How to use Ciprofloxacin for cystitis?


One of the most popular drugs is Ciprofloxacin for cystitis. How to take, feedback and effectiveness will be described below. After all, doctors often prescribe it to their patients and need to navigate in some of the features of treatment.

Cystitis is a dangerous disease and is most common in women with gynecological problems. This is due to the structural features of the pelvic organs. And the sooner adequate measures are taken to eliminate pathogenic microflora, the more chances to cure the disease completely.

Release form and properties

Ciprofloxacin is one of the most common representatives of the second generation of fluoroquinolone antibacterial agents. It stops the growth of bacteria and their reproduction, which helps eliminate the cause of infectious inflammation in a short time. Many Gram-negative and Gram-positive microorganisms are sensitive to it, as well as certain types of bacteria that provoke sexually transmitted diseases.

The concentration of the main substance in the blood is reached within two hours after taking the first pill and to constantly maintain the desired level, you need to take the drug every 12 hours. It is this term that limits the therapeutic effect, then Ciprofloxacin is excreted through the urinary system.

The tool is available in different forms for the convenience of treating various diseases in both the lungs and advanced cases:

  • tablets with a concentration of the active substance of 250, 500 and 750 mg,
  • solutions for intravenous infusion in special bottles in a dosage of 0.2%,
  • muscle tissue injection agent, sold in 1% ampoules, which must be diluted additionally,
  • eye drops and ointment at 0.3% of the content of the active substance.

Its price is relatively low compared to other similar means. And the higher the dosage, the cheaper the total cost goes. But do not save by dividing the tablet into smaller pieces.

Depending on the patient's condition, his weight, height and age, the complexity of the disease and related problems, the doctor chooses a more appropriate form of drug administration into the body. For example, with inpatient treatment in a hospital, intravenous solutions are preferred for the rapid elimination of the infection and the prevention of many adverse reactions associated with taking pills.

Treatment for cystitis

Quite often, experts stop on Ciprofloxacin to eliminate the symptoms of cystitis. This is justified for many reasons:

  • the drug actively fights with the majority of microorganisms that cause the disease,
  • due to the leaching of the substance through the kidneys, the bladder has a chance to get as much as possible free of pathogenic microflora directly,
  • the drug is rapidly absorbed into the blood and tissues and in a short time it reaches a high concentration, which speeds up the treatment process,
  • different bioavailability
  • able to inhibit DNA gyrase,
  • there is a long period
  • It has low toxicity and is easily tolerated by most patients.
  • inhibits exotoxins and exoenzymes,
  • allows you to choose the appropriate form and treatment regimen for each patient.

With cystitis, Ciprofloxacin is unable to help only in cases where the disease is caused by viral, allergic or traumatic factors. But since it is incompatible with many drugs, its effectiveness is noted only with monotherapy.

Basic indications for use

Doctors prescribe this antibiotic in the treatment of various pathologies:

  • from cystitis and other inflammatory processes of the genitourinary system,
  • for prostate in men
  • in gynecology,
  • Some types of sexually transmitted diseases
  • skin infections
  • lesions of the respiratory tract and upper respiratory tract,
  • arthritis and other bone problems
  • meningitis,
  • to eliminate dental infections
  • in some cases, to stop the processes of sepsis, peritonitis and the growth of cancer cells,
  • with intestinal diseases
  • cholecystitis,
  • various problems of the gallbladder and its ducts.

For prophylactic purposes, such an antibiotic is also prescribed after surgical intervention to prevent various complications and infection of weakened tissues.

Who is contraindicated?

Not all patients can resort to such an effective tool. For example, treatment of cystitis Ciprofloxacin is unacceptable in the following cases:

  • women in the period of carrying and breastfeeding a child,
  • children under 18 and older after 60,
  • with epileptic seizures in history,
  • people with pseudomembranous colitis,
  • allergy sufferers
  • in the presence of psychological disorders,
  • if kidney or liver failure is detected,
  • suffering from atherosclerosis.

In such cases, it is better to choose another drug that is similar in its effects, for example, Augmentin.

You also need to tell your doctor about taking any medications or even vitamins, since Ciprofloxacin cannot be used with a lot of medicines. Uncontrolled self-medication can lead to serious disorders in the work of the whole organism.

Adverse reactions

With too large doses, individual intolerance and in other individual cases, there are such unpleasant symptoms:

  • gastrointestinal upset (abdominal pain, diarrhea, vomiting, nausea),
  • disorders in the liver and gall bladder (bitter taste in the mouth, high bilirubin, jaundice, liver failure),
  • exacerbation of kidney problems (nephritis, increased protein in urine and creatinine, glomerulonephritis),
  • on the part of the central nervous system - headaches, depression, sleep disturbances, fainting, deterioration of the senses, hallucinations, confusion, etc.,
  • cardiovascular reactions - tachycardia, lowering blood pressure, arrhythmia, vasculitis,
  • the appearance of blood in the urine
  • difficulty urinating,
  • all sorts of allergic manifestations - skin rashes, angioedema, redness, etc.,
  • problems in the bone system in some cases lead to tendon rupture.

These symptoms appear extremely rarely, but if at least one of them occurs, you must stop taking Ciprofloxacin and immediately consult a doctor or call an ambulance for serious problems. Patient reviews about taking this drug are usually good and suggest that it is easily tolerated by the body.

