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(5.5) Because fluoroquinolones, including ciprofloxacin, have been associated with serious adverse reactions (5.1-5.16), reserve ciprofloxacin tablets for use in patients who have no alternative treatment options for the following indications: o Acute exacerbation of chronic bronchitis (1.10) o Acute uncomplicated cystitis (1.11) o Acute sinusitis (1.12) Recent Major Changes Warnings and Precautions, Hypersensitivity Reactions (5.7) 9/2024 Indications and Usage for Ciprofloxacin Ciprofloxacin is a fluoroquinolone antibacterial indicated in adults (18 years of age and older) with the following infections caused by designated, susceptible bacteria and in pediatric patients where indicated: Skin and Skin Structure Infections (1.1) Bone and Joint Infections (1.2) Complicated Intra-Abdominal Infections (1.3) Infectious Diarrhea (1.4) Typhoid Fever (Enteric Fever) (1.5) Uncomplicated Cervical and Urethral Gonorrhea (1.6) Inhalational Anthrax post-exposure in adult and pediatric patients (1.7) Plague in adult and pediatric patients (1.8) Chronic Bacterial Prostatitis (1.9) Lower Respiratory Tract Infections (1.10) o Acute Exacerbation of Chronic Bronchitis Urinary Tract Infections (1.11) o Urinary Tract Infections (UTI) o Acute Uncomplicated Cystitis o Complicated UTI and Pyelonephritis in Pediatric Patients Acute Sinusitis (1.12) Usage To reduce the development of drug-resistant bacteria and maintain the effectiveness of ciprofloxacin and other antibacterial drugs, ciprofloxacin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria

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