Register
Medicines reference
Active substance

Ciprofloxacin

Fluoroquinolone. Registered in Georgia: 1 veterinary product and 8 human medicines. Forms: coated tablet, eye drops, ointment, solution.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Ciprofloxacin
Before use

Safety information

Known Contraindications

  • Critical
    Do not use ciprofloxacin in patients with known hypersensitivity to ciprofloxacin or another fluoroquinolone.
  • Warning
    Both ciprofloxacin and moxifloxacin have been associated with potentially fatal antimicrobial-induced colitis.
    Sources: MSD Vet Manual
  • Warning
    Avoid excessive or prolonged quinolone use in immature animals because cartilage erosion and permanent lameness have occurred in growing dogs and foals.
    Sources: MSD Vet Manual
  • Warning (Cat)
    Not well absorbed in cats
    Sources: MSD Vet Manual

Known Drug Interactions

  • Major warning Ciprofloxacin + Aminophylline
    Serious and fatal reactions have been reported in patients receiving concurrent administration of CIPRO and theophylline. These reactions have included cardiac arrest, seizure, status epilepticus, and respiratory failure. Avoid Use (Plasma Exposure Likely to be Increased and Prolonged)
    Recommendation: Avoid concurrent use when possible. If the combination is unavoidable, monitor serum theophylline and reduce the aminophylline dose as needed. Watch for nausea, vomiting, tremor, excitation, tachycardia, and seizures.
    Sources: FDA
  • Major warning Theophylline + Ciprofloxacin
    Serious and fatal reactions have been reported in patients receiving concurrent administration of CIPRO and theophylline. These reactions have included cardiac arrest, seizure, status epilepticus, and respiratory failure. Avoid Use (Plasma Exposure Likely to be Increased and Prolonged)
    Recommendation: Avoid concurrent use when possible. If the combination is unavoidable, monitor serum theophylline and reduce its dose as needed. Watch for nausea, vomiting, tremor, excitation, tachycardia, and seizures.
    Sources: FDA
Latin name
Ciprofloxacin
Georgian name
ციპროფლოქსაცინი
Authorisation status
Human medicine, cascade use
No veterinary authorisation was found in any register checked. Veterinary use is off-label, under the prescribing cascade.
Registered in Georgia
9 of 9 forms
Human medicines in Georgia
Ciflosin, Ciplox, Ciprinol, Floximed, Qinops, Quinocip
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration9

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Complete labelled dog/cat ophthalmic role: bacterial, chemical or traumatic conjunctival, eyelid, corneal, uveal, injury-related and perioperative disease, including ulcer/erosion claims, with modern corneal-safety boundaries
3.2/10
Poor / unconvincing
vetman assessment

Ciflodex

4.5/1 mg/ml eye and ear drops suspension, 10 ml for dogs and cats
Assessed clinical scopeDog · Complete labelled dog/cat ophthalmic role: bacterial, chemical or traumatic conjunctival, eyelid, corneal, uveal, injury-related and perioperative disease, including ulcer/erosion claims, with modern corneal-safety boundaries · Into the eye
Care settingVeterinarian-directed treatment only after complete ocular examination, fluorescein staining, infection assessment and IOP review where indicated, with early scheduled recheck
vetman score 3.2/10 Poor / unconvincing
Evidence confidence: Low Georgia: Yes, veterinary · № 000208 · Verified on 23 Oct 2026

A registered but poorly supported fixed eye combination whose broad label includes the very corneal ulcers/erosions that make topical dexamethasone dangerous. Ciprofloxacin may fit selected susceptible infections, but without an intact fluorescein-negative cornea, a diagnosis supporting both components and close recheck, this is a poor option rather than a general red-eye treatment.

Regulatory and scientific credibility4.5/10

Exact 10 ml identity, strengths, dog/cat routes, dose schedules and Georgian authorisation 000208 are current and traceable. However clinical detail is available only on a manufacturer sales page, no internationally recognised exact veterinary authorisation or assessment dossier was found, and the page's broad ulcer/trauma claims conflict with established ophthalmic corticosteroid safety.

Clinical efficacy3.0/10

Ciprofloxacin can cover selected susceptible ocular bacteria and dexamethasone can suppress steroid-responsive inflammation, but no exact-product outcome study supports this broad mixed-cause label. The fixed steroid is inappropriate for many infected/ulcerated eyes, and a direct canine in-vitro study found dexamethasone significantly increased ciprofloxacin resistance/MIC in S. pseudintermedius and P. aeruginosa isolates.

Safety and tolerability2.0/10

The exact page explicitly lists corneal ulcers/erosions despite dexamethasone delaying epithelial repair, promoting collagenolysis/melting and masking infection. It also acknowledges irritation, allergy, secondary glaucoma and steroid cataract; systemic absorption, pressure effects and steroid keratopathy are independently documented, while exact target-eye safety margins are absent.

Clinical practicality3.5/10

Ready-to-use drops and a 5-10-day course are familiar, but 2-4 daily doses—and every 2-3 hours in severe cases—create substantial home/clinic burden. Safe use also requires shaking, atraumatic restraint, fluorescein and infection assessment, tip hygiene, spacing other drops, early recheck and one-month open-bottle control.

Full-course cost-effectiveness-

Current Georgian price for the exact 10 ml bottle and complete route-specific course was unavailable; price is excluded from the denominator.

Important safety and use flags

  • Complete eye-label boundary: conjunctivitis, blepharitis, keratitis/keratoconjunctivitis, iritis/iridocyclitis, ulcer/erosion, trauma/foreign body/chemical and perioperative disease are listed. This does not make one fixed antibiotic-steroid appropriate for every cause; diagnose the compartment, epithelial integrity and microbial/inflammatory role first.
  • Shake and give 1-2 conjunctival drops 2-4 times daily for 5-10 days; severe cases may receive 1-2 drops every 2-3 hours only for the first 1-2 days. Heavy discharge: use the label's cleaning step, then administer the treatment dose. Reassess early rather than extending blindly.
  • Hard stop: perform fluorescein staining before the first dose and at any new pain or deterioration. Despite the exact label listing corneal ulcer/erosion, do not use topical dexamethasone over an epithelial defect, thinning, melting, descemetocele, perforation or unhealed penetrating injury.
  • Use ciprofloxacin only when a susceptible bacterial role is clinically justified; culture/susceptibility is important in ulcerative keratitis, deep infection, rods, recurrence, prior fluoroquinolone exposure or poor response. Dexamethasone can alter susceptibility and suppress visible inflammation without microbial cure.
  • Do not use for viral or fungal eye/ear disease or uncontrolled infection. Steroid-driven reduction in redness, pain or discharge does not establish eradication and can permit microbial overgrowth; stop and re-evaluate if response is incomplete or deterioration occurs.
  • Monitor for irritation, itching, tearing, allergy, delayed healing, infection, IOP rise, secondary glaucoma, steroid cataract and corneal opacity/keratopathy. New blepharospasm, clouding, staining, vision change or worsening discharge requires immediate cessation and examination.
  • The exact page prohibits concurrent NSAIDs, theophylline, amphotericin and literally “other calcium-depleting medicines,” and prohibits use during vaccination. No exact interaction study explains the calcium wording; document all systemic/topical medicines and seek source clarification rather than silently changing or ignoring it.
  • Use cautiously below 7 days of age and in pregnancy. The exact instruction does not establish lactation, breeding, liver/kidney disease, repeated-course or overdose safety; use the shortest justified course and a patient-specific benefit-risk decision.
  • Shake thoroughly, wash hands, use atraumatic restraint and keep the dropper tip sterile and away from eye, lashes, skin and fingers. Separate other eye medicines so one does not wash out another; ointment is generally placed last unless the ophthalmologist directs otherwise.
  • Store dry and dark at 10-25 C out of children's reach and discard one month after opening. Record opening date, route/eye/ear, dose, diagnosis, culture/cytology basis and recheck; never use one contaminated bottle interchangeably between eyes and ears.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Dog Complete labelled dog/cat otic role: acute or chronic bacterial, chemical or traumatic external-ear inflammation, otitis and otorrhoea, including after intervention, only with an intact tympanum
4.2/10
Weak evidence support
vetman assessment

