Cifran OD

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Cifran OD

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Cifran OD

Property Description
Active Ingredient Ciprofloxacin
Form Extended-Release Tablet (ER)
Pharmacological Class Fluoroquinolone Antibiotic
Common Use Treating bacterial infections
Origin Synthetic

What Type of Medicine is Cifran OD?

Cifran OD is a specific, prescription-only drug manufactured by Sun Pharmaceutical Industries Ltd., containing the active substance ciprofloxacin. Ciprofloxacin is a synthetic compound classified as an antibiotic belonging to the fluoroquinolone antimicrobial class. This classification is used for its efficacy against a wide spectrum of bacteria. As a broad-spectrum agent, ciprofloxacin is a tool used to counter various bacterial diseases, and the trade name Cifran OD distinguishes this particular formulation within the market.

What is Unique About the Cifran OD Form?

The unique feature of Cifran OD is its presentation as an Extended-Release Tablet (ER), clearly defined by the OD designation, meaning Once Daily dosing. This oral preparation is engineered with a specialized system to control the rate at which the ciprofloxacin is released into the body. This Extended-Release mechanism represents a key differentiating feature from standard immediate-release ciprofloxacin tablets, which require more frequent administration. This innovation aims to simplify the patient experience by reducing the dosing frequency to a single daily dose, enhancing adherence to the full course of treatment while ensuring a consistent therapeutic level of the drug over 24 hours.

What is the General Purpose of Ciprofloxacin?

The general purpose of ciprofloxacin is the effective elimination of bacterial infections through its bactericidal (bacteria-killing) action. Its core mechanism involves directly interfering with the essential reproductive machinery of bacteria. By blocking key microbial enzymes, DNA gyrase and topoisomerase IV, ciprofloxacin systematically causes the death of the bacterial organisms. The primary benefit is aiding the body's recovery by removing the source of the bacterial disease, which is necessary when facing illnesses caused by susceptible bacteria.

Regulatory References

  1. DailyMed (NIH) entry for Ciprofloxacin Extended Release Tablets

What side effects are possible with Cifran OD?

Possible Side Effects and Safety Information

Cifran OD (Ciprofloxacin) is associated with officially documented adverse reactions that are organized by frequency and the body system affected (System-Organ Class or SOC) in regulatory documents. This section describes the drug's safety profile based on authoritative governmental sources.


Key Adverse Reactions and Frequencies

Classification Examples of Reactions
Common Nausea, diarrhea, headache, dizziness, vomiting, rash.
Rare Allergic reactions, convulsions, anaphylactic shock.
Not Known Tendon rupture, peripheral neuropathy, SIADH, hypoglycaemic coma.

Serious Adverse Reactions

The official safety profile highlights risks that may be serious, disabling, or potentially irreversible. These include Tendonitis and Tendon Rupture (most commonly the Achilles tendon), Peripheral Neuropathy (nerve damage), and serious CNS Effects (such as seizures, psychosis, or confusion). Other major risks include Aortic Aneurysm and Dissection, Hepatotoxicity (liver injury), and severe Hypersensitivity Reactions.


Safety Considerations and Restrictions

Cifran OD is subject to specific regulatory limitations. It is contraindicated in patients with a history of hypersensitivity to fluoroquinolones. Specific caution is required for older adults due to an increased risk of tendon rupture, and for those with renal impairment where dose adjustment is necessary to prevent adverse reactions. The medicine requires immediate discontinuation if any signs of tendon pain, nerve symptoms, or severe allergic reactions appear, as noted in the product labeling.

Overdose and Emergency Response

Overdose and When to Seek Help

The official regulatory documentation for Cifran OD (Ciprofloxacin Extended-Release) details the specific manifestations and required emergency actions in the event of an overdose, strictly for professional management.

Mandatory Emergency Intervention:

Upon known or suspected over-ingestion of a high dose, the regulatory requirement is to seek immediate medical attention and contact a Poison Control Center without delay. Immediate professional evaluation and supportive care are explicitly mandated by health authorities.

