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    Quinolones, specifically ciprofloxacin, do have a long list of potential drug interactions. Listed are some of the major drug interactions. Ciprofloxacin interacts with divalent metallic cations (Ca , Mg , Al ) because of the chelation with the ketone and carboxylic acid. This forms an insoluble complex that hinders absorptions. Patients should be advised not to take ciprofloxacin with antacids, mineral supplements or dairy products. Ciprofloxacin may slow down how quickly your liver processes tizanidine, and therefore severe low blood pressure and drowsiness may result. Ciprofloxacin may also interact with warfarin because of a shared metabolic pathway. Patient should be advised to looks for signs of increased clotting times (PT time and INR) such as nose bleeds, bleeding from the gums, or bruising if taking these medications together. These agents may also complete with probencid and theophylline for renal excretion increasing the blood levels of these drugs. 15. Did you know that about 800,000 teen girls become pregnant in the United States each year, and more than 80% of these pregnancies are unplanned? Dealing with a pregnancy is one of the most important decisions a teen may need to make. Ciprofloxacin HCl is an antibiotic drug most commonly used to treat urinary tract infections. "HCl" Is the empirical formula for hydrochloride. Clinical and Laboratory Standards Institute: Performance Standards for Antimicrobial Susceptibility Testing. Eighteenth Informational Supplement M100-S18. Wayne, PA, USA: CLSI; 2008. Before using penicillin V, tell your doctor if you are allergic to cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others, or if you have asthma, kidney disease, or a history of any type of allergy.
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