Ciflodex

4.5/1 mg/ml eye and ear drops suspension, 10 ml for dogs and cats
Assessed clinical scopeDog · Complete labelled dog/cat otic role: acute or chronic bacterial, chemical or traumatic external-ear inflammation, otitis and otorrhoea, including after intervention, only with an intact tympanum · Into the ear
Care settingVeterinarian-directed external-ear treatment after otoscopy, intact-tympanum confirmation and cytology before cleaning, with cause-directed care and clinical/cytologic recheck
vetman score 4.2/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, veterinary · № 000208 · Verified on 23 Oct 2026

A weak, selective dog otic option when cytology supports susceptible bacterial external otitis and the tympanum is intact. Plausible ingredients and a short course cannot replace the missing exact outcome/safety programme, antifungal gap, organism criteria or size bands.

Regulatory and scientific credibility4.5/10

Exact 10 ml identity, strengths, dog/cat routes, dose schedules and Georgian authorisation 000208 are current and traceable. However clinical detail is available only on a manufacturer sales page, no internationally recognised exact veterinary authorisation or assessment dossier was found, and the page's broad ulcer/trauma claims conflict with established ophthalmic corticosteroid safety.

Clinical efficacy4.0/10

Ciprofloxacin/dexamethasone has a credible otic formulation bridge and can plausibly help susceptible bacterial inflammatory otitis externa, but no exact dog outcome study, organism eligibility or numeric size bands were found. It lacks an antifungal, so it cannot cover the common mixed Malassezia role of authorised veterinary combinations or justify treatment of every chemically/traumatically inflamed ear.

Safety and tolerability4.0/10

Topical exposure is likely lower-risk than systemic fluoroquinolone/steroid use, and a human same-class otic comparator has controlled non-intact-ear data. But that human formulation cannot validate this veterinary suspension: the exact label omits tympanum status, otitis media/interna, auditory/vestibular outcomes, adverse-event frequencies and repeat-course safety.

Clinical practicality4.5/10

A 5-10-day ready-drop course is workable, but 2-3 daily administrations, cleaning, massage and complete restraint still matter. The 1-4-drop range lacks weight/size bands, and otoscopy, cytology, intact-tympanum confirmation and recheck add justified clinical work.

Full-course cost-effectiveness-

Current Georgian price for the exact 10 ml bottle and complete route-specific course was unavailable; price is excluded from the denominator.

Important safety and use flags

  • Complete ear-label boundary: acute/chronic bacterial, chemical or traumatic inflammation, otitis and otorrhoea are listed. This score covers only diagnosed external-ear disease with an intact tympanum, not otitis media/interna, undifferentiated discharge or every inflamed ear.
  • Shake and give 1-4 drops by patient size 2-3 times daily for 5-10 days after indicated cleaning; the exact label provides no size/weight bands. Document the selected volume, canal findings and response instead of treating 1-4 drops as interchangeable.
  • Hard stop: perform otoscopy and confirm an intact tympanic membrane before use. The exact label gives no perforation or middle-ear safety data; do not transfer human CIPRODEX tympanostomy evidence to this veterinary formulation or use in an unvisualised/non-intact ear.
  • Obtain cytology before cleaning in every otitis case; culture/susceptibility is important with rods, chronic/recurrent disease, prior fluoroquinolone exposure or poor response. It has no antifungal, so yeast or mixed infection needs a different cause-directed plan.
  • Do not use for viral or fungal eye/ear disease or uncontrolled infection. Steroid-driven reduction in redness, pain or discharge does not establish eradication and can permit microbial overgrowth; stop and re-evaluate if response is incomplete or deterioration occurs.
  • Stop for marked irritation, swelling, worsening discharge/pain, head tilt, nystagmus, ataxia, facial/Horner signs or hearing change. Investigate contact reaction, resistant infection, foreign body, mass/polyp and middle/inner-ear disease rather than layering more drops.
  • The exact page prohibits concurrent NSAIDs, theophylline, amphotericin and literally “other calcium-depleting medicines,” and prohibits use during vaccination. No exact interaction study explains the calcium wording; document all systemic/topical medicines and seek source clarification rather than silently changing or ignoring it.
  • Use cautiously below 7 days of age and in pregnancy. The exact instruction does not establish lactation, breeding, liver/kidney disease, repeated-course or overdose safety; use the shortest justified course and a patient-specific benefit-risk decision.
  • Shake thoroughly, clean as directed, use safe restraint and prevent tip contact with canal, pinna, skin or fingers. Massage only when comfortable and the tympanum is intact; prevent licking and cross-use between infected ears/animals.
  • Store dry and dark at 10-25 C out of children's reach and discard one month after opening. Record opening date, route/eye/ear, dose, diagnosis, culture/cytology basis and recheck; never use one contaminated bottle interchangeably between eyes and ears.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Complete labelled dog/cat ophthalmic role: bacterial, chemical or traumatic conjunctival, eyelid, corneal, uveal, injury-related and perioperative disease, including ulcer/erosion claims, with modern corneal-safety boundaries
2.9/10
Poor / unconvincing
vetman assessment

Ciflodex

4.5/1 mg/ml eye and ear drops suspension, 10 ml for dogs and cats
Assessed clinical scopeCat · Complete labelled dog/cat ophthalmic role: bacterial, chemical or traumatic conjunctival, eyelid, corneal, uveal, injury-related and perioperative disease, including ulcer/erosion claims, with modern corneal-safety boundaries · Into the eye
Care settingVeterinarian-directed treatment only after complete ocular examination, fluorescein staining, infection assessment and IOP review where indicated, with early scheduled recheck
vetman score 2.9/10 Poor / unconvincing
Evidence confidence: Low Georgia: Yes, veterinary · № 000208 · Verified on 23 Oct 2026

A poor feline eye option: exact efficacy is absent, common FHV-associated disease can be worsened by steroid exposure, and the label's ulcer claim conflicts with a hard corneal-safety boundary. It should never be used empirically for a red or painful cat eye.

Regulatory and scientific credibility4.5/10

Exact 10 ml identity, strengths, dog/cat routes, dose schedules and Georgian authorisation 000208 are current and traceable. However clinical detail is available only on a manufacturer sales page, no internationally recognised exact veterinary authorisation or assessment dossier was found, and the page's broad ulcer/trauma claims conflict with established ophthalmic corticosteroid safety.

Clinical efficacy2.5/10

No exact-product feline outcome study was found. Ciprofloxacin activity and dexamethasone anti-inflammatory action are plausible only after diagnosis, while viral disease—especially FHV-associated conjunctivitis/keratitis—is common and specifically makes the fixed steroid problematic; canine in-vitro findings and human combinations are indirect, not feline efficacy.

Safety and tolerability1.5/10

All corneal healing, infection, glaucoma and cataract hazards apply, plus topical corticosteroids can reactivate feline herpesvirus and precipitate ulcerative keratitis or sequestrum. An exact label that simultaneously excludes viral disease yet broadly includes ulcers without requiring fluorescein testing creates a particularly poor feline safety fit; controlled exact feline safety is absent.

Clinical practicality3.5/10

Ready-to-use drops and a 5-10-day course are familiar, but 2-4 daily doses—and every 2-3 hours in severe cases—create substantial home/clinic burden. Safe use also requires shaking, atraumatic restraint, fluorescein and infection assessment, tip hygiene, spacing other drops, early recheck and one-month open-bottle control.

