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Cipro and Tendonitis - 12/3/2009 6:39:59 PM   
LafayetteLady


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From: Northern New Jersey
Status: offline 		Ok, so here's a new one for all you medical people.

I got all my test results back from the doctor. They are as expected, blood glucose up, etc. I also have a kidney/UTI infection for which the doctor called in a prescription for Cipro. Ok, no big deal, right? Well by chance I happen to read the pamphlet from the pharmacist. Ordinarily, this is for my amusement, not much else. I've taken Cipro in the past with no problems. But the surgery I'm due to have next week is on the ligaments/tendons in my ankle. The first thing in the pamphlet was a warning about Cipro and tendon problems. The exact wording was "This medication may rarely cause tendon damage (e.g. tendonitis, tendon rupture) during or after treatment."

Ordinarily I would just read this, make mental note and move on. But because of the existing problem with the ligaments and tendons, I'm wondering whether or not maybe I should be concerned. I called the pharmacist who suggested I wait and talk with the doctor before starting it, which I plan to do. Of course, by the time I got the script filled and everything the doctor was gone for the day and I don't think this is something to call the service about and request a call back, so tomorrow will do fine. But in the meantime, I thought I would pop on here and see if anyone had any thoughts or knowledge about the issue.

As for the problem with my ankle, I will be having lateral collateral reconstruction of the ligaments in my left ankle (say that one after a few glasses of wine!). The condition is called ligamentus laxidity.
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RE: Cipro and Tendonitis - 12/3/2009 8:33:56 PM   
sirsholly


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Status: offline 		 perhaps this may help?


http://www.webmd.com/news/20080708/fda-warning-cipro-may-rupture-tendons

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RE: Cipro and Tendonitis - 12/3/2009 8:53:44 PM   
LafayetteLady


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Status: offline 		Thanks Holly,

From what I'm reading, I'm glad I didn't just start it without waiting to talk to my doctor first. The injury that needs reconstruction is in the ankle right in the area they are saying is affected most often, and I seem to have tendonitis in my thumb according to one of my doctors. It will be interesting to see what the doctor says, but I'm kind of thinking that this may not be the best choice of antibiotics for me right now.

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RE: Cipro and Tendonitis - 12/3/2009 9:03:50 PM   
sirsholly


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Status: offline 		I agree...but that bladder infection has to be treated with something. You are between a rock and a hard place. Please let us know how this ends up 

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RE: Cipro and Tendonitis - 12/3/2009 9:35:57 PM   
LafayetteLady


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Status: offline 		That's kind of how I'm looking at it right now. But the ankle has just gotten worse and worse over the last couple of weeks, and from what I understand it can reach a point where it will be beyond repair. Obviously, there must be other antibiotics available, and I guess my doctor just picked the Cipro because it is the most common one for bladder infections and he probably completely forgot about the ankle.

We'll see what he says when I call in the morning. Thanks for your help though, I really appreciate it. This damn body of mine seems to be falling apart all at once!

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RE: Cipro and Tendonitis - 12/4/2009 4:19:03 AM   
zephyroftheNorth


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Status: offline 		".....estimates that spontaneous ruptures occur in about one in 100,000 people."

Honestly I really wouldn't worry, this is hardly a common thing. They just have to report any and all side effects. I'm guessing your doctor is going to tell you to take Cipro.

Zeph

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RE: Cipro and Tendonitis - 12/4/2009 7:12:15 AM   
LafayetteLady


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quote:

ORIGINAL: zephyroftheNorth

".....estimates that spontaneous ruptures occur in about one in 100,000 people."

Honestly I really wouldn't worry, this is hardly a common thing. They just have to report any and all side effects. I'm guessing your doctor is going to tell you to take Cipro.

Zeph



Zeph, You are correct, the doctor said that I should take it and because it was only a 5 day course, not to worry. To be clear, I ordinarily would read that and file it away in my brain, dismissing it. However, because of the current issues I am having with tendons and ligaments in my ankle which are requiring surgery, I certainly wanted to be sure that there was little liklihood that Cipro would worsen the problem.

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RE: Cipro and Tendonitis - 12/4/2009 8:19:57 AM   
DesFIP


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Status: offline 		I think you should have called the service and requested a call back. Bladder infections can travel up to the kidneys so I wouldn't recommend delaying treatment in future.

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RE: Cipro and Tendonitis - 12/4/2009 8:41:03 AM   
LafayetteLady


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quote:

ORIGINAL: DesFIP

I think you should have called the service and requested a call back. Bladder infections can travel up to the kidneys so I wouldn't recommend delaying treatment in future.


