She is a registered nurse with experience in rehabilitation, long-term/subacute care, pediatric/adult home care and has worked in acute care facilities in Florida, Pennsylvania, New Jersey and New York. Messina's specialties include neurology, cardiac and renal care. She holds an associate degree in nursing from Gannon University. View Full Profile Foods and beverages such as orange juice that include calcium fortifiers can also diminish the gastrointestinal concentration of Cipro, according to The decreased concentration may postpone reaching peak or therapeutic levels necessary to fight an infection. Some of the fortified products may include juices and cereals. tadalafil patent expiration date Quinolone antibiotics (including ciprofloxacin) may cause serious and possibly permanent tendon damage (such as tendonitis, tendon rupture), nerve problems in the arms and legs (peripheral neuropathy), and nervous system problems. Get medical help right away if you have any of the following symptoms: pain/numbness/burning/tingling/weakness in your arms/hands/legs/feet, changes in how you sense touch/pain/temperature/vibration/body position, severe/lasting headache, vision changes, shaking (tremors), seizures, mental/mood changes (such as agitation, anxiety, confusion, hallucinations, depression, rare thoughts of suicide). Tendon damage may occur during or after treatment with this medication. Stop exercising, rest, and get medical help right away if you develop joint/muscle/tendon pain or swelling. Your risk for tendon problems is greater if you are over 60 years of age, if you are taking corticosteroids (such as prednisone), or if you have a kidney, heart, or lung transplant. This medication may make a certain muscle condition (myasthenia gravis) worse. Tell your doctor right away if you have new or worsening muscle weakness (such as drooping eyelids, unsteady walk) or trouble breathing. 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