CIPROFLOXACIN AND DEXAMETHASONE OTIC

(sih pro FLOCK sah sin and dex ah MEH thah sone) Brand: Ciprodex

What is the most significant information I must know about ciprofloxacin and dexamethasone otic?

• Do not use this medicine in the eyes or take it by mouth. Ciprofloxacin and dexamethasone otic is intended for use in the ears only.

• Do not touch the dropper opening to any surface, including the ears or hands. The dropper opening is sterile. If it becomes contaminated, it could reason other infection in the ear.

• Notify your doctor if the condition does not improve or appears to worsen.

What is ciprofloxacin and dexamethasone otic?

• Ciprofloxacin is a fluoroquinolone antibiotic. Ciprofloxacin fights bacteria in the body.

• Dexamethasone is a steroid. It is used with ciprofloxacin to reduce inflammation caused by an infection.

• Together, ciprofloxacin and dexamethasone are used to treat ear infections.

• Ciprofloxacin and dexamethasone otic may also be used for purposes another than those listed in this medicine guide.

What must I discuss with my healthcare provider till using ciprofloxacin and dexamethasone otic?

• Do not use ciprofloxacin and dexamethasone otic without first talking to your doctor if you have had a previous allergic reaction to it or to other similar oral or topical medicine such as:

· a fluoroquinolone antibiotic such as ciprofloxacin (Cipro), gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam), or trovafloxacin (Trovan);

· an oral or injectable steroid such as cortisone (Cortef, Cortone), dexamethasone (Decadron), dexamethasone (Hydrocortone), methylprednisolone (Medrol), prednisolone (Prelone, Pediapred), prednisone (Orasone, Deltasone), and others; or

· a topical steroid such as betamethasone (Diprosone, Diprolene), clobetasol (Temovate, Olux), fluocinolone (Synalar, Synemol, Fluonid), fluocinonide (Lidex), fluticasone (Cutivate), halobetasol (Ultravate), mometasone (Elocon), triamcinolone (Aristocort), and others.

• You may not be able to use ciprofloxacin and dexamethasone otic, or you may require a dosage adjustment or particular monitoring during treatment.

• Ciprofloxacin and dexamethasone otic is in the FDA pregnancy category C. This means that it is not known whether it will be deleterious to an unborn child. Do not use ciprofloxacin and dexamethasone otic without first talking to your doctor if you are pregnant or could become pregnant during treatment.

• It is not known whether ciprofloxacin and dexamethasone otic passes into breast milk. Do not use ciprofloxacin and dexamethasone otic without first talking to your doctor if you are breast-feeding a baby.

How must I use ciprofloxacin and dexamethasone otic?

• Use ciprofloxacin and dexamethasone otic exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

• Do not use this medicine in the eyes or take it by mouth. Ciprofloxacin and dexamethasone otic is intended for use in the ears only.

• In common, ciprofloxacin and dexamethasone otic must be used as follows:

· Warm the drops slightly by holding them in the hands for 1 or 2 minutes. Administration of cool drops into the ear may reason dizziness.

· Have other face administer the drops whenever possible. Have the affected face lie on their side or tilt the ear up to create administering a drop easier.

· Gently shake the drops just till administration.

· For adults, gently keep the earlobe up and back. For children, gently keep the earlobe down and back. This will let the drops to run into the ear canal. Carefully instill the predesigned number of drops in the first ear.

· Hold the ear tilted for at least 60 seconds to let the medicine to penetrate the ear.

· If the patient being treated has ear tubes, the doctor may recommend gently pressing the tragus (part of the ear in front of the opening of the ear canal) five times in a pumping motion after administration of the drops. This may let the drops to pass through the tubes into the medium ear. Follow the doctor's instructions.

· Repeat the process in the another ear if prescribed.

• Ciprofloxacin and dexamethasone ear drops are generally used twice a day, about 12 hours separately. Follow your doctor's instructions.

• Use all of the medicine that has been predesigned. Symptoms may begin to improve till the condition is completely treated. If you do not use all of the medicine predesigned, the condition could return or worsen.

• It is significant to use ciprofloxacin and dexamethasone otic regularly to get the most benefit.

• Notify your doctor if the condition does not improve or appears to worsen.

• Avoid getting water internal of the affected ear(s) during treatment with ciprofloxacin and dexamethasone. Care must be used while bathing and swimming may not be recommended. Conversation to your healthcare provider.

• Store ciprofloxacin and dexamethasone otic at room temperature, away from moisture, heat, and direct easy. Hold the bottle properly capped.

What happens if I miss a dose?

• Use the missed doze as soon as you remember. However, if it is nearly time for the following doze, skip the missed doze and use only the following regularly scheduled doze. Do not use a double doze of ciprofloxacin and dexamethasone otic unless otherwise directed by your doctor.

What happens if I overdose?

• Search abnormal medical attention if an overdose is suspected or if the medicine has been ingested.

• Symptoms of a ciprofloxacin and dexamethasone otic overdose are not known.

What must I avoid while using ciprofloxacin and dexamethasone?

• Ear infections may sometimes reason dizziness or a loss of balance. Use caution when driving, operating machinery, or performing another hazardous activities if you experience dizziness or a loss of balance.

What are the possible side effects of ciprofloxacin and dexamethasone otic?

• Stop using ciprofloxacin and dexamethasone otic and search abnormal medical attention or notify your doctor if you experience:

· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or person; or hives);

· skin rash; or

· ear drainage, discharge, or worsening pain.

• Another smaller serious side effects may also occur such as ear discomfort or itching or an unusual taste in the mouth. Continue to use the medicine and conversation to your doctor if these side effects seem overweening or unusual.

• Side effects another than those listed here may also occur. Conversation to your doctor about any side effect that seems unusual or that is especially bothersome. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect my ciprofloxacin and dexamethasone otic?

• Do not use another ear drops during treatment with ciprofloxacin and dexamethasone otic without first talking to your doctor.

• Drugs another than those listed here may also interact with ciprofloxacin and dexamethasone otic. Conversation to your doctor and pharmacist till taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I get more information?

• Your pharmacist has more information about ciprofloxacin and dexamethasone otic written for health professionals that you may read.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

(56)