Dosage and method of treatment

In the instructions for use can be found such instructions:

  1. If cystitis is at an early stage and cannot be combined with other diseases, it is enough to take 250 mg twice a day in the form of tablets or 100 mg by intravenous infusion.
  2. In the acute form and with severe pains, the dosage is increased to 500 mg at a time. The duration of treatment is at least five days.
  3. With constantly returning cystitis, that is, recurrent, doctors recommend taking 250 mg twice a day, but extend the course of therapy to seven days.
  4. With a protracted and complicated form, hospitalization and administration of the drug intravenously or intramuscularly is required. Thus, it is possible to more effectively influence pathogens.
  5. If cystitis is combined with prostatitis or gonorrhea, then a high dose of the drug is required - 750 mg twice a day. With the spread of infection throughout the pelvic area, it is necessary to increase the duration of treatment up to 1-4 months in a row.

If the drug is prescribed for the prevention of various complications, for example, after surgery, it is enough to take 250 mg once a day for a week.

It is impossible to allow independent and rash treatment with antibiotics. Only a doctor can decide in what form, dosage, how much and how to take this drug in order to achieve the desired cure in a short time and prevent the deterioration of other body systems.

Special rules

To make the treatment as successful as possible, you need to follow these guidelines when taking Ciprofloxacin:

  1. The pill is selected in accordance with the prescribed dose, without exceeding it, and not trying to divide, for example, 750 mg into smaller parts.
  2. Wash it down with plenty of water.
  3. It is important to drink enough fluids throughout the course of treatment, at least two liters per day.
  4. Strictly observe the regimen of administration of the drug, that is, maintain 12 hours between use of each pill.
  5. Completely exclude alcoholic beverages for this period.
  6. It is advisable not to drive a car and complex technology, as the drug dulls the concentration of attention, and sometimes causes drowsiness.
  7. It is necessary to avoid direct sunlight, because Ciprofloxacin is able to increase the sensitivity of tissues to ultraviolet radiation. This, in turn, will lead to burns, even from a short stay in the sun.

Video: about Ciprofloxacin.

Once I was prescribed this drug, but it did not help. Perhaps the cause of cystitis was in some other form of bacteria that are resistant to the active substance. But more often I use other antibiotics.

I always turn to this medicine for any serious infectious diseases. Cystitis is rarely affected, but I also had to treat it with Ciprofloxacin.

I suffered for a long time before I decided to take an antibiotic. But he really helped. The pain and burning sensation decreased already on the second day, and on the third day it began to feel great.

The spectrum of antibacterial activity of the drug

Ciprofloxacin is a fluoroquinolone antibiotic. The active substance blocks the enzyme DNA gyrase of bacteria, without which reproduction of microorganisms is impossible, and also causes disruption of the structure of pathogenic agents, which causes their death.

In relation to gram-positive bacteria, the drug is effective only when they are in the division stage.

  • The antibiotic is active against the following microorganisms:
    • Pseudomonas aeruginosa,
    • Shigella,
    • Salmonella,
    • Pfeifer wand,
    • Escherichia if
    • Meningococci
    • Gonococci
    • Staphylococcus, including penicillinase-producing bacteria, methicillin-resistant strains,
    • Enterococci
    • Campylobacter,
    • Mycobacterium,
    • Mycoplasmas
    • Chlamydia.
  • Resistance to the drug is observed in bacteria such as:
    • Clostridium diffile,
    • Ureaplasma urealytikum.

The drug is available in several dosage forms, with cystitis is used in tablets or injections. When taken orally, it is rapidly absorbed from the digestive tract. The maximum concentration is reached after 1-2 hours. Bioavailability varies from 70 to 80%.

Intake of dairy products, as well as other calcium-fortified beverages, may reduce the absorption of the antibiotic. The remaining products slow down, but do not reduce the absorption of the active substance. Displays the drug through the kidneys and intestines.

Treatment regimen for cystitis

The dosage of the drug is selected individually depending on the severity of the infection, kidney function.

With uncomplicated inflammation of the bladder.

Antibiotic pills take 250-500 mg in the morning and evening.

Ciprofloxacin for cystitis in women during menopause appoint 500 mg 1 time per day.

With severe infection.

The drug is discharged at 500 mg, the frequency of administration 2 times a day.

The drug is administered drip at a dosage of 200 mg for half an hour, at a dosage of 400 mg for an hour.

Light average severity.

Daily dosage for infections of mild and moderate severity is 400 mg, with severe course of the disease, it increases to 800 mg. It is administered in 2 doses.

With sick kidneys.

In patients with severe kidney disease, the daily dosage should be reduced by 2 times.

The duration of treatment can vary from 7 to 14 days. If necessary, a specialist can prolong the course of using Ciprofloxacin for cystitis.

During treatment it is worth drinking a lot of fluids, which reduce the likelihood of adverse reactions from the urinary system.

Possible undesirable reactions

During treatment with Ciprofloxacin, the following adverse reactions may occur:

Dyspeptic disorders, pseudomembranous colitis, transaminase activity increase.

Headaches, asthenia, vertigo, fainting, excessive sweating, hallucinations, sleep problems.

Visual impairment, color perception, change in taste.

Reduction of blood corpuscles.

Crystaluria, polyuria, the appearance of blood and protein in urine.

Tachycardia, hypotension, angiitis.

Also, while taking an antibiotic, allergies, thrush, and dystrophic damage to the joints may develop.

Drug interaction

Ciprofloxacin can interact with many medications, this should be taken into account during therapy.

When taking Ciprofloxacin in parallel:

  • With warfarin - the risk of bleeding increases,
  • With antacids - decreases the absorption of the antibiotic (the interval between their reception should be at least 4 hours),
  • With Theophylline - increases the harmful effects on the body,
  • With Cyclosporine - with this combination, the kidneys are badly affected.

If you start inflammation of the bladder, the infection can become chronic, spread to neighboring organs, provoke pyelonephritis, adnexitis.

