Ciprofloxacin

This page contains recent news articles, when available, and an overview of Ciprofloxacin but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.


Overview:

Ciprofloxacin
(when available)

Pharmacology and use:
Ciprofloxacin, a broad-spectrum antiinfective agent of the fluoroquinolone class, is used to treat gram-negative infections, sexually transmitted diseases, mycobacterial infections, corneal ulcers, and bacterial conjunctivitis. For the treatment of Bacterial infection of Respiratory tract, UTI, Uncomplicated Cystitis in females, GI, Chronic Bacterial Prostatitis, CNS, Immuno compromised patients, Skin, Bone and Joint Infections, Uncomplicated cervical and urethral gonorrhea

Mechanism Of Action:
Ciprofloxacin has in vitro activity against a wide range of gram-negative and gram-positive organisms. Ciprofloxacin inhibits bacterial DNA gyrase, an enzyme responsible for counteracting excessive supercoiling of DNA during replication or transcription. The mechanism of action of quinolones, including ciprofloxacin, is different from that of other antimicrobial agents such as beta-lactams, macrolides, tetracyclines, or aminoglycosides; therefore, organisms resistant to these drugs may be susceptible to ciprofloxacin. There is no known cross-resistance between ciprofloxacin and other classes of antimicrobials.

News Articles on Ciprofloxacin

FDC receives nod from USFDA for Ciprofloxacin solution  -  03 Jul 2008
Ciprofloxacin Ophthalmic solution is a broad spectrum antibiotic, recommended for the treatment of ocular surface infections. FDC manufactures electral TopNews,

India's FDC gets US FDA nod for Ciprofloxacin Ophthalmic solution  -  03 Jul 2008
...from the United States Food and Drug Administration (FDA) for its Ciprofloxacin Ophthalmic solution, an antibiotic used for ocular surface infections. Forbes,

Liposomal delivery boosts CF drug efficacy in study  -  03 Jul 2008
At present, commercially available formulations of ciprofloxacin are delivered either orally or intravenously in response to acute exacerbations of the In-PharmaTechnologist.com,

FDC gets USFDA nod for antibiotic drug  -  03 Jul 2008
The company has received USFDA approval for its Abbreviated New Drug Application (ANDA) Ciprofloxacin Ophthalmic Solution, a broad spectrum antibiotic used Economic Times,

India's FDC gets US FDA nod for Ciprofloxacin Ophthalmic solution  -  03 Jul 2008
...from the United States Food and Drug Administration (FDA) for its Ciprofloxacin Ophthalmic solution, an antibiotic used for ocular surface infections. Hemscott,

India's FDC gets US FDA nod for Ciprofloxacin Ophthalmic solution  -  03 Jul 2008
Interactive Investor Trading Limited, trading as "Interactive Investor", is authorised and regulated by the Financial Services Authority. Interactive Investor,

FDC gets approval for Ciprofloxacin solution  -  Jul 1, 2008
Ciprofloxacin Ophthalmic Solution is a broad spectrum antibiotic used for ocular surface infections. The Company had recently received approval for Timolol Business Standard,

FDC Obtains US FDA Approval For Its Ciprofloxacin Opthalmic Solution  -  Jul 1, 2008
...(RTTNews) - FDC announced that the company has obtained an approval from US FDA for its Abbreviated New Drug Application Ciprofloxacin Ophthalmic Solution RTT News,

US FDA nod for new drug fails to boost FDC  -  Jul 2, 2008
FDC plunged 4.02% to Rs 23.90 at 11:12 IST on BSE despite receiving approval from the US Food and Drug Administration for ciprofloxacin ophthalmic solution. NDTV.com,

Aradigm's inhaled antibiotic does well in 22-patient test  -  Jun 30, 2008
The inhaled formulation of ciprofloxacin -- a drug widely used to treat lung infections in cystic fibrosis patients -- was tested in 22 patients, Bizjournals.com,

FDC gets approval from US FDA for new drug  -  Jul 1, 2008
FDC has received an approval from the US FDA for its Abbreviated New Drug Application (ANDA) Ciprofloxacin Ophthalmic solution. Ciprofloxacin Ophthalmic Myiris.com,

Aradigm Reports Positive Results From Phase II Cystic Fibrosis Study  -  Jul 1, 2008
Aradigm has announced positive results from an open-label, two week efficacy and safety study of its once daily inhaled liposomal ciprofloxacin in patients RedOrbit,

Aradigm Initiates Phase 2 Study of Inhaled Liposomal Ciprofloxacin ...  -  Jun 20, 2008
Following an antibiotic washout period, 36 patients will be enrolled to receive daily inhaled liposomal ciprofloxacin for a period of 28 consecutive days. Lifescience-online,

