Cipesta

Cipesta (Ciprofloxacin ) by Getz Pharma, 60ml oral suspension of 250mg/5ml strength in tropical passion fruit flavour. This medicine is in dry powder form. Before use, reconstitute it exactly as directed on the box to make a syrup. Ciprofloxacin has in Vitro activity against a wide range of Gram-negative and Gram-positive microorganisms.

It is an antibiotic that is used to treat various bacterial infections in adults and children, including urinary tract infections (UTIs) and respiratory tract infections (like pneumonia and bronchitis).

Package Contains: Each Cipesta package contains a syrup bottle of 60ml (after reconstitution), a spoon, and an insert leaflet.

Composition:

Each reconstituted 5ml contains:

Ciprofloxacin CI USP equivalent to Ciprofloxacin 250mg

Dosage & Administration: As directed by the physician or see package insert for full prescribing information.

Directions For Preparation: Fill previously boiled and cooled water up to the mark on the bottle and shake well. Reconstituted suspension can be used for 14 days when stored at 25°C. Do not freeze. Shake well before use.

Keep closed after use. For accurate measurement of dosage, a spoon is provided. To be sold on the prescription of a registered medical practitioner only.

Therapeutic Indications / Uses: Cipesta suspension is indicated for the following: For Adults:

Lower respiratory tract infections due to Gram-negative bacteria.
Exacerbations of chronic obstructive pulmonary disease.
Broncho-pulmonary infections in cystic fibrosis or in bronchiectasis.
Pneumonia.
Chronic suppurative otitis media.
Acute exacerbation of chronic sinusitis, especially If these are caused by Gram-negative bacteria.
Urinary tract infections.
Genital tract infections.
gonococcal urethritis and cervicitis due to susceptible Neisseria gonorrhoeae.
epididymo-orchitis, including cases due to susceptible Neisseria gonorrhoeae.
pelvic inflammatory disease, including cases due to susceptible Neisseria gonorrhoeae.
Infections of the gastrointestinal tract (e.g. travellers’ diarrhea)
Intra-abdominal infections.
Infections of the skin and soft tissue caused by Gram-negative bacteria.
Malignant external otitis.
Infections of the bones and joints.
Prophylaxis of invasive infections due to Neisseria meningitidis.
Inhalation anthrax (post-exposure prophylaxis and curative treatment).
Plague.
Typhoid fever caused by Saimonella typhi.
Ciprofloxacin may be used in the management of neutropenic patients with fever that is suspected to be due to a bacterial infection.

For Children & Adolescents:

Broncho-pulmonary infections in cystic fibrosis caused by Pseudomonas aeruginosa.
Complicated urinary tract infections and pyelonephritis.
Inhalation anthrax (post-exposure prophylaxis and curative treatment).
Ciprofloxacin may also be used to treat severe infections in children and adolescents when this is considered to be necessary.

Treatment should be initiated only by physicians who are experienced in the treatment of cystic fibrosis and/or severe infections in children and adolescents.

Contraindications: Ciprofloxacin is contraindicated in patients with a history of hypersensitivity to ciprofloxacin, any member of the quinolone class of antimicrobial agents or any of the product components. Concomitant administration with tizanidine is contraindicated.

Adverse Reactions:

Common: Nausea and diarrhea

Uncommon: Mycotic superinfections, eosinophilia, anorexia, psychomotor hyperactivity/agitation, headache, dizziness, sleep disorder, taste disorder, vomiting, gastrointestinal and abdominal pains, dyspepsia, flatulence, increase in serum transaminases, increased bilirubin, rash, urticaria, pruritis, arthralgia, renal impairment, unspecific pain, feeling unwell, fever and increase in blood alkaline phosphatase.

Rare: Antibiotic associated colltis (very rarely with possible fatal outcome), leucopenia, anemia, neutropenia, Ieukocytosis, thrombocytopenia, thrombocythemia, allergic reactions, allergic oeuema/angiooedema, hyperglycemia, confusion, disorientation, anxiety reaction, abnormal dreams, depression, hallucinations, paraesthesia and dysaesthesia, hypoaesthesia, tremor, seizures, vertigo, visual disturbance, tinnitus, hearing loss, tachycardia, vasodilatation, hypotension, syncope, dyspnea and increased amylase.

Very Rare: Hemolytic anemia, agranulocytosis, pancytopenia (life threatening), bone marrow depression (life threatening), anaphylactic reaction, anaphylactic shock (life threatening), serum sickness like reaction, psychotic reactions, migraine, disturbed coordination, smell disorders, hyperesthesia, intracranial hypertension, visual colour distortions, hearing impairment, vasculitis, pancreatitis, liver necrosis (very rarely progressing to life threatening liver failure), petechiae, erythema, multiform erythema nodosum, stevens-johnson syndrome (potentially life threatening), toxic epidermal necrolysis (potentially life threatening), muscular weakness, tendonitis, tendon rupture (predominantly Achilles tendon), exacerbation of symptoms of myasthenia gravis and gait disturbance.

Overdosage: In the event of acute overdosage, reversible renal toxicity has been reported in some cases. The stomach should be emptied by inducing vomiting or by gastric lavage. The patient should be carefully observed and given supportive treatment, including monitoring of renal function (including urinary pH and acidity, if required, to prevent crystalluria) and administration of magnesium, aluminum or calcium-containing antacids, which can reduce the absorption of ciprofloxacin. Adequate hydration must be maintained. Only a small amount of ciprofloxacin (<10%) is removed from the body after hemodialysis or peritoneal dialysis.

Instructions:

Store at 25 °C (Excursions permitted between 15℃ – 30 °C).
Protect from sunlight and moisture.
Keep out of reach of children.
Please read the contents carefully before use.
This package insert is continually updated from time to time.

Manufacturer & Buy Online:

Cipesta suspension is manufactured by Getz Pharma (PVT) Limited.

This is the link to the manufacturer: https://getzpharma

You can buy it online at: https://dawaai.pk

You can also buy it from a nearby pharmacy. It is currently (2026) available at the retail price of around 260 rupees.

By: Maliha Gul