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203439

Ciprofloxacin Chemistry, Medical Evaluation and Adverse Effect with Special Attention to Ciprofloxacin Chondrotoxicity

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Biochemistry

Abstract

Ciprofloxacin is the most potent fluoroquinolone and was seen active against a broad range of bacteria. The present study was aimed to review all published animals and human studies in the medical and dental literature about ciprofloxacin use in the period between 1995 and 2021. English language publications, original studies and reviews were included. Several researchers revealed that ciprofloxacin can causes arthropathy. Chondrotoxicity seen in juvenile animals could be due to the deficiency of functionally available magnesium, production of oxidative stresses and lipid peroxidation, chondrocytes loss, decrease in the formation of the cartilage extracellular matrix, decrease in sox9 expression, increase caspase-3 and matrix metalloproteinases expression. In human, ciprofloxacin can induce tendinopathy and tendon rapture. Follow up of children which were treated with ciprofloxacin, showed that only a few percentages of them had developed a ciprofloxacin-related acute arthropathy, but it cannot cause any permanent joint damage. The majority of events were mild to moderate severity. These researches indicated that ciprofloxacin may be a safe drug to be used in children under the age of 18 years old, but only used when there is no a good alternative to its use until a long-term follow-up studies are completed.

DOI

10.21608/ejchem.2021.99141.4613

Keywords

ciprofloxacin, arthropathy, Chondrotoxicity, Fluoroquinolone

Authors

First Name

Ameera

Last Name

Khaleel

MiddleName

K

Affiliation

Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia

Email

ameerakkh2021@gmail.com

City

-

Orcid

-

First Name

Ramizu

Last Name

Shaari

MiddleName

Bin

Affiliation

Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia

Email

ramizu@usm.my

City

-

Orcid

-

First Name

Mohamad

Last Name

Nawi

MiddleName

Arif Awang

Affiliation

Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia

Email

mohamadarif@usm.my

City

-

Orcid

-

First Name

Ali

Last Name

Al-Yassiri

MiddleName

Mihsen Hussein

Affiliation

Head of Dentistry Department, Alhilla University, Iraq

Email

dralimihsen82@gmail.com

City

-

Orcid

-

Volume

65

Article Issue

5

Related Issue

29749

Issue Date

2022-05-01

Receive Date

2021-10-02

Publish Date

2022-05-01

Page Start

551

Page End

559

Print ISSN

0449-2285

Online ISSN

2357-0245

Link

https://ejchem.journals.ekb.eg/article_203439.html

Detail API

https://ejchem.journals.ekb.eg/service?article_code=203439

Order

53

Type

Review Articles

Type Code

444

Publication Type

Journal

Publication Title

Egyptian Journal of Chemistry

Publication Link

https://ejchem.journals.ekb.eg/

MainTitle

Ciprofloxacin Chemistry, Medical Evaluation and Adverse Effect with Special Attention to Ciprofloxacin Chondrotoxicity

Details

Type

Article

Created At

22 Jan 2023