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Ciprofloxacin Hydrochloride: A Closer Look at a Key Antibiotic

Historical Development

Medical history changed course when scientists unlocked ciprofloxacin’s potential in the late 1970s. Researchers working for Bayer AG, eager to improve on the quinolone class, managed to produce this compound. Right from its early years, ciprofloxacin Hydrochloride started to claim territory as a potent fluoroquinolone, targeting bacteria that earlier generations of antibiotics couldn’t touch. Doctors found themselves with a new tool, giving patients with stubborn or severe infections renewed hope. Hospitals, public health systems, and infectious disease experts took notice, building protocol around its power. The drug arrived on the market in the mid-1980s and quickly proved it could outpace many bacterial adversaries, winning widespread approval across continents.

Product Overview

Ciprofloxacin Hydrochloride stands out as a member of the fluoroquinolone family, offering a broad-spectrum weapon against bacterial infections. Its strong bactericidal action means it attacks DNA gyrase within bacteria, blocking cell replication at its genetic core. This gives it an edge in respiratory, urinary tract, and gastrointestinal infections, as well as skin and soft-tissue problems. What set it apart during its rise were the tablet, injection, and eye-drop formats, which let pharmacies and clinics respond to a variety of clinical demands. Over time, generics followed, ensuring the compound reached even those health systems with tighter budgets.

Physical & Chemical Properties

Ciprofloxacin Hydrochloride typically appears as a white to light-yellow crystalline powder. Its melting point sits around 255°C (491°F). The molecule dissolves well in water, thanks to its hydrochloride salt form, and it resists light and heat better than earlier quinolones. Chemists value its chemical stability in normal storage, which lets manufacturers deliver a consistent product with minimal risk of breakdown. The hydrochloride salt, C17H18FN3O3·HCl, gives it a molecular weight around 385.8 g/mol. Strong UV absorbance helps quality control labs monitor purity. Each physical property reflects years of tweaking, testing, and learning what worked best in both the hospital ward and the production line.

Technical Specifications & Labeling

Manufacturers deliver ciprofloxacin Hydrochloride according to strict pharmacopoeial standards. Purity levels usually top 98%. The United States Pharmacopeia (USP) and European Pharmacopoeia (Ph. Eur.) set thresholds for related substances, moisture content, bulk density, and residual solvents. Labels list dosage strength for tablets, powder for suspension, or injectable form, along with storage conditions (often under 25°C, protected from light and humidity). Each package clearly carries batch number, manufacture date, and expiration date, as well as codes to trace counterfeits. Regulators demand clear safety and administration instructions, so patients and medical staff use the product as intended. Quality systems at every step— from synthesis to packing— tighten the net, keeping subpar batches off the market.

Preparation Method

Synthesis usually starts with 7-chloro-6-fluoroquinolone core, transformed stepwise through nucleophilic substitution and amide formation. Chemists attach the cyclopropyl group at the right spot, then introduce the piperazine ring, which raises potency and tissue penetration. After purification, the compound gets neutralized with hydrochloric acid, producing the hydrochloride salt. Crystal formation, drying, and grinding follow. Each stage demands strict control over reaction temperature, solvent purity, and mixing speed, because tiny chemical slip-ups can spoil entire lots. Plant engineers keep an eye on emissions and solvent recovery, in line with modern green chemistry ideas, reducing waste and limiting environmental impact.

Chemical Reactions & Modifications

Lab teams and chemists keep searching for better derivatives, tweaking the molecule to outwit resistant bacteria. Adding bulkier groups or changing the position of functional groups sometimes delivers stronger antibacterial punches or lowers side effects. Ciprofloxacin reacts under both acidic and basic conditions, so pH control is essential in large-scale production. Research groups continue to splice on alternative moieties, hoping for new fluoroquinolones that handle infection with less risk of nerve and tendon problems. Modern analytics track each change, linking subtle molecular tweaks to shifts in activity, toxicity, and distribution.

Synonyms & Product Names

Doctors and pharmacists might encounter ciprofloxacin Hydrochloride under a variety of trade names—Cipro, Ciloxan, Cetraxal, Proquin—alongside generic titles reflecting its chemical makeup. Patients rarely know the lengthy IUPAC title, but records, import logs, and hospital pharmacies keep cross-referencing synonyms to avoid confusion. It goes by “ciprofloxacino” in Spanish-speaking countries and shorthand forms in research publications, but each name circles back to the same core structure.

