Prilosec can cause urinary problems

Ciprofloxacin AL 500 mg film-coated tablets

Patient information for Ciprofloxacin AL 500 mg film-coated tablets

1. What is Ciprofloxacin 500 mg film-coated tablets and what is it used for?

1.1 What are the properties of the medicinal product?

Ciprofloxacin AL 500 mg film-coated tablets contains the active ingredient ciprofloxacin, a drug from the group of so-called antibiotics and gyrase inhibitors / quinolones.

The main target of these antibiotics is a bacterial enzyme (gyrase), which is essential for the bacteria to multiply. The inhibition of this enzyme by ciprofloxacin leads to the germicidal (bactericidal) effect on the pathogens. Ciprofloxacin only works with certain strains of bacteria.

Ciprofloxacin is usually used in salt form as ciprofloxacin hydrochloride (ciprofloxacin hydrochloride monohydrate), ciprofloxacin sulfate or ciprofloxacin lactate.

Ciprofloxacin requires a prescription and should only be used on medical advice.

1.2 What strengths and dosage forms are there?

Oral ciprofloxacin is usually available as an

- film-coated tablets containing 100 mg, 250 mg, 500 mg or 750 mg ciprofloxacin,

- Granules (or granules with solvent) for the production of a juice containing 50 mg / ml or 100 mg / ml ciprofloxacin.

Your doctor will determine which strength and dosage form are suitable for your treatment.

1.3 Oral ciprofloxacin is used

1.3.a) Adults

to treat the following bacterial infections:

- Certain respiratory infections

- prolonged or recurring inflammation of the ears or sinuses

- urinary tract infections

- Genital organs infections in men and women

- Infections of the gastrointestinal tract and infections of the abdomen

- Skin and soft tissue infections

- infections of the bones and joints

- Prevention of infections caused by the bacterium Neisseria meningitidis

- Treatment after inhalation of anthrax pathogens.

Ciprofloxacin can be used to treat patients who have low levels of certain white blood cells (neutropenia) and fever who are suspected of having a bacterial infection.

If you have a severe infection or an infection caused by different types of bacteria, you may be given antibiotic treatment in addition to ciprofloxacin.

1.3.b) Children and young people

under the supervision of a specialist doctor for the treatment of the following bacterial infections:

- Infections of the lungs and bronchi in children and adolescents with cystic fibrosis

Complicated urinary tract infections, including infections that involve the kidney pelvis (pyelonephritis)

- Treatment after inhalation of anthrax pathogens.

Ciprofloxacin can also be used to treat other specific severe infections in children and adolescents, if your doctor considers it necessary.

2. What should you know before you use Ciprofloxacin AL 500 mg film-coated tablets?

2.1 Ciprofloxacin AL 500 mg film-coated tablets must not be used

- if you are allergic (hypersensitive) to the active substance, other quinolone preparations or any of the other ingredients of Ciprofloxacin 500 mg film-coated tablets,

- if you are using tizanidine.

2.2 Special care is required when using Ciprofloxacin AL 500 mg film-coated tablets

Talk to your doctor or pharmacist before taking Ciprofloxacin AL 500 mg film-coated tablets:

- if you have ever had kidney problems as your treatment may need to be adjusted.

- if you have epilepsy or other neurological diseases.

- if you have had tendon problems during previous treatment with antibiotics such as Ciprofloxacin 500 mg film-coated tablets.

- if you have myasthenia gravis (a type of muscle weakness) as the symptoms may be made worse.

- if you have had a history of irregular heartbeat (arrhythmias) or if you have heart problems. Caution should be exercised when using ciprofloxacin if you were born with a prolonged QT interval (seen on an EKG, an electrical recording of the heart's activity), or if this has occurred in your family in the past, or if your blood salt balance is disturbed (especially in low levels of potassium or magnesium in the blood), your heart rhythm is very slow (so-called "bradycardia"), you have heart failure (heart failure), you have had a heart attack (myocardial infarction), you are a woman or elderly patient, or You are taking other medicines that cause abnormal ECG changes.

- if you or a member of your family has a deficiency of glucose-6-phosphate dehydrogenase (G6PD) as there is a risk of anemia caused by ciprofloxacin.

- if you have been diagnosed with an enlargement or "bulge" of a large blood vessel (aortic aneurysm or peripheral large vessel aneurysm).

- if you have been diagnosed with leaky heart valves (heart valve insufficiency).