Full-course cost-effectiveness-

Current Georgian price for the exact 10 ml bottle and complete route-specific course was unavailable; price is excluded from the denominator.

Important safety and use flags

  • Complete eye-label boundary: conjunctivitis, blepharitis, keratitis/keratoconjunctivitis, iritis/iridocyclitis, ulcer/erosion, trauma/foreign body/chemical and perioperative disease are listed. This does not make one fixed antibiotic-steroid appropriate for every cause; diagnose the compartment, epithelial integrity and microbial/inflammatory role first.
  • Shake and give 1-2 conjunctival drops 2-4 times daily for 5-10 days; severe cases may receive 1-2 drops every 2-3 hours only for the first 1-2 days. Heavy discharge: use the label's cleaning step, then administer the treatment dose. Reassess early rather than extending blindly.
  • Hard stop: perform fluorescein staining before the first dose and at any new pain or deterioration. Despite the exact label listing corneal ulcer/erosion, do not use topical dexamethasone over an epithelial defect, thinning, melting, descemetocele, perforation or unhealed penetrating injury.
  • Use ciprofloxacin only when a susceptible bacterial role is clinically justified; culture/susceptibility is important in ulcerative keratitis, deep infection, rods, recurrence, prior fluoroquinolone exposure or poor response. Dexamethasone can alter susceptibility and suppress visible inflammation without microbial cure.
  • Do not use for suspected FHV-1 or other viral/fungal ocular disease. Topical corticosteroids can reactivate feline herpesvirus and precipitate ulcerative keratitis or corneal sequestrum; investigate dendritic/geographic lesions and treat the cause before any further immunosuppression.
  • Monitor for irritation, itching, tearing, allergy, delayed healing, infection, IOP rise, secondary glaucoma, steroid cataract and corneal opacity/keratopathy. New blepharospasm, clouding, staining, vision change or worsening discharge requires immediate cessation and examination.
  • The exact page prohibits concurrent NSAIDs, theophylline, amphotericin and literally “other calcium-depleting medicines,” and prohibits use during vaccination. No exact interaction study explains the calcium wording; document all systemic/topical medicines and seek source clarification rather than silently changing or ignoring it.
  • Use cautiously below 7 days of age and in pregnancy. The exact instruction does not establish lactation, breeding, liver/kidney disease, repeated-course or overdose safety; use the shortest justified course and a patient-specific benefit-risk decision.
  • Shake thoroughly, wash hands, use atraumatic restraint and keep the dropper tip sterile and away from eye, lashes, skin and fingers. Separate other eye medicines so one does not wash out another; ointment is generally placed last unless the ophthalmologist directs otherwise.
  • Store dry and dark at 10-25 C out of children's reach and discard one month after opening. Record opening date, route/eye/ear, dose, diagnosis, culture/cytology basis and recheck; never use one contaminated bottle interchangeably between eyes and ears.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Complete labelled dog/cat otic role: acute or chronic bacterial, chemical or traumatic external-ear inflammation, otitis and otorrhoea, including after intervention, only with an intact tympanum
4.0/10
Weak evidence support
vetman assessment

Ciflodex

4.5/1 mg/ml eye and ear drops suspension, 10 ml for dogs and cats
Assessed clinical scopeCat · Complete labelled dog/cat otic role: acute or chronic bacterial, chemical or traumatic external-ear inflammation, otitis and otorrhoea, including after intervention, only with an intact tympanum · Into the ear
Care settingVeterinarian-directed external-ear treatment after otoscopy, intact-tympanum confirmation and cytology before cleaning, with cause-directed care and clinical/cytologic recheck
vetman score 4.0/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, veterinary · № 000208 · Verified on 23 Oct 2026

A weak feline otic option with plausible local activity but no exact feline outcomes, antifungal coverage, tympanic safety programme or objective drop bands. Use only after diagnosis, intact-tympanum confirmation and planned recheck—not for every inflamed or discharging ear.

Regulatory and scientific credibility4.5/10

Exact 10 ml identity, strengths, dog/cat routes, dose schedules and Georgian authorisation 000208 are current and traceable. However clinical detail is available only on a manufacturer sales page, no internationally recognised exact veterinary authorisation or assessment dossier was found, and the page's broad ulcer/trauma claims conflict with established ophthalmic corticosteroid safety.

Clinical efficacy3.5/10

The same antibacterial/anti-inflammatory rationale is plausible, but no exact feline outcome or target-organism study was found and direct feline otitis evidence is sparse. The broad otitis/otorrhoea label supplies neither cytology criteria nor antifungal activity, so dog, human and other veterinary combinations provide only indirect support.

Safety and tolerability4.0/10

The main local and tympanic uncertainties apply, while no exact feline canal, hearing or vestibular safety study was found. Cats can be difficult to examine and restrain, and an unrecognised polyp/middle-ear process or contact reaction can be masked by steroid relief; exact adverse-event denominators and repeat-course data are absent.

Clinical practicality4.0/10

The small ready-drop volume is feasible, but many cats resist repeated ear handling 2-3 times daily for 5-10 days. The unbanded 1-4-drop range, safe restraint, cleaning, otoscopy/cytology, intact-tympanum confirmation, tip hygiene and recheck create a meaningful welfare/adherence burden.

Full-course cost-effectiveness-

Current Georgian price for the exact 10 ml bottle and complete route-specific course was unavailable; price is excluded from the denominator.

Important safety and use flags

  • Complete ear-label boundary: acute/chronic bacterial, chemical or traumatic inflammation, otitis and otorrhoea are listed. This score covers only diagnosed external-ear disease with an intact tympanum, not otitis media/interna, undifferentiated discharge or every inflamed ear.
  • Shake and give 1-4 drops by patient size 2-3 times daily for 5-10 days after indicated cleaning; the exact label provides no size/weight bands. Document the selected volume, canal findings and response instead of treating 1-4 drops as interchangeable.
  • Hard stop: perform otoscopy and confirm an intact tympanic membrane before use. The exact label gives no perforation or middle-ear safety data; do not transfer human CIPRODEX tympanostomy evidence to this veterinary formulation or use in an unvisualised/non-intact ear.
  • Obtain cytology before cleaning in every otitis case; culture/susceptibility is important with rods, chronic/recurrent disease, prior fluoroquinolone exposure or poor response. It has no antifungal, so yeast or mixed infection needs a different cause-directed plan.
  • Do not use for viral or fungal eye/ear disease or uncontrolled infection. Steroid-driven reduction in redness, pain or discharge does not establish eradication and can permit microbial overgrowth; stop and re-evaluate if response is incomplete or deterioration occurs.
  • Stop for marked irritation, swelling, worsening discharge/pain, head tilt, nystagmus, ataxia, facial/Horner signs or hearing change. Investigate contact reaction, resistant infection, foreign body, mass/polyp and middle/inner-ear disease rather than layering more drops.
  • The exact page prohibits concurrent NSAIDs, theophylline, amphotericin and literally “other calcium-depleting medicines,” and prohibits use during vaccination. No exact interaction study explains the calcium wording; document all systemic/topical medicines and seek source clarification rather than silently changing or ignoring it.
  • Use cautiously below 7 days of age and in pregnancy. The exact instruction does not establish lactation, breeding, liver/kidney disease, repeated-course or overdose safety; use the shortest justified course and a patient-specific benefit-risk decision.
  • Shake thoroughly, clean as directed, use safe restraint and prevent tip contact with canal, pinna, skin or fingers. Massage only when comfortable and the tympanum is intact; prevent licking and cross-use between infected ears/animals.
  • Store dry and dark at 10-25 C out of children's reach and discard one month after opening. Record opening date, route/eye/ear, dose, diagnosis, culture/cytology basis and recheck; never use one contaminated bottle interchangeably between eyes and ears.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Ciprofloxacin4.5 mg/ml Dexamethasone1 mg/ml
Formulation Type
Eye drops
Administration route
Into the eye, Into the ear
Manufacturer
Brovapharma LLC · Ukraine
Manufacturer (register)
Brovapharma Ltd, Ukraine
Manufacturer and country as in the veterinary medicines register (National Food Agency), row 746, 19 Oct 2026.
Registration
Georgia Yes, veterinary
In force until 06 Oct 2027
Veterinary (National Food Agency)
In the register: ციფლოდექსი — თვალისა და ყურის წვეთები
№ 000208
Verified on: 23 Oct 2026
EU No
UK No
US No
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified Shake before every use. Eye: 1-2 drops into the conjunctival sac 2-4 times daily for 5-10 days; in severe cases every 2-3 hours only during the first 1-2 days, with prompt examination and reassessment. Ear: after otoscopy, cytology and appropriate cleaning, 1-4 drops according to patient size 2-3 times daily for 5-10 days; the label supplies no size bands. For heavy discharge the label uses 3-4 drops for cleaning with sterile gauze, followed by 1-2 treatment drops. Avoid dropper contact and discard one month after opening.