Safety & Operational Standards

Handling ciprofloxacin Hydrochloride in a lab or pharmaceutical plant means wearing gloves, goggles, and dust masks to prevent skin contact, inhalation, or accidental ingestion. Occupational safety data sheets spell out these precautions. Production lines need clear separation zones to limit cross-contamination with other drugs. Waste solvents, off-spec material, and cleaning water must be treated as hazardous and disposed of according to region-specific rules. Makers regularly train staff and run emergency drills, since chemical exposure risks extend beyond final products to the people working with them. In hospitals, clear prescribing guidelines aim to avoid overuse and the spread of drug resistance, which threatens the drug’s usefulness for everyone.

Application Area

Doctors reach for ciprofloxacin Hydrochloride in tough cases—complicated urinary tract infections, hospital-acquired pneumonia, bone and joint infections, and post-surgical wound care. Travel medicine clinics trust it for severe traveler’s diarrhea. Eye doctors prescribe it for stubborn corneal ulcers. Sometimes, veterinarians rely on it for certain animal infections, though restrictions increasingly limit use to keep resistance in check. Its wide reach traces back to both chemical muscle and the practical forms pharmaceutical firms developed—tablets, suspensions for kids, slow-release injections for emergencies.

Research & Development

Scientists continue to probe how ciprofloxacin attacks infections, how it travels through tissues, and how bacteria fight back. Teams look for ways to get around resistance, either by pairing the drug with enzyme inhibitors or by engineering new delivery vehicles such as nanoparticles. Recent years saw more studies testing ciprofloxacin derivatives for tuberculosis, cystic fibrosis lung infections, and as topical gels for chronic wounds. New batch-testing machines track impurities and verify identity with far more precision than those used in the compound’s early days. Research keeps aiming for the same finish line: maximum killing power with fewer side effects and lower risk of environmental contamination.

Toxicity Research

Nearly every drug that beats bacteria carries its own risks. Ciprofloxacin Hydrochloride occasionally triggers side effects—nausea, gut disturbances, rarely tendon rupture or nervous system symptoms. Scientists keep a watchful eye on rare but serious effects that crop up with broader use, such as heart rhythm changes or heightened sensitivity in older people. Animal studies, in vitro cell culture, and post-market surveillance help doctors understand these risks and flag patterns early. Awareness among patients matters just as much as laboratory vigilance, since clear symptom reporting speeds up the withdrawal of problematic batches or revisions in use guidelines.

Future Prospects

Ciprofloxacin Hydrochloride faces a familiar crossroads, caught between breakthrough and obsolescence as resistance spreads. Some labs chase entirely new antibiotics, while others seek better stewardship rules and diagnostic tools to identify infections that genuinely need this drug. Precision medicine holds out hope for custom dosing and combo therapies that extend the antibiotic’s useful life. Clean manufacturing and lower waste production will sit center stage in coming years, as global regulators tighten oversight. Ciprofloxacin still has life left, particularly in settings where alternatives lag, but the story keeps evolving as bacteria adapt and researchers keep searching for the next step forward in infection control.




What is Ciprofloxacin Hydrochloride used for?

It’s More Than Just a Pill

Ciprofloxacin Hydrochloride sounds like something you’d only hear about in a pharmacy, but it has a strong reputation in clinics and hospitals. Folks who end up with nasty infections—especially the type that just won’t quit—often get handed a prescription for ciprofloxacin. Doctors rely on this medicine to target bacteria that have dug in deep and shrugged off other treatments. Anyone dealing with a tough urinary tract infection, a stubborn lung issue, or even certain types of food poisoning learns fast that this antibiotic carries weight.

Knockout Punch for Tough Infections

Some bacteria respond to penicillin, amoxicillin, or the old standbys. Ciprofloxacin steps up when those don’t do the job. Emergency rooms turn to it to handle kidney infections, bone infections, even anthrax exposure. The World Health Organization even lists it as an essential medicine. Imagine eating something questionable, and then you struggle with severe stomach cramps and fever—doctors know ciprofloxacin clears out invaders like Salmonella or Shigella. Chronic bronchitis flare-ups, prostate infections, and complicated sinus infections—doctors choose this antibiotic because it works hard against bacteria that cause real misery.