- if aortic aneurysms or aortic dissection or congenital heart valve defects, or other risk factors or stressful circumstances are known in your family history (e.g. connective tissue diseases such as Marfan syndrome or vascular Ehlers-Danlos disease, Turner syndrome, Sjogren's syndrome [an inflammatory autoimmune disease], or vascular disorders such as Takayasu's arteritis, giant cell arteritis, Beh├žet's disease, high blood pressure or known atherosclerosis, rheumatoid arthritis (disease of the joints) or endocarditis (inflammation of the lining of the heart).

- Quinolone antibiotics can cause both your blood sugar level to rise above normal (hyperglycaemia) and to decrease your blood sugar level below normal (hypoglycaemia), which in severe cases can lead to unconsciousness (hypoglycaemic coma). This is important for patients with diabetes. If you are diabetic, your blood sugar levels should be carefully monitored.

Before using this medicine:

You should not use fluoroquinolone / quinolone antibiotics, including Ciprofloxacin 500 mg film-coated tablets, if you have had a serious side effect with the use of quinolones or fluoroquinolones in the past. In this case, you should contact your doctor as soon as possible.

Your doctor may prescribe another antibiotic in addition to ciprofloxacin for the treatment of certain infections of the genital organs. If symptoms do not improve after 3 days of treatment, please contact your doctor.

If you are already using this medicine:

Inform your doctor immediately if any of the following happen while you are taking Ciprofloxacin 500 mg film-coated tablets. Your doctor will decide whether treatment with Ciprofloxacin 500 mg film-coated tablets needs to be stopped.

- Severe, sudden hypersensitivity reaction (anaphylactic reaction / shock, angioedema). Even the first time you take it, there is a small risk that you will experience a severe allergic reaction, which can manifest itself in the following symptoms: tightness in the chest, feeling dizzy, nausea or fainting, or dizziness when standing up. If this happens, stop taking Ciprofloxacin AL 500 mg film-coated tablets and contact your doctor immediately.

- Pain and swelling in the joints and inflammation or tearing of the tendons may rarely occur. You are at increased risk if you are elderly (over 60 years of age), have had an organ transplant, have kidney problems, or are being treated with corticosteroids. Inflammation and tears in the tendons can occur within the first 48 hours after starting treatment and even for several months after stopping treatment with Ciprofloxacin 500 mg film-coated tablets. At the first sign of pain or inflammation of a tendon (for example in the ankle, wrist, elbow, shoulder or knee), stop using Ciprofloxacin 500 mg film-coated tablets, contact your doctor and calm the painful area. Avoid any unnecessary movement as this can increase the risk of a tendon rupture.

- If you have epilepsy or other neurological diseases such as cerebral ischemia or stroke, you may experience side effects related to the central nervous system. If this happens, stop taking Ciprofloxacin 500 mg film-coated tablets and contact your doctor immediately.

- It is possible that psychiatric reactions occur after the first dose of Ciprofloxacin 500 mg film-coated tablets. If you suffer from depression or psychosis, your symptoms may worsen during treatment with Ciprofloxacin 500 mg film-coated tablets. In rare cases, depression or psychosis can lead to thoughts of suicide, attempted suicide, or an accomplished suicide. If this happens, stop taking Ciprofloxacin 500 mg film-coated tablets and contact your doctor immediately.

- You may rarely experience symptoms of nerve damage (neuropathy), such as pain, burning, tingling, numbness and / or weakness, especially in the feet and legs or hands and arms. In this case, stop using Ciprofloxacin AL 500 mg film-coated tablets and inform your doctor immediately in order to avoid possible permanent damage.

- Hypoglycaemia has been seen most often in diabetics, especially the elderly. If you experience hypoglycaemia, contact your doctor immediately.

- Diarrhea may occur during treatment with antibiotics, including Ciprofloxacin 500 mg film-coated tablets, and even several weeks after you have stopped treatment. If it becomes severe or persistent, or if you notice that your stool contains blood or mucus, stop taking Ciprofloxacin AL 500 mg film-coated tablets immediately, as this can be life-threatening. Do not take medicines that stop or slow down bowel movement and contact your doctor.

- If you notice any visual disturbances or any other eye problems, please contact an ophthalmologist immediately.

- Your skin is more sensitive to sunlight and UV light if you take Ciprofloxacin 500 mg film-coated tablets. Therefore, do not expose yourself to strong sunlight or artificial UV light, such as on a sunbed.

