CIPROFLOXACIN

83/100 · Critical

Manufactured by Bayer HealthCare Pharmaceuticals Inc.

High Safety Concerns with Ciprofloxacin, Particularly for Serious Reactions

205,746 FDA adverse event reports analyzed

Last updated: 2026-05-12

About CIPROFLOXACIN

CIPROFLOXACIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Bayer HealthCare Pharmaceuticals Inc.. Based on analysis of 205,746 FDA adverse event reports, CIPROFLOXACIN has a safety score of 83 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for CIPROFLOXACIN include DRUG HYPERSENSITIVITY, PAIN, FATIGUE, DIARRHOEA, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for CIPROFLOXACIN.

AI Safety Analysis

Ciprofloxacin has a safety concern score of 83 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 205,746 adverse event reports for this medication, which is primarily manufactured by Bayer Healthcare Pharmaceuticals Inc..

The most commonly reported adverse events include Drug Hypersensitivity, Pain, Fatigue. Of classified reports, 83.2% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Ciprofloxacin reports show a high frequency of serious adverse events, particularly kidney and respiratory issues.

The drug is frequently reported to cause kidney injury and respiratory distress, indicating potential organ toxicity. A significant number of reports involve drug interactions and off-label use, suggesting caution is needed.

Patients taking Ciprofloxacin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Ciprofloxacin can interact with various drugs, including warfarin and nonsteroidal anti-inflammatory drugs (NSAIDs), and should be used with caution. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 83/100

Ciprofloxacin received a safety concern score of 83/100 (high concern). This is based on a 83.2% serious event ratio across 89,390 classified reports. The score accounts for 205,746 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DRUG HYPERSENSITIVITY5,673 reports
PAIN5,585 reports
FATIGUE5,502 reports
DIARRHOEA5,327 reports
NAUSEA5,302 reports
ARTHRALGIA5,211 reports
DRUG INEFFECTIVE4,633 reports
ACUTE KIDNEY INJURY4,502 reports
CHRONIC KIDNEY DISEASE4,395 reports
DYSPNOEA4,097 reports
OFF LABEL USE4,035 reports
PYREXIA3,885 reports
ANXIETY3,807 reports
VOMITING3,725 reports
HEADACHE3,681 reports
PAIN IN EXTREMITY3,593 reports
DIZZINESS3,285 reports
RENAL FAILURE3,275 reports
ASTHENIA3,264 reports
RASH3,103 reports
MALAISE3,060 reports
PNEUMONIA3,027 reports
DRUG INTERACTION2,990 reports
NEUROPATHY PERIPHERAL2,983 reports
ABDOMINAL PAIN2,838 reports
URINARY TRACT INFECTION2,783 reports
MYALGIA2,733 reports
PARAESTHESIA2,538 reports
CONDITION AGGRAVATED2,522 reports
DEPRESSION2,498 reports
INSOMNIA2,329 reports
WEIGHT DECREASED2,321 reports
TENDONITIS2,162 reports
BACK PAIN2,156 reports
PRURITUS2,110 reports
HYPOAESTHESIA2,083 reports
COUGH2,065 reports
GAIT DISTURBANCE2,036 reports
TENDON PAIN1,913 reports
DEATH1,852 reports
ANAEMIA1,797 reports
MUSCULAR WEAKNESS1,781 reports
DECREASED APPETITE1,741 reports
CHEST PAIN1,665 reports
ABDOMINAL PAIN UPPER1,663 reports
MUSCLE SPASMS1,623 reports
FALL1,586 reports
CONSTIPATION1,571 reports
CONFUSIONAL STATE1,568 reports
HYPOTENSION1,495 reports
SEPSIS1,495 reports
FEELING ABNORMAL1,458 reports
HYPERTENSION1,433 reports
TREMOR1,406 reports
HYPERSENSITIVITY1,397 reports
END STAGE RENAL DISEASE1,380 reports
ERYTHEMA1,369 reports
PALPITATIONS1,342 reports
DEHYDRATION1,329 reports
FEBRILE NEUTROPENIA1,309 reports
NEUTROPENIA1,294 reports
URTICARIA1,278 reports
THROMBOCYTOPENIA1,254 reports
TENDON RUPTURE1,239 reports
INFECTION1,233 reports
TINNITUS1,204 reports
ABDOMINAL DISCOMFORT1,194 reports
BURNING SENSATION1,183 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,155 reports
OEDEMA PERIPHERAL1,121 reports
JOINT SWELLING1,120 reports
PERIPHERAL SWELLING1,077 reports
TENDON DISORDER1,075 reports
PRODUCT USE IN UNAPPROVED INDICATION1,058 reports
EMOTIONAL DISTRESS1,035 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,014 reports
WEIGHT INCREASED1,013 reports
VISION BLURRED1,006 reports
CHILLS1,001 reports
TOXICITY TO VARIOUS AGENTS982 reports
INJURY979 reports
RENAL IMPAIRMENT964 reports
ALOPECIA959 reports
VISUAL IMPAIRMENT940 reports
TUBULOINTERSTITIAL NEPHRITIS932 reports
RENAL INJURY931 reports
TACHYCARDIA926 reports
ASTHMA919 reports
HYPERHIDROSIS915 reports
DYSPEPSIA910 reports
OEDEMA904 reports
BLOOD PRESSURE INCREASED890 reports
SOMNOLENCE877 reports
MUSCULOSKELETAL STIFFNESS871 reports
HAEMOGLOBIN DECREASED862 reports
WHEEZING858 reports
MUSCULOSKELETAL PAIN842 reports
PANCYTOPENIA822 reports
NASOPHARYNGITIS818 reports
BALANCE DISORDER804 reports

Key Safety Signals

  • Acute and chronic kidney injury are among the most common serious reactions.
  • Respiratory issues such as dyspnea and pneumonia are also frequently reported.
  • Drug interactions and off-label use are significant safety signals.

