MedPath

Ciprofloxacin

Generic Name
Ciprofloxacin
Brand Names
Cetraxal, Ciloxan, Cipro, Cipro HC, Ciprodex, Ciprofloxacin, Otiprio, Otixal, Otovel, Proquin
Drug Type
Small Molecule
Chemical Formula
C17H18FN3O3
CAS Number
85721-33-1
Unique Ingredient Identifier
5E8K9I0O4U
Background

Ciprofloxacin is a second generation fluoroquinolone that has spawned many derivative antibiotics. It is formulated for oral, intravenous, intratympanic, ophthalmic, and otic administration for a number of bacterial infections.

The first ciprofloxacin containing product was FDA approved on 22 October 1987.

Indication

Ciprofloxacin is only indicated in infections caused by susceptible bacteria.

Ciprofloxacin immediate release tablets, oral suspensions, and intravenous injections are indicated for the treatment of skin and skin structure infections, bone and joint infections, complicated intra-abdominal infections, nosocomial pneumonia, febrile neutropenia, adults who have inhaled anthrax, plague, chronic bacterial prostatitis, lower respiratory tract infections including acute exacerbations of chronic bronchitis, urinary tract infections, complicated urinary tract infections in pediatrics, complicated pyelonephritis in pediatrics, and acute sinusitis.

A ciprofloxacin otic solution and otic suspension with hydrocortisone are indicated for acute otitis externa. Ciprofloxacin suspension with dexamethasone is indicated for acute otitis media in pediatric patients with tympanostomy tubes or acute otitis externa. A ciprofloxacin intratympanic injection is indicated for pediatric patients with bilateral otitis media with effusion who are having tympanostomy tubes placed or pediatric patients 6 months or older with acute otitis externa.

A ciprofloxacin eye drop is indicated for bacterial corneal ulcers and conjunctivitis. A ciprofloxacin eye ointment is indicated for bacterial conjunctivitis.

A ciprofloxacin extended release tablet is indicated for uncomplicated urinary tract infections, complicated urinary tract infections, and acute uncomplicated pyelonephritis.

Associated Conditions
Acute Exacerbations of Chronic Bronchitis caused by Moraxella catarrhalis, Acute Otitis Externa, Acute Otitis Externa caused by Pseudomonas Aeruginosa, Acute Otitis Media (AOM), Acute Sinusitis, Acute Uncomplicated Pyelonephritis, Bone and Joint Infections, Chronic Otitis Media, Complicated Intra-Abdominal Infections (cIAIs), Complicated Urinary Tract Infection, Conjunctivitis caused by Haemophilus influenzae, Conjunctivitis caused by Staphylococcus epidermidis, Corneal Ulcers caused by Serratia marcescens, Corneal Ulcers caused by Staphylococcus aureus, Corneal Ulcers caused by Staphylococcus epidermidis, Corneal Ulcers caused by Streptococcus Pneumoniae, Corneal Ulcers caused by Streptococcus Viridans Group, Corneal Ulcers caused by pseudomonas aeruginosa, Escherichia urinary tract infection, External ear infection NOS, Febrile Neutropenia, Infection of the outer ear caused by susceptible bacteria, Infectious diarrhea, Inhalational Anthrax, Lower respiratory tract infection caused by Enterobacter cloacae, Lower respiratory tract infection caused by Escherichia coli, Lower respiratory tract infection caused by Haemophilus influenzae, Lower respiratory tract infection caused by Haemophilus parainfluenzae, Lower respiratory tract infection caused by Klebsiella pneumoniae, Lower respiratory tract infection caused by Proteus mirabilis, Lower respiratory tract infection caused by penicillin-susceptible Streptococcus pneumoniae, Nosocomial Pneumonia, Otitis Media (OM), Otitis Media, Purulent, Plague caused by Yersinia pestis, Skin Infections, Typhoid fever caused by Salmonella typhi, UTI caused by Citrobacter diversus, UTI caused by Citrobacter frendii, UTI caused by Entercococcus faecalis, UTI caused by Enterobacter cloacae, UTI caused by Klebsiella pneumoniae, UTI caused by Morganella morganii, UTI caused by Proteus mirabilis, UTI caused by Providencia rettgeri, UTI caused by Pseudomonas aeruginosa, UTI caused by Serratia marcescens, UTI caused by methicillin-susceptible Staphylococcus epidermidis, Uncomplicated Urinary Tract Infections, Acute otitis externa caused by Staphylococcus aureus, Acute, uncomplicated Cystitis caused by Escherichia coli, Acute, uncomplicated Cystitis caused by Staphylococcus saprophyticus, Chronic Prostatitis caused by Escherichia coli, Chronic Prostatitis caused by Proteus mirabilis, Complicated Pyelonephritis caused by Escherichia coli, Complicated Urinary Tract Infection caused by Escherichia Coli, Uncomplicated Gonorrhea caused by Neisseria gonorrhoeae
Associated Therapies
-