Ciprofloxacin can cure not only cystitis, but also co-infections, prevent the development of severe complications. Also check out the antibacterial drug series - Digran.

On the other hand, an antibiotic can cause a number of serious adverse reactions. Therefore, Ciprofloxacin is permissible to use only as prescribed by a doctor.

The range of use of ciprofloxacin for inflammation

Fluoroquinolones are not only effective against urological infections. The range of use of drugs is extensive:

  • Inflammation of the skin, soft tissue component,
  • Infections of the respiratory tract and ENT organs,
  • Inflammatory processes in the gall bladder and ducts,
  • Arthritis
  • Meningitis
  • Caries, periodontal disease, alveolitis.

Sepsis, peritonitis and other life-threatening infections are treated with fluoroquinolones in combination with other antibiotics. Approved for use in oncology, reduced immunity.

When ciprofloxacin is contraindicated

Do not use the drug for contraindications:

  • Age 18 years,
  • Breastfeeding and pregnancy
  • Epileptic seizures,
  • Individual intolerance to the constituent components of fluoroquinolones.

For medical practice, the increased sensitivity of the drug to gram-negative and opportunistic bacteria is of great importance. When taken in therapeutic doses (see above), a sufficient antimicrobial concentration of the drug is achieved in the blood, capable of destroying also the simplest, mycoplasmas and chlamydia.

Great importance in urology is given to Escherichia coli. The microbe is often carried into the ureter, the bladder from the anal passage. According to statistics, the proportion of E. coli in the etiology of cystitis is 87%, and with uncomplicated pyelonephritis - 73%. In such a situation, fluoroquinolones are the best option.

Side effect of fluoroquinolones

Fluoroquinolone preparations are well tolerated, but in some cases side effects can be traced:

  • The increase in the content of leukocytes in the blood,
  • Reducing the concentration of red blood cells
  • Blood impurities in the urine,
  • Difficulty urinating,
  • Deviation of laboratory parameters from the norm,
  • Liver inflammation, nausea, vomiting, abdominal pain,
  • Pathology of the cardiovascular system - increased heart rate, reduced pressure,
  • Changes in laboratory parameters
  • Violation of the senses - the pathology of taste, sight, smell, touch.

After taking ciprofloxacin, allergies rarely occur - itchy skin, swelling of the face, shortness of breath. When joining a secondary infection, there is a tendon rupture, tendovaginitis, fungal infection.

To reduce the risk of side effects, we recommend that you follow certain guidelines:

  1. Drink plenty of fluids,
  2. Immediately cancel the remedy when even the slightest sign of allergy appears,
  3. UV protection (sunlight) for the entire duration of antibiotic therapy,
  4. Refusing to take ethanol at the time of treatment
  5. To acquaint the doctor with the list of drugs taken for the treatment of secondary diseases,
  6. Getting rid of food additives in food,
  7. It can not be taken together with cyclosporine to exclude the development of renal failure.

If there are signs of an overdose of the drug, you must flush the stomach, do peritoneal dialysis and take all emergency measures. There is no specific antidote to neutralize the substance in the blood.

Ciprofloxacin regimens for adults with cystitis

The traditional dose of the antibiotic is 500 mg per day - twice in 250 mg. Concentration increases in case of complication or acute form - take 2 tablets of 500 mg per day.

The three-step scheme is used when another infection is present simultaneously with cystitis:

  • The first 2 days - 500 mg twice a day,
  • On day 3, use 250 mg twice a day,
  • For the prevention of complications - 250 mg once.

Increased dosage can be maintained for more than 2 days in the presence of pathological symptoms. The average duration of treatment according to the three-step scheme is about 10 days.

Additional Information

Ciprofloxacin belongs to the quinolone group, for use, of which there are many contraindications. Only with proper use can you prevent side effects.

The founder of the drug was Biseptol, which often resulted in individual intolerance. An attempt to improve the properties of the previous tool led to the creation of an effective antibiotic with a broad spectrum of action.

To reduce complications of the gastrointestinal tract, the drug should be combined with probiotics.

Instructions for increasing the effectiveness of ciprofloxacin

Antibiotic is better to use as monotherapy. Complications occur when used simultaneously with anti-inflammatory drugs, alcohol tinctures.

In pregnancy and breastfeeding, the remedy is contraindicated, since it destroys the intra-articular cartilage.

It is undesirable to give medicine to children under 18 years of age to prevent severe complications. You can not take an antibiotic without consulting a doctor for oncology, alcohol, drugs.

If after the disappearance of the symptoms of cystitis, after a while, aggravation occurs while taking it, you must stop taking it and use other antibacterial agents.

It should be carefully taken with renal and intestinal diseases in history. Contraindications for use are allergic to components, colitis, epileptic seizures.

Treatment under the strict supervision of a physician is carried out for disorders of intracerebral blood supply, stroke. Substitution by analogue is recommended for patients with mental disorders.

Literary sources indicate a high information content of the prolonged form of the drug (dosage 1000 mg). In such concentrations, the antibiotic should be prescribed by a doctor.

general information

With cystitis, “Ciprofloxacin” is prescribed very often. What is the reason? The fact is that this is an antibacterial drug of the second generation, which has a wide spectrum of action and belongs to the group of fluoroquinolones. According to the instructions, its reception can inhibit the growth and reproduction of various pathogens. Many gram-negative and gram-positive bacteria are sensitive to the effects of this drug.

What form is produced?

Treatment of cystitis "Ciprofloxacin" should be carried out only after the above diagnosis will be confirmed by laboratory.

