What is Ciprofloxacin 500 mg?
Ciprofloxacin is a white to off white film-coated tablet that contains 500 mg of hydrochloride ciprofloxacin. It is an antibiotic that belongs to the family of fluoroquinolone specifically used to treat bacterial infections.
Every pack may come in 1,8, 10,14,16,20 and 100 tablets. It is a prescribed type of drug, therefore you need a doctor’s prescription to be able to use it.
What other ingredients or excipients does Ciprofloxacin 500 mg contain?
- Macrogol 400
- Povidone (K 30)
- Cellulose microcrystalline
- Silica, coloidal anhydrous
- Titanium dioxide (E 171)
- Magnesium stearate
- Sodium starch glycolate (type A)
What is Ciprofloxacin used for?
Being an antibiotic, it is specific against different types of bacteria responsible for traveler’s diarrhea as well as other microorganisms including:
- Anaerobic microorganism
- Aerobic Gram positive microorganism
- Aerobic Gram negative microorganisms
- Other microorganisms such as:
- Chlamydia pneumoniae and trachomatis
- Mycoplasma hominis and pneumoniae
Ciprofloxacin may be used as well to treat:
- Traveler’s Diarrhea or Infectious Diarrhea
- Acute Sinusitis
- Bone and Joint Infections
- Intra-abdominal Infections
- Lower respiratory Tract Infections
- Skin Infections
- Urinary Tract Infections
What is traveler’s diarrhea?
Traveler’s diarrhea is one of the most common and predictable travel-related illnesses. Depending of the destination, season and some others factors, 30%-70% of international travelers are affected by it.
It is a type of digestive tract disorder that commonly causes abdominal cramps and stools. Usually, happens when you drink water or eat food that your body is not familiarized with.
Traveler´s diarrhea usually goes away in some days and fortunately, is not so serious. However, it can be unpleasant and it is a good idea to have doctor-approved medications in case you are going to an area that the climate or sanitary practices are different than you are used to at home and if the diarrhea persists and doesn’t go away.
What causes traveler’s diarrhea?
Traveler’s diarrhea can be caused by virus, bacteria or parasites. It can cause dehydration, which can be dangerous especially in children and It can be contagious but depends of the cause and from person to person.
When you go to a foreign country and drink contaminated water or eat contaminated food, you can suffer from traveler´s diarrhea. You can also have it because of stress or a change in your diet. However, usually an infectious agent produces this disease.
These organisms, as mentioned, can be bacteria, parasite or virus and they enter your digestive tract and overpower the defense mechanisms that combat pathogens, resulting in diarrhea.
The most common cause of it is the bacteria called Enterotoxigenic Escherichia coli (ETEC). This bacteria can cause abdominal pain and cause diarrhea because they can attach in your intestine and release toxins.
You can have traveler’s diarrhea, anywhere, but it is more common while you are visiting, high-risk destinations, as follows:
- Asia (except Japan);
- South America;
- Central America;
- The middle East;
What are the symptoms of traveler’s diarrhea?
There are more common and universal symptoms of traveler´s diarrhea, which are:
- Abdominal cramps;
- Watery stools;
- Excessive flatulence;
- Loss of appetite;
- An urgent need to defecate;
Usually, you will feel these symptoms during the travel or a few days later after you have returned back home. In most of the cases, in some days, the symptoms will get better without treatment. In within one week, it will be completely cleared up.
However, please pay attention if you have the following symptoms stated below:
- Fever more than 39˚C;
- Severe and intolerable abdominal pain;
- Bloody stools;
- Severe pain in rectum;
- Persisting vomiting for more than a few hours;
If you or your children have one or more of these symptoms mentioned above you should see a doctor immediately.
When should you see a doctor to treat traveler’s diarrhea?
If you are an adult
Traveler´s diarrhea is not a serious disease, but some symptoms are serious and if the common symptoms take more than 3 days, you should make an appointment with your doctor.
The condition can be more serious depending if it is caused by organisms such as bacteria.
If you do not know which doctor to go to, you can go to the local consulate and they will help you, indicating a GP, who can speak your language.
The doctor will do physical test first, take your temperature and press your abdomen. To check for tenderness in your abdominal area. After this, it is more likely to ask for a stool test to see if there are parasites and a blood test for possible infections. He can also confirm if you are dehydrated or not.
If children have the symptoms
If children have the symptoms below, they should be seen by a doctor because they can dehydrate easily and can be serious or fatal:
- If you see unusual signs of sleepiness, unresponsiveness or drowsiness;
- Fever with 39˚C or more;
- Crying without tears or dry mouth;
- Vomiting for more than some hours;
- Severe diarrhea;
- Bloody stools;
Who has more risks of suffering from traveler’s diarrhea?
The native people get used to the bacteria and have immunity for them. That is why, every year, millions of people that travel to other places, especially the high-risk areas suffer from traveler´s diarrhea.
Of course, the place you are going can determine if you will have it or not, but there are also, some groups of people that are more predisposed to suffer from it, as follows:
- People who have a low immunity system: this can increase the chances to have infections;
- People who have cirrhosis of the liver, diabetes or inflammatory bowel disease: can increase the chances to have infections;
- Young adults: It is uncertain why, but young adults are more predispose to have infections, probably because of the diet or the places that they usually choose;
- People who take acid blockers or antacids: can also have more chances to have the infections because they can reduce the stomach acids, making bacteria and other organisms to be able to multiply itself in your organism.
What are the complications related with traveler´s diarrhea?
