Ciprofloxacin Chain Teaching Packet

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CiprofloxacinChain Teaching Packet

• Preventive Medicine Service
• Ft Leonard Wood, Missouri

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Ciprofloxacin

• Commonly called Cipro
• Used to treat bacterial infections
• Used to kill Neisseria Meningitidis, the bacteria
  responsible for FLW cases
• Used to stop the healthy carrier state of
  individuals to decrease the spread and the chance
  of new meningitis cases

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Who Should Take Cipro (or Rifampin or
Rocephin) NOW?

• Your medical staff has determined that a specific
  sub-population of FLW may be at higher risk for
  disease and may have more healthy carriers of
  this bacteria

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Why take Cipro if Ive already been vaccinated??

• Vaccine builds immunity, in other words, you are
  better able to fight the bug
• Ciprofloxacin kills the bacteria and stops the
  healthy carrier state
• Reduces the risk of spread and new meningitis
  cases
• Rocephin or Rifampin can also be used to stop the
  healthy carrier state

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What if you are pregnant?

• Rocephin is preferred to Ciprofloxacin because of
  unknown but potential harm to unborn child
• TELL THE MEDICAL TEAM IF YOU ARE ALLERGIC TO
  PENICILLIN BEFORE GETTING SHOT OF ROCEPHIN

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Who should not take Cipro?

• Tell medical team if you have had severe or life
  threatening reaction to any medication
• Allergic to
• Ciprofloxacin (Cipro)
• Levofloxacin (Levoquin)
• Norfloxacin (Noroxin)
• Other fluoroquinolone (floxacin)

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Why Ciprofloxacin?

• Ciprofloxacin is one of three drugs, the others
  are Rocephin and Rifampin, that are recommended
  for killing this bacteria and therefore stopping
  the healthy carrier state

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How to Use Cipro

• Take medication 12 hours apart
• May be taken with or without food
• Drink plenty of fluids
• Increases sensitivity to sunlight
• Increases the effect of caffeine (coffee, tea,
  soda, chocolate)
• Do not take Cipro with milk or yogurt

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Drug Interactions

• Tell the health care professional about all
  medications (prescriptions, over-the-counter, or
  herbs/supplements) you are currently taking
• Coumadin, antibiotics, theophylline,
  cyclosporine,iron, zinc, antacids containing
  magnesium/aluminum/calcium, probenecid
  ropinirole, sucralfate, live vaccines, quinapril,
  didanosine

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Infrequent Side Effects

• Dizziness, nervousness, anxiety, confusion,
  agitation
• Nausea, vomiting, stomach pain, constipation
• Muscle or joint pain
• Sores in the mouth or throat
• Vaginal itching or discharge

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Rare Side Effects

• Allergic Reactions
• Reported in less than 1
• Swelling or tingling in mouth or throat
• Tightness in chest
• Rapid, pounding or
• irregular heartbeat
• Shortness of breath

• Itching
• Hives
• Swelling in the face and hands
• Seizures
• Unusual bleeding or bruising

Require Emergency Care Notify Health Care
Professional Immediately