For the treatment of this disease, patients are usually prescribed a tablet form of the drug containing 500, 750, or 250 mg of the active substance, that is, ciprofloxacin (additional components: corn starch, croscarmellose, ciprofloxacin, magnesium stearate, MCC, macrogol 6000, potato starch, hypromellose, additive E171 sodium talc, polysorbate 80, silica).

It should also be noted that the medication in question is available in the form:

  • 0.2% infusion solution in vials, which contains 200 or 100 mg of active substance.
  • 1% injection solution in ampoules.
  • 0.3% eye ointment and eye drops.

Pharmacological features

The use of "Ciprofloxacin" in cystitis contributes to the rapid removal of all symptoms of the disease, as well as a significant improvement in the patient's condition. What is the reason for the effectiveness of the drug? This is an antimicrobial drug that has a pronounced bactericidal effect. Its reception causes suppression of the DNA gyrase and inhibition of the synthesis of bacterial DNA.

The drug under consideration is highly active against bacteria that produce beta-lactamase, most gram-negative microorganisms, methicillin-resistant strains and strains that produce and do not produce penicillinase.

Indications to receive funds

The drug "Ciprofloxacin" in cystitis in women manifests itself very well. Most often, with this diagnosis, this medicine is used as the main drug. Moreover, it is used at the very beginning of the disease, and when it is late or the wrong treatment. Moreover, such a drug is often prescribed in the presence of complications of cystitis, namely with pyelonephritis, inflammation of the appendages, hematuria, etc.

Despite the fact that Ciprofloxacin tablets act as effectively as possible with cystitis, the versatility of this medication, as well as its many convenient forms of release, allow using it during the therapy of other diseases, including:

  • with respiratory infections,
  • pathologies of joints and bones,
  • diseases of the skin,
  • infections of the gastrointestinal tract, etc.

Contraindications to medication

When should you not take "Ciprofloxacin" for cystitis? According to the instructions, the following conditions serve as contraindications to the use of this remedy:

  • childhood,
  • adolescence,
  • period of pregnancy and breastfeeding,
  • human hypersensitivity to ciprofloxacin, as well as to other quinolone drugs.

"Ciprofloxacin" for cystitis: instructions for use

It is necessary to take the tablets "Ciprofloxacin" inside, without chewing and washing down with water. The interval between doses of drugs should be at least 12 hours.

What is the amount of "Ciprofloxacin" for cystitis is necessary to improve the patient's condition? The dosage of this drug is selected individually, based on the form and severity of the disease, as well as the patient's age, the absence or presence of any complications.

In uncomplicated conditions and with normal kidney and urinary tract functioning, the patient is prescribed 0.25 g of the drug twice a day. In the presence of pathological conditions of the mentioned organs, it is recommended to take 0.5 g of the drug 2 times a day.

In the event that the patient has complications that were caused by gynecological diseases, then doctors advise taking Ciprofloxacin tablets for cystitis at a dose of 0.5 g twice a day.

When a gonococcal infection, chlamydia and mycoplasma are detected, 0.75 g of the drug is recommended every 12 hours for 7-10 days.

The therapeutic course of treatment with an antibacterial drug can be from 3 days to 2 weeks. In any case, the duration of therapy is determined only by a doctor.

Side effects

The use of the oral form of the drug "Ciprofloxacin" in cystitis may contribute to the development of the following side effects:

  • headache, fainting, dizziness, hallucinations, fatigue, nightmares, sleep disorders, visual disturbances,
  • abdominal pain, nausea, pseudomembranous colitis, vomiting, increased activity of hepatic transaminases, diarrhea,
  • candidiasis, vasculitis,
  • crystalluria, albuminuria, glomerulonephritis, hematuria, dysuria, polyuria, an increase in serum creatinine,
  • cardiac arrhythmias, tachycardia, hypotension,
  • leukopenia, eosinophilia, change in platelet count, neutropenia,
  • pruritus, Stevens-Johnson syndrome, urticaria, arthralgia, angioedema.

It is important to know!

Due to the possible development of side effects from the central nervous system, people with its disorders, the drug "Ciprofloxacin" can be prescribed only for health reasons.

With extreme caution, this remedy is recommended for epilepsy, liver or kidney dysfunction, reduced threshold of convulsive readiness, brain damage, in old age, severe cerebrosclerosis.

During treatment with Ciprofloxacin, sun exposure should be avoided, as well as increased physical activity. In addition, it is necessary to control the drinking regime and the acidity of urine.

The development of symptoms of tendovaginitis and pain in the tendons are a signal for discontinuation of medication, since the likelihood of an inflammatory process is not excluded.

Patient's opinion about the drug

Reviews of "Ciprofloxacin" with cystitis are more positive. Patients report that taking this drug after a few hours contributes to a significant improvement in their condition. Moreover, the course of treatment with this remedy makes it possible to forget about cystitis and its insidious manifestations for a long time.

It should also be noted that many patients are pleased with the affordable price of Ciprofloxacin tablets.

In the negative reviews about this tool most often there are complaints about the development of side effects after taking the medication. Although experts say that with all the dosages observed, the occurrence of adverse events is unlikely.

Impact on the body

The medicine is a representative of fluoroquinolones with an active substance that blocks the DNA gyrase of microorganisms. "Ciprofloxacin" in cystitis prevents the reproduction of the pathogen, disrupting its structure. The drug is shown to receive against gram-positive bacteria that are at the stage of division. Сiprofloxacin leads to the death of salmonella, pyocyanic stick, gonokokkov. Ureaplasma is resistant to antibiotics.

Cystitis is treated with Ciprofloxacin, which is available in the form of injections and tablets. If the doctor prescribes oral therapy, a high concentration is observed 2 hours after taking the medication. Bioavailability of the drug is 70-80%.

