Cifran C TH Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe, watery, or bloody diarrhoea that does not stop.
- Sudden pain, swelling, or a snapping sensation in the ankle, knee, or shoulder.
- Tingling, burning, numbness, or weakness in the hands or feet.
- Confusion, hallucinations, seizures, or loss of consciousness.
- Swelling of the face, lips, tongue, or throat, or difficulty breathing.
- Yellowing of the eyes or skin, dark urine, or severe upper abdominal pain.
- Irregular heartbeat, palpitations, or fainting.
- Unusual bruising, bleeding, or persistent fever with sore throat.
If experiencing severe symptoms, call emergency services immediately.
What is ciplon 250mg/300mg tablet used for?
This medicine is a prescription antibiotic combination of ciprofloxacin 250 mg and tinidazole 300 mg. It is used to treat mixed bacterial and anaerobic infections such as infectious diarrhoea, amoebiasis, and giardiasis. It is usually taken twice daily after food for 5 to 7 days. Avoid alcohol completely during and for 72 hours after the course.
- Generic Name: Ciprofloxacin + Tinidazole
- Manufacturer: Sanket Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ciplon 250mg/300mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिप्रोफ्लोक्सासिन 250 मिलीग्राम और टिनिडाजोल 300 मिलीग्राम का संयोजन है। यह मुख्य रूप से पेट के संक्रमण, दस्त, अमीबियासिस, और जियार्डियासिस के इलाज के लिए इस्तेमाल की जाती है। यह दवा बैक्टीरिया और कुछ परजीवियों को मारकर संक्रमण को ठीक करती है। इसे डॉक्टर की सलाह के अनुसार भोजन के बाद लेना चाहिए। दवा का पूरा कोर्स करना बहुत जरूरी है, चाहे आपको दो दिन में ही आराम क्यों न मिल जाए। इस दवा के साथ शराब बिल्कुल नहीं पीनी चाहिए, क्योंकि इससे गंभीर प्रतिक्रिया हो सकती है।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, उल्टी, पेट दर्द, दस्त, सिरदर्द, चक्कर आना, और मुंह में धातु जैसा स्वाद शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको गंभीर या खूनी दस्त, टेंडन में अचानक दर्द, चेहरे या गले में सूजन, सांस लेने में कठिनाई, आंखों या त्वचा का पीलापन, या दिल की धड़कन अनियमित लगे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, भोजन के बाद और पूरे गिलास पानी के साथ। दवा के दौरान और आखिरी खुराक के 72 घंटे बाद तक शराब न पिएं। अगर आपको चक्कर आते हैं तो गाड़ी चलाने या मशीन चलाने से बचें। एंटासिड, कैल्शियम, आयरन, जिंक या मल्टीविटामिन इस दवा से 2 घंटे पहले या 6 घंटे बाद लें। दवा का पूरा कोर्स पूरा करें, बीच में न छोड़ें। अगर आपको किडनी या लिवर की बीमारी, मधुमेह, मिर्गी, या दिल की धड़कन की समस्या है, तो डॉक्टर को जरूर बताएं।
💊 ciplon 250mg/300mg tablet Uses & Benefits
[{"condition":"Infectious diarrhoea","description":"Used for acute diarrhoea caused by mixed bacterial and anaerobic organisms when a doctor decides a combination antibiotic is needed.","evidence":"Well-established"},{"condition":"Amoebiasis","description":"Treats intestinal amoebiasis caused by Entamoeba histolytica, including dysentery-type illness.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Treats giardiasis caused by Giardia lamblia, a common cause of prolonged watery diarrhoea.","evidence":"Well-established"},{"condition":"Dental infections","description":"Used for certain dental abscesses and gum infections where mixed aerobic and anaerobic bacteria are involved.","evidence":"Moderate"},{"condition":"Pelvic inflammatory disease","description":"Sometimes used as part of a broader regimen for pelvic inflammatory disease when anaerobic coverage is required.","evidence":"Moderate"},{"condition":"Bacterial vaginosis","description":"Tinidazole component covers anaerobic bacteria, but this combination is not first-line for uncomplicated cases.","evidence":"Limited"}]
Off-label uses: [{"condition":"Refractory periodontitis","description":"Occasionally used by dentists for severe gum infections when standard therapy fails.","evidence":"Limited"},{"condition":"Prevention of infection after colorectal surgery","description":"Sometimes used in some settings as part of surgical prophylaxis, but this is not a standard approved use.","evidence":"Limited"}]
Primary treatment for: Mixed bacterial and anaerobic infections, including infectious diarrhoea, amoebiasis, and giardiasis.
