B-Ciprofloxacin

B-Ciprofloxacin is an antibiotic in the Fluoroquinolones class manufactured by Bangkok Lab & Cosmetic Co., Ltd. The active ingredient is Ciprofloxacin, a broad-spectrum antibacterial agent effective against many types of gram-positive and gram-negative bacteria.

This is a dangerous drug that must be used only under the guidance of a doctor or pharmacist and cannot be purchased without consultation.

Ciprofloxacin works by inhibiting bacterial DNA gyrase (topoisomerase II) and topoisomerase IV enzymes, which are essential for bacterial DNA replication. When these enzymes are inhibited, the processes of DNA replication, repair, and recombination are disrupted, ultimately causing bacterial cell death.

The drug is rapidly absorbed after oral administration and is primarily excreted through the kidneys, requiring caution in patients with kidney problems.

For Adults (18 years and older)

• Take 250-750 mg twice daily, every 12 hours
• Can be taken with or without food
• Drink plenty of water
• Take medication on time and complete the full course as prescribed

For Children (under 18 years)

• Not recommended due to risk of cartilage and joint abnormalities in growing children
• Except when necessary and under close medical supervision

For Patients with Kidney Disease

• Dose adjustment required based on creatinine clearance
• Must be under close medical supervision

For Elderly Patients

• May require dose adjustment due to decreased kidney function with age
• Special caution for tendon-related side effects

If You Miss a Dose

• Take it as soon as you remember
• If it's almost time for the next dose, skip the missed dose
• Never double the dose

Common Side Effects

• Nausea, diarrhea, abdominal pain
• Headache, dizziness
• Insomnia
• Skin rash

Serious Side Effects (Stop medication and see doctor immediately)

• Tendonitis or tendon rupture especially Achilles tendon — stop immediately if you experience pain, swelling, or inflammation in tendons
• Severe allergic skin reactions (e.g., SJS/TEN)
• Seizures, confusion, or hallucinations
• Increased sensitivity to sunlight (Photosensitivity)

Do Not Use If

• Allergic to Ciprofloxacin or other Quinolone antibiotics
• Currently taking Tizanidine
• Under 18 years old (except when necessary)
• Pregnant or breastfeeding (consult doctor first)

Things to Avoid

• Milk and dairy products — reduces drug absorption
• Antacids containing calcium, magnesium, aluminum — take at least 2 hours before or 6 hours after
• Iron, zinc supplements — also reduce absorption
• Alcohol — increases risk of nervous system side effects

Special Precautions

• May cause drowsiness or dizziness — avoid driving or operating machinery
• Elderly patients and those on corticosteroids have higher risk of tendon rupture
• Avoid direct sunlight during treatment

You can buy B-Ciprofloxacin online at Intimo Life. Registration and pharmacist consultation are required before ordering, as this is a dangerous drug that must be used under professional guidance. Pharmacist consultation ensures this medication is appropriate for your condition and that you have no contraindications.

How effective is B-Ciprofloxacin for treating UTIs?

Ciprofloxacin is highly effective for treating urinary tract infections, especially those caused by gram-negative bacteria. Symptoms usually improve within 2-3 days, but the full course must be completed as prescribed.

How many days should I take B-Ciprofloxacin?

For uncomplicated UTIs, typically 3-7 days. For complicated UTIs or pyelonephritis, 7-14 days may be required depending on severity.

Why should I avoid milk and antacids?

Calcium in milk and metals in antacids bind to Ciprofloxacin, significantly reducing drug absorption and treatment effectiveness.

Can B-Ciprofloxacin really cause tendon rupture?

There is a risk, especially in elderly patients, those taking corticosteroids, or organ transplant recipients. Stop the medication and see a doctor immediately if you experience joint or tendon pain.

How is B-Ciprofloxacin different from Amoxicillin?

They are different drug classes (Fluoroquinolone vs Penicillin) with different mechanisms and bacterial coverage. Ciprofloxacin is often used for complicated infections or certain resistant bacteria that Amoxicillin cannot treat.

Can I drive after taking this medication?

Use caution as the medication may cause dizziness or drowsiness. Avoid driving if you experience these symptoms.

Can pregnant women use this medication?

Not recommended, especially in the first trimester. Consult a doctor before use. The drug is also excreted in breast milk, so it's not recommended for breastfeeding women.

• Thai FDA - Ciprofloxacin Drug Information
• FDA - Ciprofloxacin Drug Label
• MedlinePlus - Ciprofloxacin
• Drugs.com - Ciprofloxacin
• UpToDate - Fluoroquinolones