Drinks with calcium reduce the absorption of the drug. Other products contribute to slowing, but not reducing the absorption of the active ingredient. The antibiotic "Ciprofloxacin" in cystitis is excreted by the kidneys and intestines.

If the bladder is inflamed, the maintenance regimen regimen is to take the medicine every 12 hours. To its advantages, urologists include:

  • price,
  • availability,
  • simple treatment regimen
  • wide exposure.

Taking into account the general condition of the patient, clinical indications, revealed violations, the urologist prescribes an antibiotic in the optimal form of release. In the hospital, the treatment is carried out with the help of injections, which allows you to quickly destroy the infection, preventing the adverse reactions characteristic of tablets.

List of contraindications

The drug should not be consumed if a patient has an intolerance to fluoroquinolones. A woman in position or breastfeeding should refuse therapy.

The drug is not prescribed for hypolactasia. It is necessary to take medication with caution if a man suffers from severe violations in the reproductive system. Other conditions when the tablets "Ciprofloxacin" from cystitis is not prescribed:

  • poor circulation of the brain,
  • epilepsy,
  • convulsions
  • severe atherosclerosis of cerebral type,
  • mental problems.

The use of medication by older persons is acceptable. The drug effectively fights against pathogenic agents if urethritis is detected. It is included in the scheme to treat mild pyelonephritis.

An instruction to an antibiotic should be studied before it is started. Uncontrolled and self-treatment leads to the manifestation of certain reactions:

  • digestive dysfunction,
  • migraines with fainting,
  • reduction of blood cells,
  • polyuria,
  • angiitis

Negative feedback gets medicine for allergic patients. "Ciprofloxacin" often contributes to the development of thrush, dystrophic lesions of the joints. Since the drug belongs to the pharmacological group of quinolones, there are many contraindications to its use.

But the correctly prescribed dosage, patient compliance with all recommendations of the attending physician, exclude or significantly reduces the likelihood of adverse reactions.

Proved high efficacy of the drug, if a chronic inflammatory process is detected in the bladder. "Ciprofloxacin" is considered a stronger analogue of the drug "Biseptol". Therefore, it is recommended to take it if the last remedy is contraindicated.

The antibiotic in question is considered the main drug in the treatment regimen for cystitis. It is contraindicated in complex therapy with quinolones and folk remedies that have a similar effect on the body.

Patients suffering from gastrointestinal diseases, "Ciprofloxacin" with cystitis should be taken after consulting with a gastroenterologist. Self use provokes dysbacteriosis in such persons. For its prevention, quinolone is prescribed in combination with a prebiotic.

Interaction with other medicines

The antibiotic is differently compatible with other drugs, which is taken into account before the schedule of treatment. The clinical picture that is observed during complex therapy:

  • "Warfarin" increases the risk of bleeding,
  • antacids reduce the cholinolone absorption period,
  • "Theophylline" enhances the harmful effects on the body,
  • "Cyclosporin" provokes kidney diseases.

Joint reception of "Ciprofloxacin" with antacids and other antibiotics significantly reduce the period of absorption of the active components of the considered medication. Urologists require to observe the four-hour interval between the use of drugs from the prescribed regimen.

Launched acute form of cystitis provokes a chronic stage, while the spread of infection to other organs is allowed. In this case, the risk of pyelonephritis and andexitis increases.

With the help of “Ciprofloxacin”, diseases of a similar pathogenesis associated with cystitis are treated. Proved the effectiveness of the drug in preventing the development of severe complications. The antibiotic "Tsifran" has a similar effect.

If the patient’s condition has deteriorated against the prescribed treatment, it is recommended to prescribe a new therapy. Particular attention should be paid to patients who have developed a strong allergy with cramps.

Side effects

They may manifest as nausea, vomiting, abdominal pain, flatulence, allergic reactions, urticaria, pruritus. From the side of the cardiovascular system - tachycardia, lowering blood pressure. The nervous system can respond with depression, tremors, increased anxiety, taste and smell, sweating.

  • It is recommended to spend less time in the sun while taking ciprofloxacin.
  • And also be careful when driving a car. Eliminate alcohol.
  • Do not use during pregnancy and lactation.

Depending on the manufacturer, the price of the drug ranges from 16 to 120 rubles.

At the bottom:

  • 250 mg tablets (pack of 10 pcs.) - 16 rubles.
  • Tablets 500 mg (pack of 10 pcs.) - 28 rubles.

When the cystitis happened the first time, I tried to cure myself, I saw urolesan, my friend advised. It was no better and had to stomp to the doctor. Prescribed ciprofloxacin, after 2 days I slept like a man! I heard that he acts on the liver ... but what to do? Antibiotics are not completely harmless.

I tried to treat cystitis with various herbal remedies that are being advertised, and she brewed herbs herself. It seems to retreat, and then it became worse. As a result, dabbled to a chronic sore. The doctor prescribed an antibiotic. I really did not want to drink. Then she read about ciprofloxacin for cystitis reviews and relaxed a bit. Many drink and everything is fine. I was also treated. For a long time now, I don’t even remember about this problem.

I did not notice any side effects. And to take care with the antibiotic drank hilak forte and yogurt. And everything seemed to be fine. But the pain receded.

Related posts:

Women suffer from this disease much more often than men, due to the peculiarities of the anatomical structure of the urogenital system. Pathogenic microorganisms usually easily penetrate into it, multiplying rapidly. Cystitis requires the mandatory use of antibiotics, and ciprofloxacin is an extremely effective drug for its treatment. He is usually appointed by the gynecologist or urologist after a series of diagnostic activities.

