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The eMC  

Last Updated 08 Sep 2014

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Ciprofloxacin 0.3% eye drops

Ciprofloxacin hydrochloride (Sip-roh-flox-ass-in hi-droh-clor-ride) is a medicine which is used in bacterial infections, corneal ulcers and eye infections.

The information in this Medicine Guide for Ciprofloxacin hydrochloride varies according to the condition being treated and the particular preparation used.

There are 5 preparations of Ciprofloxacin hydrochloride available. If Ciprofloxacin 0.3% eye drops is not the preparation you are looking for, please select from the drop down list below.

Select your preparation (type) of Ciprofloxacin hydrochloride

Ciprofloxacin 0.3% eye drops

Information specific to Ciprofloxacin 0.3% eye drops when used in eye infections

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Your medicine

Ciprofloxacin hydrochloride is used to treat corneal ulcers and eye infections caused by certain types of bacteria. It works by killing the bacteria that has caused the infection.

If Ciprofloxacin hydrochloride is used for long periods of time you may get infections caused by different organisms. In such cases Ciprofloxacin hydrochloride will not be effective.

Other information about Ciprofloxacin hydrochloride:

  • if you are using other eye medicines do not use one immediately after each other. This is to stop the second medicine from washing the first medicine out of the eye. You should find out from your prescriber how long you need to wait before using the second medicine. Eye ointments should be administered last
  • if you wear contact lenses you should check with your prescriber if you can use this medicine while wearing contact lenses

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should use. It also tells you how often you should use your medicine. This is the dose that you and your prescriber have agreed you should use. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

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When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by the times at which you take other medicines.

Specific information on when to use Ciprofloxacin hydrochloride can be found in the Patient Information Leaflet that comes with this medicine. Alternatively, you can request information about when to take your medicine from your doctor or pharmacist.

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How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

Specific information on how to use Ciprofloxacin hydrochloride can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to take your medicine from your doctor or pharmacist.

If you are having problems taking this form of Ciprofloxacin hydrochloride, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

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Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or call 111 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

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Stopping your medicine

If you are not having any problems with this medicine, do not stop using it, even if you feel better, unless you have completed the course or you are advised to stop using it by your prescriber.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or call 111.

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Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. It is a good idea to keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

Specific information on how to look after Ciprofloxacin hydrochloride can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to look after your medicine from your doctor or pharmacist.

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

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Whether this medicine is suitable for you

Ciprofloxacin hydrochloride is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child who is under one year of age or for a neonate who has severe inflammation of the eye.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to check that this medicine is not having any undesired effects

Over time it is possible that Ciprofloxacin hydrochloride can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Ciprofloxacin hydrochloride has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Common: More than 1 in 100 people who use Ciprofloxacin hydrochloride:

  • corneal deposits
  • eye discomfort
  • red eye
  • taste changes

Uncommon: More than 1 in 1000 people who use Ciprofloxacin hydrochloride:

  • blurred vision
  • crusting of the eyelid margin
  • discharge from the eye
  • dry eye
  • eye itching
  • eye pain
  • eyelid exfoliation
  • eyelid oedema
  • headaches
  • increased tear production
  • nausea
  • other eye or eyesight problems
  • over-sensitivity or fear of light
  • photosensitivity
  • redness in the eyelid
  • swelling around the eyes

Rare: More than 1 in 10,000 people who use Ciprofloxacin hydrochloride:

  • damage of the eye
  • decreased eye sensation
  • dermatitis
  • diarrhoea
  • double vision
  • ear pain
  • eye irritation
  • feeling dizzy
  • hypersensitivity reactions - seek immediate medical advice if you get a rash or any other hypersensitivity reaction
  • infection of the eyelid
  • inflammation of the eye
  • nasal sinus discharge
  • rhinitis
  • stomach pain

Very rare: Fewer than 1 in 10,000 people who use Ciprofloxacin hydrochloride:

The frequency of these side-effects is unknown:

  • overgrowth of micro-organisms that are not affected by Ciprofloxacin hydrochloride
  • tendon problems such as rupture of the shoulder, hand, achilles, or other tendons
  • white particles in the eye - these should not cause any problems

The following side effects have been reported in people who have had medicines similar to Ciprofloxacin hydrochloride. The frequency of these side-effects in people who use Ciprofloxacin hydrochloride is not known:

  • if Ciprofloxacin hydrochloride is used, the amount of Ciprofloxacin hydrochloride which is absorbed into the body may be increased and certain side-effects may occur. These side-effects may include loss of consciousness, tingling sensations, oedema of the throat or face, breathing difficulties, urticaria, itching, hypersensitivity or anaphylactic reactions. some of these reactions may be fatal

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call 111.

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Taking other medicines

If you are taking more than one medicine; they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The interactions below have been reported when taking oral forms of Ciprofloxacin hydrochloride. In comparison with the oral form the risk of interactions with this form of Ciprofloxacin hydrochloride is low because only a small amount of Ciprofloxacin hydrochloride is absorbed into the body.

The following types of medicine may interact with Ciprofloxacin hydrochloride:

If you are taking Ciprofloxacin hydrochloride and one of the above types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Ciprofloxacin hydrochloride.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Ciprofloxacin hydrochloride:

  • after putting Ciprofloxacin hydrochloride into your eye you may have blurred vision for a short time

You must not drive or operate machinery unless your vision has returned to normal after using Ciprofloxacin hydrochloride.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Ciprofloxacin hydrochloride:

  • there are no specific foods that you must exclude from your diet when using Ciprofloxacin hydrochloride
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Alcohol

Alcohol can interact with certain medicines.

In the case of Ciprofloxacin hydrochloride:

  • there are no known interactions between alcohol and Ciprofloxacin hydrochloride
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Ciprofloxacin hydrochloride:

  • the use of this medicine during pregnancy is not recommended. You should only use this medicine during pregnancy if your doctor thinks that you need it

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Ciprofloxacin hydrochloride, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Ciprofloxacin hydrochloride:

  • you should only use this medicine while breast-feeding if your doctor thinks you need it

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's appearance and to make it easier to use. Some may be used to prolong the life of the medicine.

This medicine contains ciprofloxacin hydrochloride.

We are unable to list all of the ingredients for your medicine here. For a full list, you should refer to the patient information leaflet that comes with this medicine. You should check that you are able to take the ingredients of your medicine, especially if you have any allergies. You should also check whether any of these ingredients are known to have side-effects.

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Ciprofloxacin hydrochloride before, do not take Ciprofloxacin hydrochloride. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Ciprofloxacin hydrochloride, Version 17, last updated 08 Sep 2014