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Ciprofolxacin side effects: what 71,186 FDA adverse event reports show

Ciprofolxacin · Ciprofloxacin · 1,234 reaction terms · 328,489 drug–reaction co-reports · data 2026-09-14
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Drug class

Fluoroquinolone antibacterial

FDA label, Indications wording

Brand names

Ciprofloxacin

openFDA label

Who reports

71,186 reports · 88% serious · 7,867 with death outcome · 55% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Click here to enter Indications Ciprofloxacin is a fluoroquinolone antibacterial indicated in adults (18 years of age and older) with the following infections caused by designated, susceptible bacteria and in pediatric patients where indicated: • Skin and Skin Structure Infections ( Error! Hyperlink reference not valid. ) • Bone and Joint Infections ( Error! Hyperlink reference not valid.

FDA label, Indications and Usage

What it is

Ciprofloxacin Tablets, USP are synthetic antimicrobial agents for oral administration. Ciprofloxacin hydrochloride, USP, a fluoroquinolone, is the monohydrochloride monohydrate salt of 1-cyclopropyl- 6-fluoro- 1,4-dihydro- 4-oxo- 7-(1-piperazinyl)- 3-quinolinecarboxylic acid.

FDA label, Description section

Boxed warning

SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS AND EXACERBATION OF MYASTHENIA GRAVIS • Fluoroquinolones, including ciprofloxacin, have been assoc.

