User Tools

Site Tools


ciprofloxacin

ciprofloxacin

introduction

  • a member of the flouroquinolone antibiotics antibiotics
  • active against a variety of Gram -ves & +ves by inhib. of DNA gyrase
  • activity includes Enterobacteriacaea, Pseudomonas, Neisseria, and at higher levels, Staph, Legionella, Chlamydia & some mycobacteria with anaerobes being less susceptible.

adverse effects

dose

oral dose

  • usual treatment duration: 7-14 days (treat for greater than or equal to 2 days after patient asymptomatic).
  • uncomplicated urinary tract infections (UTIs) / cystitis: 250 mg twice daily;
  • complicated urinary tract infections (UTIs) / cystitis: 500 mg twice daily.
  • bronchial, skin, skin structure infection: 500 or 750 mg twice daily.
  • gonorrhoeal urethritis: single 250 mg dose.
  • infectious diarrhoea: 500 mg twice daily for 5 days.
  • chronic bacterial prostatitis: 250-500 mg twice daily for 14-28 days.
  • bone, joint infection: 750 mg twice daily, may treat for greater than or equal to 4-6 wks.
  • inhalational anthrax. Adults: 500 mg twice daily; children: 15 mg/kg/dose (max 500 mg/dose) twice daily as soon as possible after suspected or confirmed exposure; treat for 60 days.
  • Gram +ve infection: may admin 500 mg every 8 hrs.
  • meningococcal chemoprophylaxis (adult and child 12 years or more): 500 mg orally, as a single dose

renal impairment

  • ClCr 31-60 mL/min/1.73 m2: max 1000 mg/day;
  • ClCr less than or equal to 30 mL/min/1.73 m2: max 500 mg/day;

iv dose

  • admin by IV infusion into large vein over 60 min
  • transfer to oral therapy as soon as practicable.
  • treat for greater than or equal to 2 days after symptom resolution; usually 7-14 days
  • adults: 200-300 mg every 12 hrs
ciprofloxacin.txt · Last modified: 2012/01/16 05:38 by 127.0.0.1

Donate Powered by PHP Valid HTML5 Valid CSS Driven by DokuWiki