Short or Long Schemes of Antibiotic Prophylaxis for Prostate Biopsy

Phase 3
Terminated
Conditions
Men Who Must Undergo a Prostate Biopsy Related to Prostate Cancer Suspicion.
First Posted Date
2006-02-22
Last Posted Date
2009-01-27
Lead Sponsor
Poitiers University Hospital
Target Recruit Count
300
Registration Number
NCT00294749
Locations
🇫🇷

Poitiers Hospital University, Poitiers, France

Study of Antibiotics in the Treatment of Colonic Crohn's Disease

First Posted Date
2005-11-23
Last Posted Date
2008-08-12
Lead Sponsor
Mount Sinai Hospital, Canada
Target Recruit Count
12
Registration Number
NCT00257699
Locations
🇨🇦

Mount Sinai Hospital, Toronto, Ontario, Canada

Pharmacokinetics and Pharmacodynamics and Selected Antibiotics During Pregnancy

Completed
Conditions
Pregnancy
Interventions
First Posted Date
2005-09-21
Last Posted Date
2016-10-27
Lead Sponsor
University of Wisconsin, Madison
Target Recruit Count
150
Registration Number
NCT00214331
Locations
🇺🇸

University of Wisconsin, Madison, Wisconsin, United States

Cefpodoxime vs Ciprofloxacin for Acute Cystitis

Not Applicable
Completed
Conditions
Urinary Tract Infection
Interventions
First Posted Date
2005-09-19
Last Posted Date
2014-06-10
Lead Sponsor
University of Washington
Target Recruit Count
300
Registration Number
NCT00194532
Locations
🇺🇸

University of Miami Miller School of Medicine, Miami, Florida, United States

🇺🇸

University of Washington, Seattle, Washington, United States

Parameters Associated With the Emergence of Resistance to Ciprofloxacin in Human Commensal Flora

Not Applicable
Terminated
Conditions
Healthy Volunteers
First Posted Date
2005-09-19
Last Posted Date
2012-09-18
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
48
Registration Number
NCT00190151
Locations
🇫🇷

Hôpital Bichat Claude Bernard, 46 rue Henri Huchard, Paris, France

Single Dose Ciprofloxacin in the Treatment of Childhood Cholera:Randomized Controlled Clinical Trial

Phase 3
Completed
Conditions
Cholera
First Posted Date
2005-09-02
Last Posted Date
2022-02-11
Lead Sponsor
International Centre for Diarrhoeal Disease Research, Bangladesh
Target Recruit Count
180
Registration Number
NCT00142272
Locations
🇧🇩

International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh

Combination Chemotherapy for Locally Advanced Squamous Cell Carcinoma of the Head and Neck

Phase 2
Completed
Conditions
Squamous Cell Carcinoma
Carcinoma of Head/Neck
First Posted Date
2005-08-31
Last Posted Date
2008-06-03
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
30
Registration Number
NCT00139230
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Comparing Ciprofloxacin (CPFX) With Cefepime (CFPM) in Febrile Neutropenic Patients With Hematologic Diseases

Phase 3
Completed
Conditions
Febrile Neutropenia
Interventions
First Posted Date
2005-08-30
Last Posted Date
2018-06-26
Lead Sponsor
Center for Supporting Hematology-Oncology Trials
Target Recruit Count
51
Registration Number
NCT00137787
Locations
🇯🇵

Nagoya University Graduate School of Medicine, Nagoya, Japan

Monoclonal Antibody for Treatment of Inhalation Anthrax

Phase 1
Completed
Conditions
Bacillus Anthracis (Anthrax)
First Posted Date
2005-08-30
Last Posted Date
2010-08-27
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
36
Registration Number
NCT00138411
Locations
🇺🇸

Ohio State University, Columbus, Ohio, United States

Prophylactic Antibiotics on Urethral Catheter Withdrawal

Phase 4
Completed
Conditions
Urinary Tract Infection
Bacteriuria
First Posted Date
2005-08-04
Last Posted Date
2007-04-19
Lead Sponsor
St. Antonius Hospital
Target Recruit Count
100
Registration Number
NCT00126698
Locations
🇳🇱

Sint Antonius Hospital, Nieuwegein, Utrecht, Netherlands

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