Information provided on this site does not constitute medical recommendation or advice. The site exists only to try to help individuals as they search for information; never should anything on this site replace what everyone needs: consultation with and treatment by a doctor or appropriate health care professional. I make no representation with respect to the contents of this site and specifically disclaim any warranties, including but not limited to expressed or implied warranties of merchantability or fitness for any particular usage, application or process.

Blog Posts on this website

Writing About Lupus
By A. G. Moore

Nothing Ventured

Tacrolimus for the Skin? 2/14/2014
The Lupus Gene 2/1/2014
Mineral Oil and Lupus
SLE and Cancer Risk 12/30/2013
Where Does It Hurt? Peripheral
      Neuropathy and SLE     12/21/2013

Flu Jab; Flu Shot; Lupus       12/13/2013
Illness and Choices 12/1/2013
Lupus and Clinical Trials 11/23/2013
Multiple Autoimmunity 11/8/2013
Prednisone Withdrawal 10/28/2013
MAS, More Common in SLE 10/18/2013
To Treat or not to Treat 10/9/2013
Plasmapheresis for Lupus 10/1/2013
HPV and the HPV Vaccine 9/27/2013
Does IVIG Offer Promise? 9/16/2013
Just Another Patient 9/13/2013
Communication Matters 9/7/2013
The Fall Equinox and UV
Treatable, if Identified
Is Belimumab Effective?
Autoimmune Encephalitis
Family Links and SLE
Osteoporosis and Steroids
Rare, But Serious in SLE: Guillain-Barre
5/27/2013 Sticky Blood, Hughes, APS
5/23/2013 The Skin and Lupus
5/14/2013 ANAs in the Lupus Puzzle
5/10/2013 The Older Patient

4/28/2013 Lupus: Signs and Tells
4/20/2013 A Good Night's Sleep
4/8/ 2013 Brain Fog

3/29/2013 Lupus and Travel
3/20/2013 Lupus Patient Compliance
3/11/2013 Lupus and Drug Allergy
Sulfonamides (Sulfa Drugs)

3/1/2013 Lupus Pancreatitis
2/16/2013 Lupus and Sulfasalazine
2/9/2013 Lupus and the Gut
2/1/2012 Lupus and Stress
1/26/2013 Lupus: Assessing
          Disease Activity

Lupus and the LUMINA Study
Living in a Lupus Bubble
1/2/2013 CNS Lupus and Emotions

Lupus Treatment
12/28/2012 NSAIDs
    A Cautionary Tale

12/20/2012 NSAID/Cipro

12/10/2012 IL-6, Lupus and
    Tocilizumab: Cytokine Storm

12/8/2012 Medication Alert
12/5/2012 Rhupus
11/28/2012 A Gene For
11/24/2012 Infection and Lupus
11/14/2012 Zebras, not Horses

Archived Blogs

10/25/2012 Prednisone


10/25/2012 Prednisone and

HPA Suppression
10/24  Lupus and Hair Loss

10/23 Lupus Panniculitis
10/21 Prednisone and
     Drug Interaction
10/20 Weight Gain
      and  Prednisone
10/18 Lupus, Fatigue
        and Muscle Weakness

Autism and Lupus 8/2012
Hospital Rankings U.K.
Hospital Rankings U. S.                                                                               
Lupus Book 10/2012
Lupus Breakthrough 9/2012
Lupus Causes 9/2012
Lupus and Emotions 9/2012

Lupus and Epstein-Barr 8/201
Lupus and Gender 9/2012
Lupus Nephritis Update 10/2012
Lupus and Pesticides  9/2012  
Lupus and Prednisone 10/2012

Lupus and Vaccines
Lupus and Vitamin D 9/2012
Methotrexate 9/2012
Mycophenolate 9/2012
Neutrophil Extracellular Traps
Periodontitis and Lupus 9/2012

Photosensitivity 8/2012
Plaquenil 9/2012
Plaquenil and Quinoric 9/2012
Rituximab 9/2012
Staph and Lupus 9/2012
Lupus Symptoms
What is Lupus?
X Rays and Lupus 

A. G. Moore
Information provided on
this site is for informational
 purposes  only; nothing on
the site is meant to substitute for a
doctor's advice. My articles do
not suggest a course of treatment
nor do they prescribe  medical
care. They are written to
encourage patients to educate
themselves and to have a
productive dialogue with their
doctors. No  website mentioned
on these  posts is either 
explicitly or implicitly endorsed

NSAID/Cipro Interaction
A Word about Quinolones

NSAIDS--non-steroidal anti-inflammatory drugs--are a mainstay of treatment for many people with arthritis. Widely available as over-the-counter medications, NSAIDS are also used casually for a variety of other symptoms. However, the casual use of NSAIDS has come under scrutiny in recent years, as potentially life-threatening side effects of these preparations have come to light. Included in the side effects are cerebrovascular events (like stroke and heart failure) and gastrointestinal bleeding.

While doctors have become more cautious in their use of NDAIDS, these medications are still considered an important part of the arsenal available to fight the symptoms of lupus. If you, and your doctor, are comfortable with the judicious use of these medications, then you should be aware of a potential drug interaction between NSAIDS and a class of drugs known as quinolones (Cipro, for example).

Long-established data indicates that taking both a NSAID and a quinolone together can increase the risk of seizure. Although your doctor certainly may be aware of this potential complication from the combined drug therapy--and if he is not the pharmacist may be--it still is in your best interest to have this information at hand.

Consistent with the philosophy of this website, I believe that patients are the strongest and best advocates for their own care. If you are prescribed a drug in the quinolone family, ask the doctor about the advisability of also taking a NASID. There is a risk involved whenever medicine of any kind is taken. In the case of NSAIDS and quinolones, you and your doctor must decide if the risk outweighs the benefits.

NSAID/Cipro Interaction

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