Ciprofloxacin erectile dysfunction

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  1. job2008 Well-Known Member

    Ciprofloxacin erectile dysfunction


    Up to 30 million men in the US have trouble getting or maintaining an erection sufficient for sexual intercourse, according to recent estimates. And Pfizer’s advertising campaign when it introduced its blockbuster ED drug Viagra (sildenafil) made it a household phrase. It can affect men of all races and ages, though rates are moderately higher among men aged 70 and older, compared to men in younger age groups. Contrary to popular belief, however, aging does not cause ED. A wide range of physical and psychological conditions can lead to ED, including high blood pressure, heart disease, diabetes, anxiety, depression and lifestyle factors such as alcohol and illicit drug use and smoking. Another common cause of ED is prescription medication, and 5 drugs in particular have the biggest effect on libido.“No question these impact erectile function,” says Landon Trost, MD, head of andrology and male infertility at the Mayo Clinic in Rochester, Minn. It is not clear why these blood pressure lowering medications can cause ED, but it reverses if a patient quits taking the drug. (ciprofloxacin) is a flouroquinolone antibiotic that is commonly prescribed for prostatitis. Unforfortunately, there are some devastating potential side effects of this medication. Here is what you need to know about Cipro side effects. When a man has prostatitis, many doctors immediately prescribe antibiotics like Cipro. Many times the antibiotics don’t work, and that is because the majority of prostatitits cases are not caused by bacteria. Men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) usually do not have any bacteria present and that is why traditional medicine is not usually successful in treating it. Whether you had or have had bacterial prostatitis or CP/CPPS, if your doctor prescribed Cipro or other you may have suffered some of the devastating or less serious side effects.

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    Ciprofloxacin may increase blood concentrations of sildenafil Viagra that is used for treating erectile dysfunction. This combination should be avoided if. Cipro and its newer fluoroquinolone cousins have since become the most. Myself vitimized by RXs that caused ED erecticle dysfunction. Ciprofloxacin is used to treat bacterial infections. Read more about use and side effects active ingredient, ciprofloxacin, works by killing the bacteria that cause gastrointestinal infections.

