Active Ingredient: Ciprofloxacin
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See also: Ciprofloxacin dosage information in more detail What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. What happens if I overdose?
What should I avoid while taking ciprofloxacin? Do not take ciprofloxacin with dairy products such as milk or yogurt, or with calcium- fortified juice.
They could make the medication less effective. Using caffeine while taking ciprofloxacin can increase the effects of the caffeine. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine.
It is vital that sensitivity testing be undertaken before ofloxacin is given. For epididymo-orchitis most probably due to enteric organisms: ofloxacin 200 mg by mouth twice daily for 14 days or ciprofloxacin 500 mg by mouth twice daily for 10 days.
Corticosteroids have been used in the treatment of acute epididymo-orchitis but have not been shown to be of benefit.
In those with severe epididymo-orchitis or features suggestive of bacteraemia, inpatient management of fluid and electrolyte balance is required. Intravenous broad-spectrum therapy directed towards coliforms and Pseudomonas aeruginosa should be considered: cefuroxime 1.
Sexual partners Partner notification and treatment are recommended for all patients with epididymo-orchitis secondary to gonorrhoea, chlamydia and non-gonococcal urethritis NGU or of indeterminate aetiology and subsequent MSU negative.
Follow-up If there is no improvement in the patient's condition after three days, the diagnosis should be reassessed and therapy re-evaluated. Further follow-up is recommended at two weeks to assess compliance with treatment, partner notification and improvement of symptoms.
Disciform keratitis and other stromal inflammations to the viral coat proteins described earlier will go unresolved without immunosuppression.
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