Ciprinol 2 mg/ml, Solution

solution for infusion, 100 ml, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
6.3/10
Situational / acceptable
vetman assessment

Ciprinol

2 mg/ml, solution for infusion, 100 ml, human medicine
Assessed clinical scopeDog · Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · Intravenous
Care settingHospital treatment after diagnostic sampling, with controlled infusion, exact weight and renal assessment, interaction review, monitoring and culture-guided de-escalation.
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-036072 · Verified on 16 Oct 2026 Off-label use

A situational hospital reserve rather than a routine antimicrobial. IV delivery gives more predictable exposure than ciprofloxacin tablets and the ready solution is workable, but stewardship restrictions, absent veterinary breakpoints and limited clinical-outcome evidence keep licensed, better-characterised veterinary alternatives preferred.

Regulatory and scientific credibility7.5/10

This exact human Ciprinol presentation has sourced active registrations in Georgia and EU/EEA and current exact product information, with no exact GB or US registration in the checked registers. Animal use is off-label and licensed veterinary fluoroquinolones are available.

Clinical efficacy5.5/10

Intravenous delivery avoids the low and highly variable canine tablet absorption, and two small canine PK studies describe wide, linear disposition at 2.5-10 mg/kg and similar kinetics during induced fever. However, there is no robust veterinary clinical-outcome programme or approved ciprofloxacin breakpoint, while current guidelines reserve fluoroquinolones and favour licensed veterinary alternatives.

Safety and tolerability5.0/10

Controlled infusion avoids tablet-exposure uncertainty but not fluoroquinolone class risks: gastrointestinal, CNS, dysglycaemic, hypersensitivity, QT/tendon, cartilage, renal and interaction effects remain relevant. Exact-product veterinary safety margins and repeated-infusion data are absent, and rapid infusion can add venous or systemic risk.

Clinical practicality7.5/10

The 2 mg/ml ready infusion avoids compounding and permits accurate pump-controlled dosing in hospital. A 100 ml human vial can create substantial single-patient waste, requires aseptic handling and venous access, and must not be given as a rapid bolus.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use intravenous human ciprofloxacin empirically or for routine uncomplicated infection. Document a clinically important infection, collect diagnostic samples before treatment and show why lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin; human breakpoints must not be transferred to canine or feline isolates. A laboratory “susceptible” result alone does not validate a regimen—consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Never give as an undiluted or rapid intravenous bolus. Use a dedicated, controlled infusion and monitor the venous site and cardiovascular/neurologic status during administration; stop for collapse, severe reaction or marked infusion-site pain.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use, calculate from exact weight, minimise peak and cumulative exposure, adjust for impaired elimination and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration, electrolytes and urine output before and during treatment; adjust exposure in renal impairment. Maintain appropriate hydration while accounting for the infusion volume; crystalluria and renal injury are uncommon but important.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • The 2 mg/ml presentation is a ready infusion, not a concentrate. Inspect the solution and container, use aseptic single-patient handling, do not mix indiscriminately with other medicines and discard unused remainder according to the exact label and local policy.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.6/10
Weak evidence support
vetman assessment

Ciprinol

2 mg/ml, solution for infusion, 100 ml, human medicine
Assessed clinical scopeCat · Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · Intravenous
Care settingHospital treatment after diagnostic sampling, with controlled infusion, exact weight and renal assessment, interaction review, monitoring and culture-guided de-escalation.
vetman score 5.6/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-036072 · Verified on 16 Oct 2026 Off-label use

A weak feline hospital reserve. The ready IV solution is controllable and bypasses poor oral bioavailability, but limited outcome evidence, absent veterinary breakpoints and feline retinal risk require exceptional justification and favour a licensed alternative.

Regulatory and scientific credibility7.5/10

This exact human Ciprinol presentation has sourced active registrations in Georgia and EU/EEA and current exact product information, with no exact GB or US registration in the checked registers. Animal use is off-label and licensed veterinary fluoroquinolones are available.

Clinical efficacy5.0/10

A six-cat study directly describes rapid, wide intravenous disposition and suggests activity chiefly against selected Gram-negative organisms, so the route is more predictable than oral tablets. Evidence remains PK-based rather than a robust clinical-outcome programme; no approved veterinary ciprofloxacin breakpoint exists and licensed alternatives are better characterised.

Safety and tolerability3.5/10

Cats retain the class risk of potentially irreversible fluoroquinolone retinal degeneration, especially with high exposure, age or impaired elimination. Intravenous dosing makes peak exposure immediate; exact-product feline safety margins and repeated-infusion data are absent in addition to neurologic, cartilage, renal, interaction and infusion-related risks.

Clinical practicality7.0/10

The 2 mg/ml ready infusion is accurately measurable and avoids compounding, but a 100 ml human vial is oversized for most cats. Aseptic single-patient handling, venous access, pump control and discard of unused solution remain necessary.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use intravenous human ciprofloxacin empirically or for routine uncomplicated infection. Document a clinically important infection, collect diagnostic samples before treatment and show why lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin; human breakpoints must not be transferred to canine or feline isolates. A laboratory “susceptible” result alone does not validate a regimen—consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Never give as an undiluted or rapid intravenous bolus. Use a dedicated, controlled infusion and monitor the venous site and cardiovascular/neurologic status during administration; stop for collapse, severe reaction or marked infusion-site pain.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use, calculate from exact weight, minimise peak and cumulative exposure, adjust for impaired elimination and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration, electrolytes and urine output before and during treatment; adjust exposure in renal impairment. Maintain appropriate hydration while accounting for the infusion volume; crystalluria and renal injury are uncommon but important.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • The 2 mg/ml presentation is a ready infusion, not a concentrate. Inspect the solution and container, use aseptic single-patient handling, do not mix indiscriminately with other medicines and discard unused remainder according to the exact label and local policy.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Ciprofloxacin2 mg/ml
Formulation Type
Solution
Administration route
Intravenous
Manufacturer
Krka · Slovenia
Registration
Georgia Yes, human
In force until 03 Aug 2027
Human (Ministry of Health, RAMA)
In the register: ციპრინოლი 2 მგ/მლ, საინფუზიო ხსნარი, 100 მლ
№ რ-036072
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Ciprinol 10 mg/ml, Solution

concentrate for solution for infusion, 10 ml ampoule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.9/10
Weak evidence support
vetman assessment

Ciprinol

10 mg/ml, concentrate for solution for infusion, 10 ml ampoule, human medicine
Assessed clinical scopeDog · Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · Intravenous
Care settingHospital treatment after diagnostic sampling, with controlled infusion, exact weight and renal assessment, interaction review, monitoring and culture-guided de-escalation.
vetman score 5.9/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-035845 · Verified on 16 Oct 2026 Off-label use

A weak specialist reserve. IV exposure can be predictable, but mandatory dilution, at least 50 ml final volume, preparation error potential, absent veterinary breakpoints and limited outcome evidence make the concentrate less practical than a ready licensed alternative.

