Drug interactions

ciprofloxacin + warfarin

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.

Overview

Severity: Major · Evidence level: Moderate

↑ INR/bleeding risk (variable).

Mechanism of action

CYP inhibition/disruption of gut flora.

Clinical management

Monitor INR closely; adjust dose as needed.

Drug reference

References

Frequently asked questions

Can I take ciprofloxacin with warfarin?

The interaction is rated: Major. ↑ INR/bleeding risk (variable).

How serious is the interaction between ciprofloxacin and warfarin?

The interaction is rated: Major. Evidence level: Moderate.

How is the interaction between ciprofloxacin and warfarin managed?

Monitor INR closely; adjust dose as needed.

Why do ciprofloxacin and warfarin interact?

CYP inhibition/disruption of gut flora.

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