- Tell the doctor or the laboratory staff that you are taking Ciprofloxacin AL 500 mg film-coated tablets if you have to give a blood or urine sample.

- If you have kidney problems, tell your doctor as your dose may need to be adjusted.

- Ciprofloxacin AL 500 mg film-coated tablets can cause liver damage. If you notice any of the following symptoms, such as loss of appetite, jaundice (yellowing of the skin), dark urine, itching or a tender stomach, stop taking Ciprofloxacin 500 mg film-coated tablets and contact your doctor immediately.

- Ciprofloxacin 500 mg film-coated tablets can lead to a decrease in the number of white blood cells and their resistance to infections can be decreased. If you have an infection with symptoms such as fever and severe deterioration in your general condition, or fever together with local symptoms such as an infection of sore throat / throat / mouth or painful urination, you should contact your doctor immediately. A blood test may show a possible decrease in white blood cells (agranulocytosis). It is important that you tell your doctor about any medicines you are taking.

- If you experience sudden, severe pain in your abdomen, chest, or back, which may be symptoms of an aortic aneurysm (bulging of the aortic wall) and dissection (splitting of the layers of the aortic wall), go to an emergency room immediately. Your risk may be increased with concomitant treatment with systemic corticosteroids.

- If you suddenly experience shortness of breath, especially when you are flat in your bed, or notice swelling in your ankles, feet or abdomen, or if you experience new palpitations (feeling like fast or irregular heartbeat), you should contact a doctor immediately .

Persistent, quality of life, and possibly permanent serious side effects:

Fluoroquinolone / quinolone antibiotics, including Ciprofloxacin 500 mg film-coated tablets, have been associated with very rare but serious side effects, some of which are long-lasting (lasting for months or years), impairing quality of life, or possibly permanent. These include tendon, muscle and joint pain in the upper and lower limbs, difficulty walking, unusual sensations such as tingling, tingling, tingling, numbness or burning (paraesthesia), sensory disorders including impaired vision, taste, smell and hearing , Depression, impaired memory, severe fatigue and severe sleep disorders.

If you get any of these side effects while using Ciprofloxacin AL 500 mg film-coated tablets, contact your doctor immediately before continuing treatment. You and your doctor will decide whether to continue treatment, possibly with an antibiotic from a different group of drugs.

Notes on other ingredients:

Oral medicines can contain different types of sugar. Please take this only after consulting your doctor if you know that you suffer from an intolerance to certain sugars.

Blood sugar levels should be checked, especially if you are on a diabetic diet.

Sugar (sucrose) can be harmful to teeth.

2.2.a) Children

Ciprofloxacin AL 500 mg film-coated tablets is used in children and adolescents under the supervision of a doctor who specializes in this.

2.2.b) Elderly patients

Elderly patients should use this medicine with caution.

Elderly patients should receive the lowest possible dose depending on the severity of the infection and kidney function.

2.2.c) Pregnancy

The use of Ciprofloxacin 500 mg film-coated tablets should preferably be avoided during pregnancy. Let your doctor know if you are pregnant or planning to become pregnant.

If you think you may be pregnant, or are planning to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

2.2.d) Breastfeeding

Do not use Ciprofloxacin 500 mg film-coated tablets if you are breast-feeding because ciprofloxacin passes into breast milk and can harm your child.

2.2.e) Ability to drive and use machines

Ciprofloxacin 500 mg film-coated tablets can affect your alertness. Some nervous system side effects can occur. Therefore, make sure that you know how you react to Ciprofloxacin AL 500 mg film-coated tablets before you drive or use machines. If in doubt, please ask your doctor.

2.3 Which interactions with other medicinal products have to be considered?

Please inform your doctor or pharmacist if you are taking / using or have recently taken / used any other medicines, including medicines obtained without a prescription.

Do not take Ciprofloxacin 500 mg film-coated tablets and tizanidine together, as this can cause side effects such as low blood pressure and drowsiness.

The following medicines are known to interact with Ciprofloxacin 500 mg film-coated tablets in your body. If Ciprofloxacin 500 mg film-coated tablets are taken together with these drugs, the therapeutic effect of these drugs can be impaired. It can also increase the likelihood of side effects.