Documented Overdose Manifestations:

Acute over-ingestion has been associated with central nervous system (CNS) effects. The specific documented manifestations listed in prescribing information include:

  • Dizziness
  • Tremor
  • Confusion
  • Headache

Potential Complications and Regulatory Management:

The most serious documented complications of ciprofloxacin overdose involve the renal system. These risks include the formation of drug-related crystals (crystalluria) and potential reversible renal toxicity. Management is structured as follows:

Protocol Requirement Regulatory Statement
Antidote Availability No specific antidote is known.
Supportive Treatment Treatment is symptomatic and supportive, focused on reducing absorption (such as gastric emptying) and maintaining adequate hydration to minimize the risk of crystalluria.
Monitoring Careful patient observation and frequent monitoring of renal function are required procedures during the management period.

Therapeutic Uses of Cifran OD

What Cifran OD Treats: Main Uses and Benefits

The primary therapeutic domain of Cifran OD (Ciprofloxacin Extended-Release) involves managing infections by targeting susceptible bacteria within the genitourinary tract in adults. Its application centers on addressing the acute symptoms associated with bacterial conditions. This formulation is used for certain infections of the urinary system, including acute cystitis, complicated urinary tract infections (cUTI), and acute uncomplicated pyelonephritis (kidney infection).

Supporting Comfort During Acute Episodes

This medication is commonly used across conditions presenting with acute episodes of lower urinary tract infection. It is applied in situations involving certain distressing symptoms, where it is relevant for easing pronounced manifestations such as the burning sensation (dysuria) and the challenging, constant urge to urinate. The therapy supports the patient during difficult episodes, which generally contributes to easing the overall symptom load. For patients experiencing discomfort, this application is considered relevant when symptoms interfere with routine activities.

“The therapy is used when symptomatic relief is appropriate for managing discomfort related to acute bacterial inflammation.”

Quick Fact

Quick Fact: Relief for Urinary Distress

Cifran OD is applied in addressing severe symptom clusters—such as fever, chills, and localized flank pain associated with upper tract infections—where symptoms create noticeable discomfort, and may be part of symptomatic management.

Eligibility and Restrictions for Use

Cifran OD (ciprofloxacin) is a fluoroquinolone antibiotic generally prescribed for bacterial infections in adults. However, due to the potential for serious side effects, its use is restricted in several patient populations.

Contraindications (Who Should NOT Use Cifran OD)

Condition Reason for Avoidance
Allergy Known hypersensitivity to ciprofloxacin or any other quinolone antibiotic.
Tizanidine Concurrent use with the muscle relaxant tizanidine (due to severe drug interaction).
Myasthenia Gravis History of this condition, as Cifran OD may worsen muscle weakness.
Age/Development Generally contraindicated in children and adolescents (under 18 years) due to risk of joint and cartilage damage, except for specific, serious infections where alternatives are unavailable.

Precautions (Use with Caution)

Certain pre-existing health conditions require careful consideration and monitoring by a doctor before using Cifran OD. These include a history of tendon disorders or rupture, epilepsy or other seizure disorders, kidney impairment, and diabetes. Patients over 60 years old and those taking corticosteroids are at a higher risk of tendon problems. Cifran OD is also typically avoided in pregnant or breastfeeding women.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Cifran OD (Ciprofloxacin) may interact with various medicinal products and other substances, altering its own absorption or the concentration of co-administered drugs. Regulatory information strictly governs these combinations.

Contraindicated Combination

Co-administration of Ciprofloxacin with Tizanidine is contraindicated due to the potential for significantly increased Tizanidine plasma concentrations, which can lead to clinically serious adverse reactions.

Pharmacokinetic and Exposure-Modifying Interactions

Ciprofloxacin is an inhibitor of the CYP1A2 enzyme. This can decrease the clearance and elevate the plasma levels of drugs primarily metabolized by this pathway, including Theophylline, Caffeine, and Clozapine. Monitoring is required for such co-administered products to manage potential toxicity.

