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Cipro
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Cipro is a powerful antibiotic that should only be started after consultation with a health care provider. Because Cipro is associated with side effects (some of which may be serious) and may interact with other drugs, it is important to have access to the prescribing health care provider during Cipro treatment. Cipro should not be administered unless exposure to the bacterium that causes anthrax (Bacillus anthracis) is suspected or confirmed. Cipro does not prevent exposure to anthrax and use of Cipro in the absence of suspected or confirmed anthrax exposure could result in the development of antibiotic resistance, a serious risk to the public’s health.
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Cipro was set to lose its patent protection in 2003. According to Reuters, there are at least 78 Indian generic drugmakers who already produce the antibiotic but cannot sell it in America until that time. Dr. Reddy's Laboratories (nyse: RDY - news - people ) has already applied with the Food and Drug Administration to sell the drug in the U.S. when Bayer's patent expires, and other drugmakers in India, like Cipla and Ranbaxy Labs, might jump at the chance to meet U.S. supply needs. In India, where patent laws are different, ciprofloxacin costs one-thirtieth of what it does in the U.S.--competition between all the companies making the drug has driven down the price.
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Clinical studies have shown that individuals who begin treatment with Cipro within hours after exposure of the Anthrax spores and continue treatment for at least 30 days have a significant decrease in morbidity. Some studies have shown a reduced rate from 90% to 10%.
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Stop using Cipro and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Cipro and call your doctor at once if you have any of these serious side effects:
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Although Bayer has announced it will begin increasing Cipro production by 25%, its ability to produce sufficient Cipro beyond the additional ten million units already requested by the US government is unclear. Having multiple manufacturers produce ciprofloxacin simultaneously would significantly enhance the nation's ability to obtain as much of the antibiotic as it needed, should the occasion arise. Generic manufacturers including Par Pharmaceuticals, Ranbaxy Pharmaceuticals, and Teva Pharmaceuticals have told Schumer they could produce as much as fifty to sixty million pills per month, treating approximately 1,000,000 people per month. Schumer ... pointed out that producing ciprofloxacin in multiple locations decreases the chances of production snags or other problems impeding manufacture of the best known antidote to anthrax.
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