When cystitis, ciprofloxacin is able to affect most bacteria, that is, it refers to antibiotics of the widest spectrum of action. It affects the growth and reproduction of pathogenic microflora, suppressing and stopping it. Gram-positive and gram-negative bacteria react to this drug.

About ciprofloxacin can be said that it has the following features:

  • quickly absorbed
  • easily penetrates from the bloodstream into the mucous membrane of the urinary tract, actively influencing them,
  • not cumulative over the required dose,
  • excreted in the urine
  • taken before meals
  • easily overcomes the blood-brain barrier.

From cystitis, ciprofloxacin helps in all cases. It is especially effective if there are complications or associated diseases. He is able to benefit from:

  • infections of the genitourinary system,
  • STDs
  • urethritis
  • pyelonephritis,
  • other renal pathology,
  • intestinal diseases,
  • cholecystitis.

Ciprofloxacin will be effective if cystitis is caused by microorganisms that are sensitive to this antibiotic.

He is appointed in a certain dosage, which quickly creates the desired concentration in the tissues, detrimental effect on the multiplied microflora. Take the drug must be strictly prescribed by a doctor, observing all dosages and regularity.

In urethritis, this drug is also prescribed in most cases. It affects the mucous membrane of the urinary tract, allowing you to prevent complications and have a powerful therapeutic effect in complex forms of the disease. Ciprofloxacin is active as with the active reproduction of a particular type of pathogen, and when seeding various types of microorganisms.It is also used during the treatment of chlamydia, viral infections, syphilis.

When pyelonephritis ciprofloxacin is no less effective. Often the doctor prescribes it for the combined form of the disease.

The drug is able to destroy not only pathogenic bacteria, but also opportunistic, that is, causing the disease under certain adverse conditions. Since there is a lot of such flora in the kidneys, the effectiveness of ciprofloxacin is not in doubt. In addition, it also affects staphylococcal flora, mycoplasma, pyocyanic sticks, chlamydia.

When treating pyelonephritis with ciprofloxacin, a number of rules must be observed because of the increased load on the kidneys. It is required to take a large amount of liquid, to refuse to accept alcohol. It is better to refrain from activities requiring special concentration of attention and go to work in public transport during the period of treatment with this drug. It is also necessary to be less in the sun.

Ciprofloxacin is available in tablets and in the form of a solution for injection.

Requirements for the appointment of the drug

Before prescribing ciprofloxacin, it is necessary to inform the attending physician in advance about all other substances that enter the body every day to prevent the development of undesirable reactions.

All these rules must be observed not only during the administration of the drug, but several days later, until it is completely removed from the bloodstream.

When using ciprofloxacin, it should be remembered that ureaplasma, clostridia and some other microorganisms are resistant to it. Therefore, before his appointment, it is necessary to conduct a microbiological examination of urine with the determination of sensitivity to antibiotics.

Reviews of ciprofloxacin are very positive. People who took it, note that it most quickly and effectively eliminates any infectious diseases of the genitourinary system. Many people take it for advanced and even chronic types of cystitis. They report that this drug always has an excellent effect.

In women, ciprofloxacin is particularly popular, since it is they who most often suffer from diseases of the genitourinary system. However, it should be understood that there are a number of contraindications when the drug can not be prescribed.

They relate to people suffering from individual intolerance to this drug, renal or hepatic insufficiency. It is not recommended to prescribe it to young children, persons of elderly and senile age. It should not be used by people with mental disorders, cerebral circulation disorders, epilepsy, atherosclerosis. You can not use it during pregnancy and breastfeeding.

Ciprofloxacin is strictly prohibited to use for the treatment of pregnant women

Take ciprofloxacin can be in the form of tablets or injections. The drug has side effects. It should be urgently canceled if observed:

  • stomach ache,
  • blood in the urine
  • difficulty urinating,
  • diarrhea,
  • vomiting
  • migraine,
  • dizziness
  • fainting
  • darkening of the eyes
  • confusion,
  • nausea,
  • abdominal distention,
  • arrhythmia,
  • uncontrolled increase or decrease in blood pressure,
  • difficulty breathing
  • increased nervous tension
  • hearing loss
  • depression,
  • insomnia,
  • noise in ears.

Therefore, treatment with ciprofloxacin is unacceptable to carry out independently. Only a doctor is able to determine the duration of therapy with this drug under the control of a blood and urine test.

As a rule, with cystitis, it is taken from a week to ten days, depending on the severity of the disease, as well as the condition of the patient. In the case of a co-infection or the development of complications, a specialist can extend the course of treatment up to twenty-eight days with constant laboratory monitoring and good tolerability of the drug.

When cystitis is observed inflammation of the bladder membrane, which is manifested by frequent urge to urinate, pain and cutting during it.

Often the disease develops in women aged 20-40 years, this is due to the anatomical features. If the infection is triggered by bacteria, the urologist or gynecologist will definitely prescribe an antibiotic, such as Ciprofloxacin.

Action Ciprofloxacin

Ciprofloxacin is an antibacterial agent of the second generation of the fluoroquinolone group. Shows a wide range of antimicrobial activity. The detrimental effect of the drug on bacterial cells is due to the suppression of DNA synthesis in them. Thus, the antibiotic prevents the growth and reproduction of pathogenic microorganisms, causing their rapid death.

The effectiveness of Ciprofloxacin is 3–8 times higher than that of the drug of the same group - Norfloxacin.

Gram-negative pathogenic microorganisms - Pseudomonas purulent and Hemophilic bacilli, Salmonella, Shigella, Escherichia coli, meningococci and gonococci are characterized by high sensitivity to the drug.

The antibiotic also acts on gram-positive bacterial flora - streptococci (including species producing penicillinase and methicillin-resistant), campylobacterium, enterococci, mycoplasma, legionella, mycobacteria, chlamydia.