Regulatory and scientific credibility7.5/10

This exact human Ciprinol presentation has sourced active registrations in Georgia and EU/EEA and current exact product information, with no exact GB or US registration in the checked registers. Animal use is off-label and licensed veterinary fluoroquinolones are available.

Clinical efficacy5.5/10

Intravenous delivery avoids the low and highly variable canine tablet absorption, and two small canine PK studies describe wide, linear disposition at 2.5-10 mg/kg and similar kinetics during induced fever. However, there is no robust veterinary clinical-outcome programme or approved ciprofloxacin breakpoint, while current guidelines reserve fluoroquinolones and favour licensed veterinary alternatives.

Safety and tolerability5.0/10

Controlled infusion avoids tablet-exposure uncertainty but not fluoroquinolone class risks: gastrointestinal, CNS, dysglycaemic, hypersensitivity, QT/tendon, cartilage, renal and interaction effects remain relevant. Exact-product veterinary safety margins and repeated-infusion data are absent, and rapid infusion can add venous or systemic risk.

Clinical practicality5.5/10

The 10 mg/ml concentrate is compact and measurable but must be diluted before use to at least 50 ml with a compatible fluid and prepared immediately. This adds calculation, compatibility, asepsis, fluid-volume and infusion-pump burden compared with a ready veterinary presentation.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use intravenous human ciprofloxacin empirically or for routine uncomplicated infection. Document a clinically important infection, collect diagnostic samples before treatment and show why lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin; human breakpoints must not be transferred to canine or feline isolates. A laboratory “susceptible” result alone does not validate a regimen—consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Never give as an undiluted or rapid intravenous bolus. Use a dedicated, controlled infusion and monitor the venous site and cardiovascular/neurologic status during administration; stop for collapse, severe reaction or marked infusion-site pain.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use, calculate from exact weight, minimise peak and cumulative exposure, adjust for impaired elimination and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration, electrolytes and urine output before and during treatment; adjust exposure in renal impairment. Maintain appropriate hydration while accounting for the infusion volume; crystalluria and renal injury are uncommon but important.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • The 10 mg/ml concentrate must be diluted before infusion to at least 50 ml with an exact-label compatible fluid and prepared immediately before use. Do not mix with solutions unstable at pH 3-4; administer incompatible medicines such as penicillins or heparin separately.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.1/10
Weak evidence support
vetman assessment

Ciprinol

10 mg/ml, concentrate for solution for infusion, 10 ml ampoule, human medicine
Assessed clinical scopeCat · Specialist-directed intravenous ciprofloxacin for a confirmed serious susceptible bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · Intravenous
Care settingHospital treatment after diagnostic sampling, with controlled infusion, exact weight and renal assessment, interaction review, monitoring and culture-guided de-escalation.
vetman score 5.1/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-035845 · Verified on 16 Oct 2026 Off-label use

A weak and poorly matched feline presentation. Mandatory dilution to at least 50 ml compounds the class retinal risk, limited outcome evidence and absent veterinary breakpoints with a substantial fluid and preparation burden; prefer a licensed alternative.

Regulatory and scientific credibility7.5/10

This exact human Ciprinol presentation has sourced active registrations in Georgia and EU/EEA and current exact product information, with no exact GB or US registration in the checked registers. Animal use is off-label and licensed veterinary fluoroquinolones are available.

Clinical efficacy5.0/10

A six-cat study directly describes rapid, wide intravenous disposition and suggests activity chiefly against selected Gram-negative organisms, so the route is more predictable than oral tablets. Evidence remains PK-based rather than a robust clinical-outcome programme; no approved veterinary ciprofloxacin breakpoint exists and licensed alternatives are better characterised.

Safety and tolerability3.5/10

Cats retain the class risk of potentially irreversible fluoroquinolone retinal degeneration, especially with high exposure, age or impaired elimination. Intravenous dosing makes peak exposure immediate; exact-product feline safety margins and repeated-infusion data are absent in addition to neurologic, cartilage, renal, interaction and infusion-related risks.

Clinical practicality4.0/10

The 10 mg/ml concentrate must be diluted to at least 50 ml before use, a disproportionate fluid and preparation burden for most cats. Accurate withdrawal, compatible diluent, immediate preparation, asepsis, venous access and controlled infusion create a meaningful error and monitoring load.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use intravenous human ciprofloxacin empirically or for routine uncomplicated infection. Document a clinically important infection, collect diagnostic samples before treatment and show why lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin; human breakpoints must not be transferred to canine or feline isolates. A laboratory “susceptible” result alone does not validate a regimen—consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Never give as an undiluted or rapid intravenous bolus. Use a dedicated, controlled infusion and monitor the venous site and cardiovascular/neurologic status during administration; stop for collapse, severe reaction or marked infusion-site pain.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use, calculate from exact weight, minimise peak and cumulative exposure, adjust for impaired elimination and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration, electrolytes and urine output before and during treatment; adjust exposure in renal impairment. Maintain appropriate hydration while accounting for the infusion volume; crystalluria and renal injury are uncommon but important.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • The 10 mg/ml concentrate must be diluted before infusion to at least 50 ml with an exact-label compatible fluid and prepared immediately before use. Do not mix with solutions unstable at pH 3-4; administer incompatible medicines such as penicillins or heparin separately.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Ciprofloxacin10 mg/ml
Formulation Type
Solution
Administration route
Intravenous
Manufacturer
Krka · Slovenia
Registration
Georgia Yes, human
In force until 13 Jul 2027
Human (Ministry of Health, RAMA)
In the register: ციპრინოლი 10 მგ/მლ, კონცენტრატი საინფუზიო ხსნარისთვის, 10 მლ ამპულა
№ რ-035845
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Ciprinol 250 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.9/10
Weak evidence support
vetman assessment

Ciprinol

250 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 5.9/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037584 · Verified on 15 Oct 2026 Off-label use

A weak reserve option rather than a routine veterinary fluoroquinolone. Even within this specialist-directed scope, oral tablet exposure is unpredictable and meaningful ciprofloxacin susceptibility interpretation and effective canine dosing are not established; prefer a licensed, better-characterised alternative whenever possible.

Regulatory and scientific credibility7.5/10

This exact human tablet family has sourced current registrations in Georgia and EU/EEA, current regulator-hosted product information and no exact GB or US registration in the checked registers. Animal use remains off-label and approved veterinary fluoroquinolones are available.

Clinical efficacy4.0/10

Ciprofloxacin has concentration-dependent activity against selected susceptible bacteria, but current ISCAID guidance excludes oral ciprofloxacin from canine pyoderma choices: tablet absorption is low and highly variable, veterinary susceptibility breakpoints are unavailable and an effective canine dose is not established. Urinary guidance also finds it difficult to justify over approved veterinary fluoroquinolones.

Safety and tolerability5.5/10

Gastrointestinal and CNS effects, dysglycaemia, hypersensitivity, QT/tendon risks, renal clearance and drug-chelation interactions are clinically relevant; immature animals are vulnerable to quinolone arthropathy. Correctly selected adult dogs can tolerate fluoroquinolones, but exact-product veterinary safety and dosing-margin data are absent.

