Ciprofloxacin Side Effects: Common, Serious & FDA Warnings
Based on 95,000+ FDA adverse event reports, the most-reported ciprofloxacin reactions include drug hypersensitivity, pain, and fatigue. FDA reports 3 active Class II recalls of ciprofloxacin, primarily for failed dissolution specifications. The FDA-approved label does not carry a boxed warning.
Common Side Effects of Ciprofloxacin
The most-reported reactions in the FDA Adverse Event Reporting System (FAERS) for ciprofloxacin. Percentages reflect the share of reports mentioning each reaction; a single report may include multiple reactions. Reports indicate co-occurrence, not causation.
| Reaction | Reports | % of total |
|---|---|---|
| Drug Hypersensitivity | 6,156 | 6.4% |
| Pain | 6,095 | 6.4% |
| Fatigue | 6,029 | 6.3% |
| Diarrhoea | 5,838 | 6.1% |
| Nausea | 5,837 | 6.1% |
| Arthralgia | 5,544 | 5.8% |
| Acute Kidney Injury | 4,721 | 4.9% |
| Dyspnoea | 4,648 | 4.9% |
| Chronic Kidney Disease | 4,553 | 4.8% |
| Vomiting | 4,353 | 4.5% |
Serious Outcomes and FDA Warnings
FAERS reports flagged with a serious outcome (death, hospitalization, life-threatening, disability, or congenital anomaly), plus reactions surfaced in the FDA-approved label's Warnings section. Reports indicate co-occurrence, not causation.
| Outcome flag | Reports | % of total |
|---|---|---|
| Serious reports (any flag) | — | — |
| Hospitalization | — | — |
Ciprofloxacin Recalls
FDA enforcement actions matched to ciprofloxacin via openFDA's structured generic_name field and the NDC bridge. Ongoing recalls are listed below (verify on FDA →); closed recalls are grouped in the disclosure that follows.
| Date | Reason | Class | Quantity | Status |
|---|---|---|---|---|
| 2025-03-26 | Defective container: Unable to get the solution out of the bottle as the spike of the cap was lodged in the nozzle of the product bottle FDC Limited | Class II | 90960 bottles | Ongoing |
| 2025-01-15 | Defective container: Unable to get the solution out of the bottle as the spike of the cap was lodged in the nozzle of the product bottle FDC Limited | Class II | 136,181 bottles | Ongoing |
| 2024-08-07 | Defective container: unable to get the solution out of the bottle as the spike of the cap was lodged in the nozzle of the product bottle. FDC Limited | Class II | 66,528 bottles | Ongoing |
Show 6 closed recalls (2012 to 2022)
Includes resolved and terminated recalls matched to ciprofloxacin. Most recent first.
| Date | Reason | Class | Quantity | Status |
|---|---|---|---|---|
| 2022-06-15 | cGMP deviations: Temperature abuse Mckesson Medical-Surgical Inc. Corporate Office | Class II | 7 bottles | Terminated |
| 2019-11-27 | Lack of Assurance of Sterility Altaire Pharmaceuticals, Inc. | Class II | 3060 units | Resolved |
| 2019-11-27 | Lack of Assurance of Sterility Altaire Pharmaceuticals, Inc. | Class II | 6024 units | Resolved |
| 2019-11-27 | Lack of Assurance of Sterility Altaire Pharmaceuticals, Inc. | Class II | 636 units | Resolved |
| 2013-04-03 | Presence of Foreign Substance(s): A complaint was received for a rubber-like material in a 500 mg Ciprofloxacin tablet. West-ward Pharmaceutical Corp. | Class II | 7,136 units | Terminated |
| 2012-07-25 | Labeling Illegible: Missing Label; The voluntary recall of the aforementioned batch of product is being initiated due to two bottles missing container labels. Pack Pharmaceuticals | Class III | 4,848 bottles | Terminated |
Ciprofloxacin Shortages
FDA-listed shortages of ciprofloxacin products. Strength and dosage-form level detail.
Is Ciprofloxacin Safe?
Ciprofloxacin is FDA-approved and the label does not carry a boxed warning.
As with any prescription, the assessment of safety is individual; consult a clinician about your own risk profile.
FDA-Approved Indications
Ciprofloxacin is FDA-approved for use in the condition categories below. The FDA-approved label’s Indications and Usage section is shown verbatim.
INDICATIONS AND USAGE Ciprofloxacin Ophthalmic Solution is indicated for the treatment of infections caused by susceptible strains of the designated microorganisms in the conditions listed below: Corneal Ulcers: Pseudomonas aeruginosa Serratia marcescens * Staphylococcus aureus Staphylococcus epidermidis Streptococcus pneumoniae Streptococcus (Viridans Group) * Conjunctivitis: Haemophilus influenzae Staphylococcus aureus Staphylococcus epidermidis Streptococcus pneumoniae *Efficacy for this organism was studied in fewer than 10 infections.
Frequently Asked Questions
What are the most-reported side effects of ciprofloxacin?
Is ciprofloxacin the same as Ciloxan?
Has ciprofloxacin been recalled?
What are ciprofloxacin's current ongoing recalls about?
What do FDA recall classes mean?
Data Sources & Methodology
How each section of this page is sourced, and how often the data is refreshed.
| Source | Endpoint | Refresh |
|---|---|---|
| FAERS reactions | openFDA /drug/event.json count API. Aggregated per drug per reaction term; we do not store individual reports. | Daily |
| Recalls | openFDA /drug/enforcement.json. Drugs matched via three confidence-tracked strategies: structured generic name (HIGH), NDC code bridge (MEDIUM), text token parse (LOW). Only HIGH and MEDIUM matches surface here. | 6 hours |
| Shortages | FDA Drug Shortages list. | Daily |
| Boxed warnings & label sections | openFDA /drug/label.json. Labels are stable; monthly cadence is sufficient. | Monthly |
| Condition categories | Synonym-mapped from drug_labels.indications. Methodology at /methodology/. | Per-drug |
What we do not do. We do not invent, paraphrase, or extrapolate drug claims. Every figure on this page comes from a query against an openFDA endpoint. If the data is unavailable, the section gracefully omits rather than filling the space with editorial guesswork.