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Diagnosed With Pneumonia And Mild Asthma. Is It Safe To Take Ciprofloxacei, Ucolet And Seretall Diskus?

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Posted on Wed, 28 Nov 2012
Question: What interactions are there between following: ciprofloxacei (500mg); m,ucolet (375mg) and seretall diskus (salmeterol/fluticasone propionate). I am a 74 year old woman diagnosed yesterday with pneumonia right lung. I have mild asthma.
doctor
Answered by Dr. Sujoy Khan (51 minutes later)
Hello XXXXXXX,

The generic drugs are Ciprofloxacin (an antibiotic), mucodyne (to get phlegm out of the chest) and a steroid/beta2 agonist inhaler. As such there are no direct interactions with any of the drugs, so it will be safe to use them together (Source: British National Formulary for interaction with Quinolone antibiotics).

This is provided you are not on any other medication as antidepressants interact with ciprofloxacin such as duloxetine or TCAs (avoid concomitant use).

Moreover, try and use mucodyne sparingly while on ciprofloxacin i.e., as less number of times as possible as maximum use is three times daily.

You may need to get the antibiotic reviewed as per the CURB65 score. Your physician must have already done this, but needs to be reviewed if you are still unwell after 48-72 hours.

Do let me know if you have more concerns.

Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sujoy Khan (3 hours later)
Thanks for your reply. My pulmonary specialist prescribed 2 tablets 3 times a day. What is the source of your information advising me to use it sparingly ?
doctor
Answered by Dr. Sujoy Khan (9 hours later)
Yes, that is the standard dose (2 tabs three times daily).
You can start to lower it once the amount of phlegm goes down, as it causes an upset stomach. Therefore, when you feel such symptoms, it is time to lower down.

The source of information (British National Formulary), I already said in my initial reply.

Hope that helps.

Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Sujoy Khan

Allergist and Immunologist

Practicing since :1999

Answered : 584 Questions

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Diagnosed With Pneumonia And Mild Asthma. Is It Safe To Take Ciprofloxacei, Ucolet And Seretall Diskus?

Hello XXXXXXX,

The generic drugs are Ciprofloxacin (an antibiotic), mucodyne (to get phlegm out of the chest) and a steroid/beta2 agonist inhaler. As such there are no direct interactions with any of the drugs, so it will be safe to use them together (Source: British National Formulary for interaction with Quinolone antibiotics).

This is provided you are not on any other medication as antidepressants interact with ciprofloxacin such as duloxetine or TCAs (avoid concomitant use).

Moreover, try and use mucodyne sparingly while on ciprofloxacin i.e., as less number of times as possible as maximum use is three times daily.

You may need to get the antibiotic reviewed as per the CURB65 score. Your physician must have already done this, but needs to be reviewed if you are still unwell after 48-72 hours.

Do let me know if you have more concerns.

Thanks.