Can ciprofloxacin cause anxiety?

This blog answers: Can ciprofloxacin cause anxiety? What is ciprofloxacin used for? Why is it prescribed? How is Ciprofloxacin taken? What is Anxiety? What are some ways to manage anxiety? What are the therapy options for anxiety?

Can ciprofloxacin cause anxiety?

Studies indicate that Ciprofloxacin which is a antibiotic can cause anxiety. This antibiotic belonging to the fluoroquinolone class is associated with neuropsychiatric negative effects such as anxiety, depression, and insomnia. 

Ciprofloxacin is a broad-spectrum antibiotic that is well accepted and extensively used in clinical practice to treat a variety of infections. Several case reports have been published describing the progression of psychotic symptoms and other psychiatric symptoms as a result of the use of this antibiotic.

What is ciprofloxacin used for?

This antibiotic is used to treat a number of different bacterial infections. Ciprofloxacin is a quinolone antibiotic, which means it belongs to a group of antibiotics known as quinolones. 

It works by preventing bacteria from growing. This antibiotic is solely used to treat bacterial infections. It won’t work if you have a viral infection such as the common cold, flu. 

Why is it prescribed? 

Some conditions for which Ciprofloxacin are prescribed are: 

  • Pneumonia
  • Gonorrhea (a sexually transmitted disease)
  • Typhoid fever (a serious infection that is common in developing countries)
  • Infectious diarrhea (infections that cause severe diarrhea)
  • Infections of the skin, bone, joint, abdomen (stomach area)
  • To prevent plague (a deadly infection that might be intentionally disseminated as part of a bioterror assault) 
  • Anthrax inhalation (a serious infection that may be spread by anthrax germs in the air on purpose as part of a bioterror attack).
  • Bronchitis, 
  • Sinus infections, 
  • Urinary tract infections. 

However, if better treatments are available, they should not be used colds, flu, and other viral diseases will not respond to antibiotics like ciprofloxacin. When antibiotics are used unnecessarily, people run the risk of developing an infection that is resistant to antibiotic therapy later.

Can ciprofloxacin cause anxiety?

How is Ciprofloxacin taken? 

Form and dosage 

Ciprofloxacin is available in tablet, suspension (liquid), and extended-release tablet forms for oral use with or without food. The extended-release tablets are normally taken once a day, whereas the tablets and suspension are usually taken twice a day. 

The tablets and suspension can be administered as a single dosage to treat gonorrhea. Ciprofloxacin should be taken at the same time(s) every day. Your treatment time will be determined by the sort of illness you have. 

The length of time you should take ciprofloxacin will be determined by your doctor. Follow the directions on your prescription label carefully, and if there is anything you don’t understand, ask your doctor or pharmacist to explain it to you. C

Ciprofloxacin should be taken exactly as prescribed. Don’t take more or less of it, and don’t mix it with any other drugs without consulting.

Dietary needs to keep in mind 

Caffeine-containing items such as coffee, tea, energy drinks, cola, and chocolate should not be consumed in large quantities. Caffeine-induced nervousness, insomnia, heart-pounding, and anxiety may be exacerbated by Ciprofloxacin. While using ciprofloxacin, make sure you drink plenty of water or other fluids every day.

Precautions to be followed

  • If you are allergic to ciprofloxacin or have had a serious response to it, tell your doctor and pharmacist. Any other quinolone or fluoroquinolone antibiotics, including delafloxacin (Baxdela), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), and ofloxacin; any other drugs; or if you are allergic to any of the chemicals in ciprofloxacin pills or liquid. Request a list of the components from your doctor or pharmacist.
  • If you’re on tizanidine, let your doctor know (Zanaflex). Ciprofloxacin should not be taken while you are on this prescription, according to your doctor.
  • If you are pregnant or plan to become pregnant, notify your doctor. Call your doctor if you become pregnant while taking ciprofloxacin.
  • If you’re breastfeeding, let your doctor know. Breastfeeding is not recommended while taking ciprofloxacin and for at least 2 days following the last dosage.
  • Do not drive a car, operate machinery, or engage in tasks that require awareness or coordination until you have a better understanding of how this drug affects you.

What is Anxiety?

Problems and resulting stress are usually accompanied by some common emotions like confusion, feeling at the edge, a sense of helplessness, and recurrent negative thoughts which can collectively be seen as an individual experiencing what’s commonly called  Anxiety. 

Every human has their unique ways of dealing with these difficult situations and the following emotions, some try to adapt to the circumstances and find the best and most comfortable solution while others try to find an escape route for the same, in both cases the main aim is usually to get over the uncomfortable emotions of anxiety. 

What are some ways to manage anxiety?

Identify and acknowledge the triggers

The most significant strategy that can be used to control one’s anxiety is by identifying and acknowledging those triggers.

