Call Us Now! Click to call. Coastal Orthopedics Blog. What are the signs of a tendon rupture? If you have been diagnosed with a bacterial infection often in the kidney, sinus, or lungs and you have been taking Cipro, Levaquin, or any other of this type of broad-spectrum antibiotic, your chances of developing tendonitis or tendon ruptures increases if you are also: Over the age of 60 Suffering from rheumatoid arthritis Taking corticosteroids for inflammation, particularly for asthma A heart, lung, or kidney transplant recipient What should I do if I take Fluoroquinolones and develop tendon problems?
If you suspect you are experiencing a fluoroquinolone-related issue with a tendon, do the following immediately: Stop taking any Cipro or other fluoroquinolone antibiotic. Stop exercising the affected area, and if possible, stop using it completely. For example, if your Achilles tendon becomes inflamed, avoid walking and standing. Contact your doctor, who will make the medical decision whether your condition merits continued use of this class of antibiotic. He or she may prescribe a different type of antibiotic for your condition.
Always remember to tell your doctor about any other medications you are taking, any medical conditions that you have, and any other sudden changes in your health.
New FDA Safety Labeling for Fluoroquinolones Even with the risk of tendon rupture rising only from 1 in , to 1 in 25,, the FDA considers these numbers to merit their serious announcement. Search this site on Google Search Google. Get the latest blog posts Auto-Magically to your inbox! Popular Posts. Our Providers. Our Procedures. Be sure that you receive only the type of ciprofloxacin that was prescribed by your doctor.
Ask your pharmacist if you have any questions about the type of ciprofloxacin you were given. Do not take ciprofloxacin with dairy products or calcium-fortified juices alone. However, you may take ciprofloxacin with a meal that includes these foods or drinks.
Swallow the tablets and extended-release tablets whole; do not split, crush, or chew them. If you cannot swallow tablets whole, tell your doctor. If you are taking the suspension, shake the bottle very well for 15 seconds before each use to mix the medication evenly. Swallow the correct dose without chewing the granules in the suspension.
Close the bottle completely after each use. Do not give the suspension to a patient through a feeding tube. You should begin feeling better during the first few days of your treatment with ciprofloxacin.
If your symptoms do not improve or if they get worse, call your doctor. If you are being treated for a urinary tract infection, call your doctor if you develop fever or back pain during or after your treatment. These symptoms may be signs that your infection is worsening. Take ciprofloxacin until you finish the prescription, even if you feel better. In the event of biological warfare, ciprofloxacin may be used to treat and prevent dangerous illnesses that are deliberately spread such as tularemia and anthrax of the skin or mouth.
Ciprofloxacin is also sometimes used to treat cat scratch disease an infection that may develop after a person is bitten or scratched by a cat , Legionnaires' disease type of lung infection , chancroid genital sores caused by bacteria , granuloma inguinale donovanosis; a sexually transmitted disease , and infections of the outer ear that spread to the bones of the face.
Ciprofloxacin may also be used to help treat tuberculosis and Crohn's disease condition in which the immune system attacks the lining of the digestive tract causing pain, diarrhea, weight loss, and fever. Ciprofloxacin is also sometimes used to prevent traveler's diarrhea in certain patients and to prevent infections in patients who have fever and are at high risk for infection because they have very few white blood cells, people who are having certain types of surgery, and those people in close contact with someone who is sick with meningitis.
Talk to your doctor about the risks of using this medication for your condition. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Do not drink or eat a lot of caffeine-containing products such as coffee, tea, energy drinks, cola, or chocolate. Ciprofloxacin may increase nervousness, sleeplessness, heart pounding, and anxiety caused by caffeine. Make sure you drink plenty of water or other fluids every day while you are taking ciprofloxacin.
If you miss a dose of ciprofloxacin tablets or suspension by less than 6 hours, take the missed dose as soon as you remember it and then take the next dose at the scheduled time.
However, if you miss a dose of ciprofloxacin tablets or suspension by more than 6 hours, skip the missed dose and continue your regular dosing schedule. If you miss a dose of the extended-release tablet, take the dose as soon as you remember it. Do not take a double dose to make up for a missed one. Do not take more than two doses of the tablets or suspension or more than one dose of the extended-release tablets in one day.
Ciprofloxacin may cause problems with bones, joints, and tissues around joints in children. Ciprofloxacin should not normally be given to children younger than 18 years of age unless they have certain serious infections that cannot be treated with other antibiotics or they have been exposed to plague or anthrax in the air.
If your doctor prescribes ciprofloxacin for your child, be sure to tell the doctor if your child has or has ever had joint-related problems. Call your doctor if your child develops joint problems such as pain or swelling while taking ciprofloxacin or after treatment with ciprofloxacin. Talk to your doctor about the risks of taking ciprofloxacin or giving ciprofloxacin to your child. Ciprofloxacin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets and extended-release tablets at room temperature and away from excess heat and moisture not in the bathroom. Store the suspension in the refrigerator or at room temperature, closed tightly, for up to 14 days. Do not freeze ciprofloxacin suspension. Such use — in the clinic, the farm, the ranch, fisheries, and the home — is having an enormous impact on our ecosystems. I was giving it after surgery last year against my objections and during the night I had extremely severe contractions in a tendon replacement that I had had and also in my Achilles tendon.
We discontinued it the next day and they did not recur. This also happened to a friend of mine who did not heed my warning and went ahead and took it. He had to stop for the same reasons. Beware of this! PS: I am a physician if that lends believability to my post.
Your email address will not be published. Notify me of follow-up comments by email. Notify me of new posts by email. Skip to content. From The Labs. The endothelium, the thin layer of cells that line our arteries and veins, is like a gatekeeper, controlling the movement of materials into and out of the bloodstream.
Endothelial cells are held tightly together by specialized proteins that function like strong ropes red and others that act like cement blue.
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