Absorption of ciprofloxacin can be reduced if it is taken at the same time as dairy products, antacid or iron preparations; ciprofloxacin should be dosed at least four hours apart from these products. Quinolones can inhibit the cytochrome P450 system, and thus interact with a number of different drugs. Some of these interactions can be potentially serious: for example, ciprofloxacin can cause an increase in theophylline levels, potentially leading to toxicity.


Erythromycin was the first macrolide to be developed, and has been a mainstay of treatment for many infections for the last forty years. More recently clarithromycin and azithromycin have become available in the UK. Their main benefits are that they offer easier dosing, are more tolerable to take and do not have as many drug interactions.

Coping with Asthma

Coping with Asthma

If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.

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