2.3.a) Please inform your doctor if you are taking any of the following medicines

- Vitamin K antagonists (e.g. warfarin, acenocoumarol, phenprocoumon or fluindione) or other oral anticoagulants (to thin the blood)

Probenecid (for gout)

- methotrexate (for certain cancers, psoriasis, rheumatoid arthritis)

- theophylline (for breathing difficulties)

- tizanidine (used to relax the skeletal muscles in multiple sclerosis)

- olanzapine (an antipsychotic medicine)

- clozapine (an antipsychotic medicine)

- ropinirole (for Parkinson's disease)

- phenytoin (for epilepsy)

- metoclopramide (for nausea and vomiting)

- Ciclosporin (for skin diseases, rheumatoid arthritis and organ transplants)

- Other medicines that can change the rhythm of the heart: medicines that belong to the group of antiarrhythmics (e.g. quinidine, hydroquinidine, disopyramide, amiodarone, sotalol, dofetilide, ibutilide), tricyclic antidepressants, some antimicrobials (belonging to the group of macrolides), some antipsychotics.

- glibenclamide (for diabetes)

2.3.b) Ciprofloxacin AL 500 mg film-coated tablets can increase the concentration of the following medicines in your blood

- pentoxifylline (for circulatory diseases),

- caffeine,

- duloxetine (for depression, diabetic nerve damage or incontinence),

- lidocaine (for heart disease or as an anesthetic),

- Sildenafil (e.g. for erectile dysfunction),

- agomelatine (for depression),

- zolpidem (used to treat insomnia and some brain disorders)

2.3.c) Some medicinal products reduce the effect of Ciprofloxacin AL 500 mg film-coated tablets

Please tell your doctor if you are taking or about to take any of the following medicines:

- antacids (medicines used to prevent acidification of the stomach),

- omeprazole,

- mineral supplements,

- sucralfate,

- A polymeric phosphate binder (e.g. Sevelamer or lanthanum carbonate),

- Medicines or food supplements that contain calcium, magnesium, aluminum or iron.

If you absolutely need these preparations, take ciprofloxacin about 2 hours before or no sooner than 4 hours afterwards.

2.4 What should be thought of when taking Ciprofloxacin AL 500 mg film-coated tablets with food, beverages and tobacco?

You can take Ciprofloxacin 500 mg film-coated tablets with or without food. A meal containing calcium will only have a negligible effect on the absorption of the active ingredient. However, do not take Ciprofloxacin AL 500 mg film-coated tablets with dairy products such as milk or yoghurt, or beverages fortified with minerals (e.g. orange juice fortified with calcium).

Make sure that you drink enough fluids during treatment with Ciprofloxacin 500 mg film-coated tablets.

3. How should Ciprofloxacin AL 500 mg film-coated tablets be used?

Always use Ciprofloxacin 500 mg film-coated tablets exactly as your doctor has told you. Please ask your doctor or pharmacist if you are not sure.

3.1 Type and duration of application

It is taken every day at about the same time, regardless of meals. Taking it on an empty stomach accelerates the absorption of the active ingredient.

Tablets / film-coated tablets: swallow the tablets whole with plenty of liquid. You shouldn't chew the tablets because of their unpleasant taste. You can take the tablets with or without food. A meal containing calcium (as part of a diet) has only a negligible effect on the absorption of the active ingredient. However, do not take the tablets with dairy products such as milk or yoghurt, or with beverages enriched with minerals (e.g. orange juice enriched with calcium) or with mineral supplements (e.g. calcium, magnesium, aluminum, iron), as these can reduce the absorption of the active ingredient. This medicine should be taken either 1 to 2 hours before or at least 4 hours after the above products.

Suspension: you must make the suspension before taking it. Shake the suspension vigorously (about 15 seconds) before each use. Please always use the enclosed dosing aid for precise dosing and taking of the suspension. Please always close the container immediately after use.

Make sure you drink enough fluids during treatment.

Your doctor will decide on the duration of use. It depends on the severity and course of your illness, on your general condition and on the sensitivity of the causative pathogen.

Treatment usually lasts 5 to 21 days, but may be longer for severe infections. For uncomplicated infections of the lower urinary tract, however, 1 to 3 days of treatment may be sufficient.

The usual duration of use is for:

- Respiratory, ear and sinus infections: 7 to 14 days.

- Inflammation of the ear canal: 28 days to 3 months.

- Uncomplicated cystitis: 3 days.

- Complicated cystitis and uncomplicated pelvic inflammation: 7 days.

- Complicated pelvic inflammation: at least 10 days to more than 21 days.

- Inflammation of the prostate: 2 to 4 weeks (acute) to 4 to 6 weeks (chronic).