Also treats: Dental infections, Pelvic inflammatory disease, Bacterial vaginosis, Certain intra-abdominal infections
📋 Drug Information
| Generic Name(s) | Ciprofloxacin + Tinidazole |
| Brand Name | Alcipro TN 500 mg/600 mg Tablet |
| Manufacturer | Sanket Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Antibiotic + Antiprotozoal |
| Route of Administration | Oral |
| Storage | Store below 30°C in a dry place, away from direct sunlight and moisture. Keep the tablets in their original blister pack or container. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms. Ciprofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, enzymes that are essential for DNA replication, repair, and supercoiling. When these enzymes are blocked, bacterial DNA cannot be copied correctly and the bacteria die. Tinidazole is a prodrug that enters anaerobic bacteria and protozoa, where its nitro group is reduced to reactive intermediates. These intermediates damage DNA and disrupt essential cellular processes, killing the organism. Because the two ingredients target different organisms and different pathways, the combination provides broader coverage against mixed aerobic and anaerobic infections.
Mechanism Steps
💡 How to Take ciplon 250mg/300mg tablet
Strength: Immediate-release oral tablet containing ciprofloxacin 250 mg and tinidazole 300 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet twice daily, taken after food, for 5 to 7 days for many intestinal infections. Some infections may need a different duration or frequency. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose or duration without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This combination is generally avoided in children and adolescents during growth phases unless a specialist decides it is necessary. |
| Elderly Dosage | Older adults may need a lower dose if kidney function is reduced. A doctor should check kidney function before prescribing and adjust the dose accordingly. Elderly people are also at higher risk of tendon problems, confusion, and heart rhythm changes, so they should be monitored closely. |
| Renal Impairment | In people with reduced kidney function, the ciprofloxacin component may need dose reduction. A doctor will estimate kidney function and adjust the dose or choose a different antibiotic. Tinidazole usually does not need major adjustment, but specialist advice is required. |
| Hepatic Impairment | In people with liver disease, this medicine should be used with caution because tinidazole is metabolized in the liver. A doctor may reduce the dose or choose an alternative. Regular liver function monitoring may be needed. |
| Maximum Daily Dose | The maximum daily dose is generally one tablet twice daily, providing ciprofloxacin 500 mg and tinidazole 600 mg per day. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ciplon 250mg/300mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Tizanidine | Major | |
| Theophylline | Major | |
| Warfarin | Major | |
| Alcohol | Major | |
| QT-prolonging drugs | Major | |
| Antacids and minerals | Moderate | |
| NSAIDs | Moderate | |
| Caffeine | Moderate | |
| Oral antidiabetic drugs | Moderate | |
| Phenytoin | Moderate |
🚨 Major Interactions
- Tizanidine
- Theophylline
- Warfarin
- Alcohol
- QT-prolonging drugs
⚡ Moderate Interactions
- Antacids, calcium, iron, zinc, and multivitamins
- NSAIDs
- Caffeine
- Oral antidiabetic drugs
- Phenytoin
🍷 Alcohol Interaction
Do not drink alcohol while taking this medicine and for at least 72 hours after the last dose. Tinidazole can cause a disulfiram-like reaction with alcohol, leading to flushing, severe nausea, vomiting, headache, rapid heartbeat, and low blood pressure. Alcohol can also worsen dizziness and stomach upset caused by ciprofloxacin.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to ciprofloxacin, tinidazole, or any related antibiotic.","History of tendon disorders caused by fluoroquinolones.","Myasthenia gravis, because fluoroquinolones can worsen muscle weakness.","Pregnancy, unless a specialist decides it is essential.","Breastfeeding, unless a doctor advises otherwise.","Children and adolescents during growth phases, unless a specialist prescribes it.","Severe liver or kidney disease without specialist supervision.","Use of tizanidine or other strictly contraindicated medicines."]