Ozone Group launching drugs at 50% lower price  -  Jun 25, 2008
The initial launch will include antibiotics (Quinolones: Ciprofloxacin), anti-diarrhoel (Ciprofloxacin + Tinidazole), anti-ulcer (Omeprazole), Hindu Business Line,

Water contaminated with feces causes Typhoid  -  Jun 21, 2008
Antibiotics, such as ampicillin, chloramphenicol, trimethoprim-sulfamethoxazole, and ciprofloxacin, have been commonly used to treat typhoid fever in The New Nation,

'Time-travelling' bugs resist antibiotics of the future  -  Jun 6, 2008
Three strains of what amount to future-predicting bacteria showed extreme resistance to six common antibiotics, including ciprofloxacin, which was first New Scientist (subscription),

Phase II Study Begins for Inhaled Bronchiectasis Treatment  -  Jun 25, 2008
Aradigm has begun a Phase II clinical trial of its inhaled liposomal ciprofloxacin in adult patients with noncystic fibrosis bronchiectasis. FDA news (subscription),

Depomed Secures $15 Million in Non-Dilutive Funding for Hot Flash ...  -  Jun 30, 2008
Proquin(R) XR (ciprofloxacin hydrochloride) extended release tablets are approved in the United States for the once-daily treatment of uncomplicated urinary FOXBusiness

Protein that Promotes Antibiotic Resistance in Food-Borne Pathogen ...  -  Jun 6, 2008
The scientists compared the gene-expression profiles of C. jejuni in the presence and absence of ciprofloxacin, a fluoroquinolone, using DNA microarray. Genetic Engineering News (press release),

Popular Drugs, Side-Effects and Feeling Ill  -  Jul 1, 2008
The most commonly prescribed antibiotics include azithromycin (Zithromax), amoxicillin (Amoxil), ampicillin (Omnipen), ciprofloxacin (Cipro), Rocklin and Roseville Today,

Mother's anger over prescription error  -  Jun 13, 2008
Eighteen-month-old Luke Thompson was given a 1.5ml prescription by his doctor for Ciprofloxacin anti-biotic after developing a painful ear infection. d from Peterborough Today,

Packing your medical kit for overseas travel  -  Jun 12, 2008
A few doses of Ciprofloxacin (Cipro), a heavy-duty antibiotic used to treat everything from dysentery to anthrax. You need a prescription for this one—my SmarterTravel.com

Wyeth Ltd to contest Bombay high court order on overpricing  -  Jun 30, 2008
In April 2007, NPPA had slapped a Rs748.27 crore demand notice on the alleged overpricing of drugs such as ciprofloxacin, norfloxacin, salbutamol and Livemint,

Basilea wins approval; Bayhill yanks IPO; Gemin X garners $38M in ...  -  Jun 30, 2008
...results from an open-label, two week efficacy and safety study of its once daily inhaled liposomal ciprofloxacin in patients with cystic fibrosis. FierceBiotech,

Precipitate development impedes endophthalmitis treatment ...  -  Jun 30, 2008
Both ciprofloxacin and amikacin were found to have a much higher concentration at 48 hours (greater than 30%). Dr. Hui said that while intracameral use of OSN SuperSite (subscription),

Ochrobactrum anthropi Septic Arthritis of the Acromioclavicular ...  -  Jun 23, 2008
The patient was placed on oral ciprofloxacin 500 mg twice daily for 4 weeks, as well as oral trimethoprim/sulfamethoxazole 160 mg/800 mg twice daily for 2 Ortho SuperSite,

Pharma body: Drugs that make losses may go off the shelf  -  Jun 26, 2008
Similarly, prices of Nimesulide, Ofloxacillin, Tinidazole, Methylcobalamine and Ciprofloxacin have risen 40-100 per cent," said Jagdeep Singh, Business Standard,

Occurrence of antimicrobial resistance among bacterial pathogens ...  -  Jun 13, 2008
In contrasted the proportion of strains resistant to ciprofloxacin ranged from 12.6 to 79.0 % (2004) and to penicillin from 8.1 - 13.0 % (2004) in Poland 7thSpace Interactive (press release),

Learn about the World Ophthalmic Pharmaceutical Drugs Market  -  Jun 27, 2008
II-27 Erythromycin II-27 Gentamicin and Tobramycin II-27 Fluoroquinolones II-28 Types of Fluoroquinolones II-28 Ciprofloxacin II-28 Gatifloxacin II-28 Market Wire (press release)

Bioterrorism: Anthrax and Biotech Companies  -  Jun 17, 2008
Ciprofloxacin, doxycycline, and penicillin are FDA-approved antibiotics for the treatment of anthrax. Combination therapy with additional antibiotics is Seeking Alpha,

