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DICP, The Annals of Pharmacotherapy: Vol. 24, No. 1, pp. 27-28.
© 1990 Harvey Whitney Books Company.
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Research Articles

Possible interaction between ciprofloxacin and warfarin

AK Kamada

A 72-year-old man had been taking warfarin for a pulmonary embolus and recurrent deep-vein thromboses. His prothrombin times (PTs) were maintained between 15 and 18 sec (PT ratio 1.25-1.5 x control) for several months on a dose of warfarin 2.5 mg/d. Six weeks prior to starting ciprofloxacin 500 mg bid, the patient's PT was 15.5 sec (Pt ratio 1.29 x control). After one week of ciprofloxacin, his PT had increased to 22 sec (PT ratio 1.83 x control). No other causes for the increase were apparent. It is recommended that patients receiving both medications have their prothrombin times carefully monitored and warfarin doses adjusted only as necessary.


This article has been cited by other articles:


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The Annals of PharmacotherapyHome page
D. N Carroll and D. G Carroll
Interactions Between Warfarin and Three Commonly Prescribed Fluoroquinolones
Ann. Pharmacother., May 1, 2008; 42(5): 680 - 685.
[Abstract] [Full Text] [PDF]


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J Clin PharmacolHome page
C. Washington, S. Y. E. Hou, N. C. Hughes, C. Campanella, and B. Berner
Ciprofloxacin Prolonged-Release Tablets Do Not Affect Warfarin Pharmacokinetics and Pharmacodynamics
J. Clin. Pharmacol., October 1, 2007; 47(10): 1320 - 1326.
[Abstract] [Full Text] [PDF]




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