Ciprocam 250mg Suspension 60 ml

Description

About

Ciprocam 250mg Suspension 60 ml is a synthetic broad-spectrum antimicrobial agent that belongs to a class of drugs called quinolone antibacterial (fluoroquinolones). These are antibiotics that are used in the treatment of serious infections when other antibiotics fail to work. Ciprocam 250mg Suspension 60 ml should only be used to treat or prevent infections caused by bacteria that have been proven or highly suspected. 

Ciprocam 250mg Suspension 60 ml is used to fight against bacterial infections like chest infections (including pneumonia, skin and bone infections, sexually transmitted infections (STIs), eye infections (such as conjunctivitis), and urinary tract infections (UTIs), and ear infections. 

Ciprocam 250mg Suspension 60 ml is available on prescription, and as a liquid that you take by mouth (orally) usually twice a day (every 12hrs) in the morning and evening, with or without food or as directed by your doctor. 

Take this medication at least 2 hours before or 6 hours after taking other products that may bind to it, diminishing its effectiveness. Calcium-rich meals, such as dairy products (such as milk, and yogurt) or calcium-enriched juice, might also reduce the effectiveness of this drug. 

Common side effects of Ciprocam 250mg Suspension 60 ml are nausea, indigestion (stomach ache), vomiting, and diarrhea. However, Ciprocam 250mg Suspension 60 ml and other fluoroquinolones have been linked to debilitating and perhaps irreversible significant adverse events when administered concurrently such as Tendon Rupture, Peripheral neuropathy, and central nervous system effects. This medication may worsen muscle weakness in patients with myasthenia gravis.

Ciprocam 250mg Suspension 60 ml is prescribed to adults and children above 1 year. The dosage of this medicine depends on age, the severity of the condition, patients’ response to the medicine, and their comorbidities.

Because Ciprocam 250mg Suspension 60 ml is associated with serious adverse reactions, it should only be used in people who have no other options for treating infections and when other antibiotics have failed to work.

Indications

Ciprocam 250mg Suspension 60 ml is available as a suspension and is used in the treatment of:

• Infections of the Broncho-pulmonary tract in cystic fibrosis or bronchiectasis 

• Pneumonia 
• Otitis media with suppuration (chronic supportive otitis media) 
• Acute exacerbation of chronic sinusitis, especially if the bacteria causing it are Gram-negative 
• Malignant external otitis
• Infections of the urinary tract
• Acute cystitis with no complications
• Pyelonephritis acute
• Bacterial prostatitis
• Infections of the genital tract
• Gonococcal urethritis and cervicitis caused by susceptible Neisseria gonorrhea
• Epididymo-orchitis caused by Neisseria gonorrhea includes cases caused by susceptible
• Pelvic inflammatory illness caused by Neisseria gonorrhea, including instances caused by susceptible Neisseria gonorrhea
• Infections of the gastrointestinal tract (e.g., travelers’ diarrhea)
• Intra-abdominal infections
• Gram-negative bacterial infections of the skin and soft tissue
• Bone and joint infections
• Prophylaxis of invasive infections caused by Neisseria meningitis
• Inhalation anthrax (post-exposure prophylaxis and curative treatment) 

This medication can also be used for conditions that aren’t covered here. 

How Does Ciprocam 250mg Suspension 60 ml Work

Ciprocam 250mg Suspension 60 ml contains Ciprofloxacin as an active ingredient. It kills bacteria by preventing them from producing the substances they require to multiply and repair themselves. Ciprofloxacin’s bactericidal effect as a fluoroquinolone antibacterial agent is due to the inhibition of both type II topoisomerase (DNA-gyrase) and topoisomerase IV, which are essential for bacterial DNA replication, transcription, repair, and recombination. 

How to Use Ciprocam 250mg Suspension 60 ml

Ciprocam 250mg Suspension 60 ml is available in liquid form in a clear glass bottle. Medicine is to be shaken well before each use and the dose ought to be measured before ingesting. It is taken by mouth (orally) usually twice a day (every 12hrs) in the morning and evening, with or without food or as directed by your doctor. 

• Before pouring each dose, give the container a good 15-second shake. Using a special measuring device/spoon, carefully measure the dose. If you use a household spoon, you might not get the right dose
• Do not chew the suspension’s contents
• The suspension should not be used with feeding tubes since it may clog them
• Take this medication at least 2 hours before or 6 hours after taking other products (such as supplements or dairy products) that may bind to it, diminishing its effectiveness. 
• Calcium-rich meals, such as dairy products (such as milk, yogurt) or calcium-enriched juice, might also reduce the effectiveness of this drug
• Take this antibiotic at regular intervals for the best results. Take this prescription at the same time every day to help you remember
• Even if your symptoms go away after a few days, keep taking this medication until the full advised dose is finished. Stopping the drug too soon may cause the infection to recur. 