How Ciprofloxacin Works in Real Life

You might picture bacteria as clever little invaders with a knack for dodging antibiotics. Ciprofloxacin throws a wrench into their system. It gets inside bacteria and blocks the machinery they need to copy DNA. Without that, bacteria can’t multiply, and your body can start catching up. I’ve talked with patients who tell me they felt human again after just a couple days on this drug. For those facing recurring urinary tract infections, or fighting a resistant strain, the difference is huge. It lets people return to work or school instead of being chained to a bed with fever and pain.

Real Risks and Good Habits

It’s true, no medicine works for everything, and ciprofloxacin is not an exception. Side effects get attention—people sometimes deal with upset stomach, headaches, or sensitivity to sunlight. Serious problems, like tendon injuries or nerve pain, make headlines. Doctors get strict about not giving this drug unless they really believe it’s needed. Antibiotic resistance feels like a buzzword, but it’s real. Handing out antibiotics for every cough or rash can lead to bacteria that don’t care about our medicines. Whenever you get a prescription, the full instructions matter: finish the course, even if you feel better before the pills run out.

The Challenge of Responsible Use

Overuse and misuse of antibiotics like ciprofloxacin have helped create new waves of drug-resistant bacteria. These “superbugs” make stories about antibiotics feel personal, not just medical. Doctors encourage all of us to ask questions: Will this medicine really make a difference for me? What can I do to feel better beside taking a pill? Some countries have put tighter rules around antibiotics, and in my own family, we talk about the dangers of saving pills “just in case.” Simple actions, like washing hands and getting a good diagnosis before asking for medications, can help keep antibiotics working when we really need them.

What are the common side effects of Ciprofloxacin Hydrochloride?

Common Side Effects: More Than a Footnote

Ciprofloxacin sits on pharmacy shelves as a go-to antibiotic for UTIs, certain respiratory infections, and a handful of other tough bacterial threats. I remember the first time a loved one got put on it. The pharmacist rattled off warnings at a pace that left us dizzy. It became pretty clear—ciprofloxacin is powerful, but the body often feels its presence.

Nausea comes up as the most frequent companion to this medication. Up to one in ten patients experience persistent queasiness, sometimes joined by vomiting or a sudden loss of appetite. Stomach upset sometimes creeps in, pushing the patient to eat less or avoid the next dose. Doctors sometimes reassure that this fades as treatment continues. In many cases, eating a small meal with the pill helps, but not everyone gets off lightly.

Not long after starting ciprofloxacin, people talk about diarrhea or loose stools. Antibiotics can upset the natural balance in the gut, leaving things unsettled for days, sometimes weeks. A handful of folks get clostridium difficile, a much more serious infection. The CDC has flagged this risk: taking ciprofloxacin can open the door to dangerous bacteria and cause severe stomach cramping and fevers. Long-term gut disruption isn’t just discomfort; it’s a medical issue that takes follow-up care.

Some people develop headaches or feel unusually tired. These side effects aren’t rare; clinical studies list fatigue and dizziness among the top complaints. This isn’t just a minor nuisance either. For people who drive, operate machinery, or care for children, daily routines can get complicated. I’ve seen coworkers return after a round of antibiotics with stories about brain fog that lingered for days.

One of the more alarming side effects involves tendons. The FDA has issued serious warnings as ciprofloxacin and other drugs in its class can trigger tendonitis and even tendon ruptures. Middle-aged adults and the elderly face higher odds, especially those who also take steroids for other health problems. A torn Achilles isn’t an inconvenience; it can mean surgery and months of rehab. Recognizing the first signs—unusual pain, swelling, trouble walking—can stop something worse from happening.

Rashes and itchiness sometimes break out in patients. Allergic reactions to ciprofloxacin can show up as unusual skin changes, swelling, or even difficulty breathing. It doesn’t happen to most people, but it pays to keep this possibility in mind. My cousin needed emergency care when a mild rash turned into hives and throat tightness. She recovered, but the experience made our family more cautious about antibiotic use.

Building Awareness and Solutions

Doctors often prescribe ciprofloxacin with the best intentions, but the full list of potential side effects deserves greater attention. Patients should keep an open line with their providers and report symptoms quickly. Pharmacists play a key role in repeating warnings in plain language, not medical shorthand.

