Main uses in hair loss: Folliculitis decalvans, some types of folliculitis

What is Ciprofloxacin?

  • Ciprofloxacin is an antibiotic which is effective in treating certain bacteria.

How is Ciprofloxacin prescribed?

  • Your doctor will describe how he or she would like you to use Ciprofloxacin.   Be sure to follow these instructions very carefully. 
  • Do not take Ciprofloxacin with magnesium or aluminum pills or with iron, calcium or zinc.  These pills will decrease the absorption of Ciprofloxacin

Can I use Ciprofloxacin with other treatments? 

  • Ciprofloxacin can interact with many medications.  It is very important that you give your doctor and pharmacist a complete list of all medications and herbal medications.
  • A full medication list is required. Many medications interact, including Coumadin (warfarin), Phenytoin (seizure medication), NSAIDS, thyroid medications, theophylline, tizanidine

Who should not use Ciprofloxacin?

There are many reasons why an individual should not take ciprofloxacin. Be sure to check with your doctor if this medication is right for your type of hair loss. 

  • Ciprofloxacin should not be used in pregnancy
  • Ciprofloxacin should not be used if previous allergic to the drug
  • Ciprofloxacin should not be used if on medications that interact
  • Ciprofloxacin should not be used in patients with anxiety/depression
  • Ciprofloxacin should not be used in patients with kidney or liver disease
  • Ciprofloxacin should not be used in patients who use medications called NSAIDS (ibuprofen)
  • Ciprofloxacin should not be used in patients who use the medication called Prednisone
  • Ciprofloxacin should not be used in patients who have a seizure disorder

What side effects are possible with Ciprofloxacin?

A range of side effects are possible. Be sure to speak to your physician about all side effects before starting. Most patients use Ciprofloxacin without any problems. 

The most common side effects are:

  • nausea (2.5 % of patients)
  • diarrhea (1.6 %)
  • vomiting (1%)
  • rash (1%).

Other side effects are less common but include:

  • Peripheral neuropathy (irreversible nerve damage)
  • Tendon damage and tendon rupture (any age but more likely when over 60)
  • Heart rhythm problems
  • Severe diarrhea problems (pseudomembranous colitis)
  • Rhabdomyolysis (muscle breakdown)
  • Serious rashes requiring hospitalization 
  • More sensitive to the sun
  • Vision changes
  • Changes in your mood


What side effects should prompt me to STOP Ciprofloxacin?

Patients with side effects should report side effects to their physician right away.

  • Headaches
  • Feeling unwell in any way
  • Rashes on the body
  • Muscle pain
  • Diarrhea
  • Mood changes (more anxious or depressed)
  • Vision changes

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