CILOXAN Drops  5 ml ALCON

CILOXAN Drops 5 ml ALCON

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Price: 11.40 €

Description:
CILOXAN Drops 5 ml ALCON
Category: Medicines


1. What is CILOXAN and what is it used for?
CILOXAN is used to treat superficial infections of the eye (s) and surrounding areas, as well as for exacerbated otitis externa (typical of swimmers) and exacerbated otitis media with secretion due to perforation of the eardrum.
CILOXAN is a member of a group of medicines called anti-infectives.
The group of anti-infectives includes quinolones (in this case ciprofloxacin), which are active against many of the microorganisms that can infect the eye and ear.

2. What you need to know before you use CILOXAN?

Do not use CILOXAN:

if you are allergic to ciprofloxacin or any of the other ingredients of this medicine (listed in section 6)
if you are allergic (hypersensitive) to other antibiotics called quinolones.
Warnings and precautions

Talk to your doctor or pharmacist before using CILOXAN.

General:

 Use CILOXAN in children under 1 year of age only if explicitly prescribed by your doctor.
Consult your doctor if your symptoms worsen or suddenly reappear. You may become more susceptible to other infections with the use of this medicine, especially after prolonged use.
If you also notice the first signs of a skin rash or other hypersensitivity reactions, including hives, itching or breathing problems, stop treatment and contact your doctor immediately. If you have severe allergic reactions, then you may need urgent treatment.
If you experience pain, swelling or inflammation of the tendons while or soon after using this medicine, stop treatment and contact your doctor.
If you are elderly or if you are taking medicines called 'corticosteroids', which are used to treat conditions such as pain and inflammation, asthma or skin problems, then you are at increased risk for tendon problems during treatment with CILOXAN. If this happens, stop treatment and consult your doctor immediately (see also Part 4. "Possible side effects").
If you notice skin reactions, contact your doctor. As a result of the use of antibiotics, reactions of skin sensitivity to light are observed. Such reactions with ciprofloxacin are rare.
If you have had any inflammation or condition prior to the inflammatory process, stop treatment and consult your doctor immediately.
If you are taking other medicines, please also read the "Using other medicines" section.
Eye drops
Use CILOXAN only for your eyes.
Do not wear contact lenses (hard or soft) during treatment with CILOXAN.
In patients with corneal ulcers and frequent administration of CILOXAN, white local precipitates (residue of the medicinal product) have been observed, which disappear after discontinuation of CILOXAN. Precipitates do not preclude long-term use of CILOXAN and do not adversely affect the clinical course of the recovery process.

Ear drops
Use CILOXAN only for your ears.
Precise medical supervision is needed.
At the doctor's discretion, CILOXAN can be used in children under 1 year of age to treat acute otitis externa.
Consult your doctor if any of the above warnings are applicable or have been applicable to you.

Other medicines and CILOXAN
If you are using other eye medicines, wait at least 5 minutes between each use.
If you use eye ointment, it should be applied last.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Tell your doctor if you use:

blood thinners (warfarin) theophylline (anti-asthma) products containing caffeine
cyclosporine (used to prevent transplant rejection)
CILOXAN with food and drink Has
no effect.

Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Application in the eye
It is possible to find that your vision is temporarily blurred immediately after applying CILOXAN. Wait until your vision clears to drive or operate machinery.

Application in the ear
CILOXAN does not affect your ability to drive or use machines.

CILOXAN contains benzalkonium chloride

The preservative (benzalkonium chloride) in this medicine may cause eye irritation and may discolour soft contact lenses.

CILOXAN contains benzalkonium chloride, which may cause skin irritation.

3. How to use CILOXAN?

Always use this medicine exactly as your doctor or pharmacist has told you. If you are not sure, talk to your doctor or pharmacist.

Use CILOXAN only for your eyes or ears.

If the protective ring is loose after removing the cap, remove it before use.

Application in the eye

Adults and children

In corneal ulcers, CILOXAN should be administered at the following intervals, even at night:
- on the first day, the recommended dose is two drops in the conjunctival sac of the affected eye (s) every 15 minutes for the first 6 hours, then - until the end of the first day - two drops every 30 minutes.
- on the second day, the recommended dose is two drops every hour in the conjunctival sac of the affected eye (s).
- from 3 to 14 days, the recommended dose is two drops in the conjunctival sac of the affected eye (s) every 4 hours.

In superficial infections of the eye (s) and eye appendages, the recommended dose is 1-2 drops in the conjunctival sac of the affected eye (s) every six hours.
In severe infections, the dosage during the first two days may be one or two drops every two hours (during the day).
Usually the duration of therapy is 7-14 days. The duration of treatment is at the discretion of your doctor.

Ear application:

Adults and children 1 year and older:

The recommended dose is: 4 drops of CILOXAN in the ear canal, twice a day - morning and evening.

Use the method described above, unless your doctor has prescribed something different (eg when using a swab (otowick))

Use CILOXAN in both ears only if your doctor tells you to. The duration of treatment is at the discretion of your doctor.

How to use:

Eye application:
1. Take the CILOXAN bottle and the mirror.
2. Wash your hands.
3. Unscrew the cap.
4. Hold the bottle facing down between your thumb and middle finger (Figure 1).
5. Tilt your head back. Dissolve the eyelid, with the finger already cleaned, so that a 'pocket' forms between it and the eye. The drop must fall exactly in this place (figure 2).
6. Move the dropper applicator closer to the bottle. Use the mirror if this makes it easier for you.
7. Do not touch the eye, eyelid, surrounding area or other surfaces with the tip of the dropper applicator. There is a risk of contamination of the drops.
8. Gently press the base of the upside-down bottle with your index finger to release one drop of CILOXAN (Figure 3).
9. After inserting CILOXAN, release the lower eyelid, close the eye and gently press the eye with your finger in the corner of the nose (Figure 4). This will prevent CILOXAN from moving to other parts of the body.
10. If you need to use the drops in both eyes, repeat all the steps with the other eye.
11. Replace the cap and close the bottle tightly immediately after use.
12. Use only the same bottle.