FDA label
How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled — boxed warning 2Labeled adverse reaction 2Labeled (related wording) 6Likely indication confounding 1Reporting / coding artifact 1Lab value / disease marker 1Not in label — unassessed 27
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,194 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Vaginal flatulence96135.0
106.0–172.0ROR 135.2 · calibrated p 2e-8 ✓
90.8 EB05 76.5 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious n=96 · ♀ 100% (drug 55%)no trial arm names this drug
Geotrichum infection56105.3
77.6–143.0ROR 105.4 · calibrated p 1e-7 ✓
75.6 EB05 60.4 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=56 · ♀ 100% (drug 55%) · 100% clinicianno trial arm names this drug
Chronic kidney disease-mineral and bone disorder16352.5
44.5–62.1ROR 52.6 · calibrated p 1e-5 ✓
44.4 EB05 39.0 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=163no trial arm names this drug
Dysbiosis11348.3
39.6–58.9ROR 48.4 · calibrated p 2e-5 ✓
41.3 EB05 35.3 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=113no trial arm names this drug
Nephrogenic anaemia64847.3
43.6–51.4ROR 47.8 · calibrated p 2e-5 ✓
40.8 EB05 38.2 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=648no trial arm names this drug
Hyperparathyroidism secondary35047.2
42.2–52.8ROR 47.4 · calibrated p 2e-5 ✓
40.6 EB05 37.2 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=350no trial arm names this drug
Tendon disorder82942.8
39.8–46.0ROR 43.3 · calibrated p 3e-5 ✓
37.4 EB05 35.3 · IC025 +5.1
3/3 methods agree
Labeled adverse reaction
exact term
serious n=768no trial arm names this drug
Rebound acid hypersecretion38442.1
37.8–46.8ROR 42.3 · calibrated p 4e-5 ✓
36.8 EB05 33.8 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=384 · 100% consumerno trial arm names this drug
Crystal nephropathy6939.2
30.5–50.4ROR 39.2 · calibrated p 7e-5 ✓
34.3 EB05 28.1 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=69 · ♀ 100% (drug 55%) · 100% clinicianno trial arm names this drug
Tendonitis1,75237.3
35.5–39.2ROR 38.2 · calibrated p 7e-5 ✓
33.2 EB05 31.9 · IC025 +5.0
3/3 methods agree
Labeled — boxed warning
synonym match
serious PRR 25.5no trial arm names this drug
Nasal oedema19736.3
31.3–42.1ROR 36.4 · calibrated p 1e-4 ✓
32.3 EB05 28.7 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=197 · ♀ 100% (drug 55%) · 92% clinicianno trial arm names this drug
Small fibre neuropathy7835.1
27.8–44.4ROR 35.2 · calibrated p 1e-4 ✓
31.2 EB05 25.8 · IC025 +4.3
3/3 methods agree
Not in label — unassessedserious n=78 · ♀ 0% (drug 55%) · 100% consumerno trial arm names this drug
Joint noise16928.1
24.0–32.8ROR 28.1 · calibrated p 4e-4 ✓
25.6 EB05 22.5 · IC025 +4.3
3/3 methods agree
Not in label — unassessedserious n=160 · 78% consumerno trial arm names this drug
Female genital tract fistula13725.4
21.3–30.3ROR 25.5 · calibrated p 7e-4 ✓
23.4 EB05 20.3 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious n=137 · ♀ 100% (drug 55%)no trial arm names this drug
Joint crepitation15524.5
20.8–28.9ROR 24.6 · calibrated p 8e-4 ✓
22.6 EB05 19.8 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious n=148no trial arm names this drug
Chronic fatigue syndrome10423.8
19.5–29.0ROR 23.8 · calibrated p 1e-3 ✓
22.0 EB05 18.7 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=103 · 100% consumerno trial arm names this drug
Tendon rupture (torn tendon)89322.8
21.4–24.4ROR 23.1 · calibrated p 1e-3 ✓
21.2 EB05 20.1 · IC025 +4.3
3/3 methods agree
Labeled — boxed warning
exact term
serious PRR 14.5no trial arm names this drug
Connective tissue disorder10022.2
18.1–27.2ROR 22.2 · calibrated p 0.001 ✓
20.6 EB05 17.4 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=98no trial arm names this drug
Pouchitis5921.6
16.6–28.1ROR 21.6 · calibrated p 0.002 ✓
20.0 EB05 16.1 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=58 · ♀ 0% (drug 55%) · 100% clinicianno trial arm names this drug
End stage renal disease1,24321.3
20.1–22.5ROR 21.6 · calibrated p 0.001 ✓
19.9 EB05 19.0 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious PRR 12.9no trial arm names this drug
Epicondylitis9419.5
15.9–24.1ROR 19.6 · calibrated p 0.002 ✓
18.3 EB05 15.4 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=94 · 100% consumerno trial arm names this drug
Pseudomembranous colitis13118.2
15.3–21.7ROR 18.2 · calibrated p 0.003 ✓
17.1 EB05 14.8 · IC025 +3.7
3/3 methods agree
Labeled adverse reaction
exact term
serious n=131 · 100% clinicianno trial arm names this drug
Vanishing bile duct syndrome6117.1
13.2–22.1ROR 17.1 · calibrated p 0.005 ✓
16.1 EB05 12.9 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=61 · ♀ 0% (drug 55%) · 100% clinicianno trial arm names this drug
Radiculopathy13716.1
13.6–19.1ROR 16.1 · calibrated p 0.005 ✓
15.3 EB05 13.2 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=137 · ♀ 100% (drug 55%)no trial arm names this drug
Acinetobacter infection5616.0
12.2–21.0ROR 16.0 · calibrated p 0.006 ✓
15.1 EB05 12.0 · IC025 +3.3
3/3 methods agree
Not in label — unassessedserious n=56 · ♀ 0% (drug 55%) · 100% clinicianno trial arm names this drug
Clostridium test positive10815.3
12.6–18.6ROR 15.3 · calibrated p 0.007 ✓
14.5 EB05 12.3 · IC025 +3.5
3/3 methods agree
Lab value / disease markerserious n=108 · 100% clinicianno trial arm names this drug
Tubulointerstitial nephritis89414.7
13.8–15.7ROR 14.9 · calibrated p 0.007 ✓
14.1 EB05 13.3 · IC025 +3.7
3/3 methods agree
Not in label — unassessedage-adj. PRR 11.5 · serious PRR 9.2no trial arm names this drug
Pathogen resistance43014.6
13.2–16.0ROR 14.6 · calibrated p 0.008 ✓
13.9 EB05 12.8 · IC025 +3.6
3/3 methods agree
Reporting / coding artifactserious PRR 9.5 · 96% clinicianno trial arm names this drug
Proctitis13114.4
12.1–17.1ROR 14.4 · calibrated p 0.009 ✓
13.7 EB05 11.8 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=131 · ♀ 100% (drug 55%)no trial arm names this drug
Fistula discharge5914.3
11.0–18.6ROR 14.3 · calibrated p 0.010 ✓
13.5 EB05 10.8 · IC025 +3.2
3/3 methods agree
Not in label — unassessedserious n=59 · 100% clinicianno trial arm names this drug
Plantar fasciitis15314.0
11.9–16.4ROR 14.0 · calibrated p 0.010 ✓
13.3 EB05 11.6 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=149 · 70% consumerno trial arm names this drug
Weight bearing difficulty12213.9
11.6–16.7ROR 13.9 · calibrated p 0.010 ✓
13.2 EB05 11.3 · IC025 +3.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=119no trial arm names this drug
Depersonalisation/derealisation disorder7213.7
10.9–17.4ROR 13.8 · calibrated p 0.011 ✓
13.0 EB05 10.6 · IC025 +3.2
3/3 methods agree
Not in label — unassessedserious n=72 · 100% consumerno trial arm names this drug
Linear iga disease7313.5
10.7–17.0ROR 13.5 · calibrated p 0.012 ✓
12.8 EB05 10.4 · IC025 +3.2
3/3 methods agree
Not in label — unassessedserious n=73 · ♀ 0% (drug 55%) · 100% clinicianno trial arm names this drug

