Ciprofloxacin and Tendons.

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    Aug 15, 2012 5:34 AM GMT
    Unfortunately I was diagnosed with Prostatitis the other day and I've been put on Cipro for 21 days. Turns out one of the side effects of this drug is spontaneous tendon ruptures.

    I haven't been going to the gym in a while, but I plan on going back soon. To get myself prepared for my return I have been using my pull-up bar at home for the last two months. Now I am concerned about this tendon issue with Cipro. My doc said it's a rare side effect (yeah, heard that one before) and that if I have been doing the pull-ups for a while I shouldn't worry, but that if I just do them here and there I should not do anymore til after the treatment. Great! I wonder when he was planning on warning me about this, AFTER a tendon ruptured?

    Anyway, I've decided to hold off on doing any physical exercise til this treatment is completed, which really sucks. But I think it would suck less than rupturing a tendon.

    One other thing scares me a bit and that is that I read that you may still be susceptible to tendon ruptures for several months after treatment is completed.

    Anybody here have had any experience with this medication?
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    Aug 15, 2012 5:44 AM GMT
    Helios69 saidUnfortunately I was diagnosed with Prostatitis the other day and I've been put on Cipro for 21 days. Turns out one of the side effects of this drug is spontaneous tendon ruptures.
    Prepare yourself for a class action lawsuit...even if you have no intention of participating.

    So far I've been involved in a class action against Olan Mills (got a whopping $23 and some change), Vioxx for arthritis (won't mention the amount - it was nice), and Netflix (ongoing suit, may get much more).

    In other words, the money from the suit may not be worth it. If you value your life, stop your meds now and wait for a better diagnosis.
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    Aug 15, 2012 5:54 AM GMT
    Well, this is troubling:

    http://www.prweb.com/releases/2012/3/prweb9333644.htm
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    Aug 15, 2012 6:00 AM GMT
    "The FDA recommendation is that doctors should advise patients to stop taking Cipro at the first sign of tendon pain, swelling or inflammation, as these symptoms can precede tendon rupture."
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    Aug 15, 2012 6:04 AM GMT
    I've taken it with no problems, but only for a short while. I took another antibiotic in the same class and did not have tendon problems with it either. However, it turns out it was making my muscles waste away. Yikes! My doctor recommended taking magnesium with the other medication to reduce the likelihood of tendon problems, but I don't know if that would work for Cipro.
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    Aug 15, 2012 6:09 AM GMT
    Shit! That sucks about the muscle wasting away. Is this something permanent or can it be regained with exercise?
    I thought I read something today about avoiding magnesium while on Cipro. Hmmm.
    I e-mailed my doc about all this. He didn't warn me about anything.
    I already was burned once by doctors. I have a hard time trusting them anymore.
  • AMoonHawk

    Posts: 11406

    Aug 15, 2012 6:09 AM GMT
    Holly schmokes .... I was given this several times ... for Prostatitis twice, for dental surgery several times and for sinus infections a few times ... I wonder if that is the cause of the tendons on the back of my ankles hurting so badly ... how do I get in on this law suit?
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    Aug 15, 2012 6:13 AM GMT
    Helios69 saidShit! That sucks about the muscle wasting away. Is this something permanent or can it be regained with exercise?
    I thought I read something today about avoiding magnesium while on Cipro. Hmmm.
    I e-mailed my doc about all this. He didn't warn me about anything.
    I already was burned once by doctors. I have a hard time trusting them anymore.


    I assume it is reversible. I kept losing all the muscle I was gaining, but once I stopped taking it, I was able to gain muscle. I had to stop working out for a while for different reasons.

    You can't take magnesium within 2 hours of taking Cipro because it binds with it, but that's the point. Taking magnesium later in the day might bind to the Cipro and draw it out before it can damage your tendons. I'm not sure this has actually been proven.

    It should have been in the paperwork that the pharmacy gave you with the drug. It's a rare but well known side effect. Honestly, I think some doctors just don't know.
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    Aug 15, 2012 6:17 AM GMT
    Similar to what happens with dairy products, I guess. They say not to take dairy products because the Cipro binds to something in the milk and won't get absorbed by the body.

    Trust me, I've learned the hard way just how much doctors don't know.

    And I try to heed my father's advice. He was a doctor and would tell me "If you don't absolutely have to take a pill, don't take it."
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    Aug 15, 2012 6:37 AM GMT
    Cipro binds to calcium, magnesium, aluminum, iron, and zinc (I think) which is why you can't take those supplements or eat foods rich in those minerals within two hours of taking it.
  • starboard5

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    Aug 15, 2012 3:19 PM GMT
    Ask your doc about taking Vibramycin (doxycycline) as an alternative to Cipro for prostatitis. I knew about Cipro (and all the fluoroquinalones have the same black box warning re: tendonitis and rupture) so when I had prostatitis I asked for something else and my urologist gave me the Vibramycin. Only downside is that you have to stay on it for two months as opposed to one with Cipro. That was fine with me. Also, Flomax is approved by the FDA for treatment of chronic prostatitis and may prevent recurrence.
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    Aug 15, 2012 3:34 PM GMT
    Helios69 saidWell, this is troubling:

    http://www.prweb.com/releases/2012/3/prweb9333644.htm
    Oh dear... HUGS* to all you guys who have to deal with this!
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    Aug 15, 2012 4:07 PM GMT
    Tendon rupture issues are more of a concern for those under 18, those over 18 I wouldn't be all crazed out and scared by it. Your not going to be on them for a LONGGGGGGGGGGGGGGGG time so you should be ok. If you read all the side effects that are possible on any med you( we all) would never even take a Tylenol icon_razz.gif.
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    Aug 15, 2012 4:28 PM GMT
    Uhh...I googled Cipro and it says it's used to treat ANTRAX as part of a "bioterror attack." So why are you taking this? (Sorry I don't take any drugs besides the occasional Advil, so I'm pretty clueless.)