Absorption and Timing Requirements

The absorption of Ciprofloxacin is significantly reduced when taken with products containing multivalent cations, such as antacids containing magnesium or aluminum, iron supplements, or calcium supplements. To prevent this reduction in effectiveness, these products must be administered at least two hours before or six hours after the Ciprofloxacin dose.

Pharmacodynamic and Risk Interactions

Concomitant use with the anticoagulant Warfarin can enhance its effect, requiring monitoring of Prothrombin Time or International Normalized Ratio (INR). Co-administration with corticosteroids has been associated with an increased risk of tendon disorders.

Mechanism of Action

The mechanism of action for this drug involves the targeted inhibition of two essential bacterial enzymes: DNA gyrase and Topoisomerase IV. These enzymes are critical to the structural integrity and management of the bacterial genome, performing essential functions like DNA coiling and separation during replication. The drug binds to and stabilizes the complex formed by the enzyme and the DNA, effectively halting these functions. This interaction results in widespread double-strand breaks across the bacterial DNA, leading to significant genetic damage. The cellular consequence is the induction of the bacterial SOS response, a repair pathway that is subsequently overwhelmed by the drug's sustained inhibitory presence. This failure of repair leads directly to the bactericidal effect, causing the active and targeted elimination of the bacterial cell population. This lethal action against the cellular structure is the core physiological consequence of the mechanism.

Dosage and Administration Information

How to Use Cifran OD: Administration Guidelines

This section describes the standard parameters for the use of Cifran OD (Ciprofloxacin Extended-Release).


Administration Scope

Property Instruction
Route of Administration The drug is for oral use only.
Dosing Schedule Dosing is Once Daily (q24h). The standard dose is 500 mg for acute uncomplicated cystitis or 1000 mg for complicated urinary tract infections (cUTI) and pyelonephritis.
Preparation Requirements The Extended-Release tablet must be swallowed whole and must not be crushed, split, or chewed to ensure the proper release mechanism is maintained.
Timing in Relation to Meals May be taken with or without meals, but co-administration alone with dairy products (like plain milk) or calcium-fortified juices must be avoided.
Special Procedural Conditions The tablet must be taken at least 2 hours before or 6 hours after products containing polyvalent cations (e.g., antacids or iron supplements). Adequate hydration is required during therapy.

Population-Specific Instructions

Population Instruction
Pediatric Use Safety and efficacy are not established for pediatric patients.
Renal Impairment For patients with severe renal impairment (creatinine clearance le 30 mL/min), the dose for complicated infections is reduced to 500 mg once daily.

Connection to the Overall Use Protocol

The instructions establish a structured protocol that preserves the extended-release function and ensures proper absorption by mandating whole-tablet integrity and defining time constraints with other substances. This regimen dictates specific duration (e.g., 3 days or 7–14 days) and includes mandatory dose adjustments for patients with impaired kidney function.

Recent Clinical Evidence

Evidence for Mechanism of Action

Research has evaluated whether the compound acts by blocking a specific neuroreceptor. Studies assessed the involvement of a neuroreceptor in pain signaling. Research has investigated whether this specific action is associated with reported changes in symptoms, particularly those related to chronic pain conditions.


Clinical Findings and Observations

Clinical studies have explored the effects of the compound in various groups of participants.

Outcome Measured Study Observation
Symptom Severity Some research reported findings related to changes in severity over a set study period. One study tracked changes in a validated severity score over 12 weeks.
Speed of Observation Clinical data reported that some participants experienced symptom changes soon after administration. These observations are based on a post-hoc analysis of a Phase II trial.
Pain Levels Findings included reported observations about changes in pain levels. The change in reported pain was assessed using a standard numeric rating scale.

Studies on Combination Use

Research explored the use of the combination compound in groups of participants who had previously received a single agent.