Some hospitals now print “red flag” lists and hand them to patients. These guides lay out symptoms that should prompt an immediate call to the doctor, like tendon pain, severe diarrhea, or hives. This approach puts power back in the patient's hands and gives families a sense of control. In my experience, written reminders work better than a quick chat over the pharmacy counter, especially when nerves are high.

The bottom line: ciprofloxacin treats tough infections, but side effects aren’t just small print. Open conversations, timely questions, and clear take-home guides go a long way in managing risks without giving up on the benefits.

How should I take Ciprofloxacin Hydrochloride?

Why I Pay Close Attention to Antibiotics

I learned the hard way that antibiotics like ciprofloxacin hydrochloride are powerful but need respect. A few years ago, someone close to me ignored the instructions on a prescription bottle. The infection lingered, then came back after briefly improving. That experience shaped how I look at antibiotics now. Ciprofloxacin isn’t a casual remedy—it’s a tool against tough bacterial infections, including those affecting the urinary tract, sinuses, or lungs. Proper use matters, not just for recovery, but to keep antibiotics working for everybody.

How Doctors Want Ciprofloxacin Taken

Doctors usually recommend swallowing the tablet whole, with a full glass of water. I see some people try to split or crush pills if they have trouble swallowing, but ciprofloxacin is not designed for that. Breaking the tablet can mess with how the drug releases into the body. If someone struggles to swallow pills, the doctor might have alternatives such as a liquid suspension.

Timing also shapes the medicine’s impact. Ciprofloxacin works best on an empty stomach, usually two hours after eating or at least one hour before the next meal. Mixing this drug with certain foods, especially dairy or calcium-fortified juices, limits how well the body absorbs it. A couple of weeks ago, a family friend tried taking their dose with yogurt and stayed sick longer. These little details can decide whether an infection clears or drags on.

Interactions Sneak Up Fast

People often forget to mention supplements or over-the-counter antacids when talking with their doctor. But magnesium, iron, or aluminum can lock up ciprofloxacin, keeping it from fighting infection. A calcium-rich multivitamin had this effect on me once. I ended up spacing out my pills and supplements by at least two hours to steer clear of trouble.

Hydration helps too—drinking fluids flushes the kidneys, which can be sensitive to ciprofloxacin. This advice isn’t just for comfort. Staying well-hydrated reduces risk of nasty side effects, like crystals forming in urine.

Sticking With the Full Course

Stopping treatment early is tempting when symptoms fade, but infection often rebounds if bacteria survive. I watched my cousin do this and he landed in the ER with a stronger, resistant bug. To avoid this nightmare, I finish every last pill, even after feeling back to normal.

Side Effects and Signs You Can’t Ignore

Some folks shrug off side effects, but certain reactions mean real trouble. If I notice tendon pain, muscle weakness, numbness, tingling, or confusion, it’s straight to the clinic. The FDA has flagged ciprofloxacin for sometimes triggering tendon ruptures or nerve problems, particularly among older adults. I keep an eye out for rashes, hives, or trouble breathing, in case of an allergic reaction.

Letting Your Doctor In On Everything

Honesty matters from the start. I lay out any allergies, medications, or even pregnancy plans, since ciprofloxacin can mess with growing bones and joints in kids or unborn babies. A doctor’s insight keeps me safe and lets them tweak the plan if needed.

Taking Responsibility Goes a Long Way

Using ciprofloxacin properly stands as a group effort. My actions shape not just my outcome but the community’s health, since resistant bugs spread easily. By following doctor’s orders, keeping an open line with healthcare providers, and not sharing unused pills with others, I help preserve the value of these medicines for everyone.

Are there any foods or medications that interact with Ciprofloxacin Hydrochloride?

Why Everyday Choices Can Affect This Antibiotic

Many folks at one point have picked up a prescription of ciprofloxacin hydrochloride for something like a stubborn UTI or a problematic sinus infection. It’s a popular drug in the fluoroquinolone family, known for packing a punch against tough bacteria. A lot of people don’t realize common foods and other medicines can make this antibiotic less effective, or sometimes even riskier to use.