Dosage

Form and strength  

• Tablet: 100mg, 250mg, 500mg, 750mg

• Tablet, extended release: 500mg, 1000mg

• Infusion solution: 200mg/100mL, 200mg/20mL, 400mg/40mL, 400mg/200mL

• Oral suspension: 250mg/5mL, 500mg/5mL

 Adult Dosage 

1. Infections of the lower respiratory tract:10 mL twice a day to 15 mL two times a day (two 5-mL measuring spoonful’s twice daily up to three 5-mL measuring spoonfuls twice daily) for 7-14 days.
2. Infections of the upper respiratory tract:

• Chronic supportive otitis media: 10 mL twice a day to 15 mL two times a day for 7-14 days
• Acute exacerbation of chronic sinusitis: 10 mL twice a day to 15 mL two times a day for 7-14 days
• Malignant external otitis: 15ml twice daily for 28 days up to 3 months

1. Infections of the urinary tract:

• Acute cystitis with no complications: 5 mL twice a day to 10 mL two times a day for 3 days
• Pyelonephritis acute: 10ml twice daily for 7 days
• Complicated pyelonephritis: 10 mL twice a day to 15 mL two times a day for at least 10 days
• Bacterial prostatitis: 10 mL twice a day to 15 mL two times a day for 2-4 weeks (acute) to 4-6 weeks (chronic)

1. Infections of the genital tract

• Gonococcal urethritis and cervicitis caused by susceptible Neisseria gonorrhea: 10 mL as a single dose corresponding to two for 1 day
• Epididymo-orchitis and Pelvic inflammatory illness caused by Neisseria gonorrhea: 10 mL twice a day to 15 mL two times a day for at least 14 days

1. Infections of the gastrointestinal tract (e.g., travelers’ diarrhea) 

• Intra-abdominal infections: 10 mL twice a day to 15 mL two times a day for 5 to 14 days

1. Gram-negative bacterial infections of the skin and soft tissue: 10 mL twice a day to 15 mL two times a day for 7 to 14 days
2. Bone and joint infections: 10 mL twice a day to 15 mL two times a day for max up to 3 months
3. Prophylaxis of invasive infections caused by Neisseria meningitis: 10 mL as a single dose corresponding to two for 1 day
4. Inhalation anthrax (post-exposure prophylaxis and curative treatment): 10ml twice daily

Child Dosage

1. Pyelonephritis acute and Complicated pyelonephritis: 10-20mg/kg (maximum 750 mg per dose; not to be exceeded even in patients weighing more than 51 kg) for 10-21 days
2. Inhalation anthrax (post-exposure prophylaxis and curative treatment): 15mg/kg (maximum 500 mg per dose) for 60 days

Elderly Dosage

The dose for elderly people should be determined by the severity of the infection and the patient’s creatinine clearance. 

Pregnancy Use and Lactation

Before taking this medication, see your doctor or pharmacist if you are pregnant or breastfeeding, suspect you might be pregnant, or plan to have a baby. 

Ciprocam 250mg Suspension 60 ml should not be used during pregnancy if at all possible as a precautionary measure. 

Ciprocam 250mg Suspension 60 ml should not be taken while you are breastfeeding because it is secreted in breast milk and can harm your child. 

Contraindications

Before using Ciprocam 250mg Suspension 60 ml, consult your doctor if you have a medical history of any of the following:

• Allergic/hypersensitive to Ciprocam 250mg Suspension 60 ml and its contents, or any food product (such as pork, beef, etc)
• Concomitant administration of Ciprocam 250mg Suspension 60 ml with Tizanidine

Precautions

Please tell your doctor about any of the following conditions before using Ciprocam 250mg Suspension 60 ml:

• Liver disease
• Kidney disease
• Diabetes
• Heart problems (such as a recent heart attack)
• Joint or tendon problems (such as tendonitis or bursitis)
• mental/mood disorders (such as depression) 
• Myasthenia gravis (a disease that affects the muscles)
• Nerve problems (such as peripheral neuropathy) 
• Seizures 
• Brain/head damage, brain tumors, and cerebral atherosclerosis are all factors that raise your chance of seizures. 
• Difficulties with the blood vessels (such as aneurysm or blockage of the aorta or other blood vessels, hardening of the arteries) 
• High blood pressure 
• A few genetic disorders (Marfan syndrome, Ehlers-Danlos syndrome) 
• Ciprocam 250mg Suspension 60 ml and other fluoroquinolones have been linked to debilitating and perhaps irreversible significant adverse events when administered concurrently such as Tendon Rupture, Peripheral neuropathy, and central nervous system effects
• This medication may worsen muscle weakness in patients with myasthenia gravis
• Ciprocam 250mg Suspension 60 ml has been linked to a heart rhythm disorder (QT prolongation). QT prolongation can cause serious (occasionally fatal) fast/irregular heartbeat and other symptoms (including severe dizziness and fainting) that require immediate medical intervention. 