Thus, the antibiotic suppresses all types of pathogens that cause cystitis. This is due to the high efficacy of the drug in the treatment of infectious processes in the bladder.

Ciprofloxacin is rapidly absorbed from the gastrointestinal tract, distributed to tissues and body fluids (bioavailability is 70%). In large quantities found in the urine, bile and cerebrospinal fluid (with inflamed meninges). Present in breast milk, crosses the placenta.


The treatment regimen for cystitis with an antibiotic is determined based on the severity of the inflammation. The drug is administered in a single dosage of 250 mg with mild inflammation and at a dose of 500 mg - with severe infection and the development of complications. Twice reception with a twelve-hour interval is recommended. Tablets are drunk on an empty stomach, washed down with a sufficient amount of water.

If cystitis is combined with genital infections (chlamydia, gonococcus, mycoplasma), the antibiotic is drunk at 0.75 g twice a day. It is necessary to take an antibiotic at least a week or 10 days. The maximum therapeutic course is 30 days. In the latter case, the tablets are taken once a day at a dosage of 250 mg.

Possible side effects

Treatment of cystitis and other bacterial inflammations with Ciprofloxacin can provoke very serious side reactions from the body.

  • Digestive disorders may occur, manifested by diarrhea, nausea and vomiting. Hepatic enzyme activity increases, pseudomembranous colitis develops.
  • The effect of the antibiotic on the nervous system is manifested by headaches, increased fatigue, increased sweating, dizziness, fainting. Patients complain of sleep disturbances, nightmares and hallucinations.
  • For some, their eyesight deteriorates, the perception of colors is disturbed. Tinnitus appears, hearing gets worse. The perception of taste may change.
  • On the part of the hematopoietic system, there is a change in the content of platelets, leukocytes, eosinophils and neutrophils.
  • On the part of the urinary tract, adverse reactions are expressed by an increase in the content of salt crystals in the urine, impaired urination, an increase in the formation of urine, the excretion of protein in the urine, and the appearance of blood impurities in the urine.
  • There are disorders of cardiac activity: the heartbeat becomes more frequent, it becomes uneven, the blood pressure decreases. Perhaps the development of vasculitis - inflammatory lesions of blood vessels.
  • In women, candidiasis can be a consequence of treating cystitis with an antibiotic.
  • Allergic reactions to the drug are manifested by itchy skin, rashes, urticaria, increased photosensitivity. Perhaps the appearance of shortness of breath, the development of angioedema.

Clinical studies have established that Ciprofloxacin can provoke dystrophic damage to the joints.

When can an antibiotic help?

Ciprofloxacin can be used to treat bacterial inflammation caused by pathogenic flora that is sensitive to the antibiotic. It:

  1. Cystitis and other pathologies of the urinary system.
  2. Genital infections.
  3. Diseases of the respiratory tract.
  4. Severe inflammations of upper respiratory tract.
  5. Pathology of the musculoskeletal system.

Ciprofloxacin has been shown to be highly effective in the treatment of sepsis (blood poisoning caused by infection from a purulent focus), peritonitis, and purulent inflammations. Actively appointed after surgical interventions to prevent postoperative infectious complications.

The antibiotic can be used in the treatment of patients with cancer, or people with low immunity (for example, patients undergoing therapy with immunosuppressants).

Who can not use the drug

Ciprofloxacin is strictly prohibited to use:

  • Children and adolescents under 18 years old.
  • Pregnant and lactating.
  • People with hypersensitivity to quinolone drugs.
  • Patients with pseudomembranous colitis.
  • Patients suffering from epilepsy.

Patients with epilepsy can be prescribed, but only for health reasons.

Take the drug under medical supervision is required:

  • With impaired cerebral circulation.
  • Patients with a diagnosis of atherosclerosis.
  • Patients with convulsive syndrome.
  • People with mental pathologies.
  • People with renal failure in severe form.
  • Patients with liver failure in severe form.

Nuances to Consider

  1. In cases of impaired renal function, the dosage of the antibiotic must be halved.
  2. Elderly people should take an antibiotic under the constant supervision of a physician.
  3. During the treatment of cystitis with an antibiotic you need to drink plenty of fluids.
  4. If the drug is accompanied by persistent diarrhea, the removal of Ciprofloxacin is required.

Ciprofloxacin interacts with other drugs while taking it, which is important to consider during treatment. So, the combination of Ciprofloxacin with:

  • Warfarin - increases the risk of bleeding.
  • Theophylline - increases the toxic effect of Theophylline.
  • Cyclosporin - enhances the toxic effect of the latter on the kidneys.
  • Antacid means - reduces the absorption and effectiveness of the antibiotic (the interval between taking the medication should be at least 4 hours).

The main danger of cystitis is the transfer of infection to nearby organs. With late treatment or lack of treatment, inflammation becomes chronic, complications develop - pyelonephritis, hematuria, inflammation of the appendages. Also, inflammation may be complicated by sexually transmitted infections, such as chlamydia.

The drug helps not only cure cystitis, but also other comorbidities, prevents the development of complications. At the same time, Ciprofloxacin is a serious antibiotic with a wide range of possible adverse reactions. Before using it, a mandatory medical consultation is required. After passing all the tests and examinations, the doctor will select the optimal treatment regimen, prescribe other necessary medicines along with the antibiotic.

In the video below will be provided additional information about the drug:

Release form and composition

The basis of the drug is ciprofloxacin hydrochloride, also auxiliary components. The antibiotic Ciprofloxacin on the pharmacological market is provided in several forms of release, each of which contains a certain amount of active ingredient:

  • Tablets of 250 or 500 mg. Packed in blister number 10 and carton.
  • The solution for infusion produced in bottles of 100 ml, contains 2 g of ciprofloxacin.
  • Ampoules for intramuscular administration contain 1% active ingredient.