While you are right about the dangers of bladder infections, there was little liklihood that delaying treatment for less than 24 hours would have resulted in any problems.

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RE: Cipro and Tendonitis - 12/4/2009 8:49:18 AM   
windchymes


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Status: offline 		I have to agree with zephyr......it sounds like a really remote possibility and the risks from complications from the bladder infection are greater than tendon damage resulting from one course of Cipro.

I haven't read holly's link yet, but I intend to after I get done typing this :)

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RE: Cipro and Tendonitis - 12/4/2009 9:45:08 AM   
LafayetteLady


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Status: offline 		And as I said to Zephr, I agree totally. Were it not for the already existing tendon issues, I would have disregarded it totally, however since those issues do exist, those statistics are invalid in my situation. Waiting until the next day to make sure it wouldn't be an issue was the right course of action. Just like if there was a stern warning about a rare effect on raising blood pressure, I would wait and call my doctor before taking a risk, just to be sure.

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RE: Cipro and Tendonitis - 12/4/2009 9:50:33 AM   
windchymes


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Status: offline 		Oh, absolutely, LL, if I implied that you should just take the drug and not worry, I didn't mean to.  I totally agree that checking with the doc first IS the right course of action.  I just was trying to say that I didn't think it was something to really panic about.   Concern yes, panic no. :)   (And I also wasn't implying that you were panicking.....)

Good luck with the surgery, and I bid you get well soon in advance :)

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RE: Cipro and Tendonitis - 12/4/2009 10:17:31 AM   
LafayetteLady


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Status: offline 		Yes it did seem as though some people were implying that because of the rarity (in normal circumstances), I should worry more about the infection more than the tendon issues. Honestly, this infection has probably been there for a bit, without any symptoms. I'm learning that with diabetes, they can be a recurring issue, and a bit of a pain in the ass.

Didn't once think you were implying that I was getting in a panic over the issue. It was kind of a shock to read that warning, especially since it isn't like I've never taken Cipro before, so it seemed somewhat of a new discovery. Right now my biggest concern is that they won't do the surgery if there is an existing infection, or if I don't get rid of this cold that just hit yesterday. I'm getting a little bored with all the pretty little colors on my ankle that aren't part of my tattoo, and want to get the ankle resolved asap.

Thanks for the good wishes in advance. Hopefully I won't be entertaining everyone with tales of my falling down all the stairs in my house while trying to get around!

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RE: Cipro and Tendonitis - 12/4/2009 1:38:11 PM   
zephyroftheNorth


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Status: offline
quote:

ORIGINAL: LafayetteLady


quote:

ORIGINAL: zephyroftheNorth

".....estimates that spontaneous ruptures occur in about one in 100,000 people."

Honestly I really wouldn't worry, this is hardly a common thing. They just have to report any and all side effects. I'm guessing your doctor is going to tell you to take Cipro.

Zeph



Zeph, You are correct, the doctor said that I should take it and because it was only a 5 day course, not to worry. To be clear, I ordinarily would read that and file it away in my brain, dismissing it. However, because of the current issues I am having with tendons and ligaments in my ankle which are requiring surgery, I certainly wanted to be sure that there was little liklihood that Cipro would worsen the problem.


Having worked for doctors for ages now I would have been surprised if he had said otherwise. On the other hand I can understand your being so cautious.

Eat lots of yohurt with it, antibiotics kill the good bacteria as well as the bad

Eta I work right near some research people and when they do a trial they tell the patients to report everything they experience, no matter how silly it seems. That's how things like this report of spontaneous tendon rupture come about.


< Message edited by zephyroftheNorth -- 12/4/2009 1:41:12 PM >

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RE: Cipro and Tendonitis - 12/4/2009 10:12:51 PM   
LafayetteLady


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quote:

ORIGINAL: zephyroftheNorth

Eat lots of yohurt with it, antibiotics kill the good bacteria as well as the bad

Eta I work right near some research people and when they do a trial they tell the patients to report everything they experience, no matter how silly it seems. That's how things like this report of spontaneous tendon rupture come about.
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Yea, I know about the yogurt thing. Funny isn't it though? I need the antibiotic for a bladder infection, but the antibiotic can cause a yeast infection. Seems like no matter what, I might end up with an itchy cooch!

