disorder with fluoroquinolones is higher in older patients usually over 60 years of age, in patients taking corticosteroid drugs, and in patients with kidney, heart or lung transplants. • Peripheral Neuropathies: Inform patients that peripheral neuropathies have been associated with ciprofloxacin use, symptoms may occur soon after initiation of therapy and may be irreversible.
If symptoms of peripheral neuropathy including pain, burning, tingling, numbness and/or weakness develop, immediately discontinue ciprofloxacin tablets and tell them to contact their physician. • Central nervous system effects (for example, convulsions, dizziness, lightheadedness, increased intracranial pressure): Inform patients that convulsions have been reported in patients receiving fluoroquinolones, including Ciprofloxacin. Instruct patients to notify their physician before taking this drug if they have a history of convulsions.
Inform patients that they should know how they react to ciprofloxacin tablets before they operate an automobile or machinery or engage in other activities requiring mental alertness and coordination. Instruct patients to notify their physician if persistent headache with or without blurred vision occurs. • Exacerbation of Myasthenia Gravis: Instruct patients to inform their physician of any history of myasthenia gravis. Instruct patients to notify their physician if they experience any symptoms of muscle weakness, including respiratory difficulties. • Hypersensitivity Reactions: Inform patients that ciprofloxacin can cause hypersensitivity reactions, even following a single dose, and to discontinue the drug at the first sign of a skin rash, hives or other skin reactions, a rapid heartbeat, difficulty in swallowing or breathing, any swelling suggesting angioedema (for example, swelling of the lips, tongue, face, tightness of the throat, hoarseness), or other symptoms of an allergic reaction. • Hepatotoxicity: Inform patients that severe hepatotoxicity (including acute hepatitis and fatal events) has been reported in patients taking ciprofloxacin tablets.
Instruct patients to inform their physician if they experience any signs or symptoms of liver injury including: loss of appetite, nausea, vomiting, fever, weakness, tiredness, right upper quadrant tenderness, itching, yellowing of the skin and eyes, light colored bowel movements or dark colored urine. • Aortic aneurysm and dissection: Inform patients to seek emergency medical care if they experience sudden chest, stomach, or back pain. • Diarrhea: Diarrhea is a common problem caused by antibiotics which usually ends when the antibiotic is disco…