CIPALGO CT Tablet 10's

Introduction About CIPALGO CT TABLET

CIPALGO CT TABLET is a combination of Ciprofloxacin and Tinidazole which belongs
to the group of medicines called Antibiotics and Antiprotozoals respectively. It
is indicated for the management of a wide variety of infections caused by
susce
protozoa.

CIPALGO CT TABLET is not recommended for use in patients with a history of blood
disorders, peripheral neuropathy and if you are allergic to this medicine.

Before taking CIPALGO CT TABLET inform your doctor if you have epilepsy or other
neurological conditions, tendon problems, diabetes, myasthenia gravis (a type of
muscle weakness) including kidney, liver or heart problems.

CIPALGO CT TABLET is not recommended for use during pregnancy and during
breastfeeding including three days following the last dose of CIPALGO CT TABLET.

CIPALGO CT TABLET is not recommended for use in children and it should be used
with caution in elderly patients (aged 65 years and above).

The common side effects of taking CIPALGO CT TABLET are nausea, vomiting,
diarrhea, stomach pain, loss of appetite and skin rashes. Consult your doctor if
any of the side effects bothers you or worsens.

Uses Of CIPALGO CT TABLET

• Manage wide variety of infections caused by susce

How CIPALGO CT TABLET Works

CIPALGO CT TABLET effectively manages infection, whereciprofloxacin works by
killing bacteria that cause infections. It only works with specific strains of
bacteria. Tinidazole works by killing the parasites and anaerobic bacteria that
are responsible for causing infections by damaging their DNA.

How to use CIPALGO CT TABLET

Take CIPALGO CT TABLET as advised by your physician. Swallow CIPALGO CT TABLET
with a glass of water. Do not crush or chew the medicine. Your doctor will
decide the correct dose and duration of CIPALGO CT TABLET for you depending upon
your age, body weight and disease condition.

Side Effects Of CIPALGO CT TABLET

Common

• diarrhoea
• joint pain and inflammation
• nausea, vomiting
• loss of appetite
• stomach pain or cramps
• headache
• vertigo (head spinning sensation)
• skin rash or itching (especially affecting the whole body)

Uncommon

• fungal superinfections
• decreased appetite (anorexia)
• hyperactivity or agitation
• headache, dizziness, sleeping problems or taste disorders
• vomiting, abdominal pain, digestive problems such as stomach upset (indigestion/heartburn)
• rash, itching or hives
• pain in muscles and bones, feeling unwell or fever

Rare

• muscle pain, increased muscle tone and cramping - inflammation of the bowel (colitis)
• allergic reaction, swelling (oedema) or rapid swelling of the skin and mucous membranes
• confusion, disorientation, anxiety reactions, strange dreams or hallucinations
• tingling and prickling sensation, unusual sensitivity to stimuli of the senses, decreased skin sensitivity, tremors or giddiness
• eyesight problems including double vision
• tinnitus (ringing in ears), loss of hearing, impaired hearing
• rapid heartbeat (tachycardia)
• low blood pressure or fainting
• shortness of breath, including asthmatic symptoms
• urinary tract inflammation
• excessive sweating

Stop taking CIPALGO CT TABLET and contact your doctor immediately if you
experience any of the following side effects:

• seizure or fits
• severe, sudden allergic reaction with symptoms such as tightness in the chest, feeling dizzy, sick or faint or experience dizziness when standing up
• muscle weakness, inflammation of the tendons which could lead to rupture of the tendon, particularly affecting the large tendon at the back of the ankle
• serious life-threatening skin rash, usually in the form of blisters or ulcers in the mouth, throat, nose, eyes and other mucous membranes such as genitals which may progress to widespread blistering or peeling of the skin (stevens-johnson syndrome, toxic epidermal necrolysis

How To Manage Side Effects

Stomach pain:

Rest and relax. Eat and drink slowly or try to have smaller and frequent meals.
Keep a heat pad on your stomach. Do not self-manage on your own and consult your
doctor if the symptom does not improve.

Nausea or vomiting:

Try to take CIPALGO CT TABLET with or just after a meal or a snack. Stick to
simple meals. Avoid eating oil rich, fried or spicy foods. Consult your doctor
if the symptom does not improve.

Diarrhoea:

Drink lot of fluids such as water or fruit juices to keep yourself hydrated.
Avoid taking any medicine on your own for managing diarrhea. Consult your doctor
if the symptom does not improve.

Headache:

Rest and relax. Drink plenty of fluids such as water. Apply a pain-relieving
balm on the forehead if required. Do not consume too much of alcohol. Consult
your doctor if the symptom does not improve.

Warning & Precautions

!### Pregnancy

CIPALGO CT TABLET should not be used during pregnancy. Consult your doctor for
advice.

!### Breastfeeding

CIPALGO CT TABLET is not recommended for use during breastfeeding and for three
days following the last dose as it may passes through breast milk. Consult your
doctor before taking CIPALGO CT TABLET.

!### Driving and Using Machines

Do not drive or operate any machines while taking CIPALGO CT TABLET as it may
make you feel less alert and cause neurological problems.

!### Alcohol

Avoid consum

!### Kidney

CIPALGO CT TABLET should be used with caution in patients with kidney problems.
Consult your before taking CIPALGO CT TABLET.

!### Liver

CIPALGO CT TABLET should be used with caution in patients with liver
dysfunction. Consult your doctor before taking CIPALGO CT TABLET.