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Tendon disorder4,34437.836.7–39.0signal
Severe cutaneous reaction1,8777.67.3–7.9signal
Kidney injury7,3784.84.7–4.9signal
Neutropenia / agranulocytosis2,6543.23.1–3.3signal
Rhabdomyolysis / myopathy8012.92.7–3.1signal
Hyponatraemia7272.72.5–2.9signal
Arrhythmia / qt1,7122.62.5–2.7signal
Serious infection6,7552.62.5–2.7signal
Depression2,2922.42.3–2.5signal
Liver injury2,4162.42.3–2.5signal
Thrombocytopenia1,6932.32.2–2.4signal
Anaemia2,2902.32.2–2.4signal
Anaphylaxis / angioedema8402.01.9–2.1raised
Opportunistic infection8211.81.7–1.9raised
Interstitial lung disease5621.71.6–1.9raised
Gi bleeding1,0291.71.6–1.8raised

Trial evidence (ClinicalTrials.gov)

No completed trial with posted adverse-event results was found on ClinicalTrials.gov for Ciprofolxacin (searched CIPROFOLXACIN).

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Fatigue (tiredness)4,3211.6
1.6–1.7ROR 1.7 · calibrated p 0.759
1.6 EB05 1.6 · IC025 +0.7Labeled — boxed warning
synonym match
age-adj. PRR 1.5 · serious PRR 1.8no trial arm names this drug
Pain4,2092.0
2.0–2.1ROR 2.1 · calibrated p 0.990
2.0 EB05 2.0 · IC025 +1.0Labeled adverse reaction
exact term
age-adj. PRR 2.1 · serious PRR 2.0no trial arm names this drug
Nausea4,1291.5
1.5–1.6ROR 1.6 · calibrated p 0.692
1.5 EB05 1.5 · IC025 +0.6Labeled adverse reaction
exact term
age-adj. PRR 1.4 · serious PRR 1.7no trial arm names this drug
Diarrhoea (diarrhea)4,1291.9
1.8–2.0ROR 2.0 · calibrated p 0.918
1.9 EB05 1.8 · IC025 +0.9Likely indication confounding
term in indications; also in warnings
age-adj. PRR 1.7 · serious PRR 2.0no trial arm names this drug
Arthralgia (joint pain)4,0452.9
2.8–3.0ROR 3.0 · calibrated p 0.623
2.9 EB05 2.8 · IC025 +1.5
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.8 · serious PRR 3.2no trial arm names this drug
Drug ineffective (drug did not work)3,9540.9
0.9–0.9ROR 0.9 · calibrated p 0.229
0.9 EB05 0.9 · IC025 -0.2
PRR-only: not supported by EBGM or IC
Reporting / coding artifactage-adj. PRR 1.1 · serious PRR 1.5no trial arm names this drug
Off label use (used outside approved label)3,4331.2
1.1–1.2ROR 1.2 · calibrated p 0.423
1.2 EB05 1.1 · IC025 +0.2Reporting / coding artifactage-adj. PRR 1.1 · serious PRR 1.3no trial arm names this drug
Dyspnoea (shortness of breath)3,3301.7
1.7–1.8ROR 1.8 · calibrated p 0.815
1.7 EB05 1.7 · IC025 +0.7Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.5no trial arm names this drug
Vomiting3,1182.0
1.9–2.0ROR 2.0 · calibrated p 0.949
2.0 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.8 · serious PRR 1.8no trial arm names this drug
Anxiety3,0043.1
3.0–3.2ROR 3.2 · calibrated p 0.560
3.1 EB05 3.0 · IC025 +1.6
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.3 · serious PRR 2.8no trial arm names this drug
Headache2,8471.3
1.3–1.4ROR 1.4 · calibrated p 0.545
1.3 EB05 1.3 · IC025 +0.4Labeled adverse reaction
exact term
age-adj. PRR 1.3 · serious PRR 1.6no trial arm names this drug

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Ciprofolxacin?

In FDA FAERS, the most frequently co-reported reaction terms for Ciprofolxacin are fatigue, pain, acute kidney injury, nausea, diarrhoea, arthralgia. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Ciprofolxacin have an FDA boxed warning?

Yes. The current FDA label carries a boxed warning: SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS AND EXACERBATION OF MYASTHENIA GRAVIS • Fluoroquinolones, including ciprofloxacin, have been assoc.

Do FAERS signals prove that Ciprofolxacin causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.