- Gonococcal infections of the urethra and cervix: 1 day (single dose).

- Infections of the testicles and pelvis: at least 14 days.

- Infections of the gastrointestinal tract: Depending on the pathogen, 1 day to 7 days.

- Abdominal infections: 5 to 14 days.

- Skin and soft tissue infections: 7 to 14 days.

- Infections of the bones and joints: a maximum of 3 months.

- Prevention of infections caused by the bacterium Neisseria meningitidis: 1 day (single dose).

3.2 Unless otherwise prescribed by the doctor, the usual dose is when ingested

Your doctor will explain exactly how much Ciprofloxacin should be used, how often and for how long. This will depend on the type and severity of the infection you are suffering from.

The following dosage recommendations apply:

3.2.a) Children

10 to 20 mg / kg body weight twice a day.

The maximum single dose: 750 mg.

3.2.b) Adults (most indications)

500 to 750 mg twice a day.

3.2.c) Uncomplicated cystitis in women

250 to 500 mg twice a day.

In pre-menopausal women, 500 mg can be given as a single dose.

3.2.d) Gonococcal infections of the urethra and cervix

500 mg once (single dose).

3.2.e) Renal dysfunction

The dose will be adjusted if necessary.

3.3 If you use more Ciprofloxacin AL 500 mg film-coated tablets than you should

In the event of an overdose, please contact your doctor immediately. If necessary, he will initiate countermeasures according to the symptoms.

3.4 If you forget to use Ciprofloxacin 500 mg film-coated tablets

Use the usual dose as soon as possible and then continue treatment as directed. Do not use a double dose to make up for a forgotten dose. Be sure to complete the course of treatment.

3.5 Effects if treatment with Ciprofloxacin 500 mg film-coated tablets is discontinued

It is important that you go through the course of treatment to the full, even if you start to feel better after a few days. If you stop taking this medicine too soon, your infection may not be completely cured and symptoms of the infection may come back or your condition may worsen. It is also possible that you develop resistance to this antibiotic.

4. What are the possible side effects?

Like all medicines, Ciprofloxacin 500 mg film-coated tablets can cause side effects, although not everybody gets them.

When evaluating side effects, the following frequencies are used as a basis:

- very common: more than 1 in 10 people

- common: less than 1 in 10, but more than 1 in 100 patients

- uncommon: less than 1 in 100, but more than 1 in 1,000 patients

- rarely: less than 1 in 1,000 but more than 1 in 10,000 people treated

- very rare: less than 1 in 10,000 patients, including isolated cases

- Frequency not known: frequency cannot be calculated from the available data

4.1 Which side effects can occur in detail?

4.1.a) serious side effects

Some side effects can be serious. You should stop taking and contact your doctor immediately if you experience any of the following serious side effects. You may need urgent medical treatment:

4.1.a.1. Rare

- allergic reaction, swelling (edema) or rapid swelling of the skin and mucous membranes (angioedema)

- inflammation of the mucous membrane of the large intestine caused by antibiotics (colitis, very rarely with possible fatal outcome

- Liver dysfunction, jaundice or inflammation of the liver

- decrease in blood sugar (hypoglycaemia).

- Thoughts of suicide

If at any time you develop thoughts of harming or killing yourself, contact your doctor or the nearest emergency department immediately and stop using Ciprofloxacin 500 mg film-coated tablets.

4.1.a.2.Very rare

- severe allergic reactions (anaphylactic reaction or anaphylactic shock, with possible fatal outcome - serum sickness

- small, punctiform hemorrhages in the skin (petechiae); various skin changes and rashes (e.g. the possibly fatal Stevens-Johnson syndrome or toxic epidermal necrolysis)

Inflammation of the walls of the blood vessels (vasculitis)

Inflammation of the pancreas (pancreatitis) with symptoms such as severe pain in the upper abdomen, often with nausea and vomiting

- Muscle weakness, inflammation of the tendons, or tendons - especially the large tendon at the back of the ankle (Achilles tendon), worsening of symptoms of myasthenia gravis.

