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Tendon Rupture

Cipro Patients at as Much Risk as Levaquin Patients for Tendon Rupture


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Cipro is a fluoroquinolone drug similar to Levaquin.

Cipro, (available generically as ciprofloxacin), is prescribed for treatment of bacterial urinary tract infections, acute cystitis (inflammation of the bladder) in women, chronic bacterial prostatitis (inflammation of the prostate gland), lower respiratory infections, acute sinusitis (inflammation of the sinuses), skin infections, bone and joint infections, intra-abdominal infections, infectious diarrhea, typhoid fever, cervical and urethral gonorrhea, and complicated urinary tract infections with kidney infection (in children). Cipro may be administered from 7 to 14 days, depending on the infection.

As a fluoroquinolone drug, Cipro can elevate the risk of tendonitis and tendon rupture (or snap) in patients of all ages. The most commonly involved tendon is the Achilles, the tendon that is located on the back of the leg above the heel. Rupture of the Achilles tendon usually requires surgical repair. The tendon in the shoulder, hand, biceps, or thumb may also become inflamed or tear. Risk is significantly increased in patients over 60 years of age, those taking corticosteroids, and patients with kidney, heart, or lung transplants. Other factors that increase risk are kidney failure, pre-existing kidney failure, and rheumatoid arthritis. Tendinitis and tendon rupture can occur in patients taking Cipro without any of the risk factors listed above.

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Some of the symptoms of tendon rupture include a "popping" feeling, intense pain, weakness, unexpected bruising, inability to move the affected arm or leg, atypical appearance of the affected area, or the inability to bear weight. If a ruptured tendon is suspected, the patient should apply ice and raise the affected area above the heart, compress the area with a bandage to reduce swelling, and seek medical help. Diagnosis of a tendon rupture is usually by means of x-ray, MRI, or ultrasound.

Non-surgical treatment for quadriceps ruptures can include casting for 4-6 weeks to keep the leg immobile. Achilles tendon rupture is treated non-surgically by maintaining the foot in a downward pointing position for 4-8 weeks. This treatment often results in re-rupture at a rate of 30%. Rotator cuff non-surgical treatment is not the most effective management and consists of restriction of movement of the shoulder. Biceps rupture is generally immobilized for healing. Surgical alternatives for all types of ruptures include the risks associated with anesthesia as well as infection. Extended healing times and physical therapy are required for full recovery. In some cases, patients are unable to achieve full range of motion of the affected area.

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If you, or someone you know, has suffered an injury after taking Cipro for infection, seek legal representation and become informed of your options for compensation.

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