That makes you more vulnerable to antibiotic-resistant infections and undermines the good that antibiotics can do for others. Worrisome symptoms that can warrant immediate antibiotic treatment include a fever over Note that some health care providers recommend CT scans when they suspect sinus infections.
Most people recover from sinus infections caused by colds in about a week, but several self-help steps may bring some relief sooner:. If you abuse antibiotics now, we may not have any options left when you really need them! Bacterial antibiotic resistance is a significant problem in Richmond, Virginia, and throughout the United States. Many of the common bacteria that can cause sinusitis carry a gene for antibiotic resistance that can be turned on in the presence of antibiotics.
After a few days of treatment, the gene becomes activated and can even travel between bacteria in a capsule called a plasmid , creating resistance among a large population of bacteria. If you are not responding to a course of antibiotics within days, you may have a resistant strain of bacteria. Consult your physician for an examination and possible culture or DNA analysis of your sinuses.
DNA analysis of sinus drainage allows us to identify the most dangerous resistant strains within 24 hours and to provide a complete analysis of all bacteria in your nose within 1 week. Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue.
While often prescribed twice daily, it is even more effective if taken in 3 or 4 divided doses. Amoxicillin is typically prescribed for days at a time. While it is critical to finish the entire 10 day course of antibiotics when treating strep throat, there is evidence that shorter courses of treatment may be sufficient for most cases of sinusitis. Amoxicillin is closely related to the parent compound penicillin and should not be prescribed in patients who are penicillin allergic. Azithromycin is an alternative treatment for patients who are allergic to amoxicillin.
One type of ciprofloxacin cannot be substituted for another. 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. These headaches are usually mild and may go away with continued use of the drug.
Vaginal yeast infections can sometimes occur after treatment with antibiotics, including Cipro. Cipro use is typically avoided in children because it might cause joint damage in children. Symptoms of joint damage in children can include reduced joint movement and joint pain.
If your child is taking Cipro and has these symptoms, call their doctor right away. Older adults are more likely than younger adults to have side effects from Cipro. However, the types of side effects they have are the same as those in younger adults.
Cipro is FDA-approved for treating many different types of infections in adults. Examples of these FDA-approved uses include:.
Although Cipro is effective, the FDA has recommended that Cipro and other fluoroquinolone antibiotics should not be used as a first-choice antibiotic for certain infections, such as:. For these conditions, the risk of serious side effects caused by Cipro outweigh the benefits. Other antibiotics should be used as a first choice. Cipro is also sometimes used off-label for uses that are not approved by the FDA. Examples of these include:. The generic version of Cipro is approved to treat all of the conditions that Cipro is approved for.
In addition to those conditions, ciprofloxacin is approved to treat ear infections. Cipro is FDA-approved for use in children to treat certain infections, such as severe urinary tract infection. However, Cipro is not the first choice for use in children due to concerns that it may cause joint damage in children.
Cipro is an antibiotic in the class of fluoroquinolones. This type of antibiotic is bactericidal. This means that it directly kills bacteria. It does this by blocking enzymes that are needed for bacteria survival. Cipro is a broad-spectrum antibiotic. This means it works against many different types of bacteria. However, many bacteria have grown to be resistant to Cipro. Resistant bacteria can no longer be treated with a certain drug.
Cipro begins to work against bacterial infections within hours of when you take it. However, you may not notice improvement in your symptoms for a few days. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you.
Your doctor will determine the best dosage to suit your needs. The typical dosage for immediate-release Cipro is — mg every 12 hours for up to 14 days.
Your doctor will determine the best form and dosage of Cipro for your condition. If you have kidney disease, your doctor may prescribe Cipro at a lower dose or have you take the medication less frequently.
If you miss a dose, take it as soon as you can. You might start to feel better before you finish your entire Cipro treatment. Cipro tablets and suspension should be taken at about the same time each day in the morning and the evening. Cipro can be taken with or without food. Either way you take it, be sure to consume plenty of fluids while taking Cipro. It should be taken at least two hours before or after consuming these products. However, Cipro can be taken along with a meal that contains dairy products or calcium-fortified foods or drinks.
Cipro tablets and Cipro XR extended-release tablets should not be crushed, split, or chewed. They should be swallowed whole. Cipro can interact with several other medications. It can also interact with certain supplements as well as certain foods. Different interactions can cause different effects. For instance, some can interfere with how well a drug works, while others can cause increased side effects.
Below is a list of medications that can interact with Cipro. This list does not contain all drugs that may interact with Cipro. Before taking Cipro, be sure to tell your doctor and pharmacist about all prescription, over-the-counter, and other drugs you take.
Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Many antacids such as Tums, Gaviscon, and Maalox contain calcium carbonate, magnesium hydroxide, and aluminum hydroxide.
These ingredients can bind to Cipro and prevent your body from absorbing it. This can decrease how well Cipro works. To avoid this interaction, take Cipro at least two hours before taking an antacid, or six hours afterward.
Taking Cipro with oral anticoagulant drugs such as warfarin Coumadin, Jantoven might increase the anticoagulant effects. This might result in increased bleeding. If you take an anticoagulant, your doctor may need to monitor your bleeding risk more frequently if you take Cipro. Certain medications prolong your QT interval, which means they might affect the rhythm of your heartbeat. Taking Cipro with these drugs can increase the risk of having a dangerous irregular heartbeat.
Cipro should be avoided or used very carefully with these medications. Taking Cipro with clozapine Versacloz, Fazaclo ODT can increase the levels of clozapine in the body and increase the risk of clozapine side effects. Cipro can increase the blood sugar-lowering effects of certain diabetes drugs, such as glyburide Diabeta, Glynase PresTabs and glimepiride Amaryl.
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