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What is ciprofloxacin?
Ciprofloxacin is an antibiotic in a group of drugs called fluoroquinolones. Ciprofloxacin fights bacteria in the body.
Ciprofloxacin is used to treat different types of bacterial infections.
Ciprofloxacin may also be used for purposes other than those listed here.
What is the most important information I should know about ciprofloxacin?
Do not take ciprofloxacin with dairy products such as milk or yogurt, or with calcium-fortified juice. You may eat or drink dairy products or calcium-fortified juice with a regular meal, but do not use them alone when taking ciprofloxacin. They could make the medication less effective.
Take all of the ciprofloxacin that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
Drink several extra glasses of fluid every day while taking ciprofloxacin. If you drink dairy products (milk, yogurt) or calcium-fortified juice, drink them with a meal and not when you are taking your ciprofloxacin dose.
Certain medicines should be taken at least 2 hours after or 6 hours before you take ciprofloxacin.
Taking ciprofloxacin can make your skin more sensitive to sunlight. Avoid exposure to sunlight, sun lamps, or tanning beds.
What should I discuss with my doctor before taking ciprofloxacin?
Before taking ciprofloxacin, tell your doctor if you have:
a history of allergic reaction to an antibiotic;
joint problems;
kidney disease; or
epilepsy or seizures.
If you have any of these conditions, you may not be able to use ciprofloxacin or you may need a dosage adjustment or special tests during treatment.
not use ciprofloxacin without telling your doctor if you are pregnant. Tell your doctor if you become pregnant during treatment.
Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take ciprofloxacin?
Take ciprofloxacin exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
Take each dose with a full glass of water (8 ounces). Drink several extra glasses of fluid each day while you are taking ciprofloxacin.
Do not crush, chew or break the extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
Ciprofloxacin may be taken with or without food, but take it at the same time each day.
Take this medication for as many days as it has been prescribed for you even if you begin to feel better. Your symptoms may get better before the infection is completely treated. Ciprofloxacin will not treat a viral infection such as the common cold or flu.
Store ciprofloxacin at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze.
What happens if I miss a 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.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a ciprofloxacin overdose may include seizures, urination problems, weakness, or blue lips with pale skin.
What should I avoid while taking ciprofloxacin?
Avoid caffeine while you are taking ciprofloxacin, because the medication can make the effects of caffeine stronger.
Avoid prolonged exposure to sunlight, sunlamps, or tanning beds. Ciprofloxacin make your skin more sensitive to sunlight, and a sunburn may result. Wear protective clothing and use a sunscreen if you must be out in the sun. Call your doctor if you have severe burning, redness, itching, rash, or swelling after being in the sun.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
Ciprofloxacin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of ciprofloxacin?
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:
seizure (black-out or convulsions);
confusion, hallucinations, depression, or thoughts of hurting yourself or others;
sudden pain or swelling near your joints (especially in your arm or ankle);
nausea, stomach pain, low fever, lost appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
diarrhea that is watery or bloody;
urinating more or less than usual;
numbness, tingling, or unusual pain anywhere in your body; or
chest pain, pounding or fast heartbeats.
Other less serious side effects are more likely to occur, such as:
nausea, vomiting;
dizziness or drowsiness;
blurred vision;
sleep problems (insomnia);
joint stiffness or muscle pain; or
increased sensitivity of the skin to sunlight.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
multivitamins containing calcium, iron, magnesium, manganese, or zinc
mexiletine
NSAIDs such as Advil®, Aleve®, ibuprofen, Motrin®, naproxen
phenytoin
probenecid
ramelteon
sodium bicarbonate
sucralfate
theophylline
ursodiol
warfarin
zinc salts
The drug information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines you are taking or would like more information, check with your doctor, pharmacist or other healthcare professional.
A HUNGRY AND HURTING: EMOTIONAL AND PHYSICAL ABUSE (MARTHA’S STORY)
MARTHA: "I didn't have a clue about how to connect with people."
Martha, a thirty-seven-year-old Jewish lesbian mother, links the onset of her compulsive eating to emotional abuse she suffered as a child, abuse that made her feel "disconnected from the world." She never learned the basic lesson of "connecting with other people" that she believes comes from allowing children to be themselves and trust others and nurturing them emotionally and physically. Martha describes herself in terms characteristic of abused children, portraying herself as a lost soul who lacked direction, roots, and a sense of belonging to anyone, including herself.4 She was almost always alone when she was a child. She has almost no memories of the time before she was eleven.
Martha grew up in a home in which she was deprived of basic physical and emotional care. There was no touching; she sometimes pretended to be asleep so her father would pick her up and carry her to bed, providing at least a moment of physical contact. Her father was rarely home because he worked nights. One of Martha's sisters treated her as if she were the family's maid. Another was emotionally cruel to her, keeping Martha from her friends and simultaneously telling Martha that any friends she had were a result of her sister's popularity.
Nor did Martha know how to reach out for attention or friends at school. When she made her first friend, in eighth grade, and told her mother about it, her mother said, "Don't get too excited because as high as you will be is as far as you will fall. These people will hurt you." It was a slap in the face, a punch in the chest. Martha cried as she told me the story: "I opened my heart a little and she pulled it down. A lot of emotional abuse and neglect.
The family labeled Martha overly sensitive and teased her incessantly. She cannot remember ever eating a meal with her family when she did not break down and cry because of the teasing. She watched between ten and twelve hours of television each day, even on school days. She knows she was a bright child because she was able to do well in school even though she never studied. There were no books in the house, and she didn't know how to seek them out. She was mildly dyslexic but no one realized it when she was growing up. She was repeatedly told by the members of her family that she was fat and ugly and had no personality. She had no sense of her body size or whether or not she was attractive.
Her mother controlled what Martha and her sisters ate. Even though her sisters were fat and her mother was obese and a compulsive eater, Martha was the one considered to have the biggest problem with food. She was always served last and castigated for eating. Her mother took her to a diet doctor when Martha was eleven and continued to limit her food. Yet her mother also participated in Martha's bingeing. Martha remembers being told by her mother that she could have three cookies each day when she got home from school. Martha would eat three cookies, want more, think about it, and then have more. Then she would struggle to decide whether' to get more and usually did, typically stopping after finishing a dozen cookies. Her mother would come home and ask her how many she ate. Martha would lie and say three. Her mother never questioned this openly, although she was the one who filled the cookie jar every day. Although Martha was obviously compulsively eating and lying, no one said anything.
Eating compulsively was how Martha comforted herself from the pain of not feeling connected to any person or to the rest of the world. Bingeing calmed her, leaving her feeling drugged and dazed. When I asked her if she thinks she ate compulsively out of fear of her feelings, she said it wasn't as if she had feelings and then ate to get rid of them. That would assume she had feelings to begin with. That would assume some connection. She ate from disconnection. No specific feelings triggered eating. Simply being triggered her desire to eat. She ate, felt numb, and watched television. And no one seemed to care.
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