Got chrons disease and have been on steroids (40mg) for past 10 days due to flare up
(Also on azathioprine)
Anyways 3 days ago Dr gave me ciprofloxacin for an infection, he did mention about increased tendon rupture but not in any scary kind of way. So I took 3 tabs (750mg).
Next day after an easy spin my tendons seemed a bit fizzy but no direct pain on palpitation - So I googled and nearly gave myself a thrombo.
There is so much stuff out there about tendon damage this combo can cuase - having had previous problems with my achilies I have a sinking feeling in the pit of my stomach.
Stopped after that first dose. I have read up but would appreciate any guidance.
Is 1 x 750mg does enough to cause damge
if so is this ‘normal’ tendontitis type damage that will recitfy with correct PT
Anyone else had any similar problems
Not gonna risk running but what about biking - still got a slight feeling somethings not quite right - but half of me thinks thats just because of what I’ve read panicing me
Anyone know the specfic risk increase for that combo (stuff I’ve read just seems to say ‘increased’ risk if using corticosteroids)
I was on cipro before, after getting an infection (MRSA) at the hospital from a surgery on my broken humerus due to a truck/bicycle accident. The doctor perscribed me cipro which did not help at all and only after a month when my arm was the size of shrek’s did they finaly do some testing perscribed me the proper anibiotics including one in IV form which I had to carry with me for 8 months everywere I went and i had to have two further surgeries to get rid of the infection and finaly unite the fracture.
Your Dr. probabaly percribed it to you as a precausionary antibiotic… or he does not know what you have. Two many infections will not be fought of by cipro becasue of evolution and antibiotic resistance. But I still recommend you taking it anyways, as your dr knows best… and do not stop taking them and no breaks. take them still until you finish the whole percription becasue the infection may come back and you will have to do the dose all over again.
if you are having those tendon problems and especialy since you have/had achelies tendon problems I suggest you switch to the midfoot pedal position to relieve strain on soft tissue of the lower extremities. It may seem strange for a while, but it will feel very natural after.
You are probably scaring yourself with a little too much info, but yes, BOTH fluoroquinolone abx and oral corticosteroids increase tendon pathologies. However, 1 dose of Cipro is highly unlikely to cause this and obviously, you need the prednisone for now for your Crohn’s flare-up. I’m not aware of any specific study regarding the risk factor of the combo for tendon pathologies.
You mentioned previous problems with your achilles as well, so that needs addressed. But, I always say, and no one knows your body better than you - especially athletes. If you have no pain to palpation of the achilles, that is a good sign. Not sure what a “fizzy” feeling is that you mentioned. Simply back off training for now which you should do anyway with your GI issues and let that calm down.
Thanks for reply - was hoping you would pick this up rroof!
I think some of the panic is actually anger at myself for not taking more care before I took the stuff, especially as I have had previous problems with the AT. You live and learn. (slowly - in my case)
The feeling in my AT may be being ultra ultra aware of even moving them as I would be devastated to get another AT problem.
Think I need to chill and take it easy as you say - steroids seem to make me more edgy anways!
Out of curiosity, what “infection” was your doc treating you for with Cipro? Certainly quinolones have their place, but should be used sparingly, and appropriately.
did they know it was MRSA or was it only later on that they found out it was MRSA?
Yeah - MRSA ? - was never mentioned just said itwas some kind of bacterial infection
Wiki doesn’t emntion mrsa either ? http://en.wikipedia.org/wiki/Orchitis
but does mention treatement with cipro?
sdoory, maybe it was my typo in the intial post - it is Orchitis I’ve got
I have had chronic IBS/colitis forever. Whenever I kick up my cipro dosage my tendons act stretchy. Cipro works but you have to be careful with training. Tell your doctor you want a prescription of Xifaxan for the infection. Then you need to get your intestinal microbes happy…check out crohn’s forums
It IS scary. I read about the tendonitis risks and asked my doctor about it before taking cipro. My doc told me it was only dangerous if you took it for long period (a month) and through IV. I took 3 doses at 500mg and I now have achilles tendonitis - walking slowly is painful. I haven’t even exercised while taking the drug - the tendonitis just appeared following the 2nd does and has gotten progressively worse over the course of this week (i stopped after the 3rd dose). What I haven’t found much info on is what to do if you do experience cipro induced tendonitis. I’ve read many horror stories and I’d like to do whatever I can to work against this nasty drug. Does anyone have any tips? Do you treat it the same way you would any other case of tendonitis? RICE, protein intake, etc? Hope you feel better soon!
Dr. rroof or anyone else,
digging up an old post to ask a question:
Does the Cipro HC Otic ear drops pose the same tendon risk, or is that only associated with the oral doses? I have the beginnings of a middle ear infection (swimmer’s ear) and even though I told him about my fears about antibiotics & tendon ruptures, he prescribed the Cipro… not sure if I should take it.
Dr. rroof or anyone else,
digging up an old post to ask a question:
Does the Cipro HC Otic ear drops pose the same tendon risk, or is that only associated with the oral doses? I have the beginnings of a middle ear infection (swimmer’s ear) and even though I told him about my fears about antibiotics & tendon ruptures, he prescribed the Cipro… not sure if I should take it.
A fair question. I don’t know if the relative risk of tendonopathy (which is low, but real) is dose dependent or not. Obviously, the ear drops would be a far lower dose than taken orally. I would assume the risk would be extremely low since it is low to begin with however.
Dr. rroof or anyone else,
digging up an old post to ask a question:
Does the Cipro HC Otic ear drops pose the same tendon risk, or is that only associated with the oral doses? I have the beginnings of a middle ear infection (swimmer’s ear) and even though I told him about my fears about antibiotics & tendon ruptures, he prescribed the Cipro… not sure if I should take it.
I doubt the Cipro in that would be enough to effect tendons, but the other question is, ‘Why the Cipro HC?’ Unless there is quite a bit of swelling in the ear canal, The HC is unnecessary, and if there is Ciprodex (dexamethasone) is a better choice. If not, plain ole Cipro eye drops are way cheaper and work just fine.