!### Allergy

Do not take CIPALGO CT TABLET if you are allergic to ciprofloxacin, tinidazole
or quinolone drugs such as levofloxacin or moxifloxacin.

!### Heart Disease

CIPALGO CT TABLET should be used with caution in patients with heart problems,
slow heart rhythm, weak heart, history of heart attack and if you have personal
or family history of prolonged QT interval. Consult your doctor before taking
CIPALGO CT TABLET.

Others

CIPALGO CT TABLET is not recommended for use if you have:

• blood disorder or a history of blood disorders
• peripheral neuropathy

Before taking CIPALGO CT TABLET, inform your doctor if you:

• have epilepsy or other neurological conditions
• have tendon problems during previous management with antibiotics such as ciprofloxacin
• have diabetes
• have myasthenia gravis (a type of muscle weakness)
• have glucose-6- phosphate dehydrogenase (G6PD)
• have enlargement or bulge of a large blood vessel (aortic aneurysm or large vessel peripheral aneurysm)
• have a family history of aortic aneurysm or aortic dissection or other risk factors or predisposing conditions (such as connective tissue disorders like marfan syndrome or vascular ehlers-danlos syndrome)
• are going to blood or urine sample

Use in Paediatrics:

CIPALGO CT TABLET is not recommended for use in children. Consult your child’s
doctor for advice.

Use in Geriatrics:

CIPALGO CT TABLET should be used with caution in elderly patients (aged 65 years
and above). Consult your doctor before taking CIPALGO CT TABLET.

Interactions

A. Drug-Drug interactions:

Before taking CIPALGO CT TABLET, inform your doctor if you are taking any of the
following medicines:

• vitamin K antagonists (warfarin, acenocoumarol, phenprocoumon or fluindione) or other oral anti-coagulants (used to manage or manage blood clots)
• theophylline (used for breathing problems)
• phenytoin (used to manage epilepsy)
• probenecid (used to manage gout)
• ropinirole (used for parkinson’s disease)
• methotrexate (used to manage certain types of cancer, psoriasis and rheumatoid arthritis)
• tiz
• olanzapine, clozapine (used to manage schizophrenia)
• metoclopramide (used to manage nausea and vomiting)
• cyclosporin (used to manage skin conditions, rheumatoid arthritis and to manage organ rejection after transplantation)
• antiarrhythmics such as quinidine, hydroquinidine, disopyramide, amiodarone, sotalol, dofetilide, ibutilide (used to manage irregular heartbeat)
• agomelatine, duloxetine, tricyclic antidepressants such as amitriptyline (used to manage depression)
• macrolides antibiotics such as azithromycin, erythromycin (used to manage bacterial infections)
• zolpidem (used to manage sleep disorders)
• pentoxifylline (used to manage circulatory disorders)
• caffeine (used as CNS stimulant)
• lidocaine (used for heart conditions or anaesthetic use)
• sildenafil (used to manage erectile dysfunction)

B. Drug-Food interaction:

Do not eat or drink any dairy products (such as milk or yoghurt) or drinks with
added calcium when you take this medicine, as they may affect the absor
this medicine. Also, do not drink wine, beer or spirits during management and
for 3 days after stopping management with this medicine. Remember to drink
plenty of fluids while you are taking this medicine.

Overdosage:

If you or anyone else accidentally take too much of CIPALGO CT TABLET, contact
your doctor immediately or go to a hospital straight away. Overdosage symptoms
of CIPALGO CT TABLET includes dizziness, tremor, headache, tiredness, seizures,
hallucinations, confusion, abdominal discomfort, renal and hepatic impairment,
blood in urine and possibility of QT interval prolongation.

Synopsis

Drug	:	Ciprofloxacin, Tinidazole
Pharmacological Category	:	Fluoroquinolones, Nitroimidazole antimicrobials
Therapeutic Indication	:	Manages Bacterial and Parasitic infections
Dosage Forms	:	Tablet, Syrup, Suspension

More Information

• Keep CIPALGO CT TABLET out of reach of children
• Store at room temperature

FAQs About CIPALGO CT TABLET

DoesCIPALGO CT TABLET cause diarrhea?

Yes, the use of this medicine may cause diarrhea in some individuals. To manage
this side effect, drink lot of fluids such as water or fruit juices to keep
yourself hydrated. Avoid taking any medicine on your own for managing diarrhea.
Consult your doctor if the symptom does not improve.

CanCIPALGO CT TABLET be used in breast-feeding women?

CIPALGO CT TABLET is not recommended for use during breastfeeding and for three
days following the last dose as it may passes through breast milk. Consult your
doctor before taking it.

Is CIPALGO CT TABLET safe to use in patients with heart problems?

CIPALGO CT TABLET should be used with caution in patients with heart problems,
slow heart rhythm, weak heart, history of heart attack and if you have personal
or family history of prolonged QT interval. Consult your doctor before taking
CIPALGO CT TABLET.

Can I drive or operate machines after taking CIPALGO CT TABLET?

Do not drive or operate any machines while taking CIPALGO CT TABLET as it may
make you feel less alert and cause neurological problems. You can resume your
activities once if you feel normal. Consult your doctor for advice before taking
it.

What are the common side effects of CIPALGO CT TABLET?

The most common side effects of taking CIPALGO CT TABLET are nausea, vomiting,
diarrhea, stomach pain or cramps, headache, vertigo, loss of appetite, skin rash
and itching (especially affecting the whole body). Consult your doctor if any of
the side effects bothers you or worsens.

Useful Diagnostic Tests

• Complete blood count