Recipro TS Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Tendon pain or swelling
- Seizures or confusion
If experiencing severe symptoms, call emergency services immediately.
What is Recipro TS Tablet used for?
This medicine is a prescription antibiotic combination of ciprofloxacin and tinidazole used to treat mixed bacterial and protozoal infections, especially diarrheal illnesses. It is taken orally with food, and alcohol must be avoided during and for 72 hours after treatment.
- Generic Name: Ciprofloxacin (500mg) + Tinidazole (NA)
- Manufacturer: Veritaz Healthcare Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Recipro TS Tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिप्रोफ्लोक्सासिन और टिनिडाजोल का संयोजन है, जिसका उपयोग बैक्टीरिया और प्रोटोजोआ से होने वाले मिश्रित संक्रमणों के इलाज के लिए किया जाता है। यह मुख्य रूप से दस्त, पेचिश, अमीबiasis, जियार्डिया, पेट के अंदर के संक्रमण, और दांतों के संक्रमण में दी जाती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, मुँह में धातु जैसा स्वाद, सिरदर्द, चक्कर आना और भूख न लगना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन टेंडन टूटना, गंभीर एलर्जी, दौरे, और लीवर की समस्या हो सकती है। शराब का सेवन बिल्कुल न करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार पूरा कोर्स करें। इसे भोजन के साथ लें और पर्याप्त पानी पिएँ। एंटासिड, कैल्शियम, आयरन या जिंक के साथ 2 घंटे पहले या 6 घंटे बाद ही लें। शराब का सेवन पूरी तरह बंद करें। धूप से बचें और सनस्क्रीन लगाएँ। चक्कर आने पर वाहन न चलाएँ।
💊 Recipro TS Tablet Uses & Benefits
[{"condition":"Mixed bacterial and protozoal diarrhea","description":"Used to treat infectious diarrhea when both invasive bacteria and protozoa such as Giardia or Entamoeba are suspected or confirmed.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Tinidazole component is effective against Giardia lamblia, and ciprofloxacin covers concurrent bacterial pathogens.","evidence":"Well-established"},{"condition":"Amoebic dysentery","description":"Tinidazole treats Entamoeba histolytica, while ciprofloxacin addresses secondary bacterial infection.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Covers aerobic gram-negative bacteria and anaerobic organisms commonly involved in intra-abdominal sepsis.","evidence":"Moderate"},{"condition":"Pelvic inflammatory disease","description":"Used in combination regimens for polymicrobial pelvic infections when appropriate.","evidence":"Moderate"},{"condition":"Dental and periodontal infections","description":"Covers oral anaerobes and facultative bacteria in severe dental abscesses when prescribed.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Traveler's diarrhea prophylaxis","description":"Sometimes considered for short-term prevention in high-risk travelers, but not routinely recommended due to resistance and side effects.","evidence":"Limited"},{"condition":"Refractory bacterial vaginosis","description":"Tinidazole component may be used in selected cases, but combination with ciprofloxacin is not standard.","evidence":"Limited"}]
Primary treatment for: Mixed bacterial and protozoal gastrointestinal infections
Also treats: Giardiasis, Amoebic dysentery, Intra-abdominal infections, Pelvic inflammatory disease, Dental infections
📋 Drug Information
| Generic Name(s) | Ciprofloxacin (500mg) + Tinidazole (NA) |
| Brand Name | Recipro TS Tablet |
| Manufacturer | Veritaz Healthcare Ltd |
| Packaging / Form | strip of 10 tablets (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture unless otherwise stated 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
Ciprofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication, repair, and supercoiling, leading to bacterial cell death. Tinidazole enters susceptible anaerobic bacteria and protozoa, where its nitro group is reduced to reactive intermediates that damage DNA and inhibit nucleic acid synthesis. The combination provides broad coverage against aerobic gram-negative bacteria and anaerobic bacteria or protozoa.
