Although similar serious adverse reactions have been reported in patients receiving theophylline alone, the possibility that these reactions may be potentiated by cipro xr cannot be eliminated.

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Jay WMarksMDis a board-certified internist and gastroenterologistHe graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

This medication may rarely cause serious changes in blood sugarespecially if you have diabetesCheck your blood sugar regularly as directed and share the results with your doctorWatch for symptoms of high blood sugar such as increased thirst/urinationCiprofloxacin may increase the blood-sugar-lowering effects of the medication glyburideAlso watch for symptoms of low blood sugar such as sudden sweatingshakingfast heartbeathungerblurred visiondizzinessor tingling hands/feetIt is a good habit to carry glucose tablets or gel to treat low blood sugarIf you don’t have these reliable forms of glucoserapidly raise your blood sugar by eating a quick source of sugar such as table sugarhoneyor candyor by drinking fruit juice or nondiet sodaTell your doctor right away about the reaction and the use of this productTo help prevent low blood sugareat meals on a regular scheduleand do not skip mealsYour doctor may need to switch you to another antibiotic or adjust your diabetes medications if any reaction occurs.

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Some people have reported emotional and psychological reactions while taking these drugsincluding:

If you miss a dose of ciprofloxacintake the missed dose as soon as you remember itHoweverif it is almost time for the next doseskip the missed dose and continue your regular dosing scheduleDo not take a double dose to make up for a missed oneDo not take more than two doses of the tablets or suspension or more than one dose of the extended-release tablets in one day.

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cipro is an inhibitor of the hepatic cyp1a2 enzyme pathway.

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