    And I ruptured my achilles tendon...it's horrible. I would take it easy and listen to the doc. Better safe than sorry. I was very cavalier with my body thinking I was invincible and never warming-up.
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    Aug 15, 2012 4:33 PM GMT
    starboard5 saidAsk your doc about taking Vibramycin (doxycycline) as an alternative to Cipro for prostatitis. I knew about Cipro (and all the fluoroquinalones have the same black box warning re: tendonitis and rupture) so when I had prostatitis I asked for something else and my urologist gave me the Vibramycin. Only downside is that you have to stay on it for two months as opposed to one with Cipro. That was fine with me. Also, Flomax is approved by the FDA for treatment of chronic prostatitis and may prevent recurrence.


    When deployed to Afghanistan, we are given a year supply of Doxy as a prophylactic against malaria. We have to take it everyday and let me tell you, the side effects are worse than the risk. Increased photo-sensitivity and prolonged nausea. Several of us, including myself, could not go out on a foot patrol without vomiting at least once. I finally had to stop taking it because I couldn't do my job. I was constantly sick with nausea. Once we all stopped taking it, we all got better and could conduct our missions without incident. we were taking the Doxy for 4 months when we all decided to stop taking it.

    as for Cipro, I would give it to my soldiers on a regular basis if that was the medication needed for their infection. it is a common antibiotic. I have never heard of anyone having any complications with it.

    You need to be aware of how exactly they come up with "side effects" for a drug. they can take 1000 people as a test group for an up and coming drug. If just ONE of those persons comes up and says, "I FEEL LIKE ____," or "I AM HAVING ____ SYMPTOMS", then they are required by law to classify that drug as having that side effect.

    Do your own research. Find out exactly how many and what percentage of the people in the test group experienced that side effect. don't just go by the Scare Tactics or the "Ambulance Chasing" Lawyers who say "ooohhh, it has a side effect, let us sue the manufacturer.

    DO YOUR OWN THOROUGH RESEARCH
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    Aug 16, 2012 1:01 AM GMT
    TankerMedic said
    starboard5 saidAsk your doc about taking Vibramycin (doxycycline) as an alternative to Cipro for prostatitis. I knew about Cipro (and all the fluoroquinalones have the same black box warning re: tendonitis and rupture) so when I had prostatitis I asked for something else and my urologist gave me the Vibramycin. Only downside is that you have to stay on it for two months as opposed to one with Cipro. That was fine with me. Also, Flomax is approved by the FDA for treatment of chronic prostatitis and may prevent recurrence.


    When deployed to Afghanistan, we are given a year supply of Doxy as a prophylactic against malaria. We have to take it everyday and let me tell you, the side effects are worse than the risk. Increased photo-sensitivity and prolonged nausea. Several of us, including myself, could not go out on a foot patrol without vomiting at least once. I finally had to stop taking it because I couldn't do my job. I was constantly sick with nausea. Once we all stopped taking it, we all got better and could conduct our missions without incident. we were taking the Doxy for 4 months when we all decided to stop taking it.

    as for Cipro, I would give it to my soldiers on a regular basis if that was the medication needed for their infection. it is a common antibiotic. I have never heard of anyone having any complications with it.

    You need to be aware of how exactly they come up with "side effects" for a drug. they can take 1000 people as a test group for an up and coming drug. If just ONE of those persons comes up and says, "I FEEL LIKE ____," or "I AM HAVING ____ SYMPTOMS", then they are required by law to classify that drug as having that side effect.

    Do your own research. Find out exactly how many and what percentage of the people in the test group experienced that side effect. don't just go by the Scare Tactics or the "Ambulance Chasing" Lawyers who say "ooohhh, it has a side effect, let us sue the manufacturer.

    DO YOUR OWN THOROUGH RESEARCH

    Thanks TankerMedic. This was very helpful.
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    Aug 16, 2012 1:19 AM GMT
    It's true that Cipro causes tendonitis, worst case scenario is an Achilles tendon rupture. It is actually a "black box" warning for this medication. Although it is rare in your age group but the risk is increased in extremes of age...the younger and the older population.

    Ask your doctor if Bactrim DS is an option for you.
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    Aug 16, 2012 2:37 AM GMT
    I just got off it after two weeks IV for pneumonia.. no issues whatsoever except it nailed the livin crap out of the pneumonia!icon_wink.gif
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    Aug 16, 2012 2:39 AM GMT
    TropicalMark saidI just got off it after two weeks IV for pneumonia.. no issues whatsoever except it nailed the livin crap out of the pneumonia!icon_wink.gif

    Great to hear!