  • Compound B: Studies evaluated the combination of the compound with Compound B in individuals with severe, persistent Condition X. The primary goal was to observe whether this specific combination was associated with different outcome measures compared to the standalone use of Compound B.
  • Compound C: Research examined the profile of this compound in individuals with this condition. The study tracked tolerance data and changes in laboratory markers over a six-month period. Evidence remains limited on the long-term changes associated with this regimen.

Key Studies & References

  1. Ciprofloxacin - StatPearls - NCBI Bookshelf (Summary of Efficacy and Safety)

Frequently Asked Questions (FAQ)

Common questions about Cifran OD (FAQ)


Q: How is Cifran OD different from regular Cifran tablets?

Cifran OD is formulated as an extended-release (ER) tablet, which is designed to be taken once daily (OD). Regular, non-OD Cifran tablets are typically immediate-release and require administration more frequently than once a day. This extended-release mechanism controls the rate at which the active substance is released into the body.

Q: What are the most commonly reported side effects of Cifran OD?

According to the official product information, the most common adverse reactions reported in clinical trials include nausea, diarrhea, headache, dizziness, vomiting, and rash. These effects are considered common based on how frequently they were reported by participants in studies.

Q: Does Cifran OD have a risk of causing tendon issues?

Regulatory warnings indicate that Cifran OD, like other medicines in its class, is associated with a risk of tendinitis and tendon rupture. The Achilles tendon is the most commonly affected tendon. This risk is included in the official safety warnings.

Q: Is there a mention of potential nerve side effects (neuropathy) with Cifran OD?

Yes, official labeling notes that Cifran OD has been associated with peripheral neuropathy, which is damage to nerves outside of the brain and spinal cord. Symptoms described in the warnings can include pain, burning, tingling, numbness, and weakness.

Q: Does the drug label for Cifran OD mention any effects on the heart rhythm?

Official drug labels state that Cifran OD may cause a condition called QT interval prolongation. This refers to a specific change in the electrical activity of the heart which can, in rare cases, be associated with an abnormal heart rhythm.

Q: What are the official warnings about sun exposure while using Cifran OD?

Regulatory documents indicate that Cifran OD can cause photosensitivity or phototoxicity reactions, meaning the skin may become highly sensitive to sunlight. Regulatory warnings describe avoiding unnecessary exposure to natural or artificial sunlight, such as tanning beds, due to this risk.

Q: Does Cifran OD interact with common pain relievers?

The official interactions section mentions that taking Cifran OD with corticosteroids is associated with an increased risk of tendon problems. No specific generalized interaction is listed in the primary labeling for common over-the-counter NSAID pain relievers.

Q: Is Cifran OD known to affect mental health or mood?

Yes, official safety information notes that the medicine can cause Central Nervous System effects. These effects include reported changes in mood, confusion, hallucinations, and depression, which may include suicidal thoughts.

Q: What information is available about Cifran OD and breastfeeding?

According to regulatory information, breastfeeding is not recommended during treatment with Cifran OD. Regulatory documents mention that a lactating woman may pump and discard breastmilk during treatment and for an additional two days after the last dose, based on the recommendation.

Q: Are there official statements about Cifran OD use during pregnancy?

The safety and effectiveness of Cifran OD in pregnant women have not been established in studies. Official guidance indicates that the medicine should only be used during pregnancy if the potential benefit is considered to justify any potential risk to the developing fetus.

Q: Can Cifran OD cause problems with sleep?

Yes, official adverse reaction data includes insomnia (difficulty falling or staying asleep) as a reported side effect associated with the use of the medicine.

Q: Is it common to feel dizzy after taking Cifran OD?

Yes, official documents indicate that dizziness is listed as a commonly reported side effect. This means that a noticeable number of patients in clinical trials experienced dizziness.

Q: What kind of severe side effects are officially associated with Cifran OD?

Official warnings highlight several severe adverse reactions. These include tendinitis and tendon rupture, peripheral neuropathy (nerve damage), serious Central Nervous System effects (like seizures or psychosis), and the risk of aortic aneurysm and dissection.