⚠️ Warnings & Precautions
["Do not drink alcohol during treatment and for at least 72 hours after the last dose.","Avoid driving or operating machinery if you feel dizzy or confused.","Take the tablet with food and plenty of water to reduce stomach upset.","Separate antacids, calcium, iron, zinc, and multivitamins by at least 2 hours before or 6 hours after this medicine.","Tell your doctor if you have epilepsy, heart rhythm problems, diabetes, or kidney or liver disease.","Stop the medicine and seek urgent care if you develop tendon pain, severe diarrhoea, or signs of an allergic reaction.","Complete the full course even if you feel better early, to prevent resistance.","Do not share this medicine with others or save leftover tablets."]
🤱 Lactation Safety
Both ciprofloxacin and tinidazole pass into breast milk. Breastfeeding is generally not recommended while taking this medicine. If treatment is essential, a doctor may advise temporarily stopping breastfeeding or using an alternative antibiotic. Always consult a doctor before breastfeeding during treatment.
💊 Overdose Management
Overdose of this medicine can cause severe nausea, vomiting, dizziness, and, rarely, seizures or heart rhythm problems. There is no specific antidote. If an overdose is suspected, seek emergency medical care immediately. Treatment is supportive, with monitoring of vital signs, hydration, and electrolytes. Do not try to vomit unless a doctor advises it.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if less than half the dosing interval has passed. If more than half the interval has passed, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose.
Additional Safety Advice
Take this medicine exactly as your doctor prescribes, with a full glass of water, and preferably after food to reduce stomach upset. Do not drink alcohol during the course and for at least 72 hours after the last dose, because tinidazole can cause a severe reaction with alcohol. Avoid driving or operating heavy machinery if you feel dizzy. Do not take antacids, calcium, iron, zinc, or multivitamins within 2 hours before or 6 hours after this medicine, as they reduce ciprofloxacin absorption. Finish the entire course even if you feel better after 2 days. Tell your doctor if you have kidney or liver problems, diabetes, epilepsy, or a heart rhythm disorder. Do not share this medicine with anyone else, and do not save leftover tablets for future use.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are at higher risk of tendon problems, confusion, dizziness, kidney injury, and heart rhythm changes with this medicine. A doctor should check kidney function before prescribing and may adjust the dose. Elderly patients should stay well hydrated, avoid alcohol, and report any new symptoms promptly.
🤰 Pregnancy Planning (TTC)
If you are trying to conceive, tell your doctor before taking this medicine. Fluoroquinolones and tinidazole are generally avoided in pregnancy unless clearly needed. Your doctor may choose a safer alternative. Use effective contraception during treatment if advised, and discuss any planned pregnancy with your doctor.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used only if a doctor suspects a mixed bacterial and anaerobic infection. It is not a routine postoperative antibiotic. Tell your surgeon and anesthesiologist about all medicines you take, including this one, before any procedure.
🦷 Dental Procedures
Tell your dentist if you are taking this medicine before any dental procedure. It may be used for dental infections, but it can also interact with other medicines used during dental work. Do not stop the antibiotic on your own before a dental visit; ask your doctor or dentist for advice.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while you are unwell with an infection. If you feel dizzy, weak, or have tendon pain, stop exercising and rest. Do not resume intense workouts until your doctor says it is safe, especially if you had tendon pain during treatment.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause dizziness, headache, and tiredness in some people. Avoid driving, operating heavy machinery, or working at heights if you feel dizzy or confused. Most people can continue light office work, but take breaks and stay hydrated. If your job involves handling food or caring for others, follow strict hand hygiene to avoid spreading infection.
🛑 When to Stop This Medicine
Stop this medicine only after completing the full course prescribed by your doctor. Stop immediately and seek medical advice if you develop tendon pain, severe diarrhoea, an allergic reaction, yellowing of the eyes or skin, irregular heartbeat, or seizures. Do not stop early just because you feel better, as this can allow the infection to return and promote resistance.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended unless a specialist is treating a specific chronic infection. Prolonged use can increase the risk of antibiotic resistance, gut flora imbalance, fungal infections, tendon problems, nerve damage, and liver or kidney stress. If long-term therapy is needed, your doctor will monitor blood counts, liver and kidney function, and heart rhythm. Do not continue this medicine beyond the prescribed duration without medical review.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Essential supportive care for diarrhoea to replace fluids and electrolytes.