• If you have certain medical problems or are taking other drugs that can cause QT prolongation, your risk of QT prolongation may be increased. Tell your doctor or pharmacist about all of your medications and if you have any of the following conditions before taking ciprofloxacin: 

1. A few heart problems (heart failure, slow heartbeat, QT prolongation in the EKG) 
2. There is a history of certain heart diseases in your family (QT prolongation in the EKG, sudden cardiac death) 

• This drug might cause significant blood sugar abnormalities in rare cases, especially if you have diabetes. Keep an eye out for signs of high blood sugar, such as increased thirst or urine, as well as signs of low blood sugar, such as rapid sweating, shivering, a racing heart, hunger, blurred vision, disorientation, or tingling hands or feet. 

• Ciprocam 250mg Suspension 60 ml has the potential to make you dizzy. You may become dizzy if you consume alcohol or marijuana (cannabis). Do not drive, operate machinery, or engage in any other activity that requires attentiveness until you are sure you can do so safely. Limit your intake of alcoholic beverages. If you use marijuana, talk to your doctor. 
• This drug could make you more sun-sensitive. Spend as little time as possible in the sun. Sunlamps and tanning booths should be avoided. When you’re outside, use sunscreen and wear protective gear. If you get sunburned or see blisters or redness on your skin, call your doctor right once. 
• Ciprofloxacin may impair the effectiveness of live bacterial vaccinations (such as the typhoid vaccine). Before getting any immunizations or vaccinations, tell your doctor that you’re taking Ciprocam 250mg Suspension 60 ml 
• Sucrose is present in this medicine. If you have a rare inherited metabolic disorder, it is not advised (such as fructose intolerance, sucrase-isomaltase deficiency, glucose-galactose malabsorption). 
• Children may be more sensitive to the drug’s negative effects, particularly joint and tendon difficulties. 
• Pregnancy and breastfeeding

Interactions with Other Medications

Consult your doctor about the use of the following medicines before using Ciprocam 250mg Suspension 60 ml:

• Tizanidine
• Theophylline
• Drugs that prolong QT intervals such as tricyclic antidepressants, macrolides, antipsychotics, etc
• Oral antidiabetic drugs such as glyburide, glimepiride, etc
• Phenytoin
• Cyclosporine
• Anticoagulant drugs such as warfarin
• Methotrexate
• Ropinirole
• Clozapine
• NSAIDs
• Sildenafil
• Antacids, sucralfate, and other multivitamins
• Probenecid

This document does not contain all probable drug reactions, it is advisable to keep a list of medicines in use and discuss it with your doctor (this includes prescription/nonprescription and herbal products). 

Adverse Effects

Rare Adverse Effects

Call your doctor right away if you have any of the following symptoms: 

• If you notice any signs of an allergic reaction such as rashes, hives, itching, red and swollen blistered or peeling skin with or without fever, wheezing, chest or throat constriction, difficulty in breathing, swallowing, or speaking.
• Signs of a new infection (such as new/persistent fever, prolonged sore throat)  
• Significant bruising/bleeding
• Signs of renal disease (such as a decrease in urine volume or the presence of red/pink urine) 
• Symptoms of liver disease include unusual weariness, stomach/abdominal pain, nausea/vomiting, yellowing of the eyes/skin, and dark urine
• Extreme dizziness and fainting 
• Symptoms of a tear or break in the aorta (sudden/severe pain in the stomach, chest, or back, cough, shortness of breath) 
• A heartbeat that is too rapid or too irregular 
• Due to a bacteria called C. difficile, this medicine may induce severe intestinal disease in certain people. Symptoms include unstoppable diarrhea, abdominal or stomach pain and cramping, and blood or mucus in your stool.

Common Adverse Effects

The following side effects may not require immediate medical attention until becomes troublesome:

• Diarrhea
• Nausea
• Headache
• Dizziness
• Lightheadedness
• Trouble sleeping
• Vaginal itching or discharge
• Heartburn

Some people may experience additional adverse effects not described. Consult your healthcare provider if you have any other side effects. 