I was just explaining to someone the other day how the trials go and how all side effects are reported regardless of how rare (I worked for a pharmaceutical company many moons ago in the transplant division). Normally if I read those inserts at all, it's usually for a chuckle. I mean how many prescriptions report side effects of both diarhea AND constipation? Or sleeping pills such as Ambien warning that its use may cause drowsiness (I certainly freaking hope so!).

I think between the recent diabetes diagnosis, the injuries suffered in a fall a year ago that are still causing issues, such as the ankle, and then reading that a medication can make my existing issue worse, it was just a bit of overload because it seems like if there is a potential side effect or something that CAN happen, it's going to happen to me lately.

In any case, we are taking the Cipro, bought some "diabetic friendly" (really it says that on the label) yogurt, and now am just trying to chase this cold away. I plan to do it with much sleep or peacefully watching the predicted snow for the weekend.

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RE: Cipro and Tendonitis - 12/5/2009 7:41:38 AM   
barelynangel


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Status: offline 		Okay i have a really stupid question, but doesn't your doctor know about your surgery and what its for? If he is prescribing things, he should know about it as there may be somethings you shouldn't be taking right before a surgery due to its effect on blood thinning etc.

I guess that is what i am finding odd. You should also call your surgeon and explain what your doctor prescribed and ask him anything this doctor prescribes simply as a joint effort thing where they both know what's going on with your body.

I would be more apt to find out what the surgeon thinks i should take or not take than my regular doctor before a surgery even prescriptions that have nothing to do with the surgery. Also, could your having this infection somehow cause issues with your surgery -- i.e., healing etc if its not gone?

< Message edited by barelynangel -- 12/5/2009 7:45:18 AM >

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RE: Cipro and Tendonitis - 12/5/2009 1:26:05 PM   
LafayetteLady


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quote:

ORIGINAL: barelynangel

Okay i have a really stupid question, but doesn't your doctor know about your surgery and what its for? If he is prescribing things, he should know about it as there may be somethings you shouldn't be taking right before a surgery due to its effect on blood thinning etc.

I guess that is what i am finding odd. You should also call your surgeon and explain what your doctor prescribed and ask him anything this doctor prescribes simply as a joint effort thing where they both know what's going on with your body.

I would be more apt to find out what the surgeon thinks i should take or not take than my regular doctor before a surgery even prescriptions that have nothing to do with the surgery. Also, could your having this infection somehow cause issues with your surgery -- i.e., healing etc if its not gone?



Yes my doctor does know about the surgery. However, when test results come in, most doctors don't sit and go over a file in detail, those results came almost a week after the test. MY caution was that since Cipro is a standard treatment, sometimes things slip their mind and that is why a patient needs to also be on top of things. There aren't a lot of antibiotic type medications that cause blood thinning by the way.

The surgeon receives the release from my doctor that says I'm "healthy" enough for surgery. Different medications have a different effect on different types of surgery. What may cause concern for heart surgery is not necessarily true for an ankle reconstruction.

Any prescriptions that would have something to do with the surgery, would be prescribed by the surgeon. Yes, if this infection is not gone, if my cold is not cleared up, if my blood pressure is not under control by the time the surgery arises, these all can have an affect on the surgery being postponed. A bladder infection does not inhibit the healing process on an ankle reconstruction, although diabetes certainly will, and of course my doctor is aware of that.

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RE: Cipro and Tendonitis - 12/5/2009 11:14:20 PM   
tazzygirl


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Status: offline 		Just an FYI

When they list side effects, they are taking these from a pool of people who were in on the clinical trials, usually. Those people list all illenesses, concerns, ect, they had while taking these meds. If one got pregnant, they may list it as potentially causing a decrease in the effectiveness of birth control pills. Another complains of a cough, and it will be listed. Someone may develop the flu, and all the flu-like symptoms will be included.

I am in no way advocating taking a medication when it causes you concern. But, in the future, start with the pharmacist instead of waiting a day or two to talk to your physician. The pharmacist may be able to answer those questions... and.. often.. if they cant, they will call the Dr for you, helping you to avoid that wait and get your answers sooner.

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RE: Cipro and Tendonitis - 12/6/2009 4:04:30 AM   
sirsholly


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Status: offline 		chuckles at pregnancy listed as a side effect of Cipro.

sorry...it's still early and i need more coffee


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RE: Cipro and Tendonitis - 12/6/2009 5:09:05 AM   
tazzygirl


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Status: offline 		lol Holly!

dont know if it is or not, havent looked... but you get my drift!!

hope that coffee has kicked in!

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