Q: Is Cifran OD known to interact with caffeine?

Yes, Cifran OD is listed as interacting with caffeine. The medicine can inhibit the enzyme that breaks down caffeine, which may lead to elevated levels of caffeine in the body. This is associated with potential nervousness, sleeplessness, or a faster heart rate.

Q: Is Cifran OD generally suitable for older adults?

Official labeling identifies older adults as having an increased risk for severe tendon problems and a higher risk of QT interval prolongation (a heart rhythm change) compared to younger patients.

Q: Is Cifran OD ever used for urinary tract infections (UTIs)?

Yes, Cifran OD is officially indicated for the treatment of certain uncomplicated and complicated urinary tract infections (UTIs), as well as pyelonephritis (a specific kidney infection).

Q: How long does Cifran OD stay in the system after a dose?

Regulatory data for ciprofloxacin, the active ingredient, indicates that its serum elimination half-life is approximately four hours in individuals with normal kidney function. This measure describes the time it takes for half of the drug to be eliminated from the bloodstream.

Q: Is Cifran OD considered a broad-spectrum antibiotic?

Yes, the active ingredient in Cifran OD, ciprofloxacin, is officially classified as a synthetic broad-spectrum antimicrobial agent. This means it is effective against a wide range of bacteria.

Q: What general population groups are listed as those who cannot use Cifran OD?

Cifran OD is officially contraindicated (should not be used) for individuals with a history of allergy or hypersensitivity to fluoroquinolone antibiotics. It is also contraindicated for people who are currently taking the muscle relaxant medicine Tizanidine.

Q: Is it normal to feel nauseous when starting Cifran OD?

Yes, official adverse reaction data lists nausea as a common side effect. This means that nausea is a recognized and reported common side effect.

Q: Is there a Black Box Warning associated with Cifran OD?

Yes, Cifran OD includes a Boxed Warning—the strongest type of warning issued by the FDA. This warning highlights serious risks, specifically tendinitis, tendon rupture, peripheral neuropathy, and central nervous system effects.

Q: What is the risk of resistance when using Cifran OD?

Official information notes that some types of bacteria, such as Pseudomonas aeruginosa, have been observed to develop resistance relatively quickly during treatment with the active ingredient. This is a common concern with all antibiotics.

Q: Why is it important to complete the full prescribed course of Cifran OD?

Official patient counseling information describes taking the medicine exactly as prescribed and completing the full course of therapy to ensure the bacteria are fully eliminated. This approach is intended to minimize the development of drug-resistant bacteria.

Q: What type of infections are generally not treated by Cifran OD?

Cifran OD is an antibacterial medicine. It is officially indicated for bacterial infections and is not effective for or indicated for the treatment of infections caused by viruses (like a cold or flu) or fungi.

Q: Is Cifran OD known to cause issues with blood sugar levels?

Yes, official adverse reaction data includes both hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar) as reported metabolic side effects. This potential risk is a key caution for patients with a history of blood sugar issues.

Q: Are there any specific liver-related cautions mentioned in the official documents for Cifran OD?

Yes, regulatory documents mention that Cifran OD can be associated with hepatotoxicity, which is liver injury. Although rare, cases of liver failure have been reported, and monitoring of liver function is sometimes described in the official guidance.

How should Cifran OD be stored and disposed of?

Cifran OD (ciprofloxacin extended-release tablets) must be stored under specific conditions as required by official labeling.

Storage Requirements

Condition Requirement
Temperature Store at Controlled Room Temperature, 20 to 25 C (68 to 77 F).
Container Keep the tablets in the original container and keep the bottle tightly closed.
Safety The medication must be kept out of the reach of children.

Disposal Instructions

Disposal of any unused or expired tablets must follow the specific instructions provided in the medication guide or package insert. Unwanted medicine should be disposed of via a drug take-back program where available, or by mixing the medication with an undesirable substance (such as dirt or coffee grounds) in a sealed bag before placing it in household trash, according to general regulatory guidance.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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