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This leaflet answers some common questions about ciprofloxacin. Your doctor has weighed the risks of you using this medicine against the benefits they expect it will have for you. The name of your medicine is APO-Ciprofloxacin. It contains the active ingredient, ciprofloxacin. This medicine is not recommended for use in children or pre-pubertal teenagers except for use in inhalational anthrax. You may be at increased risk of swelling of or damage to the tendons.

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Food and Drug Administration FDA approved changes to the labels of flouroquinolone antibacterial drugs for systemic use i. The FDA specifies that fluoroquinolones have serious side effects that outweigh the benefits in the use of conditions, such as uncomplicated urinary tract infections UTIs, in patients for which other treatment options may be effective. However, due to the side effect warning consider switching to a different antibiotic in surgery or prior to a procedure on case-by-case basis. Consider the need for any antibiotics prior to routine cystoscopy, cystography or urodynamics in low-risk patients. Prostate biopsy has evidence for the use of fluoroquinolone prophylaxis; however, it is recommended that you not prescribe more than 24 hours of the medication to reduce exposure. Additionally, recommendations are for empiric therapy only. If the choice of antimicrobial is based upon results of a documented rectal swab culture, then culture-directed antimicrobials can be administered. The risk of peripheral neuropathy associated with fluoroquinolones taken by mouth or injection should be relayed to patients. This potential serious side effect may be permanent.

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