Being able to recognize what makes an individual anxious makes them better equipped to take action.

Relaxation techniques


Even though anxiety can be bought under an individual’s control it cannot be predicted. In such situations, it is necessary that an individual actively carries out relaxation techniques.

These might include meditation, yoga, and deep breathing which helps to reduce the intensity of anxiety within a short period.



A key to reducing the frequency and intensity of anxiety attacks could be spending time with close family and friends.

The kind of emotional and practical support provided by these social and personal groups help the person feel connected and aid in distracting one’s mind from negative and recurring thoughts that lead to anxiety.

Apart from friends and families, individuals can also consider speaking to groups of people that are experiencing similar problems.

Set realistic goals

When an individual is feeling overwhelmed, setting goals and targets keeping in mind priorities can help resolve overwhelming feelings of fear or panic.

Setting goals provides structure and routine to an individual’s life reducing space for uncertainty which can be a major trigger for anxiety in many cases.

Take up new challenges

Apart from doing activities that an individual is usually fond of and has expertise in, trying new and challenging activities that put an individual outside their comfort zone in a healthy manner may help reduce the stress and anger temporarily.

Signing up for new activities also provides a path to meeting people with similar stories and concerns.

Lifestyle changes

An individual’s lifestyle plays a major role in their experience of anxiety. An unhealthy and busy lifestyle usually leads to unhealthy eating, lack of exercise, lack of adequate sleep.

A combination of a well-set diet, exercise, and sleep can help to regulate an individual’s mood and equip them with a favorable coping mechanism.

These coping mechanisms in turn help to get control over once anxiety concerns in a more adaptable manner.

lack of proper diet, sleep, and exercise can make an individual sluggish, dependent, moody and vulnerable to anxiety attacks.

Making journal entries

Last but not least having a journal to write down how a person is feeling and thinking when they are anxious helps them to reflect upon their thoughts and feelings.

Putting down one’s thoughts and feelings onto a paper helps to provide a sense of temporary relief.

In the case of journal entry, a person does not even have to fear being judged by another person regarding their thoughts and feelings.

What are the therapy options for anxiety?

Cognitive-behavioural therapy

Cognitive-behavioural therapy helps an individual to control their anxiety by using strategies like relaxation and breathing. It works on the principles of replacing negative thoughts with positive ones.

Exposure therapy

Exposure therapy is a kind of therapy in which an individual is exposed to a particular stimulus that they usually fear or are anxious about in a graded order.

As and when the individual gets comfortable with the situation or stimulus introduced or exposed to them with each session, individuals get more comfortable with a real-life situation that might have otherwise been a source for triggering anxiety.

Group therapy


It is based on the principle that when an individual interacts with other people who are suffering from the same fears they might not feel left alone or isolated. Group therapy usually involves a group of individuals who are experiencing similar symptoms and problems.


Anxiety can also be treated with the help of medication prescribed by a health care professional.

Though medication alone cannot help in reducing persistent anxiety it can help in restoring a sense of control and bring temporary relief. 

Online therapy  

In cases where reaching out physically to a professional is impossible or discomforting an individual can opt to seek help through the online medium. 

In this, the therapy sessions are carried out one-to-one over a video or audio call. Some individuals also prefer interacting with the therapist through text as well due to various reasons. One of the most common is the fear of being judged by the therapist or some personal hesitation. 

Online therapy can help individuals to regulate some aspects of their anxiety that aids individuals in carrying out a stress-free life over time


Ciprofloxacin is an antibiotic used for treating bacterial infections such as pneumonia, typhoid, and gonorrhea. Ciprofloxacin should be used only on a prescription basis after a diagnosis has been made. 

This is because it has several side effects and can also cause problems if the dosage is missed or if it is overused. While it is a very good antibiotic, there are many precautions that one should keep in mind before starting this medication as mentioned above. 

Frequently asked questions: Can ciprofloxacin cause anxiety?

What effect does ciprofloxacin have on your neurological system?

Ciprofloxacin can cause major adverse effects such as tendon difficulties, nerve side effects which could result in irreversible nerve damage, serious mood or behavior changes even after just one dose, and low blood sugar which can lead to coma.

What are the ciprofloxacin negative effects?

Ciprofloxacin has the potential to induce adverse effects. If any of these symptoms are severe or do not go away, contact your doctor:

nausea, vomiting, stomach ache, heartburn, diarrhea, Itching and/or discharge from the vaginal area, skin that is pale and unexpected exhaustion

What foods should I stay away from while on Cipro?

Ciprofloxacin should not be taken with dairy products like milk or yogurt, or with calcium-fortified juice. When taking ciprofloxacin, you can eat or drink these things with your meals, but not on their own.