On an outpatient basis, Ciprofloxacin tablets are used to treat cystitis or other uncomplicated diseases. Antibiotic injections or droppers are used permanently under the supervision of medical specialists.

pharmachologic effect

Instructions for use Ciprofloxacin reports that the drug belongs to the second-generation fluoroquinolone antibiotics. It shows high activity in the fight against gram-negative bacteria, which in 90% of cases are the causative agent of cystitis in women.

The maximum concentration of the drug in the blood is noted 2 hours after administration and lasts for 12 hours. Displays medication by the kidneys.

Ciprofloxacin does not act on viruses, fungi or allergens. It is not recommended to use medicine for cystitis of such etiology, since the effect of treatment will be absent. The risk of disease progression will also increase due to inappropriate administration.

Cystitis use

According to medical observations and statistics, women are at times more likely to suffer from cystitis than men. This is due to the anatomical structure of the urinary system. Basically, the disease affects women aged 20 years. The cause is bacteria, but there are a number of factors that increase the development of the disease. These include reduced immunity, hypothermia, non-compliance with the rules of personal hygiene. Symptoms of the disease are quite pronounced, accompanied by a burning sensation during urination, pain in the pubis and perineum, and sometimes increased body temperature. Against the background of general intoxication of the body, increased fatigue, reduced efficiency.

Cystitis can occur in an acute or chronic form, often provoking complications. The acute form of the disease has pronounced symptoms that appear as early as 2–3 days after contact with the pathogen. If the disease is not on time or wrong, then it acquires a chronic course characterized by periods of remission and exacerbation.

Ciprofloxacin in the inflammation of the bladder has a systemic effect, after which the symptoms are reduced. Pain is relieved, cramps disappear and burning sensation when urinating. Already after the first 2 days of taking the drug, body temperature returns to normal, and the condition improves significantly.

Ciprofloxacin is effective not only in the treatment of cystitis, but also in bacterial lesions of the skin, joints, respiratory organs and other diseases caused by pathogenic microbes that are sensitive to the drug.

Dose and duration of treatment

It is necessary to take Ciprofloxacin for cystitis on the prescription of a doctor, strictly observing the dose of the medicine, the frequency and duration of treatment. Basically assigned the following dosage:

  • The first symptoms of the disease - 250 mg 2 times a day.
  • Acute cystitis - 500 mg every 12 hours.

The dosage is individual, depending on the form of the disease, stage, characteristics of the organism.

Tablets of antibiotic wash down with plenty of water. It is important to take the drug at the same time of day. If the dose of medication is accidentally missed, you should not increase the intake of pills. It is necessary to take Ciprofloxacin for cystitis for at least 5-14 days.

Contraindications for use

Antibacterial drugs, including Ciprofloxacin, have a number of contraindications:

  • pregnancy and lactation,
  • children under 18 and older people over 60,
  • intolerance composition
  • pathology of the liver or kidneys.

If you have a history of the above diseases or conditions, taking the drug is impossible. In such cases, the doctor prescribes antibiotics of another pharmacological group - macrolides, penicillins.

During the breastfeeding period, the antibiotic is contraindicated, but if there is a need for it, for the period of treatment it is worth stopping lactation.

Possible reactions to the drug

Taking an antibiotic can cause unwanted side effects, including:

  • abdominal pain,
  • nausea, urge to vomit,
  • headaches,
  • skin rash.

If the above symptoms appear, you should stop taking the drug, seek medical help. The risk of side effects increases with non-compliance with the dose of drugs or the presence of a history of contraindications to receive.

Recommendations during treatment

In the process of treating cystitis with an antibiotic, it is important to follow some rules. They will help increase the therapeutic effect of the drug, reduce the risk of side effects.

  1. Take only as prescribed by a doctor.
  2. Strictly comply with the dose, duration of administration.
  3. Do not stop taking the drug with the first improvements.
  4. Completely eliminate alcohol.
  5. Do not buy analogues without consulting a specialist.
  6. If after 2 days of taking the antibiotic there are no visible improvements - consult a doctor.
  7. It is forbidden to combine the drug with other antibiotics.

It is important during the period of antibacterial therapy to take probiotic agents that will help protect the intestinal microflora from the development of dysbiosis. The interval between taking antibiotics and probiotics should be at least 2 hours.

Observing elementary rules, the effect of therapy will be noticeable on the 2nd day of the course. Before taking Ciprofloxacin, it is necessary to consult a urologist. Antibacterial therapy of cystitis is only part of the treatment, because the doctor will prescribe other medicines for successful recovery and give useful recommendations on nutrition and lifestyle.

Analogues in composition

Ciprofloxacin is an affordable domestic drug, but if for any reason it is impossible to take the medicine, the doctor may prescribe its analogues. The pharmaceutical industry provides a huge list of antibiotics to compete with Ciprofloxacin. All substitutes can be divided into 2 groups - structural analogues and drugs for therapeutic action.

In the first case, the preparations have a similar composition, but are produced by another manufacturer. In the second, antibiotics belong to a different group, have a different composition, but when taken have the same therapeutic effect.

If necessary, and only on the recommendation of a physician, Ciprofloxacin can be replaced by the following structural analogues:

Analogues of Ciprofloxacin are produced by domestic and foreign manufacturers, have different values. Moreover, each medicine is produced by special technologies, contains in its composition various excipients, which will undoubtedly be displayed on the quality of the drug and its properties in the treatment of cystitis.