4.1.a.3.Not known (frequency cannot be estimated from the available data)

- Abnormally fast heart rhythm, life-threatening, irregular heartbeat, change in heart rhythm (prolongation of the QT interval, visible in the ECG, an electrical recording of the heart's activity)

- Symptoms of the nervous system such as pain, burning, tingling, drowsiness and / or weakness of the limbs (peripheral neuropathy and polyneuropathy,

- serious hypersensitivity reaction called DRESS syndrome (drug eruption with eosinophilia and systemic symptoms); AGEP (acute generalized exanthematous pustulosis),

- Cases of aortic wall enlargement and weakening or tearing of the aortic wall (aneurysms and dissections) which can tear and can be fatal, and cases of leaky heart valves, have been reported in patients taking fluoroquinolones.

4.1.b) Other side effects

4.1.b.1. Frequently

- nausea, diarrhea

- joint pain in children

4.1.b.2. Occasionally

- additional infections with fungi (so-called superinfections)

- a high concentration of eosinophils (eosinophilia), a type of white blood cell

- loss of appetite

- Overactivity or restlessness

- headache, drowsiness, difficulty sleeping or taste

- Vomiting, stomach pain, indigestion such as upset stomach (bloating / heartburn) or gas

- increase in certain substances in the blood (transaminases, alkaline phosphatase and / or bilirubin)

- rash, itching, or hives

- joint pain in adults

- kidney dysfunction

- muscle and bone pain, feeling generally unwell (lack of strength) or fever

4.1.b.3. Rarely

- Changes in the blood count (leukocytopenia, leukocytosis, neutropenia, anemia), decrease or increase in a blood clotting factor (platelets)

- increase in blood sugar (hyperglycaemia)

- Confusion, disorientation, anxiety, nightmares, depression (which may lead to thoughts of suicide, attempted suicide, or committed suicide) or hallucinations.

- Tingling sensation, unusual sensitivity to sensory stimuli, decreased skin sensitivity, tremors, seizures or dizziness

- Visual disturbances, including double vision

- ringing in the ears (tinnitus) or hearing loss or decreased hearing

- rapid heartbeat (tachycardia)

- widening of the blood vessels (vasodilation), low blood pressure, or fainting

Breathlessness, including asthmatic symptoms

- photosensitivity

- Muscle pain, inflammation of the joints, increased muscle tension or cramps

- Kidney failure, blood or crystals in the urine, inflammation of the urinary tract

- Fluid retention or excessive sweating

- increased levels of the enzyme amylase

4.1.b.4.Very rare

- certain form of anemia (haemolytic anemia); a dangerous decrease in certain white blood cells (agranulocytosis); Low levels of red and white blood cells and platelets (pancytopenia), which can be life-threatening; and decreased bone marrow function, which can also be life-threatening

- mental disorders (psychotic reactions that may lead to thoughts of suicide, attempted suicide, or committed suicide

- Migraines, coordination disorder, unsteady gait (gait disorder), disorder of the sense of smell (olfactory disorder), increase in pressure inside the skull

- Disturbances in color vision

- Death of liver cells (liver necrosis), very rarely up to life-threatening liver failure

4.1.b.5.Not known (frequency cannot be estimated from the available data)

- State of extremely elated, euphoric and overactive mood in full expression (mania) or in a weakened form (hypomania)

- abnormally fast heart rhythm, life-threatening irregular heart rhythm, change in heart rhythm (so-called "prolongation of the QT interval", visible in the EKG, an electrical recording of the heart's activity)

- impairment of blood clotting (in patients treated with vitamin K antagonists).

4.2 What countermeasures should be taken if side effects occur?

Let your doctor know if you experience any side effects. He will decide on possible measures.

If you experience a sudden or severe side effect, inform a doctor immediately, as certain drug side effects (e.g. excessive drop in blood pressure, hypersensitivity reactions) can under certain circumstances have serious consequences. In such cases, do not continue to take the medicine without doctor's advice.

Reporting of side effects: If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not listed in the package insert. You can also report side effects directly to the Federal Institute for Drugs and Medical Devices, Dept. Pharmacovigilance, Kurt-Georg-Kiesinger Allee 3, D-53175 Bonn, website: www.bfarm.de. By reporting side effects you can help provide more information on the safety of this medicine.

5. How should Ciprofloxacin AL 500 mg film-coated tablets be stored?

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and bottles after "EXP". The expiry date refers to the last day of the month.

If necessary, please note the manufacturer's information on shelf life after opening (e.g. for juices / suspensions).

Do not dispose drugs in the wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. You help to protect our environment.

6. Source and processing status

Information from the SCHOLZ database based on the data approved by the Federal Office for Drugs and Medical Devices

Copyright by ePrax GmbH, Munich; October 2020 (7)