Used in the treatment of bacterial infections and UTIs. They also protect against anthrax after exposure to its spores.
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Prototype Med
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Ciprofloxacin (Cipro)
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Other Meds
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Ofloxacin
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Moxifloxacin (Avelox)
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Treats a wide range of bacterial infections, including severe urinary tract disorders.
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Prevents anthrax (following inhalation of anthrax spores) in both adults and children.
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Dizziness, headache; confusion in older clients
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nausea, vomiting, diarrhea
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Achilles tendon rupture (rare), especially in older clients, and clients taking glucocorticoids, and transplant recipients
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Photosensitivity (sunburn-like reaction) even with indirect sun exposure, sunlamp exposure; may occur despite use of sunscreen
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Severe adverse reactions include seizures, intracranial pressure, suicidal ideation, hepatotoxicity, anaphylaxis, CDAD
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Monitor for and report GI symptoms (a decrease in the dose may need to occur).
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Monitor for and report tendon pain during treatment (discontinue if pain occurs).
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Don’t allow clients to go outdoors without covering their skin with clothing. They also need to apply sunscreen to areas of exposure.
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Antacids, iron preparations, calcium (including dairy products), and sucralfate (Carafate) decrease oral absorption.
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Increases theophylline levels and the risk for CNS symptoms.
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Increases warfarin (Coumadin) levels.
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Concurrent use of erythromycin, quinidine, some antipsychotics, and tricyclic antidepressants can increase the risk for torsade de pointes in those susceptible.
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Increased hypoglycemia may occur when taken concurrently with antidiabetic medication.
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Available in oral and IV forms.
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Report CNS and GI symptoms to provider.
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Decrease caffeine use during treatment.
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Report tendon pain to provider.
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Avoid exposure to sunlight or sunlamp/wear sunscreen/protective clothes
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Take antacids, iron, calcium, dairy products, and sucralfate 2 hr after or 6 hr before oral ciprofloxacin.
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Encourage patients to drink at least 1,500 to 2,000 mL of fluids/day
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Allergy to any fluoroquinolone
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Tendon pain
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Myasthenia gravis
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Serious CNS disorders (seizure disorder)/ GI disorders
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Renal impairment
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Coumadin therapy
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Children under 18
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Pregnancy risk
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