Clinical practicality7.0/10

The scored 250 mg tablet can be halved to 125 mg and can match selected dog weights, but ciprofloxacin tablet dissolution itself is highly variable. Dose-unit flexibility does not solve uncertain exposure, and cation/feeding separation complicates reliable home use.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
4.3/10
Weak evidence support
vetman assessment

Ciprinol

250 mg, film-coated tablet, human medicine
Assessed clinical scopeCat · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 4.3/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037584 · Verified on 15 Oct 2026 Off-label use

A poorly matched feline reserve presentation. Low oral bioavailability, no validated veterinary ciprofloxacin breakpoint, coarse 250-750 mg units and class retinal risk outweigh possible activity against selected Gram-negative isolates; use a better-characterised licensed alternative whenever possible.

Regulatory and scientific credibility7.5/10

This exact human tablet family has sourced current registrations in Georgia and EU/EEA, current regulator-hosted product information and no exact GB or US registration in the checked registers. Animal use remains off-label and approved veterinary fluoroquinolones are available.

Clinical efficacy3.5/10

A six-cat PK study found only 33% mean oral bioavailability at 10 mg/kg twice daily and no robust clinical-outcome programme supports these tablets. Potential Gram-negative activity does not overcome uncertain exposure, lack of veterinary ciprofloxacin breakpoints, superior licensed alternatives and the need to avoid empirical treatment of feline urinary signs.

Safety and tolerability4.0/10

Cats share the class risk of potentially irreversible fluoroquinolone retinal degeneration, especially with high exposure, prolonged treatment, age or impaired elimination. These coarse human tablets make peak exposure difficult to control; direct exact-product feline safety data are absent in addition to gastrointestinal, neurologic, cartilage and interaction risks.

Clinical practicality1.0/10

The validated unit for this exact 250 mg tablet is one half, still far above a typical measured feline dose. Unvalidated powder division cannot correct the mismatch; a licensed feline fluoroquinolone with an appropriate strength or suspension is substantially more controllable.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Krka · Slovenia
Registration
Georgia Yes, human
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Ciprinol 500 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.8/10
Weak evidence support
vetman assessment

Ciprinol

500 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 5.8/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037585 · Verified on 15 Oct 2026 Off-label use

A weak reserve option rather than a routine veterinary fluoroquinolone. Even within this specialist-directed scope, oral tablet exposure is unpredictable and meaningful ciprofloxacin susceptibility interpretation and effective canine dosing are not established; prefer a licensed, better-characterised alternative whenever possible.

Regulatory and scientific credibility7.5/10

This exact human tablet family has sourced current registrations in Georgia and EU/EEA, current regulator-hosted product information and no exact GB or US registration in the checked registers. Animal use remains off-label and approved veterinary fluoroquinolones are available.

Clinical efficacy4.0/10

Ciprofloxacin has concentration-dependent activity against selected susceptible bacteria, but current ISCAID guidance excludes oral ciprofloxacin from canine pyoderma choices: tablet absorption is low and highly variable, veterinary susceptibility breakpoints are unavailable and an effective canine dose is not established. Urinary guidance also finds it difficult to justify over approved veterinary fluoroquinolones.

Safety and tolerability5.5/10

Gastrointestinal and CNS effects, dysglycaemia, hypersensitivity, QT/tendon risks, renal clearance and drug-chelation interactions are clinically relevant; immature animals are vulnerable to quinolone arthropathy. Correctly selected adult dogs can tolerate fluoroquinolones, but exact-product veterinary safety and dosing-margin data are absent.

Clinical practicality6.5/10

The scored 500 mg tablet can be halved to 250 mg and is workable for selected medium-to-large dogs, but remains coarse for small dogs and renal adjustment. Variable tablet dissolution and cation/feeding separation reduce reliability despite simple storage.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
4.3/10
Weak evidence support
vetman assessment

Ciprinol

500 mg, film-coated tablet, human medicine
Assessed clinical scopeCat · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 4.3/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037585 · Verified on 15 Oct 2026 Off-label use

A poorly matched feline reserve presentation. Low oral bioavailability, no validated veterinary ciprofloxacin breakpoint, coarse 250-750 mg units and class retinal risk outweigh possible activity against selected Gram-negative isolates; use a better-characterised licensed alternative whenever possible.

Regulatory and scientific credibility7.5/10

This exact human tablet family has sourced current registrations in Georgia and EU/EEA, current regulator-hosted product information and no exact GB or US registration in the checked registers. Animal use remains off-label and approved veterinary fluoroquinolones are available.

Clinical efficacy3.5/10

A six-cat PK study found only 33% mean oral bioavailability at 10 mg/kg twice daily and no robust clinical-outcome programme supports these tablets. Potential Gram-negative activity does not overcome uncertain exposure, lack of veterinary ciprofloxacin breakpoints, superior licensed alternatives and the need to avoid empirical treatment of feline urinary signs.

Safety and tolerability4.0/10

Cats share the class risk of potentially irreversible fluoroquinolone retinal degeneration, especially with high exposure, prolonged treatment, age or impaired elimination. These coarse human tablets make peak exposure difficult to control; direct exact-product feline safety data are absent in addition to gastrointestinal, neurologic, cartilage and interaction risks.

Clinical practicality0.5/10

The validated unit for this exact 500 mg tablet is one half, still far above a typical measured feline dose. Unvalidated powder division cannot correct the mismatch; a licensed feline fluoroquinolone with an appropriate strength or suspension is substantially more controllable.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Krka · Slovenia
Registration
Georgia Yes, human
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Cipro-Denk 500 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.4/10
Weak evidence support
vetman assessment

Cipro-Denk

500 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-038444 · Verified on 15 Oct 2026 Off-label use

A weak reserve option rather than a routine veterinary fluoroquinolone. Even within this specialist-directed scope, oral tablet exposure is unpredictable and meaningful ciprofloxacin susceptibility interpretation and effective canine dosing are not established; prefer a licensed, better-characterised alternative whenever possible.

Regulatory and scientific credibility6.0/10

This exact human tablet family has a sourced current Georgian registration, identifiable official manufacturer information and exact regulator-hosted product information, but no exact EU/EEA, GB or US registration in the checked registers. Animal use is off-label.

Clinical efficacy4.0/10

Ciprofloxacin has concentration-dependent activity against selected susceptible bacteria, but current ISCAID guidance excludes oral ciprofloxacin from canine pyoderma choices: tablet absorption is low and highly variable, veterinary susceptibility breakpoints are unavailable and an effective canine dose is not established. Urinary guidance also finds it difficult to justify over approved veterinary fluoroquinolones.

Safety and tolerability5.5/10

Gastrointestinal and CNS effects, dysglycaemia, hypersensitivity, QT/tendon risks, renal clearance and drug-chelation interactions are clinically relevant; immature animals are vulnerable to quinolone arthropathy. Correctly selected adult dogs can tolerate fluoroquinolones, but exact-product veterinary safety and dosing-margin data are absent.

Clinical practicality6.5/10

The scored 500 mg tablet can be halved to 250 mg and is workable for selected medium-to-large dogs, but remains coarse for small dogs and renal adjustment. Variable tablet dissolution and cation/feeding separation reduce reliability despite simple storage.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
3.8/10
Poor / unconvincing
vetman assessment

Cipro-Denk

500 mg, film-coated tablet, human medicine
Assessed clinical scopeCat · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 3.8/10 Poor / unconvincing
Evidence confidence: Medium Georgia: Yes, human · № რ-038444 · Verified on 15 Oct 2026 Off-label use

A poorly matched feline reserve presentation. Low oral bioavailability, no validated veterinary ciprofloxacin breakpoint, coarse 250-750 mg units and class retinal risk outweigh possible activity against selected Gram-negative isolates; use a better-characterised licensed alternative whenever possible.

Regulatory and scientific credibility6.0/10

This exact human tablet family has a sourced current Georgian registration, identifiable official manufacturer information and exact regulator-hosted product information, but no exact EU/EEA, GB or US registration in the checked registers. Animal use is off-label.