Evidence: Well-establishedMay reduce the duration and severity of diarrhoea, especially in children, under medical guidance.
Evidence: Well-establishedMay help restore gut flora after antibiotic treatment, but evidence varies by strain.
Evidence: ModerateFor confirmed amoebiasis or giardiasis, a doctor may choose a single-agent regimen instead of a combination.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with most vaccines. However, if you are unwell with fever or diarrhoea, your doctor may advise delaying routine vaccinations until you recover. Antibiotics do not usually affect non-live vaccines, but they may reduce the response to live oral vaccines such as typhoid or rotavirus. Consult your doctor about timing.
📦 Storage Guide
✅ DO
Store below 30°C in a dry place.
❌ DON'T
Do not store in a hot or humid place such as a bathroom cabinet.
✅ DO
Keep the tablets in their original blister pack or container.
❌ DON'T
Do not transfer them to unmarked containers.
✅ DO
Keep away from direct sunlight.
❌ DON'T
Do not leave the pack in a car or near a window.
✅ DO
Keep out of reach of children.
❌ DON'T
Do not share the medicine with others.
✈️ Traveling with This Medicine
Carry this medicine in its original blister pack or container with the prescription copy. Keep it in your hand luggage if travelling by air, and store it below 30°C away from direct sunlight and moisture. If you are crossing time zones, continue the twice-daily schedule as close to 12 hours apart as possible. Do not pack it in checked baggage where it may be exposed to extreme temperatures. Check local customs rules for carrying prescription antibiotics, and carry a doctor's letter if required.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Many people notice improvement in fever, cramps, and diarrhoea within 24 to 48 hours. However, you must complete the full course prescribed by your doctor, even if you feel better early.
A: Yes, take it after food with a full glass of water. Food reduces stomach upset. Avoid milk, curd, and antacids within 2 hours before or 6 hours after the dose.
A: No. Alcohol can cause a severe reaction with the tinidazole component, including flushing, vomiting, and rapid heartbeat. Avoid alcohol during the course and for at least 72 hours after the last dose.
A: If less than 6 hours have passed, take the missed dose as soon as you remember. If more than 6 hours have passed, skip it and take the next dose at the usual time. Do not double dose.
A: This medicine is not recommended during pregnancy unless a specialist decides it is essential. Consult your doctor immediately if you are pregnant or planning pregnancy.
A: This combination is generally avoided in children and adolescents during growth phases unless a specialist prescribes it. Consult a pediatrician for any child with a suspected infection.
🤔 Common Patient Concerns
🔄 Substitutes for ciplon 250mg/300mg tablet
View AllAlternative brands with exact same active ingredient:
-
wincip 250mg/300mg tabletRPG Life Sciences Ltd ₹22.65 57.7% CHEAPER
-
citi 250 mg/300 mg suspensionDWD Pharmaceuticals Ltd ₹26.58 50.4% CHEAPER
-
veecin suspensionVintech Formulations ₹27.71 48.3% CHEAPER
-
cipzol 250 mg/300 mg tabletAdroit Lifescience Pvt Ltd ₹27.83 48.1% CHEAPER
-
ciprosit 250 mg/300 mg tabletSifco Pharma ₹29.02 45.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any stomach upset.
Fact: This medicine is an antibiotic combination and works only against specific bacterial and anaerobic infections. It does not help viral stomach flu or simple indigestion. - Myth: It is safe to drink alcohol with this medicine.
Fact: Alcohol can cause a severe reaction with the tinidazole component, including flushing, vomiting, and rapid heartbeat. Avoid alcohol completely during and for 72 hours after the course. - Myth: You can stop the medicine once you feel better.
Fact: Stopping early can allow the infection to return and can promote antibiotic resistance. Always complete the full course prescribed by your doctor. - Myth: This medicine can be taken with milk or antacids without any problem.
Fact: Calcium, iron, zinc, and antacids reduce the absorption of ciprofloxacin. Keep a gap of at least 2 hours before or 6 hours after these products. - Myth: This medicine is safe for children.
Fact: This combination is generally avoided in children and adolescents during growth phases unless a specialist prescribes it.
🔄 Alternative Options
Generic Alternatives
- Ciprofloxacin 250 mg + Tinidazole 300 mg tablet
Brand Alternatives
- Cifran C TH Tablet