Drug Detail:Ciprofloxacin ophthalmic (Ciprofloxacin ophthalmic [ sip-roe-flox-a-sin-off-thal-mik ])
Drug Class: Ophthalmic anti-infectives
Usual Adult Dose for Bacterial Conjunctivitis
Ointment:
- Days 1 and 2: Apply a one-half inch ribbon into the conjunctival sac of the affected eye(s) 3 times a day.
- Days 3 through 7: Apply a one-half inch ribbon into the conjunctival sac of the affected eye(s) 2 times a day.
Solution:
- Days 1 and 2: Instill 1 to 2 drops into the conjunctival sac of the affected eye(s) every 2 hours while awake.
- Days 3 through 7: Instill 1 to 2 drops into the conjunctival sac of the affected eye(s) every 4 hours while awake.
Use: For the treatment of bacterial conjunctivitis due to susceptible strains of:
- Ointment: Staphylococcus aureus, S epidermidis, Streptococcus pneumoniae, Streptococcus (viridans group), Haemophilus influenzae
- Solution: H influenzae, S aureus, S epidermidis, S pneumoniae
Usual Adult Dose for Corneal Ulcers
Solution:
- Day 1: Instill 2 drops into the affected eye(s) every 15 minutes for the first 6 hours and then 2 drops into the affected eye(s) every 30 minutes for the remainder of the day.
- Day 2: Instill 2 drops into the affected eye(s) every hour.
- Days 3 through 14: Instill 2 drops into the affected eye(s) every 4 hours.
Comments: May continue treatment after 14 days if corneal reepithelialization has not occurred
Use: For the treatment of corneal ulcers due to susceptible strains of Pseudomonas aeruginosa, Serratia marcescens, S aureus, S epidermidis, S pneumoniae, Streptococcus (viridans group)
Usual Pediatric Dose for Bacterial Conjunctivitis
Ointment:
2 years or older:
- Days 1 and 2: Apply a one-half inch ribbon into the conjunctival sac of the affected eye(s) 3 times a day.
- Days 3 through 7: Apply a one-half inch ribbon into the conjunctival sac of the affected eye(s) 2 times a day.
Solution:
1 year or older:
- Days 1 and 2: Instill 1 to 2 drops into the conjunctival sac of the affected eye(s) every 2 hours while awake.
- Days 3 through 7: Instill 1 to 2 drops into the conjunctival sac of the affected eye(s) every 4 hours while awake.
Use: For the treatment of bacterial conjunctivitis due to susceptible strains of:
- Ointment: S aureus, S epidermidis, S pneumoniae, Streptococcus (viridans group), H influenzae
- Solution: H influenzae, S aureus, S epidermidis, S pneumoniae
Usual Pediatric Dose for Corneal Ulcers
Solution:
2 years or older:
- Day 1: Instill 2 drops into the affected eye(s) every 15 minutes for the first 6 hours and then 2 drops into the affected eye(s) every 30 minutes for the remainder of the day.
- Day 2: Instill 2 drops into the affected eye(s) every hour.
- Days 3 through 14: Instill 2 drops into the affected eye(s) every 4 hours.
Comments: May continue treatment after 14 days if corneal reepithelialization has not occurred
Use: For the treatment of corneal ulcers due to susceptible strains of P aeruginosa, S marcescens, S aureus, S epidermidis, S pneumoniae, Streptococcus (viridans group)
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Safety and efficacy have not been established in patients younger than 2 years (ointment) or 1 year (solution).
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- For topical ophthalmic use only (not for injection into the eye)
Storage requirements:
- Store at 2C to 25C (36F to 77F).
- Solution: Protect from light.
Patient advice:
- Do not wear contact lenses if you have signs/symptoms of bacterial conjunctivitis or during therapy.
- Avoid contaminating the applicator tip with material from the eye, fingers, or any other source; do not touch the applicator tip to any surface.
- Stop this drug at first sign of skin rash or any other sign of hypersensitivity.