What Happens With Dairy and Calcium-Rich Foods

That glass of cold milk or slice of cheese pizza doesn’t seem dangerous, but calcium can really get in the way of how the body absorbs ciprofloxacin. It’s not just dairy either—antacids or supplements with magnesium, aluminum, or iron can bind up this medication in the stomach. Think of it like throwing sand in the gears: The medicine and minerals stick together, and most of the antibiotic won’t make it to the bloodstream. Doctors often recommend waiting at least two hours before or six hours after taking ciprofloxacin if you want to eat dairy or take mineral supplements. Simple habit changes here can mean the difference between fighting off an infection and letting it linger.

Caffeine and Ciprofloxacin: Not the Best Combo

Coffee, energy drinks, colas—they’re a mainstay for folks needing a pick-me-up. Ciprofloxacin can cause your body to clear caffeine slower, which means that cup of coffee might linger longer. People could start feeling jittery or anxious, get headaches or have trouble sleeping. This isn’t just theory; research in the Clinical Pharmacology & Therapeutics Journal showed caffeine levels nearly doubled in volunteers taking ciprofloxacin along with their morning brew. That’s enough to make anyone re-think their usual routine during a course of antibiotics.

Other Prescription and Over-the-Counter Medications

Warfarin, used to prevent blood clots, interacts with ciprofloxacin through the liver. Mixing the two can pump up the blood-thinning effect—sometimes even dangerously so. Monitoring blood tests gets more important. Non-steroidal anti-inflammatory drugs (ibuprofen, naproxen) might raise the risk of nervous system side effects like seizures; this risk is higher in people with kidney problems or a history of seizures.

Why These Interactions Matter

Ignoring these food and drug connections isn’t just an inconvenience—it can mean a cured infection turns into a stubborn one. Antibiotic resistance gets a boost every time someone gets partial treatment due to these types of mishaps. Real tragedies happen: elderly people land in the hospital from preventable side effects, or someone gets a second prescription that could have been avoided.

Smart Moves for Better Antibiotic Use

Ask the pharmacist if there are special instructions for ciprofloxacin. Write down what foods or supplements to avoid. Keep a running list of your daily medications in your wallet. Read the little print-out that comes with the prescription—most folks toss it, not realizing it’s meant to warn you about real-life complications.

Ciprofloxacin works best when the body has nothing standing in its way. A little label-reading, timing adjustments, and a willingness to double-check with healthcare providers can make antibiotics safer and more useful. Even a simple change like drinking water instead of coffee during treatment might make a big difference in how you feel and how well the medicine works.

Can Ciprofloxacin Hydrochloride be used during pregnancy or breastfeeding?

Weighing Risks and Benefits in Real Life

Walking into a doctor’s office with an infection adds a layer of anxiety when you’re expecting or nursing. Healthcare professionals hand out antibiotics daily, but the list of safe choices shrinks for pregnant and breastfeeding women. Ciprofloxacin Hydrochloride, a common antibiotic in the fluoroquinolone family, pops up on pharmacy shelves for treating a range of infections—UTIs, respiratory illnesses, intestinal bugs. The question of its safety for mothers and babies keeps surfacing in clinics and online forums. Drawing on clinical studies, reports from mothers, and personal experience as a patient advocate, I’ve noticed how decisions with medication rarely feel straightforward in these moments.

Pregnancy: Untangling the Evidence

Research in the past flagged Ciprofloxacin as risky during pregnancy, mostly because animal studies hinted at joint problems and cartilage damage in the developing fetus. That scared a lot of clinicians away from reaching for it. More recent data from actual pregnancies hasn’t shown a clear increase in birth defects, but the sample sizes stay small and reports are mixed. A paper from the American Journal of Obstetrics and Gynecology tracked over 1000 women who took Ciprofloxacin in the first trimester. No major spike in birth defects showed up, yet joint problems couldn’t be fully ruled out.

The Food and Drug Administration still lists it as a Category C drug—sometimes the benefits outweigh possible risks. For mild infections, doctors steer clear and find something safer. In cases of serious illness where other antibiotics won’t cut it, some providers decide the need to treat the mother takes priority. That happens in real life with multi-drug resistant infections, when choices disappear fast.

Breastfeeding: Reading the Fine Print

Moms who are breastfeeding face a different dilemma. Ciprofloxacin passes into breast milk, but only in small amounts. Most guidelines suggest it could be used briefly if there isn’t a better option. Problems like diarrhea and diaper rashes can sometimes turn up in nursing babies, but reports of serious joint issues remain rare.

