Drug Interactions and Contraindications

Avoid Ciprofloxacin with antacids containing magnesium or aluminum, as these can reduce Ciprofloxacin absorption. This interaction may necessitate adjusting the timing of medication intake or considering an alternative antacid.

Concurrent use with theophylline requires careful monitoring, as Ciprofloxacin can increase theophylline levels, potentially leading to adverse effects. Regular blood tests are recommended.

Patients taking anticoagulants like warfarin should undergo close monitoring of their INR (International Normalized Ratio) while using Ciprofloxacin, as it can potentiate the anticoagulant effect and increase the risk of bleeding.

Ciprofloxacin may interact with certain diabetes medications (like gliclazide), potentially leading to hypoglycemia. Close blood glucose monitoring is advisable.

Avoid Ciprofloxacin with caffeine, as this combination can increase the risk of caffeine-induced adverse effects. Reduce caffeine intake while on Ciprofloxacin.

Individuals with a history of tendonitis or tendon rupture should exercise caution, as Ciprofloxacin can increase this risk, particularly in older adults and those taking corticosteroids.

Ciprofloxacin is contraindicated in patients with known hypersensitivity to fluoroquinolones. This includes a history of allergic reactions to other drugs in this class.

Pregnancy and breastfeeding require careful consideration. Discuss the risks and benefits with your physician before using Ciprofloxacin during pregnancy or breastfeeding.

Patients with epilepsy or a history of seizures should avoid Ciprofloxacin due to the potential for lowering the seizure threshold.

Always inform your doctor about all medications, supplements, and herbal remedies you are taking before starting Ciprofloxacin to minimize the risk of drug interactions. This includes over-the-counter drugs.