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Health Guide

Ciprofloxacin (Intratympanic route)

Pronunciation:

sip-roe-FLOX-a-sin

Brand Names:

  • Otiprio

Dosage Forms:

  • Suspension

Classifications:

Therapeutic

Antibiotic

Chemical

Fluoroquinolone

Uses of This Medicine:

Ciprofloxacin ear suspension is used to treat bilateral otitis media with effusion (middle ear infection with thick or sticky fluid behind the eardrum) in children undergoing surgical placement of tubes in the ears. Ciprofloxacin belongs to the class of medicines known as fluoroquinolone antibiotics. It works by killing the bacteria or preventing their growth.

This medicine is to be given by or under the direct supervision of your doctor.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of ciprofloxacin ear suspension in children. However, safety and efficacy have not been established in children younger than 6 months of age.

Older adults

No information is available on the relationship of age to the effects of ciprofloxacin ear suspension in geriatric patients.

Other medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Agomelatine
  • Amifampridine
  • Amisulpride
  • Bepridil
  • Cisapride
  • Dronedarone
  • Flibanserin
  • Mesoridazine
  • Pimozide
  • Piperaquine
  • Saquinavir
  • Sparfloxacin
  • Terfenadine
  • Thioridazine
  • Tizanidine
  • Ziprasidone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acarbose
  • Acecainide
  • Acetohexamide
  • Alfuzosin
  • Alogliptin
  • Alosetron
  • Amiodarone
  • Amitriptyline
  • Amoxapine
  • Anagrelide
  • Apomorphine
  • Aripiprazole
  • Arsenic Trioxide
  • Artemether
  • Asenapine
  • Astemizole
  • Azimilide
  • Azithromycin
  • Bendamustine
  • Benfluorex
  • Bosutinib
  • Bretylium
  • Buserelin
  • Canagliflozin
  • Chlorpromazine
  • Chlorpropamide
  • Cholera Vaccine, Live
  • Cilostazol
  • Citalopram
  • Clarithromycin
  • Clomipramine
  • Clozapine
  • Crizotinib
  • Cyclobenzaprine
  • Dabrafenib
  • Dapagliflozin
  • Dasatinib
  • Degarelix
  • Delamanid
  • Desipramine
  • Deslorelin
  • Disopyramide
  • Dofetilide
  • Dolasetron
  • Domperidone
  • Donepezil
  • Doxorubicin
  • Doxorubicin Hydrochloride Liposome
  • Droperidol
  • Eliglustat
  • Eltrombopag
  • Erlotinib
  • Erythromycin
  • Escitalopram
  • Exenatide
  • Fentanyl
  • Fingolimod
  • Flecainide
  • Fluconazole
  • Fluoxetine
  • Gatifloxacin
  • Gemifloxacin
  • Gliclazide
  • Glimepiride
  • Glipizide
  • Gliquidone
  • Glyburide
  • Gonadorelin
  • Goserelin
  • Granisetron
  • Halofantrine
  • Haloperidol
  • Histrelin
  • Hydroxychloroquine
  • Ibutilide
  • Ifosfamide
  • Iloperidone
  • Imipramine
  • Insulin
  • Insulin Aspart, Recombinant
  • Insulin Bovine
  • Insulin Degludec
  • Insulin Detemir
  • Insulin Glargine, Recombinant
  • Insulin Glulisine
  • Insulin Lispro, Recombinant
  • Ivabradine
  • Ketoconazole
  • Lapatinib
  • Leuprolide
  • Levofloxacin
  • Linagliptin
  • Liraglutide
  • Lopinavir
  • Lumefantrine
  • Lurasidone
  • Mefloquine
  • Metformin
  • Methadone
  • Metronidazole
  • Mifepristone
  • Miglitol
  • Moricizine
  • Moxifloxacin
  • Nafarelin
  • Naloxegol
  • Nateglinide
  • Nilotinib
  • Norfloxacin
  • Nortriptyline
  • Octreotide
  • Ofloxacin
  • Olaparib
  • Ondansetron
  • Paliperidone
  • Panobinostat
  • Pasireotide
  • Pazopanib
  • Perflutren Lipid Microsphere
  • Pimavanserin
  • Pioglitazone
  • Pirfenidone
  • Pitolisant
  • Pomalidomide
  • Posaconazole
  • Pramlintide
  • Procainamide
  • Prochlorperazine
  • Promethazine
  • Propafenone
  • Protriptyline
  • Quetiapine
  • Quinidine
  • Quinine
  • Ranolazine
  • Rasagiline
  • Repaglinide
  • Rosiglitazone
  • Salmeterol
  • Saxagliptin
  • Sematilide
  • Sevoflurane
  • Simeprevir
  • Simvastatin
  • Sitagliptin
  • Sodium Phosphate
  • Sodium Phosphate, Dibasic
  • Sodium Phosphate, Monobasic
  • Solifenacin
  • Sorafenib
  • Sotalol
  • Sulpiride
  • Sunitinib
  • Tacrolimus
  • Tasimelteon
  • Tedisamil
  • Telavancin
  • Telithromycin
  • Tetrabenazine
  • Theophylline
  • Tolazamide
  • Tolbutamide
  • Toremifene
  • Trazodone
  • Trifluoperazine
  • Trimipramine
  • Triptorelin
  • Vandetanib
  • Vardenafil
  • Vemurafenib
  • Vildagliptin
  • Vinflunine
  • Voriconazole
  • Warfarin
  • Zuclopenthixol

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Aceclofenac
  • Betamethasone
  • Budesonide
  • Chloroquine
  • Corticotropin
  • Cortisone
  • Cosyntropin
  • Cyclosporine
  • Deflazacort
  • Dexamethasone
  • Diclofenac
  • Dutasteride
  • Fludrocortisone
  • Fluocortolone
  • Fosphenytoin
  • Hydrocortisone
  • Itraconazole
  • Lanthanum Carbonate
  • Methylprednisolone
  • Mycophenolate Mofetil
  • Olanzapine
  • Phenytoin
  • Prednisolone
  • Prednisone
  • Probenecid
  • Rifapentine
  • Ropinirole
  • Ropivacaine
  • Sildenafil
  • Triamcinolone
  • Zolpidem

Other interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Caffeine

Proper Use of This Medicine:

A doctor or other healthcare professional will give your child this medicine. This medicine is to be given through a needle into your child's middle ear.

Precautions While Using This Medicine:

Your doctor will check your child's progress closely while you are receiving this medicine. This will allow your doctor to see if the medicine is working properly and to decide if your child should continue to receive it.

Call your child's doctor right away if your child has fluid that continues to drain from the ear beyond the first few days after the ear tube surgery, or if the ear becomes painful.

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

Less common
Fever
headache
muscle aches
sore throat
stuffy or runny nose
unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common
Irritability

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.


Last Updated: 9/15/2016
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