Drug Name
Ciplox ear drops (Ciprofloxacin)

Drug Uses
Ciplox ear drops are used to treat different types of bacterial infections. It may also be used to prevent or slow anthrax after exposure.

Ciprofloxacin may also be used for other purposes not listed in this medication guide.

How to use
Take Ciplox exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.

Drug Class and Mechanism
Ciplox is an antibiotic in a group of drugs called fluoroquinolones which are used to fight bacteria in the body.

Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

Storage
Store Ciplox at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze.

Warnings/Precautions
You should not use ciprofloxacin if you are also taking tizanidine (Zanaflex), or if you are allergic to ciprofloxacin or similar medications such as levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), ofloxacin (Floxin), norfloxacin (Noroxin), and others.

Before taking ciprofloxacin, tell your doctor if you have a heart rhythm disorder, especially if you are being treated with one of these medications: quinidine (Cardioquin, Quinidex, Quinaglute), disopyramide (Norpace), bretylium (Bretylol), procainamide (Pronestyl, Procan SR), amiodarone (Cordarone, Pacerone), or sotalol (Betapace).

If you have any of these other conditions, you may need a dose adjustment or special tests to safely take ciprofloxacin:

• a history of allergic reaction to an antibiotic;
• joint problems;
• myasthenia gravis;
• kidney or liver disease;
• epilepsy or seizures;
• diabetes;
• low levels of potassium in your blood (hypokalemia); or
• a personal or family history of Long QT syndrome.

Possible Side Effects
Stop using ciprofloxacin and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using ciprofloxacin and call your doctor at once if you have any of these serious side effects:

• dizziness, fainting, fast or pounding heartbeat;
• sudden pain or swelling near your joints (especially in your arm or ankle);
• diarrhea that is watery or bloody;
• confusion, hallucinations, depression, unusual thoughts or behavior;
• seizure (convulsions);
• pale or yellowed skin, dark colored urine, fever, weakness;
• urinating less than usual or not at all;
• easy bruising or bleeding;
• numbness, tingling, or unusual pain anywhere in your body;
• fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or
• the first sign of any skin rash, no matter how mild.

Less serious ciprofloxacin side effects may include:

• nausea, vomiting;
• dizziness or drowsiness;
• blurred vision;
• feeling nervous, anxious, or agitated;
• sleep problems (insomnia or nightmares); or
• increased sensitivity of the skin to sunlight.

More Information
Your pharmacist can provide more information about ciprofloxacin.