Cipro HC is a combination otic (ear drop) suspension containing ciprofloxacin (a fluoroquinolone antibiotic) and prednisone (a corticosteroid). It's used to treat outer ear infections, also known as swimmer's ear, in adults and children ages 1 year and older. The dosage is 3 drops placed into the affected ear(s) twice per day for 7 days. Side effects aren't common, but can include headache and itching.
Outer ear canal infections (swimmer's ear or otitis externa) in people age 1 year and older
Cipro HC is a combination of two medications:
Ciprofloxacin is a fluoroquinolone antibiotic. It works by blocking a protein that bacteria need to grow, repair their DNA, and survive.
Hydrocortisone is a corticosteroid that helps to lower inflammation. When used directly in the ear, it helps treat itching, swelling, redness, and pain in the ear.
Source:Â DailyMed
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Incidence not known
Blistering, crusting, irritation, itching, or reddening of the skin
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
cracked, dry, or scaly skin
hives or welts
redness of the skin
skin rash
swelling
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common
Headache
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Combines two medications into a single ear drop
Works well to treat outer ear infections
Safe for people with a penicillin allergy or sulfa allergy
Safe children as young as 1 year old
Need to use twice a day
Can be difficult for some people to administer correctly
Dropper cap contains latex, which can be a problem for anyone with a latex allergy
Can only treat ear infections caused by bacteria, not infections caused by fungi or viruses
Finish your treatment course and take Cipro HC exactly as prescribed. Never change your dose or stop treatment early, even if your ear symptoms get better. Stopping the medication too soon can cause your infection to come back and become harder to treat.
Cipro HC can cause allergic reactions. If you experience symptoms such as a rash, hives, trouble breathing, or swelling, let your prescriber know right away. You might need to stop the medication and switch to something else.
Let your prescriber know if you're pregnant or breastfeeding before starting Cipro HC. It's not completely known how safe this medication is during pregnancy, and it's not known if it passes into breast milk. Your prescriber can discuss the risks and benefits of using it.
Store the Cipro HC ear drops at room temperature.
Throw away any unused Cipro HC after you finish your course of treatment.
How to use Cipro HC:
Wash your hands before and after putting Cipro HC in your ears. Avoid letting the dropper tip touch your ear, hands, or any other surface to keep the ear drops from getting contaminated with germs.
Warm up Cipro HC by rolling the bottle between your hands for 1 to 2 minutes. This can prevent dizziness that you might have if you put cold ear drops in your ear.
Shake the bottle well right before using Cipro HC. This makes sure the medication hasn't settled at the bottom.
Lie down on your side and keep the affected ear upward. Then, squeeze 3 drops of Cipro HC into the ear. Stay with the affected ear up for about 30 to 60 seconds. This allows the medication to reach deep into your ear. If both ears are infected, repeat this process on the other side.
Cipro HC can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Risk factors: Latex allergy
Severe allergic reactions to Cipro HC are possible, including life-threatening reactions like facial swelling, shock, and anaphylaxis (e.g., closing of the throat). Let your provider know if you have a latex allergy because the dropper cap contains latex. If you notice hives, rash, swelling of the lips or tongue, or difficulty breathing after using Cipro HC, get medical attention right away.
Using Cipro HC might allow bacteria or fungi that it doesn’t target to overgrow in the ear. If your ear infection doesn’t improve after a week, contact your prescriber for follow-up. You might need additional testing or treatment.
Cipro HC is only for use in your ears and shouldn’t be used any other way. If you think this medication isn’t the right fit for you or find it difficult to use properly, talk to your pharmacist or prescriber about other options.
Dosage | Quantity | Price as low as | Price per unit |
---|---|---|---|
10ml of 0.2%/1% | 1 ear dropper | $353.12 | $353.12 |
Cipro HC contains 0.2% of ciprofloxacin and 1% of hydrocortisone.
The typical dose is 3 drops into the affected ear(s) two times per day for 7 days.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Allergy to quinolones antibiotics or any other ingredients in this medication
Ear infections caused by a virus, such as herpes simplex infections, or fungus
Tear in the eardrum
Outer ear canal infections (swimmer's ear or otitis externa) in people age 1 year and older
Middle ear infections (otitis media) in children ages 6 months and older with surgically-placed ear tubes (tympanostomy tubes)
Outer ear canal infections (swimmer's ear or otitis externa) in people 6 months and older
Outer ear infection (swimmer's ear) in people ages 6 months and older
Middle ear infections in children ages 1 year and older with ear tubes
Long-term middle ear infections in people ages 12 years and older with burst eardrums
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Novartis Pharmaceuticals Corporation (2023). CIPRO HC- ciprofloxacin hydrochloride and hydrocortisone suspension/ drops [package insert]. DailyMed.
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