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You should ask your Pharmacist. My dr. prescribed it and all the pharmacists at Walgreens refused to fill it because I'm on high doses of coumadin. Cipro (Ciprofloxin) is a member of the quinolone group of antibiotics. Peak blood levels are reached 1-2 hours after dosing. If you take an ANTACID containing magnesium or aluminum hydroxide (most have one or both), it will bind up to 90% of the drug, rendering it mostly ineffective. Same is true with zinc, iron, and calcium. It reaches optimum blood levels if taken 2 hours after a meal. If you take THEOPHYLLINE) for Asthma, Cipro slows down the breakdown of Theophylline, and it will cause severe nervousness as you would expect with an overdose (could be fatal!). Cipro does the same with CAFFEINE, and will build up higher blood levels of caffeine, causing nervousness and CNS stimulation.

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Q: Is cipro ok to take with coumadin?
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