Application in the ear:
1. Wash your hands. The person who puts CILOXAN ear drops, solution should wash their hands with soap and water (Figure 1).

2. Clean the ear and warm the bottle. Hold the CILOXAN bottle in your hand for one to two minutes to warm the solution (Figure 2). Carefully clean any secretions that can be easily removed from the outer ear. DO NOT INSERT ANY OBJECT OR TAMP INTO THE INNER EAR CANAL,
3. Unscrew the cap.
4. Hold the bottle facing down between your thumb and middle finger.
5. The person to be given CILOXAN should lie with the infected ear facing up (Figure 3).
6. Move the tip of the bottle closer to the ear canal.
7. Do not touch the lower fleshy part of the ear or ear canal, surrounding areas or other surfaces with the dropper applicator. This can contaminate the drops.
8. Gently press the base of the upside-down bottle with your index finger to release one drop of CILOXAN when needed (Figure 4).
9. For infections of the external ear canal (swimmer's ear): while the person on whom the drops are placed is in a supine position, the person who puts the drops should gently pull the lower fleshy part of the ear up - down. This will allow the ear drops to pass through the ear canal (Figure 5).
10. For middle ear infections: while the person on whom the drops are placed is in a supine position, the person placing the drops should gently press the tragus (Figure 6) five times with pumping movements. This will allow the drops to pass through the tube into the eardrum and middle ear.
11. The person on whom the ear drops are placed must remain in the position for at least 60 seconds (Figure 7).
12. Repeat steps 2-10 with the other ear if both ears are inflamed.
13. Replace the cap and close the bottle tightly immediately after use.
14. Use only the same bottle.
If the drop does not get into the eye or ear when you put it on, try again.

If you put more CILOXAN than
you need If necessary, CILOXAN can be washed from the eye (s) or ear (s) with lukewarm water.
If you put too much in the ear, turn it so that excess fluid can drain from the ear.

If you accidentally swallow CILOXAN, contact your doctor. No serious complications are expected.

If you forget to take CILOXAN
Apply the missed dose as soon as possible. Do not take a double dose to make up for a forgotten dose. However, if it is time for your next dose, skip the missed dose and go back to your usual dosing schedule.

If you are using other medicines for eye use (drops and ointment), wait at least 5 minutes between the administration of the individual medicines. Eye ointment should be applied last.

If you stop taking CILOXAN
Do not stop taking this medicine early, even if your symptoms have disappeared.
If you stop treatment beforehand, the symptoms of your disease may return.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.

Side effects that may occur after application to the eye:

• Common (affects 1 to 10 users in 100):

 Effects in the eye: white precipitates on the eye surface (cornea) - eye discomfort - redness in the eye
 General effects: bad taste
• Uncommon (affects 1 to 10 users in 1,000)

Effects in the eye: damage or spots on the surface of the eye (cornea) -sensitivity to light - reduced or blurred vision - swelling of the eye or eyelid - eye pain - dry eye - itchy eye - increased tearing - eye secretions - flaking / crystals on the edge of the eyelid - redness of the eyelid
General effects: headache - nausea
• Rare (affects 1 to 10 users in 10,000)

Eye effects: eye damage - eye inflammation - double vision - decreased eye sensitivity - tired eyes - eye irritation
General effects: hypersensitivity - dizziness - eye pain - barley of the eye - inflammation inside the nose - secretion from the nasal sinuses - diarrhea - abdominal pain - skin inflammation
• Not known (cannot be estimated from the available data):

General effects: Tendon damage
Side effects that may occur after application to the ear:

• Uncommon (affects 1 to 10 users in 1,000)

Effects in the ear: ear pain - influx of blood in the ear - discharge from the ear - itching in the ear
General effects: headache - skin inflammation - fever
• Not known (cannot be estimated from the available data):

Effects in the ear: tinnitus
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

Report an adverse reaction

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system (see data below). By reporting side effects, you can help to get more information about the safety of this medicine.

5. How to store CILOXAN?
Keep out of reach of children.
Do not use this medicine after the expiry date which is stated on the bottle and carton after EXP. The expiry date refers to the last day of that month.
Do not refrigerate or freeze.
Store in a tightly closed container.
The bottle should be discarded 4 weeks after first opening to avoid possible infections.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Contents of the package and additional information

What CILOXAN contains:
The active substance is ciprofloxacin (as ciprofloxacin hydrochloride). One milliliter of solution contains 3 mg ciprofloxacin.
The other ingredients are: benzalkonium chloride, sodium acetate trihydrate (E262), acetic acid (B260), mannitol (E421), edetate disodium and purified water. Occasionally, small amounts of sodium hydroxide and / or hydrochloric acid are added to maintain normal acid levels (pH levels).

What CILOXAN looks like and contents of the pack
CILOXAN is a liquid (clear, colorless to pale yellow solution) and is supplied in a pack containing a 5 ml plastic bottle with a screw cap.

Marketing Authorization Holder:
Novartis Pharma GmbH
Roonstrasse 25 90429 Nuernberg Germany