Aradigm Corp. starts test of inhaled bronchial drug  -  Jun 19, 2008
Aradigm Corp. started a mid-stage clinical trial of an inhaled drug to treat a bronchial infection. The treatment is aimed at bronchiectasis, a necrotizing Bizjournals.com,

European CHMP Issues Positive Opinion on Cymbalta for the ...  -  Jun 26, 2008
...in hepatic impairment, who are taking a monoamine oxidase inhibitor (MAOI), fluvoxamine, ciprofloxacin or enoxacine or who have severe kidney disease. Earthtimes (press release),

Cystic Fibrosis  -  Jun 26, 2008
When present, ciprofloxacin should be given in the early stages and tobramycin or colistimethate sodium in more chronic disease. Antibiotics may be given RedOrbit,

ARDM: Begins Ph 2 Trial of Inhaled Liposomal Ciprofloxacin in ...  -  Jun 19, 2008
Aradigm Corporation (ARDM) has initiated a multicenter Phase 2 clinical trial of its inhaled liposomal ciprofloxacin in adult patients with non-cystic Trading Markets (press release),

CDC Offers Answers to Common Salmonella Questions  -  Jun 10, 2008
Antibiotics, such as ampicillin, trimethoprim-sulfamethoxazole or ciprofloxacin, are not usually necessary unless the infection spreads from the intestines. ABC News

Every traveler should pack basic must-haves  -  Jun 6, 2008
Cipro (ciprofloxacin), a common prescription antibiotic, takes care of that - and also comes in handy in the event of an anthrax attack. San Francisco Chronicle,

NPPA revises prices of 440 medicines  -  Jun 6, 2008
The key medicines whose prices have been revised are aspirin, ibuprofen, multi-vitamins, gentamycine, betamethasone, ciprofloxacin and salbutamol. Business Standard,

Freebies make you feel better  -  Jun 24, 2008
...a doctor's prescription, regardless of insurance or co-pay: amoxicillin, cephalexin, SMZ-TMP, ciprofloxacin, ampicillin, penicillin VK and rythromycin. Kentucky.com,

Familial Triceps Tendon Ruptures  -  Jun 23, 2008
1,5,6 Medications known to increase the likelihood of tendon rupture include corticosteroids, anabolic steroids, and ciprofloxacin. Ortho SuperSite,

Antimicrobial Resistance in Community and Nosocomial Escherichia ...  -  Jun 18, 2008
Methods: Antimicrobial susceptibility to ampicillin, amoxicillin / clavulanate, cefalexin, ciprofloxacin, gentamicin, nitrofurantoin, trimethoprim and 7thSpace Interactive (press release),

What Is Salmonella?  -  Jun 18, 2008
...unless the infection spreads from the intestines, then it can be treated with ampicillin, gentamicin, trimethoprim/sulfamethoxazole, or ciprofloxacin. KOCO,

Community MRSA cases double in just 6 years  -  Jun 17, 2008
Using ciprofloxacin resistance as a marker, a team at Guy’s and St Thomas’ Hospital identified a total of 458 cases of community-acquired-MRSA in just six Pulse,

Depomed Announces Allowance of Additional US Patent Covering ...  -  Jun 17, 2008
Proquin(R) XR (ciprofloxacin hydrochloride) extended release tablets are approved in the United States for the once-daily treatment of uncomplicated urinary Genetic Engineering News (press release),

Daiichi Sankyo: an alternative acquisition strategy  -  Jun 12, 2008
...versions of off-patent blockbuster therapies, such as Merck & Co's statin Zocor (simvastatin) and Bayer Schering's antibiotic Cipro (ciprofloxacin). Pharmaceutical Business Review

Multiple drugs raise bleeding risk  -  Jun 16, 2008
Among acute prescriptions, antibiotics were the biggest source of potentially serious interactions, with 12.7% of patients on drugs such as ciprofloxacin, Pulse,

Research and Markets: Dr. Reddy's Laboratories Generics Company ...  -  Jun 13, 2008
It has had a few ANDAs approved, for major products such as ciprofloxacin, fluconazole and citalopram. Dr. Reddy’s is also represented in western Europe, Business Wire (press release),

Patch prevents travellers' diarrhoea  -  Jun 12, 2008
The researchers looked for this and found that the antibiotic ciprofloxacin was used in three (33%) of nine participants in the patch group, compared with NHS Choices,

Bugs never exposed to antibiotics still show resistance against them  -  Jun 11, 2008
The team looked at three strains of bacteria that showed extreme resistance to six common antibiotics, including ciprofloxacin, which was first sold in 1989 Fresh News,