Mechanism Steps
💡 How to Take Recipro TS Tablet
Strength: Ciprofloxacin 500 mg and tinidazole as per formulation in an immediate-release oral tablet.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once or twice daily, depending on the infection being treated, its severity, and the prescribing clinician's judgment. The exact dose and duration must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and local resistance patterns. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal function. They are at higher risk of tendon rupture, confusion, and cardiac arrhythmias. Close monitoring is advised. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. Ciprofloxacin dose should be reduced based on creatinine clearance. Tinidazole may also require adjustment in severe renal impairment. Consult a clinician for individualized dosing. |
| Hepatic Impairment | Caution is advised in patients with hepatic impairment. Tinidazole is metabolized in the liver, and dose reduction may be needed in severe liver disease. Monitor liver function. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the specific indication and patient factors. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Recipro TS 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 | |
| Antacids | Major | |
| Alcohol | Major | |
| Caffeine | Moderate | |
| Cyclosporine | Moderate | |
| Phenytoin | Moderate | |
| Methotrexate | Moderate | |
| Corticosteroids | Moderate |
🚨 Major Interactions
- Tizanidine
- Theophylline
- Warfarin
- Antacids, calcium, iron, zinc
- Alcohol
⚡ Moderate Interactions
- Caffeine
- Cyclosporine
- Phenytoin
- Methotrexate
- Oral hypoglycemics
🍷 Alcohol Interaction
Alcohol must be strictly avoided during treatment with this medicine and for at least 72 hours after the last dose. Tinidazole can cause a disulfiram-like reaction characterized by flushing, severe nausea, vomiting, palpitations, and low blood pressure. Alcohol may also worsen dizziness and liver-related side effects.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to ciprofloxacin, other quinolones, tinidazole, or nitroimidazoles","Myasthenia gravis","History of tendon disorders with fluoroquinolones","Severe renal impairment without dose adjustment","Severe hepatic impairment","Pregnancy unless clearly needed","Breastfeeding without medical advice","Children unless specifically prescribed","Alcohol use during treatment"]
⚠️ Warnings & Precautions
["Avoid alcohol during and for 72 hours after treatment.","Do not take with antacids, calcium, iron, or zinc within 2 hours before or 6 hours after.","May cause dizziness; avoid driving until you know how it affects you.","May cause photosensitivity; use sunscreen.","Risk of tendon rupture, especially in elderly and corticosteroid users.","May worsen myasthenia gravis.","May cause peripheral neuropathy.","May cause severe diarrhea; report bloody or persistent diarrhea.","May cause seizures; caution in epilepsy.","May cause dysglycemia in diabetic patients."]
🤱 Lactation Safety
Ciprofloxacin and tinidazole are excreted in breast milk. Breastfeeding is generally not recommended during treatment and for at least 72 hours after the last dose unless advised otherwise by a doctor.
💊 Overdose Management
Overdose may cause nausea, vomiting, dizziness, and seizures. There is no specific antidote. Treatment is supportive with hydration, monitoring of vital signs, and management of symptoms. Seek immediate medical attention if overdose is suspected.
⏰ 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 the regular schedule. Do not double dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor and complete the full course even if you feel better after a few days. Swallow the tablet whole with a full glass of water and take it with food to reduce stomach upset. Avoid alcohol completely during treatment and for at least three days after the last dose. Do not take antacids, calcium, iron, zinc, or multivitamins within two hours before or six hours after this medicine because they reduce ciprofloxacin absorption. Use sunscreen and protective clothing because this medicine can make your skin more sensitive to sunlight. Drink plenty of fluids to keep your urine dilute and reduce the risk of crystal formation. Do not drive or operate heavy machinery if you feel dizzy or confused. Tell your doctor if you have kidney disease, liver disease, epilepsy, myasthenia gravis, tendon problems, or heart rhythm problems before starting this medicine. Stop the medicine and seek immediate medical help if you develop tendon pain, swelling, numbness, severe diarrhea, yellowing of the eyes, or an allergic reaction.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, confusion, and cardiac arrhythmias. Dose adjustment may be needed based on renal function.
🤰 Pregnancy Planning (TTC)
This medicine is generally avoided in pregnancy unless clearly needed. Discuss with your doctor if you are planning pregnancy or are pregnant.
🏥 Post-Surgery Considerations
This medicine may be prescribed after surgery for intra-abdominal infections. Follow your surgeon's instructions carefully.
🦷 Dental Procedures
This medicine may be prescribed for dental infections. Inform your dentist about all medicines you are taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting if you experience tendon pain, dizziness, or fatigue. Consult your doctor before resuming intense activity.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or confusion. Avoid driving or operating heavy machinery until you know how it affects you. Take sick leave if symptoms are severe.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects such as tendon pain, severe diarrhea, allergic reaction, or seizures, stop immediately and seek medical help.
📅 Long-Term Use Effects
Long-term use can lead to antibiotic resistance, gut flora imbalance, and rare but serious effects such as peripheral neuropathy, tendon damage, and liver or kidney issues. Regular monitoring may be needed if prolonged therapy is required.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Essential for managing dehydration in diarrheal illness.
Evidence: Well-establishedMay help restore gut flora during and after antibiotic therapy.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics may reduce the effectiveness of live bacterial vaccines such as typhoid vaccine. Consult your doctor about timing.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from moisture and direct sunlight. If traveling across time zones, continue your dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24 to 72 hours, but you must complete the full course.
A: Yes, take it with food to reduce stomach upset.
A: Take it as soon as you remember if less than half the interval has passed; otherwise skip and continue.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure any diarrhea.
Fact: It only works for specific bacterial and protozoal infections. Viral diarrhea does not respond. - Myth: You can stop when you feel better.
Fact: You must complete the full course to prevent resistance and relapse. - Myth: Alcohol is fine in small amounts.
Fact: Even small amounts can cause a severe disulfiram-like reaction. - Myth: It is safe to take with antacids.
Fact: Antacids reduce absorption. Separate doses by at least 2 hours.
🔄 Alternative Options
Generic Alternatives
- Ciprofloxacin and tinidazole combination generics
Brand Alternatives
- Ciplox TZ
- Cifran CT
- Cipro TZ
- Zoxan TZ