    Mild/moderate: 500 mg PO q12hr or 400 mg IV q12hr for 7-14 days Severe/complicated: 750 mg PO q12hr or 400 mg IV q8hr for 7-14 days Limitations-of-use: Reserve fluoroquinolones for patients who do not have other available treatment options for acute bacterial exacerbation of chronic bronchitis Acute uncomplicated: Immediate-release, 250 mg PO q12hr for 3 days; extended-release, 500 mg PO q24hr for 3 days Mild/moderate: 250 mg PO q12hr or 200 mg IV q12hr for 7-14 days Severe/complicated: 500 mg PO q12hr or 400 mg IV q12hr for 7-14 days Limitations-of-use: Reserve fluoroquinolones for patients who do not have other available treatment options for uncomplicated urinary tract infections Dry powder for inhalation: Orphan designation for patients with NCFB who suffer from frequent severe acute pulmonary bacterial exacerbations which lead to further inflammation, airway, and lung parenchyma damage Indication for treatment and prophylaxis of plague due to Yersinia pestis in pediatric patients from birth to 17 years of age 15 mg/kg PO q8-12hr x10-21 days; not to exceed 500 mg/dose, OR 10 mg/kg IV q8-12hr x 10-21 days; not to exceed 400 mg/dose Postexposure therapy IV: 10 mg/kg q12hr for 60 days; individual dose not to exceed 400 mg PO: 15 mg/kg q12hr for 60 days; individual dose not to exceed 500 mg Change antibiotic to amoxicillin as soon as penicillin susceptibility confirmed Nausea (3%) Abdominal pain (2%) Diarrhea (2% adults; 5% children) Increased aminotransferase levels (2%) Vomiting (1% adults; 5% children) Headache (1%) Increased serum creatinine (1%) Rash (2%) Restlessness (1%) Acidosis Allergic reaction Angina pectoris Anorexia Arthralgia Ataxia Back pain Bad taste Blurred vision Breast pain Bronchospasm Diplopia Dizziness Drowsiness Dysphagia Dyspnea Flushing Foot pain Hallucinations Hiccups Hypertension Hypotension Insomnia Irritability Joint stiffness Lethargy Migraine Nephritis Nightmares Oral candidiasis Palpitation Photosensitivity Polyuria Syncope Tachycardia Tinnitus Tremor Urinary retention Vaginitis Acute generalized exanthematous pustulosis (AGEP), erythema multiforme, exfoliative dermatitis, fixed eruption, photosensitivity/phototoxicity reaction Agitation, confusion, delirium Agranulocytosis, albuminuria, serum cholesterol and TG elevations, blood glucose disturbances, hemolytic anemia, marrow depression (life threatening), pancytopenia (life threatening or fatal outcome), potassium elevation (serum) Anaphylactic reactions (including life-threatening anaphylactic shock), serum sickness like reaction, Stevens-Johnson syndrome Anosmia, hypesthesia Constipation, dyspepsia, dysphagia, flatulence, hepatic failure (including fatal cases), hepatic necrosis, jaundice, pancreatitis Hypertonia, hypotension (postural), increased INR (in patients treated with Vitamin K antagonists), QT prolongation, torsade de pointes, ventricular arrhythmia Methemoglobinemia Myasthenia, exacerbation of myasthenia gravis, myoclonus, nystagmus, peripheral neuropathy that may be irreversible, phenytoin alteration (serum), polyneuropathy, psychosis Myalgia, tendinitis, tendon rupture, toxic epidermal necrolysis (Lyell’s Syndrome), twitching Infections: Candiduria, vaginal candidiasis, moniliasis (oral, gastrointestinal, vaginal), pseudomembranous colitis Renal calculi Vasculitis Because the risk of these serious side effects generally outweighs the benefits for patients with acute bacterial sinusitis, acute exacerbation of chronic bronchitis, and uncomplicated UTIs, that fluoroquinolones should be reserved for use in patients with these conditions who have no alternative treatment options Use in pregnancy, though generally contraindicated for all quinolones, is allowed for life-threatening situations; limited data from use of ciprofloxacin in pregnancy show no higher rate of birth defects than background Do not use oral suspension in nasogastric tube; to prepare, add microcapsules to diluent Commonly seen adverse reactions include tendinitis, tendon rupture, arthralgia, myalgia, peripheral neuropathy, and central nervous system effects (hallucinations, anxiety, depression, insomnia, severe headaches, and confusion); these reactions can occur within hours to weeks after starting therapy, including in patients of any age or without pre-existing risk factors; discontinue therapy immediately at first signs or symptoms of any serious adverse reaction; in addition, avoid use of fluoroquinolones, in patients who have experienced any serious adverse reactions associated with fluoroquinolones (see Black Box Warnings) Peripheral neuropathy: sensory or sensorimotor axonal polyneuropathy affecting small and/or large axons resulting in paresthesias, hypoesthesias, dysesthesias, and weakness reported; peripheral neuropathy may occur rapidly after initiating and may potentially become permanent In prolonged therapy, perform periodic evaluations of organ system functions (eg, renal, hepatic, hematopoietic); adjust dose in renal impairment; superinfections may occur with prolonged or repeated antibiotic therapy; discontinue use immediately if signs and symptoms of hepatitis occur Not first drug of choice in pediatrics (except in anthrax), because of increased incidence of adverse events in comparison with control subjects, including arthropathy; no data exist on dosing for pediatric patients with renal impairment (ie, Cr Cl Distributed widely throughout body; tissue concentrations often exceed serum concentrations, especially in kidneys, gallbladder, liver, lungs, gynecologic tissue, and prostatic tissue; cerebrospinal fluid (CSF) concentration is 10% in noninflamed meninges and 14-37% in inflamed meninges; crosses placenta; enters breast milk Protein bound: 20-40% Vd: 2.1-2.7 L/kg Additive: Aminophylline, amoxicillin, amoxicillin-clavulanate, amphotericin, ampicillin-sulbactam, ceftazidime, cefuroxime, clindamycin, floxacillin, heparin, piperacillin, sodium bicarbonate, ticarcillin Y-site: Aminophylline, ampicillin-sulbactam, azithromycin, cefepime, dexamethasone sodium phosphate, furosemide, heparin, hydrocortisone sodium succinate, magnesium sulfate(? ), methylprednisolone sodium succinate, phenytoin, potassium phosphates, propofol, sodium bicarbonate(? ), sodium phosphates, total parenteral nutrition formulations, warfarin Solution: Compatible with most IV fluids Additive: Amikacin, aztreonam, dobutamine, dopamine, fluconazole, gentamicin, lidocaine, linezolid, metronidazole (ready-to-use form is compatible; hydrochloride form in vial is incompatible), midazolam, potassium chloride, tobramycin Y-site: Amiodarone, calcium gluconate, clarithromycin, digoxin, diphenhydramine, dobutamine, dopamine, linezolid, lorazepam, midazolam, promethazine, quinupristin/dalfopristin, tacrolimus The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. If you are having problems achieving or maintaining an erection you may want to take a look at your medicine cabinet first. There are a number of prescription and over-the-counter drugs that may cause erectile dysfunction. While these drugs may treat a disease or condition, they can also affect a man's hormones, nerves, or blood circulation, resulting in ED or increase the risk of ED. The list of possible offenders is long, so check with your doctor regarding medications you are taking to rule out any as a cause of, or contributor to, ED. Hydrochlorothiazide (Esidrix, Hydro DIURIL, Hydropres, Inderide, Moduretic, Oretic, Lotensin)Chlorthalidone (Hygroton)Triamterene (Maxide, Dyazide)Furosemide (Lasix)Bumetanide (Bumex)Guanfacine (Tenex)Methyldopa (Aldomet)Clonidine (Catapres)Verapamil (Calan, Isoptin, Verelan)Nifedipine (Adalat, Procardia)Hydralazine (Apresoline)Captopril (Capoten)Enalapril (Vasotec)Metoprolol (Lopressor)Propranolol (Inderal)Labetalol (Normodyne)Atenolol (Tenormin)Phenoxybenzamine (Dibenzyline)Spironolactone (Aldactone) Fluoxetine (Prozac)Tranylcypromine (Parnate)Sertraline (Zoloft)Isocarboxazid (Marplan)Amitriptyline (Elavil)Amoxipine (Asendin)Clomipramine (Anafranil)Desipramine (Norpramin)Nortriptyline (Pamelor)Phenelzine (Nardil)Buspirone (Buspar)Chlordiazepoxide (Librium)Clorazepate (Tranxene)Diazepam (Valium) Doxepin (Sinequan)Imipramine (Tofranil)Lorazepam (Ativan)Oxazepam (Serax)Phenytoin (Dilantin) If you experience ED and think that it may be a result of medication, do not stop taking the drug without first consulting your doctor. If the problem persists, your doctor may be able to prescribe a different medication. Other substances or drugs that can cause or lead to ED include recreational and frequently abused drugs, such as: Aside from the well-known complications that the use and abuse of these drugs can cause, ED is not often mentioned. These drugs not only affect and often times suppress the central nervous system, but can also cause serious damage to the blood vessels, resulting in permanent ED.

    Ciprofloxacin erectile dysfunction

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