Clinical efficacy3.5/10

A six-cat PK study found only 33% mean oral bioavailability at 10 mg/kg twice daily and no robust clinical-outcome programme supports these tablets. Potential Gram-negative activity does not overcome uncertain exposure, lack of veterinary ciprofloxacin breakpoints, superior licensed alternatives and the need to avoid empirical treatment of feline urinary signs.

Safety and tolerability4.0/10

Cats share the class risk of potentially irreversible fluoroquinolone retinal degeneration, especially with high exposure, prolonged treatment, age or impaired elimination. These coarse human tablets make peak exposure difficult to control; direct exact-product feline safety data are absent in addition to gastrointestinal, neurologic, cartilage and interaction risks.

Clinical practicality0.5/10

The validated unit for this exact 500 mg tablet is one half, still far above a typical measured feline dose. Unvalidated powder division cannot correct the mismatch; a licensed feline fluoroquinolone with an appropriate strength or suspension is substantially more controllable.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Denk Pharma · Germany
Registration
Georgia Yes, human
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Cipro-Denk 750 mg, Coated tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
5.1/10
Weak evidence support
vetman assessment

Cipro-Denk

750 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 5.1/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-043647 · Verified on 16 Oct 2026 Off-label use

A weak reserve option rather than a routine veterinary fluoroquinolone. Even within this specialist-directed scope, oral tablet exposure is unpredictable and meaningful ciprofloxacin susceptibility interpretation and effective canine dosing are not established; prefer a licensed, better-characterised alternative whenever possible.

Regulatory and scientific credibility6.0/10

This exact human tablet family has a sourced current Georgian registration, identifiable official manufacturer information and exact regulator-hosted product information, but no exact EU/EEA, GB or US registration in the checked registers. Animal use is off-label.

Clinical efficacy4.0/10

Ciprofloxacin has concentration-dependent activity against selected susceptible bacteria, but current ISCAID guidance excludes oral ciprofloxacin from canine pyoderma choices: tablet absorption is low and highly variable, veterinary susceptibility breakpoints are unavailable and an effective canine dose is not established. Urinary guidance also finds it difficult to justify over approved veterinary fluoroquinolones.

Safety and tolerability5.5/10

Gastrointestinal and CNS effects, dysglycaemia, hypersensitivity, QT/tendon risks, renal clearance and drug-chelation interactions are clinically relevant; immature animals are vulnerable to quinolone arthropathy. Correctly selected adult dogs can tolerate fluoroquinolones, but exact-product veterinary safety and dosing-margin data are absent.

Clinical practicality4.5/10

The 750 mg score is only for easier swallowing and not equal-dose division. A whole tablet fits only selected large dogs, is unsuitable for precise titration or renal adjustment and retains the same formulation-dependent absorption and interaction burden.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy
3.8/10
Poor / unconvincing
vetman assessment

Cipro-Denk

750 mg, film-coated tablet, human medicine
Assessed clinical scopeCat · Specialist-directed oral ciprofloxacin for a confirmed serious bacterial infection when lower-category and veterinary-authorised alternatives are unsuitable; not routine empirical therapy · By mouth
Care settingVeterinarian-directed treatment after sampling, with exact weight, renal and interaction review, early reassessment and culture-guided de-escalation.
vetman score 3.8/10 Poor / unconvincing
Evidence confidence: Medium Georgia: Yes, human · № რ-043647 · Verified on 16 Oct 2026 Off-label use

A poorly matched feline reserve presentation. Low oral bioavailability, no validated veterinary ciprofloxacin breakpoint, coarse 250-750 mg units and class retinal risk outweigh possible activity against selected Gram-negative isolates; use a better-characterised licensed alternative whenever possible.

Regulatory and scientific credibility6.0/10

This exact human tablet family has a sourced current Georgian registration, identifiable official manufacturer information and exact regulator-hosted product information, but no exact EU/EEA, GB or US registration in the checked registers. Animal use is off-label.

Clinical efficacy3.5/10

A six-cat PK study found only 33% mean oral bioavailability at 10 mg/kg twice daily and no robust clinical-outcome programme supports these tablets. Potential Gram-negative activity does not overcome uncertain exposure, lack of veterinary ciprofloxacin breakpoints, superior licensed alternatives and the need to avoid empirical treatment of feline urinary signs.

Safety and tolerability4.0/10

Cats share the class risk of potentially irreversible fluoroquinolone retinal degeneration, especially with high exposure, prolonged treatment, age or impaired elimination. These coarse human tablets make peak exposure difficult to control; direct exact-product feline safety data are absent in addition to gastrointestinal, neurologic, cartilage and interaction risks.

Clinical practicality0.0/10

The validated unit for this exact 750 mg tablet is one whole tablet, still far above a typical measured feline dose. Unvalidated powder division cannot correct the mismatch; a licensed feline fluoroquinolone with an appropriate strength or suspension is substantially more controllable.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Fluoroquinolones are EMA AMEG Category B (Restrict). Do not use this human ciprofloxacin tablet empirically or for routine cystitis, superficial pyoderma, nonspecific diarrhoea or colonisation. Document infection, obtain diagnostic samples first and show that safer lower-category and licensed veterinary options are unsuitable.
  • No approved veterinary susceptibility breakpoint exists for ciprofloxacin and human breakpoints are inappropriate for canine isolates. A laboratory “susceptible” result alone cannot validate exposure from these tablets; consult the laboratory or a veterinary microbiology/pharmacology specialist.
  • Cats are susceptible to potentially irreversible fluoroquinolone retinal degeneration. Avoid unnecessary use; calculate from exact weight, reduce exposure with impaired renal elimination, avoid high peaks/prolonged courses and stop urgently for mydriasis, visual change or disorientation.
  • Avoid systemic ciprofloxacin in growing dogs and cats unless no safer effective alternative exists. Fluoroquinolones can damage load-bearing cartilage in immature animals; record age, growth status and the exceptional justification.
  • Stop and reassess for seizure, tremor, marked agitation, confusion, ataxia or other CNS signs. Risk can rise with epilepsy, renal accumulation and concurrent NSAIDs or other medicines that lower the seizure threshold.
  • Aluminium, magnesium, calcium, iron or zinc products, sucralfate and mineral supplements can markedly reduce oral absorption. Give ciprofloxacin at least 2 hours before or 4-6 hours after them; do not administer with dairy products or calcium-fortified drinks alone.
  • Ciprofloxacin inhibits CYP1A2. Concurrent tizanidine is contraindicated by the exact human labels; review theophylline/aminophylline, caffeine, ciclosporin, clozapine, ropinirole and vitamin-K antagonists and monitor or select another antimicrobial.
  • Review kidney function, hydration and urine output before and during treatment; adjust exposure in renal impairment and maintain hydration. Crystalluria and renal injury are uncommon but clinically important, especially with dehydration or excessive exposure.
  • Monitor for vomiting, diarrhoea, anorexia, hypersensitivity, dysglycaemia, QT-related arrhythmia, lameness, tendon pain or rupture. Stop promptly for severe allergy, persistent gastrointestinal signs, new lameness or cardiovascular collapse.
  • Use only the validated dose unit for the exact tablet. Ciprinol 250/500 and Cipro-Denk 500 can be divided into equal halves; the Cipro-Denk 750 score is only for easier swallowing and not equal dosing. Do not estimate smaller fractions or divide powder by eye.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Denk Pharma · Germany
Registration
Georgia Yes, human
In force until 18 Jul 2030
Human (Ministry of Health, RAMA)
In the register: ციპრო-დენკი 750 მგ, აბი
№ რ-043647
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Floximed 3 mg/g (0.3%), Ointment

eye ointment 5 g, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Veterinarian-directed ointment treatment of selected superficial susceptible bacterial ocular infection when prolonged surface contact is useful and corneal structural integrity permits safe application
4.8/10
Weak evidence support
vetman assessment

Floximed

3 mg/g (0.3%), eye ointment 5 g, human medicine
Assessed clinical scopeDog · Veterinarian-directed ointment treatment of selected superficial susceptible bacterial ocular infection when prolonged surface contact is useful and corneal structural integrity permits safe application · Into the eye
Care settingVeterinarian-directed clinic/home treatment after complete ocular examination, with early recheck and cytology/culture for deep, melting, recurrent, severe or nonresponsive disease.
vetman score 4.8/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-034300 · Verified on 22 Oct 2026 Off-label use

A potentially useful retained-contact form for selected superficial susceptible infection, but direct veterinary ointment evidence is thin and it should not be used through a dangerously compromised cornea.

