Ciprofloxacin Tablet 250 mg (Ciprofloxacin Hydrochloride Monohydrate)

Adult dose

Typically for adults, ciprofloxacin is administered orally on an empty stomach at a dose of 250 ～ 500 mg twice daily. In cases of severe complex infections, the dose may be increased to 750 mg twice daily. For acute infections, treatment generally lasts 5 ～ 10 days, and even after symptoms disappear, it should be continued for at least 3 more days. For patients with renal impairment, the dosage should be adjusted based on creatinine clearance. In cases of severe infection, the dosage may be increased to 750 mg regardless of severe renal impairment.

This medication can cause serious adverse reactions such as tendinitis, tendon rupture, peripheral neuropathy, and central nervous system disorders. Special caution should be taken for patients with myasthenia gravis as there is a risk of symptom exacerbation. This drug should only be used for specific infections such as acute bacterial sinusitis, acute bacterial exacerbations of chronic bronchitis, chronic obstructive pulmonary disease, simple urinary tract infections, and acute otitis media when there are no alternative treatment options available. Older adults, patients with impaired renal function, and those with certain central nervous system diseases should use this medication more cautiously. It is not recommended for use in pregnant or possibly pregnant women, nursing mothers, and individuals under 18 years of age. The risk of tendon rupture is increased when this drug is taken in combination with corticosteroids, therefore, they should not be taken together, and if pain or inflammation occurs, use should be stopped immediately and medical consultation sought. Neurological symptoms such as seizures, dizziness, insomnia, hallucinations, and depression may occur; if these symptoms arise, the healthcare provider should be informed immediately. Additionally, this medication can affect blood sugar control, so diabetic patients should monitor their blood sugar levels closely. This drug can interact with various medications, so if you are taking other medications, you must inform your healthcare provider, especially when taking theophylline, warfarin, diabetes medications, tizanidine, and ketoprofen. During treatment, strong sunlight and UV exposure should be avoided, and if a skin rash or itching occurs, use should be discontinued. If severe diarrhea or bloody stools appear, there is a possibility of pseudomembranous colitis, and immediate medical consultation is necessary. Overdose may cause renal function problems, so the prescribed dosage and frequency must be strictly adhered to. Finally, this drug is not for use in children and growing adolescents and should be stored in a location inaccessible to children, protected from direct sunlight.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in oral or eye mucosa, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities accompanied by cough and fever, yellowing of skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, and difficulty urinating.

Mild side effects

• Tendinitis
• tendon rupture
• peripheral neuropathy
• central nervous system effects
• exacerbation of myasthenia gravis
• psychomotor agitation/anxiety
• confusion
• disorientation
• emotional instability
• abnormal dreams

This medication should be stored in a tightly closed container to prevent air and moisture from entering, and it is recommended to keep it in a cool room out of direct sunlight.

Appearance

White or yellowish round film-coated tablets

Package unit

30 tablets/bottle, 100 tablets/bottle