If you're reading this article, you may have been prescribed ciprofloxacin (Cipro), levofloxacin (Levaquin) or some other type of fluoroquinolone for the treatment of a bacterial infection (think respiratory or urinary tract infection). Overall, these drugs are safe and effective against a wide array of gram-positive and gram-negative bacterial pathogens making them a good choice for systemic or body-wide treatment. At the core of all fluoroquinolones—including drugs like ciprofloxacin and levofloxacin—are 2 six-member carbon rings attached to a fluoride atom. These drugs work by targeting 2 bacterial enzymes responsible for notching, coiling, and sealing DNA during replication: DNA gyrase and topoisomerase IV. Because current fluoroquinolones bind to 2 separate enzymes, it's harder for bacteria to mutate and to evade the actions of these drugs. In addition to broad-spectrum bacterial coverage, fluoroquinolones also sport other properties that make them great antibiotics. First, they are taken by mouth (and not by injection). hydrea for high platelets This includes bone and joint infections, intra abdominal infections, certain type of infectious diarrhea, respiratory tract infections, skin infections, typhoid fever, and urinary tract infections, among others. Ciprofloxacin is used to treat a wide variety of infections, including infections of bones and joints, endocarditis, gastroenteritis, malignant otitis externa, respiratory tract infections, cellulitis, urinary tract infections, prostatitis, anthrax, and chancroid. Ciprofloxacin only treats bacterial infections; it does not treat viral infections such as the common cold. For certain uses including acute sinusitis, lower respiratory tract infections and uncomplicated gonorrhea, ciprofloxacin is not considered a first-line agent. Ciprofloxacin occupies an important role in treatment guidelines issued by major medical societies for the treatment of serious infections, especially those likely to be caused by Gram-negative bacteria, including Pseudomonas aeruginosa. For example, ciprofloxacin in combination with metronidazole is one of several first-line antibiotic regimens recommended by the Infectious Diseases Society of America for the treatment of community-acquired abdominal infections in adults. In other cases, treatment guidelines are more restrictive, recommending in most cases that older, narrower-spectrum drugs be used as first-line therapy for less severe infections to minimize fluoroquinolone-resistance development. Tadalafil structure Valtrex kidney Feb 1, 2002. Ciprofloxacin remains the quinolone most active against Pseudomonas. 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