Most heat-related deaths are preventable  -  Jun 9, 2008
Some common drugs that can cause photosensitivity are diuretics [chlorothiazide, furosemide (Lasix)]; antibiotics (tetracycline, doxycycline, ciprofloxacin, Staten Island Advance - SILive.com,

Certain antibiotics, statins can cause problems  -  Jun 8, 2008
This group of antibiotics includes Levofloxacin (Levaquin), ciprofloxacin (Cipro), enoxacin (Penetrex), gatifloxacin (Tequin), lomefloxacin (Maxaquin), KPCnews.com,

Brand Names/Synonyms:
Ciprofloxacin is also known by the following brand names and/or synonymsBacquinor; Baycip; Bernoflox; CIPROFLOXACIN HCL; Ciflox; Cifloxin; Ciloxan; Ciprinol; Cipro; Cipro I.V.; Cipro Xl; Cipro Xr; Ciprobay; Ciprocinol; Ciprodar; Ciprofloxacin; Ciprofloxacin Base; Ciprofloxacin Dihydrochloride; Ciprofloxacin Hydrochloride; Ciprofloxacin Monohydrochloride; Ciprofloxacina; Cipromycin; Ciproquinol; Ciproxan; Ciproxin; Flociprin; Floxin; Floxin Otic; Floxin in Dextrose 5%; Ocuflox; Ofloxacin; Proquin Xr; Septicide; Velomonit

Drug Category:
Ciprofloxacin is categorized under the following by the FDA: Anti-Infectives; Quinolones; ATC:J01MA02; ATC:S01AX13; ATC:S03AA07

Dosage Forms:
LIQUID; OINTMENT; SOLUTION; SUSPENSION; TABLET; TABLET (COMBINED RELEASE); TABLET (EXTENDED-RELEASE)

Absorption:
70-80%

Interactions:
-->Interactions for Ciprofloxacin:

Caffeine

Some quinolones, including ciprofloxacin, have also been shown to interfere with the metabolism of caffeine. This may lead to reduced clearance of caffeine and a prolongation of its serum half-life.

Cyclosporine

Some quinolones, including ciprofloxacin, have been associated with transient elevations in serum creatinine in patients receiving cyclosporine concomitantly.

Glyburide

The concomitant administration of ciprofloxacin with the sulfonylurea glyburide has, on rare occasions, resulted in severe hypoglycemia.

Histamine H2-receptor antagonists

Histamine H2-receptor antagonists appear to have no significant effect on the bioavailability of ciprofloxacin.

Methotrexate

Renal tubular transport of methotrexate may be inhibited by concomitant administration of ciprofloxacin, potentially leading to increased plasma levels of methotrexate. This might increase the risk of methotrexate toxic reactions. Therefore, patients under methotrexate therapy should be carefully monitored when concomitant ciprofloxacin therapy is indicated.

Multivalent Cation-Containing Products

Concurrent administration of a quinolone, including ciprofloxacin, with multivalent cation-containing products such as magnesium or aluminum antacids, sucralfate, VIDEX chewable/buffered tablets or pediatric powder, or products containing calcium, iron, or zinc may substantially decrease the absorption of ciprofloxacin, resulting in serum and urine levels considerably lower than desired. Proquin XR should be administered at least 4 hours before or 2 hours after these products. This time window is different than for other oral formulations of ciprofloxacin, which are usually administered 2 hours before or 6 hours after antacids.

Non-steroidal anti-inflammatory drugs (but not aspirin)

These drugs in combination with very high doses of quinolones have been shown to provoke convulsions in pre-clinical studies.

Omeprazole

The rate and extent of absorption of ciprofloxacin was bioequivalent when Proquin XR was given alone or when Proquin XR was given 2 hours after omeprazole at the dose that maximally suppresses gastric acid secretion. Omeprazole should be taken as directed and Proquin XR should be taken with a main meal of the day, preferably the evening meal..

Phenytoin

Altered serum levels of phenytoin (increased and decreased) have been reported in patients receiving concomitant ciprofloxacin.

Probenecid

Probenecid interferes with renal tubular secretion of ciprofloxacin and produces an increase in the level of ciprofloxacin in serum.

Theophylline

As with some other quinolones, concurrent administration of ciprofloxacin with theophylline may lead to elevated serum concentrations of theophylline and prolongation of its elimination half-life. This may result in increased risk of theophylline-related adverse reactions. If concomitant use cannot be avoided, serum levels of theophylline should be monitored and dosage adjustments made as appropriate.

Warfarin

Quinolones have been reported to enhance the effects of the oral anticoagulant warfarin or its derivatives. When these products are administered concomitantly, prothrombin time or other suitable coagulation tests should be monitored.





Chemical IUPAC Name:
1-cyclopropyl-6-fluoro-4-oxo-7-piperazin-1-yl-1H-quinoline-3-carboxylicacid

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