12-24 Hours
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Cero
Gaco Pharmaceuticals(G.A Company Ltd)
Generic: Ciprofloxacin 0.3% E/E prep
Safety Advices
বাংলা
English
CONSULT YOUR DOCTOR
Cero may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
SAFE IF PRESCRIBED
Cero is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Baby should be closely monitored for development of fever, loss of appetite and diarrhea. In case, any of the above happens please inform your doctor immediately.
UNSAFE
Cero may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Medicine Overview of Cero 0.30% Eye/Ear Drops
Introduction
Cero is an antibiotic, used in the treatment of bacterial eye/ear infections. It relieves the symptoms of the infection by stopping the further growth of the causative microorganisms. Cero is for external use only. Take it in the dose and duration as advised by your doctor. Hold the dropper close to the eye/ear without touching it. Gently squeeze the dropper and place the medicine inside the lower eyelid or ear. Wipe off extra liquid. Avoid skipping any doses and finish the full course of treatment even if you feel better. It may cause application site irritation and burning sensation immediately...
... Show moreUses of Cero
- Bacterial eye / ear infections
Side effects of Cero
Common
- Application site irritation
- Burning sensation
How to use Cero
This medicine is for external use only.Take it in the dose and duration as advised by your doctor. Check the label for directions before use. Hold the dropper close to the eye/ear without touching it. Gently squeeze the dropper and place the medicine inside the lower eyelid or ear. Wipe off extra liquid.
How Cero works
Cero is an antibiotic. It treats bacterial eye/ear infections by preventing the bacteria from dividing and repairing. It does so stopping the action of a bacterial enzyme called DNA-gyrase.
What if you forget to take Cero?
If you miss a dose of Cero, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Quick Tips
- You have been prescribed Ciplox Eye/Ear Drops for the treatment of bacterial infections of the eye/ear.
- Do not skip any doses and finish the full course of treatment even if you feel better.
- Do not touch the tip to any surface, or to your eye/ear, to avoid contamination.
- You should continue using the medicine for 48 hours after your symptoms have cleared up.
- Talk to your doctor if your symptoms haven't started to improve within two days of starting treatment, if they get worse during treatment or if you get another eye /ear infection.
- Throw away any medicine left at the end of the course.
- If using Ciplox Eye/Ear Drops for eye:
Brief Description
Indication
Otitis media, Superficial ophthalmic infections, Otitis externa
Adult Dose
Bacterial Conjunctivitis
Solution: 1-2 drops instilled into conjunctival sac(s) q2hr with patient awake on days 1-2, then 1-2 drops q4hr with patient awake on days 3-7
Ointment: 0.5-in. (1.25-cm) ribbon applied into conjunctival sac q8hr on days 1-2, then 0.5-in. (1.25-cm) ribbon q12hr on days 3-7
Corneal Ulcers (Keratitis)
Solution: 2 drops q15min for 6 hours, then 2 drops q30min for remainder of day 1, then 2 drops q1hr on day 2, and finally 2 drops q4hr on days 3-14
Ointment: Not indicated for keratitis
Child Dose
Bacterial Conjunctivitis
1 year (solution): 1-2 drops instilled into conjunctival sac(s) q2hr with patient awake on days 1-2, then 1-2 drops q4hr with patient awake on days 3-7
>2 years (ointment): 0.5-in. (1.25-cm) ribbon applied into conjunctival sac q8hr on days 1-2, then 0.5-in. (1.25-cm) ribbon q12hr on days 3-7
Contraindication
Ciprofloxacin is contraindicated in patients who have hypersensitivity to Ciprofloxacin or other quinolones.
Mode of Action
Ciprofloxacin promotes breakage of double-stranded DNA in susceptible organisms and inhibits DNA gyrase, which is essential in reproduction of bacterial DNA.
Precaution
Prolonged use of Ciprofloxacin may result in overgrowth of nonsusceptible organisms including fungi. Ciprofloxacin should be discontinued at the first appearance of a skin rash or any other sign of hypersensitivity reaction. Not for injection into the eye.
Lactation: Drug is distributed into milk; use with caution
Side Effect
>10%
Burning,Ciprofloxacin precipitate in superficial portion of corneal defect,Stinging
1-10%
Conjunctival hyperemia,Crystals or scales on eyelashes,Foreign-body sensation,Itching,Keratopathy or keratitis,Lid margin crusting,Unpleasant taste after instillation
<1%
Corneal infiltrates,Corneal staining,Decrease in vision,Lid edema,Ocular discomfort,Photophobia,Sensitivity reactions,Tearing
Pregnancy Category Note
Pregnancy
Data are not available regarding use in pregnant women; owing to negligible systemic exposure associated with otic administration of ciprofloxacin, minimal risk is expected
Lactation
Ciprofloxacin is excreted in human milk with systemic administration; however, owing to negligible systemic exposure after otic administration, breastfed infants should not be affected
Interaction
May increase plasma concentrations of CYP1A2 substrates (e.g. clozapine, ropinirole, theophylline). Enhances effect of oral anticoagulants (e.g. warfarin) and glibenclamide. Increased toxicity of methotrexate. Plasma concentrations may be increased by probenecid. Reduced absorption w/ oral multivitamins and mineral supplements containing divalent or trivalent cations (e.g. Fe, Zn, Ca) and antacids containing Al, Ca or Mg. Concomitant use w/ class IA antiarrhythmics (e.g. quinidine, procainamide), class III antiarrhythmics (e.g. amiodarone, sotalol), TCAs, macrolides and antipsychotics may result in additive effects on QT interval prolongation. Concurrent use w/ corticosteroids may increase risk of severe tendon disorders. Increased risk of CNS stimulation w/...
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