Epirocin 0.3% Eye Drops

Ciprofloxacin 0.3% E/E prep

3mg/ml

Egyptian International Pharmaceutical Industries Co. (E.I.P.I.Co.)

Pack size	5ml Plastic Dropper Bottle
Dispensing mode	POM
Source	EGYPT
Agent	PHARMATRADE
Retail Price	10.00 AED

Indications

Epirocin 0.3% Eye Drops is used for: 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: Safety and efficacy not established >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

Renal Dose

Administration

Contra Indications

Ciprofloxacin is contraindicated in patients who have hypersensitivity to Ciprofloxacin or other quinolones.

Precautions

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

Pregnancy-Lactation

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

Interactions

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/ NSAIDs. Altered serum concentrations of phenytoin. Potentially Fatal: Marked elevation in serum levels of tizanidine which is associated w/ potentiated hypotensive and sedative effect.

Adverse Effects

Side effects of Ciprofloxacin 0.3% E/E prep : >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

Mechanism of Action

Ciprofloxacin promotes breakage of double-stranded DNA in susceptible organisms and inhibits DNA gyrase, which is essential in reproduction of bacterial DNA.

Note

Epirocin 0.3% 3mg/ml Eye Drops manufactured by Egyptian International Pharmaceutical Industries Co. (E.I.P.I.Co.). Its generic name is Ciprofloxacin 0.3% E/E prep. Epirocin 0.3% is availble in United Arab Emirates. Farmaco UAE drug index information on Epirocin 0.3% Eye Drops is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

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