Patient Demographics

Adverse event reports by sex: Female: 47,040, Male: 34,300, Unknown: 317. The most frequently reported age groups are age 65 (1,804 reports), age 67 (1,412 reports), age 66 (1,368 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 89,390 classified reports for CIPROFLOXACIN:

  • Serious: 74,347 reports (83.2%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 15,043 reports (16.8%)
Serious 83.2%Non-Serious 16.8%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female47,040 (57.6%)
Male34,300 (42.0%)
Unknown317 (0.4%)

Reports by Age

Age 651,804 reports
Age 671,412 reports
Age 661,368 reports
Age 691,351 reports
Age 621,341 reports
Age 631,284 reports
Age 681,283 reports
Age 711,282 reports
Age 601,279 reports
Age 701,257 reports
Age 611,253 reports
Age 721,213 reports
Age 561,210 reports
Age 551,193 reports
Age 641,181 reports
Age 581,179 reports
Age 741,156 reports
Age 541,137 reports
Age 731,133 reports
Age 591,098 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Ciprofloxacin can interact with various drugs, including warfarin and nonsteroidal anti-inflammatory drugs (NSAIDs), and should be used with caution.

What You Should Know

If you are taking Ciprofloxacin, here are important things to know. The most commonly reported side effects include drug hypersensitivity, pain, fatigue, diarrhoea, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should inform their healthcare provider of all current medications to avoid potential drug interactions. Use Ciprofloxacin only for approved indications and follow prescribed dosages. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA has issued warnings regarding the use of fluoroquinolones like Ciprofloxacin due to the risk of severe side effects, particularly in older adults.

Frequently Asked Questions

How many adverse event reports has the FDA received for Ciprofloxacin?

The FDA has received approximately 205,746 adverse event reports associated with Ciprofloxacin. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Ciprofloxacin?

The most frequently reported adverse events for Ciprofloxacin include Drug Hypersensitivity, Pain, Fatigue, Diarrhoea, Nausea. By volume, the top reported reactions are: Drug Hypersensitivity (5,673 reports), Pain (5,585 reports), Fatigue (5,502 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Ciprofloxacin.

What percentage of Ciprofloxacin adverse event reports are serious?

Out of 89,390 classified reports, 74,347 (83.2%) were classified as serious and 15,043 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Ciprofloxacin (by sex)?

Adverse event reports for Ciprofloxacin break down by patient sex as follows: Female: 47,040, Male: 34,300, Unknown: 317. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Ciprofloxacin?

The most frequently reported age groups for Ciprofloxacin adverse events are: age 65: 1,804 reports, age 67: 1,412 reports, age 66: 1,368 reports, age 69: 1,351 reports, age 62: 1,341 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Ciprofloxacin?

The primary manufacturer associated with Ciprofloxacin adverse event reports is Bayer Healthcare Pharmaceuticals Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Ciprofloxacin?

Beyond the most common reactions, other reported adverse events for Ciprofloxacin include: Arthralgia, Drug Ineffective, Acute Kidney Injury, Chronic Kidney Disease, Dyspnoea. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Ciprofloxacin?

You can report adverse events from Ciprofloxacin to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Ciprofloxacin's safety score and what does it mean?

Ciprofloxacin has a safety concern score of 83 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Ciprofloxacin reports show a high frequency of serious adverse events, particularly kidney and respiratory issues.

What are the key safety signals for Ciprofloxacin?

Key safety signals identified in Ciprofloxacin's adverse event data include: Acute and chronic kidney injury are among the most common serious reactions.. Respiratory issues such as dyspnea and pneumonia are also frequently reported.. Drug interactions and off-label use are significant safety signals.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Ciprofloxacin interact with other drugs?

Ciprofloxacin can interact with various drugs, including warfarin and nonsteroidal anti-inflammatory drugs (NSAIDs), and should be used with caution. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Ciprofloxacin.

What should patients know before taking Ciprofloxacin?

Patients should inform their healthcare provider of all current medications to avoid potential drug interactions. Use Ciprofloxacin only for approved indications and follow prescribed dosages.

Are Ciprofloxacin side effects well-documented?

Ciprofloxacin has 205,746 adverse event reports on file with the FDA. The drug is frequently reported to cause kidney injury and respiratory distress, indicating potential organ toxicity. The volume of reports for Ciprofloxacin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Ciprofloxacin?

The FDA has issued warnings regarding the use of fluoroquinolones like Ciprofloxacin due to the risk of severe side effects, particularly in older adults. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to CIPROFLOXACIN based on therapeutic use, drug class, or shared indications:

LevofloxacinMoxifloxacinGatifloxacinNorfloxacinGemifloxacin
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.