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Drug interactions

Betaxolol + Ciprofloxacin

Severity: Minor

Betaxolol and Ciprofloxacin: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Betaxolol is metabolized partly by CYP1A2, which ciprofloxacin inhibits strongly. Exposure to betaxolol could rise, but the effect is likely small, as the drug also has renal elimination and other pathways. Excess beta-blockade would present as bradycardia or hypotension.

What this interaction means in plain words

Betaxolol and Ciprofloxacin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Betaxolol belongs to Cardiovascular; Ciprofloxacin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Possible inhibition of CYP1A2-mediated betaxolol metabolism by ciprofloxacin.

What to do

Monitor heart rate and blood pressure when starting or stopping ciprofloxacin. Reduce the betaxolol dose if bradycardia or hypotension occurs.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Betaxolol with Ciprofloxacin?

MediHelp rates the interaction as minor. Betaxolol and Ciprofloxacin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Betaxolol is metabolized partly by CYP1A2, which ciprofloxacin inhibits strongly. Exposure to betaxolol could rise, but the effect is likely small, as the drug also has renal elimination and other pathways. Excess beta-blockade would present as bradycardia or hypotension.

How serious is the interaction between Betaxolol and Ciprofloxacin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor heart rate and blood pressure when starting or stopping ciprofloxacin. Reduce the betaxolol dose if bradycardia or hypotension occurs.

What other medicines interact with Ciprofloxacin?

MediHelp also lists interactions of Ciprofloxacin with, for example, Agomelatine, Fezolinetant, Thioridazine. The full list is on the Ciprofloxacin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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