How to Cope with Some of the Adverse Effects

• Headaches- In which case make sure you rest and drink plenty of fluids. Avoid the use of alcohol. Take a prescribed painkiller. Consult your doctor if the headaches last longer than a week or are severe
• Feeling or being sick (nausea or vomiting) or diarrhea –Avoid eating rich or spicy food. It might help to take medication after food. If you’re sick, try drinking small, frequent sips of water. 
• Feeling dizzy (lightheaded) or weak –If the medication makes you feel dizzy or weak, stop what you’re doing and sit or lie down until you feel better, and do not rise too fast or immediately from a sitting or lying down position to a standing posture. Do not drive or use tools or machinery in case of any of these effects.
• Photosensitivity – patients are asked to wear sun-protective clothes when going outside including gloves and a hat, to apply generous amounts of broad-spectrum sunblock along with wearing sunglasses. Patients are advised to do all necessary work after sunset to reduce or eliminate sun exposure while undergoing treatment with Ciprocam 250mg Suspension 60 ml.
• Heartburn – can be dealt with by chewing on mint-flavored gum that’ll help neutralize the acid in the body. Standing up straighter, adding ginger to the daily diet, elevating the patient’s upper body, and having licorice supplements has shown to provide relief.

FAQ’s

#1. How to store Ciprocam 250mg Suspension 60 ml?

Keep this medication tightly closed in the container it came in and out of the reach of children. For up to 14 days, store the suspension tightly closed in the refrigerator or at room temperature. Ciprocam 250mg Suspension 60 ml should not be frozen. After 14 days, throw away any suspension that hasn’t been used. 

#2. What is Ciprocam 250mg Suspension 60 ml composed of?

Ciprocam 250mg Suspension 60 ml contains ciprofloxacin as an active ingredient.

#3. What if I take too much of Ciprocam 250mg Suspension 60 ml?

In case of too much consumption by accident, kindly contact your doctor or nearby hospital right away. The amount of medication that can result in severe side effects varies from person to person. An overdose results in slowing down of heart rate and difficulty breathing accompanied by dizziness and fainting spells.

#4. What if I miss a dose of Ciprocam 250mg Suspension 60 ml?

If you miss a dose of the medication, make sure you take it as soon as possible on that same day. If you don’t remember you missed the dose until the next dosage time or the next day, do not double the dose and take your medication as per schedule.

#5. Can I take Ciprocam 250mg Suspension 60 ml during breastfeeding?

Ciprocam 250mg Suspension 60 ml should not be taken while you are breastfeeding because it is secreted in breast milk and can harm your child. 

#6. When using Ciprocam 250mg Suspension 60 ml, is it safe to drive or operate heavy machinery? 

Ciprocam 250mg Suspension 60 ml has the potential to make you dizzy.  Do not drive, operate machinery, or engage in any other activity that requires attentiveness until you are sure you can do so safely.

 #7. Can I consume alcohol with Ciprocam 250mg Suspension 60 ml?

You may become dizzy if you consume alcohol or marijuana (cannabis). Limit your intake of alcoholic beverages. If you use marijuana, talk to your doctor. 

#8. Is it okay if I give Ciprocam 250mg Suspension 60 ml to someone who has the same signs and symptoms as me? 

This medication is intended for you. Never give it to anyone else, even if they appear to be in the same situation as you. 

#9. is it safe to have antacids for indigestion along with Ciprocam 250mg Suspension 60 ml?

No. Ascertain antacids containing magnesium or aluminum may interact with the absorption of Ciprocam 250mg Suspension 60 ml by the body and are therefore advised to be ingested a minimum of 2 hours before or 6 hours after the intake of Ciprocam 250mg Suspension 60 ml.

#10. Does Ciprocam 250mg Suspension 60 ml cause blood sugar abnormalities?

Yes, Ciprocam 250mg Suspension 60 ml causes significant abnormalities (both low and high) in blood sugar levels. It’s a good idea to keep glucose pills or gel in hand in case of low blood sugar. If you don’t have access to these reliable glucose sources, immediately raise your blood sugar by eating table sugar, honey, or sweets, or drinking fruit juice or non-diet soda. 

#11. Can I take antidiarrheal medicines for C. difficile-associated diarrhea while taking Ciprocam 250mg Suspension 60 ml?

Anti-diarrhea and opioid medicines should not be used because they may aggravate symptoms of diarrhea caused by Clostridium difficile.

#12. What lab tests will be prescribed while treatment with Ciprocam 250mg Suspension 60 ml and how often?

To monitor your progress or check for adverse effects, laboratory or medical tests (such as kidney function, blood counts, and cultures) should be conducted regularly. For more information, talk to your doctor. 

#13. What dietary instructions are to be followed when using Ciprocam 250mg Suspension 60 ml?

Do not eat or drink any dairy products (such as milk or yogurt) or drinks with added calcium while taking Ciprocam 250mg Suspension 60 ml, as these may interfere with the active substance’s absorption.