The traveler´s diarrhea can cause loss of salts, minerals and fluids, which can cause dehydration. This is the most common complication, and when it comes with vomiting or nausea, it can be worst.
You need to pay attention to be able to avoid dehydration, especially with children. It can cause serious complications such as shock, coma and multiorgan damage. The signs and symptoms for dehydration can be, as follow:
- Intense thirst;
- Dry mouth;
- Extreme weakness;
- Little or no urination;
Please pay attention on these symptoms, especially if the traveler´s diarrhea is caused by a parasitic infection. They can be more serious and probably, you will need some medication to treat it. They can cause fever, seizures, allergic reactions or bacterial infections.
How can you prevent suffering traveler´s diarrhea?
The traveler´s diarrhea, usually, is not a serious disease, but can be unpleasant during your trip. If you take some steps, you can decrease the chances of suffering diarrhea, here are some recommendations you should follow:
During the travel, avoid:
- Foods sold on the street;
- Food that is not cooked or is not served hot;
- Food in buffets;
- Fruits or vegetables that you did not wash or peel by yourself;
- Food with unpasteurized milk, including ice cream;
Drinks and water
During the travel, avoid:
- Drinks that are not from factory-sealed containers;
- Unsterilized water, for example, tap water. If you consume tap water, boil it for three minutes before consuming it.
- Iced cubes with or juices made from tap water;
- Tap water to brush your teeth;
- Avoid swimming in water that can be contaminated, and when you are showering close your mouth;
- Please pay attention in all hot beverages, as coffee or tea and be sure that they were steaming hot;
Wash your hands
During your travel, wash your hands always before you eat and when you use the bathroom. Please pay attention on your children, and try that they don’t put their hands in their mouth. Wash your hands with soap and water. If you do not have water or soap, you can also use alcohol-based hand sanitizer with at least 60% of alcohol.
What are other tips and preventive measures can you do against Traveler’s Diarrhea?
If you still suffer from these symptoms after taking all the precautions needed to avoid traveler’s diarrhea, you should take the medicine mentioned above, but be sure to pay attention that it is not recommended to take certain medicines with other types because of probable dangerous interactions. Be sure to not take bismuth subsalicylate (Pepto-Bismol) for more than 3 weeks or if you are pregnant, if you are allergic to aspirin or if you are taking other while you are taking some medications like anticoagulants.
Who should consider other options over Ciprofloxacin 500 mg?
You should consider taking other options over Ciprofloxacin if you suffer from the following conditions:
- Hypersensitivity to any of the components of Ciprofloxacin.
- Children under the age of 18
- If you suffer from muscular spasms and treat them with Tizanidine
- If you had a heart, lung or kidney transplant
- Over 60 years of age
- If you suffer from arthritis, tendon or other joint problems
- If you suffer from kidney disease
- If you suffer from Miasthenia Gravis
- If you had a head injury or a brain tumor
- If you suffer or have a family history of heart conditions
- If you suffer from epilepsy or seizures
- If you are pregnant or breastfeeding
Are there medicines that have an interaction with Ciprofloxacin?
Like all other medicines, Ciprofloxacin has interactions with other drugs. Use with precaution or use an alternative therapy if you take the following medications:
- Iron sucrose
How should Ciprofloxacin 500 mg be taken?
Depending on the type of infection that is being treated, so will the treatment differ. Be sure to seek professional health before starting treatment with Ciprofloxacin.
Usual recommended treatment for Traveler’s Diarrhea is 1 tablet of 500 mg of Ciprofloxacin, orally, every twelve (12) hours for 5 to 7 days. Be sure to take the complete the treatment exactly as prescribed.
Be sure not to crush, chew or split the tablet, you should swallow the tablet completely with or without food.
Do not combine Ciprofloxacin 500 mg with other medications that contain calcium or zinc. Be sure to take these medications 2 hours before taking Ciprofloxcin, or 4 to 6 hours after taking Ciprofloxacin.
What happens if you forget to take a dose of Ciprofloxacin 500 mg?
If you forget to take one dose of Ciprofloxacin , take the dose as soon as you remember. If it is time close to the second dosage, then skip the treatment you missed and continue your treatment. Do not use double the dose to make up for the one you forgot.
Are there risks of overdose while using Ciprofloxacin?
Studies have shown that taking more than 12 g of Ciprofloxacin may lead to mild toxicity leading to symptoms of headache, seizures, hallucinations, confusion, tremor, dizziness, abdominal pain or discomfort, acute renal and hepatic failure, haematuria and crystalluria.
If you or anyone you know present this symptoms seek immediate professional health.
Like all medicines, ciprofloxacin can cause side-effects, although not everybody gets them.
Common: may affect up to 1 in 10 people
- nausea, diarrhoea
- joint pains in children
Uncommon: may affect up to 1 in 100 people
- fungal superinfections
- a high concentration of eosinophils, a type of white blood cell
- decreased appetite
- hyperactivity or agitation
- headache, dizziness, sleeping problems, or taste disorders
- vomiting, abdominal pain, digestive problems such as stomach upset (indigestion/heartburn), or wind
- increased amounts of certain substances in the blood (transaminases and/or bilirubin)
- poor kidney function
- pains in your muscles and bones, feeling unwell (asthenia), or fever
- increase in blood alkaline phosphatase (a certain substance in the blood)
- feeling highly excited (mania) or feeling great optimism and overactivity (hypomania).
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from the PDF-version from this website because it may have been updated since your medicine was packaged or the medicine is from another brand.