UTI symptoms in women may include vaginal discharge, especially if the urethra is infected, or if an STD is involved. Ciprofloxacin and UTIs Many medical experts support using ciprofloxacin (Cipro) as an alternative and, in some cases, as the preferred first-line antibiotic for UTI treatment. However, others caution that widespread use of fluoroquinolones will promote increased resistance. FDA for complicated UTIs and pyelonephritis in children. Ciprofloxacin is an attractive alternative to TMP-SMX due to its high concentrations in the urogenital tissues, activity against the full range of uropathogens, and well-established clinical efficacy. Ciprofloxacin is useful in treating complicated and uncomplicated cystitis, recurrent UTI, and kidney infection. Ciprofloxacin dosage for UTI Adults: 250 mg every 12 hours for 7 to 14 days. Complicated infections require 500 mg every 12 hours. Children 1-17 years of age: 10–20 mg/kg (up to 750 mg) every 12 hours for 10–21 days. Cystitis (bladder infection) in women: The usual dosage is 250 mg every 12 hours for 3 days. This includes bone and joint infections, intra abdominal infections, certain type of infectious diarrhea, respiratory tract infections, skin infections, typhoid fever, and urinary tract infections, among others. Ciprofloxacin is used to treat a wide variety of infections, including infections of bones and joints, endocarditis, gastroenteritis, malignant otitis externa, respiratory tract infections, cellulitis, urinary tract infections, prostatitis, anthrax, and chancroid. Ciprofloxacin only treats bacterial infections; it does not treat viral infections such as the common cold. For certain uses including acute sinusitis, lower respiratory tract infections and uncomplicated gonorrhea, ciprofloxacin is not considered a first-line agent. Ciprofloxacin occupies an important role in treatment guidelines issued by major medical societies for the treatment of serious infections, especially those likely to be caused by Gram-negative bacteria, including Pseudomonas aeruginosa. For example, ciprofloxacin in combination with metronidazole is one of several first-line antibiotic regimens recommended by the Infectious Diseases Society of America for the treatment of community-acquired abdominal infections in adults. In other cases, treatment guidelines are more restrictive, recommending in most cases that older, narrower-spectrum drugs be used as first-line therapy for less severe infections to minimize fluoroquinolone-resistance development.
Ciprofloxacin may cause swelling or tearing of a tendon the fiber that connects bones to muscles in the body, especially in the Achilles' tendon of the heel. Efficacy and tolerability of twice-daily ciprofloxacin 750 mg in the treatment of patients with acute exacerbations of chronic bronchitis and pneumonia. Pryka R1, Kowalsky S, Haverstock D. Author information 1Bayer Corporation, Pharmaceutical Division, West Haven, Connecticut, USA.