What is most important to remember? If you have questions: Strong Internal Medicine • Take ciprofloxacin (Cipro®) as directed at the same times each Ask your doctor, nurse or pharmacist for day, at evenly spaced intervals more information about ciprofloxacin (Cipro®). • Take until you finish the medicine, even if you are feeling better

• Do not start any new medicines, over-the-counter drugs or herbal remedies without talking to your doctor

• Tell all doctors, dentists and pharmacists that you are using ciprofloxacin (Cipro®)

• Contact your prescriber If you Strong Internal Medicine experience joint, muscle or tendon 601 Elmwood Avenue th pain or swelling, or intolerable Ambulatory Care Facility, 5 Floor Rochester, NY 14642 side effects Phone: (585) 275 -7424 Ciprofloxacin (Cipro®): • This medicine will not treat a viral Visit our website at: Important Patient Information infection such as the common www.urmc.rochester.edu/medicine/ - cold or flu general-medicine/patientcare/

What does ciprofloxacin (Cipro®) do? What side effects could occur with ciprofloxacin What are some things that I need to be aware of when

• It is an antibiotic used to treat a number of bacterial (Cipro®)? taking ciprofloxacin (Cipro®)? infections • Headache, dizziness, blurred vision, or changes in • Tell your doctor or pharmacist if you are allergic to How should ciprofloxacin (Cipro®) be used? thinking clearly ciprofloxacin any other quinolone or if you are allergic to any other medicines, foods, or other substances • Use this medicine as directed by your doctor • Upset stomach, diarrhea, throwing up • Feeling nervous, agitated or anxious • Tell your doctor if you or anyone in your family has or has • Take this medicine at the same time each day at evenly ever had a prolonged QT interval, seizures, or liver spaced intervals. To gain the most benefit, do not miss • Difficulty sleeping disease doses of this medicine What should I do if I forget to take ciprofloxacin • Ciprofloxacin increases the risk of tendinitis or tendon • Take with or without food. Take with food if is causes (Cipro®)? rupture. Talk with your doctor an upset stomach • Take the missed dose as soon as you think about it • Tell your doctor or pharmacist if you are taking: • Take ciprofloxacin with a full glass of water (8 oz). Drink • If it is almost time for your next dose, skip the missed lomitapide, pirfenidone, pomalidomide, or tizanidine. extra water while taking this medication unless dose and continue your normal dose time otherwise directed by your doctor • Tell your doctor if you plan on getting pregnant or you are • Do not take 2 doses at the same time or extra doses breast feeding. You should not breast feed while using • Do not take with dairy products like milk or yogurt, this medicine antacids, or vitamin or mineral supplements Are there any interactions with other drugs that I need to worry about? • If you are taking a blood thinner, you may need to have Who should know I am taking ciprofloxacin (Cipro®)? • There are many drug interactions that may increase your blood work checked more frequently while taking this • Keep a list of all your medicines (prescription, natural your risk of side effects medicine. Talk with your doctor products, supplements, vitamins, over-the-counter) and Do not start new prescription, over-the-counter • Do not take with milk or other dairy products, antacids, give it to your healthcare provider (doctor, nurse, nurse medicines, or herbal and dietary supplements vitamin or mineral supplements. You should avoid eating practitioner, pharmacist, or physician assistant) or drinking these products 6 hours before or 2 hours after

you take your ciprofloxacin, since they may make your medicine less effective • This medicine may make you dizzy or sleepy. Avoid If you have any of the following side effects, call your doctor or visit the emergency room driving or operating heavy machinery until you know how immediately: this medicine affects you. Avoid or limit alcohol • Difficulty breathing • Pain, snapping or popping sound, consumption as it can make these effects worse • Swelling of face, lips, tongue or throat bruising, swelling or loss of movement • Avoid caffeine (coffee, sodas, and chocolate) while taking in any of your joints ciprofloxacin because it can cause nervousness, • Itching or rash • Ringing in the ears shakiness, and a fast heartbeat • Severe dizziness or fainting • Seizures or convulsions • You may get sunburned more easily. Avoid tan-ning beds • Fast or pounding heartbeats and sunlight and use sunscreen and protective clothing • Pale or yellow skin • Unusual bleeding or bruising when you go outside. • Bloody or watery diarrhea • Severe headache • Store in a cool, dry place. Do not store in the bathroom • •