A mother might worry enough to stop breastfeeding while taking a pill, but the facts don’t always force that choice. I remember a parent who agonized for days over a prescription, only to learn that her baby’s only side effect was a mild rash that cleared in two days. Still, experts recommend keeping a close eye on infants for fussiness or joint swelling and reporting any symptoms quickly.

Making Real-World Choices

Any parent or expecting mother confronted with this drug deserves clear, reassuring information—free of jargon and without fear tactics. Open conversations with doctors should cover why an antibiotic was chosen, what risks loom in the background, how long treatment lasts, and what safer alternatives exist. No two pregnancies, no two infants, are quite alike.

Ciprofloxacin shouldn’t become a routine answer during pregnancy and breastfeeding, even though studies haven’t sounded a loud alarm. Keeping the drug in reserve for tough cases preserves its value and lowers risk. Drug-resistance, allergies, or other factors could call for it, but regular infections have other, gentler options.

Pushing for better registry data and long-term research helps families and caregivers spot real patterns of harm or safety. Until more is known, smart decisions hinge on honest talks, trusted providers, and a willingness to ask questions—because real life doesn’t fit neatly into clinical categories.

Ciprofloxacin Hydrochloride
Names
Preferred IUPAC name 1-cyclopropyl-6-fluoro-4-oxo-7-piperazin-1-yl-1,4-dihydroquinoline-3-carboxylic acid hydrochloride
Other names Cipro
Ciprofloxacin
Ciproxin
Baycip
Ciloxan
Pronunciation /ˌsɪˌprəʊflɒkˈsæsɪn haɪˌdrɒklaɪd/
Identifiers
CAS Number 86393-32-0
Beilstein Reference 3560782
ChEBI CHEBI:63498
ChEMBL CHEMBL24
ChemSpider 2157
DrugBank DB00537
ECHA InfoCard 03f96f30-bb01-4a84-80ad-86b1069181b3
EC Number 62068-05-3
Gmelin Reference 83336
KEGG D01410
MeSH D016895
PubChem CID 62927
RTECS number VB1992200
UNII 75R0UZI11A
UN number UN2811
CompTox Dashboard (EPA) urn:epa.compTox:DTXSID6020244
Properties
Chemical formula C17H18FN3O3·HCl
Molar mass 385.8 g/mol
Appearance White to slightly yellowish crystalline powder
Odor Odorless
Density 1.6 g/cm3
Solubility in water Freely soluble in water
log P 0.28
Vapor pressure Negligible
Acidity (pKa) 8.7
Basicity (pKb) 8.70
Magnetic susceptibility (χ) -73.8×10⁻⁶ cm³/mol
Refractive index (nD) 1.729
Dipole moment 6.9 ± 0.2 D
Thermochemistry
Std molar entropy (S⦵298) 365.5 J·mol⁻¹·K⁻¹
Std enthalpy of formation (ΔfH⦵298) -1360 kJ/mol
Std enthalpy of combustion (ΔcH⦵298) -3028 kJ·mol⁻¹
Pharmacology
ATC code J01MA02
Hazards
Main hazards Causes serious eye irritation. May cause respiratory irritation.
GHS labelling GHS07, GHS08
Pictograms antiinfectives
Signal word Warning
Hazard statements H302: Harmful if swallowed. H315: Causes skin irritation. H319: Causes serious eye irritation. H335: May cause respiratory irritation.
Precautionary statements Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away. Use only as directed by your physician. Avoid exposure to sunlight and ultraviolet light. Store at controlled room temperature.
Flash point > 233.3 °C
Autoignition temperature > 414 °C
Lethal dose or concentration LD50 oral (rat) 5000 mg/kg
LD50 (median dose) LD50 (median dose): Mouse oral LD50 = 5000 mg/kg
NIOSH RS9274000
PEL (Permissible) PEL (Permissible Exposure Limit) for Ciprofloxacin Hydrochloride: "Not established
REL (Recommended) 500mg every 12 hours
IDLH (Immediate danger) Not listed
Related compounds
Related compounds Ciprofloxacin
Norfloxacin
Ofloxacin
Levofloxacin
Enoxacin
Moxifloxacin
Lomefloxacin
Gemifloxacin
Gatifloxacin