Regulatory and scientific credibility4.0/10

Exact strength, form, pack and current Georgian human registration are traceable, but no complete current Floximed regulator label or exact-product veterinary dossier was found; EU/GB/US status remains unknown. Because efficacy evidence is formulation-mismatched, the PLAYBOOK gate caps scientific credibility at 4.0.

Clinical efficacy3.5/10

The active can treat susceptible superficial infection, but ointment comparator evidence is human conjunctivitis-focused and does not establish Floximed canine keratitis outcomes, intensive-ulcer exposure or superiority over solution/other agents.

Safety and tolerability6.0/10

Topical systemic exposure is expected to be low, but exact Floximed excipients and target-animal safety are undocumented; irritation, blur, keratopathy, contamination, hypersensitivity and tube-tip trauma or intraocular ointment entry are clinically important.

Clinical practicality6.5/10

Ointment can prolong surface contact and reduce administration frequency in selected superficial disease, but causes temporary blur, must be applied last and is unsuitable when contact trauma or passage through a compromised cornea is plausible.

Full-course cost-effectiveness-

No verified current Georgian patient-adjusted full-course price is available, so cost is excluded.

Important safety and use flags

  • Human ophthalmic medicine used off-label in dogs and cats. The exact Georgian human registration does not establish veterinary authorisation, animal efficacy or a product-specific animal dose.
  • Do not treat an undifferentiated red or painful eye empirically. Perform complete ocular examination, fluorescein staining and tear-film/ocular-surface assessment; identify trauma, foreign body, dry eye, uveitis, glaucoma, viral, fungal or immune-mediated disease.
  • Obtain cytology and culture/susceptibility for deep, stromal, melting, rapidly progressive, recurrent, previously treated or nonresponsive keratitis, preferably before the first dose when this will not dangerously delay treatment.
  • Ciprofloxacin is strong against many Pseudomonas isolates but does not reliably cover Streptococcus or every ocular isolate. Do not assume class-wide or regional susceptibility; combine, narrow or change treatment from findings and response.
  • No exact Floximed dog/cat regimen is established. Do not transfer the 25–50 mg/kg oral ciprofloxacin dose, a human comparator schedule, another fluoroquinolone schedule or solution frequency to ointment.
  • Apply ointment after all other topical eye medicines and avoid use where tube-tip trauma or passage through a melting, perforated, freshly operated or structurally weak cornea is plausible.
  • Never inject into the eye. Use one container for one patient, preserve tip sterility, close promptly and follow the exact pack discard/storage instruction; these Floximed in-use details were not independently verified.
  • Monitor pain, blepharospasm, discharge, hyperaemia, corneal opacity, staining, crystalline deposit, epitheliopathy, irritation, allergy and vision. Worsening, melting, perforation or vision change needs urgent ophthalmic reassessment.
  • Reassess early and document an objective response. De-escalate, narrow, combine, change or stop according to culture, susceptibility, epithelial healing and diagnosis; do not extend fluoroquinolone exposure solely because redness persists.
  • Exact safety in puppies/kittens, pregnancy, lactation, breeding animals, severe dry eye and prolonged or repeated courses is not established. Low systemic exposure from comparator products is not proof of exact Floximed safety.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Veterinarian-directed ointment treatment of selected superficial susceptible bacterial ocular infection when prolonged surface contact is useful and corneal structural integrity permits safe application
4.7/10
Weak evidence support
vetman assessment

Floximed

3 mg/g (0.3%), eye ointment 5 g, human medicine
Assessed clinical scopeCat · Veterinarian-directed ointment treatment of selected superficial susceptible bacterial ocular infection when prolonged surface contact is useful and corneal structural integrity permits safe application · Into the eye
Care settingVeterinarian-directed clinic/home treatment after complete ocular examination, with early recheck and cytology/culture for deep, melting, recurrent, severe or nonresponsive disease.
vetman score 4.7/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-034300 · Verified on 22 Oct 2026 Off-label use

A potentially useful retained-contact form for selected superficial susceptible infection, but direct veterinary ointment evidence is thin and it should not be used through a dangerously compromised cornea.

Regulatory and scientific credibility4.0/10

Exact strength, form, pack and current Georgian human registration are traceable, but no complete current Floximed regulator label or exact-product veterinary dossier was found; EU/GB/US status remains unknown. Because efficacy evidence is formulation-mismatched, the PLAYBOOK gate caps scientific credibility at 4.0.

Clinical efficacy3.0/10

Ciprofloxacin has useful feline isolate activity, but the ointment form lacks direct feline outcome or PK evidence and should not be extrapolated to deep, melting or mixed-pathogen disease from solution susceptibility alone.

Safety and tolerability6.0/10

Topical systemic exposure is expected to be low, but exact Floximed excipients and target-animal safety are undocumented; irritation, blur, keratopathy, contamination, hypersensitivity and tube-tip trauma or intraocular ointment entry are clinically important.

Clinical practicality6.5/10

Ointment can prolong surface contact and reduce administration frequency in selected superficial disease, but causes temporary blur, must be applied last and is unsuitable when contact trauma or passage through a compromised cornea is plausible.

Full-course cost-effectiveness-

No verified current Georgian patient-adjusted full-course price is available, so cost is excluded.

Important safety and use flags

  • Human ophthalmic medicine used off-label in dogs and cats. The exact Georgian human registration does not establish veterinary authorisation, animal efficacy or a product-specific animal dose.
  • Do not treat an undifferentiated red or painful eye empirically. Perform complete ocular examination, fluorescein staining and tear-film/ocular-surface assessment; identify trauma, foreign body, dry eye, uveitis, glaucoma, viral, fungal or immune-mediated disease.
  • Obtain cytology and culture/susceptibility for deep, stromal, melting, rapidly progressive, recurrent, previously treated or nonresponsive keratitis, preferably before the first dose when this will not dangerously delay treatment.
  • Ciprofloxacin is strong against many Pseudomonas isolates but does not reliably cover Streptococcus or every ocular isolate. Do not assume class-wide or regional susceptibility; combine, narrow or change treatment from findings and response.
  • No exact Floximed dog/cat regimen is established. Do not transfer the 25–50 mg/kg oral ciprofloxacin dose, a human comparator schedule, another fluoroquinolone schedule or solution frequency to ointment.
  • Apply ointment after all other topical eye medicines and avoid use where tube-tip trauma or passage through a melting, perforated, freshly operated or structurally weak cornea is plausible.
  • Never inject into the eye. Use one container for one patient, preserve tip sterility, close promptly and follow the exact pack discard/storage instruction; these Floximed in-use details were not independently verified.
  • Monitor pain, blepharospasm, discharge, hyperaemia, corneal opacity, staining, crystalline deposit, epitheliopathy, irritation, allergy and vision. Worsening, melting, perforation or vision change needs urgent ophthalmic reassessment.
  • Reassess early and document an objective response. De-escalate, narrow, combine, change or stop according to culture, susceptibility, epithelial healing and diagnosis; do not extend fluoroquinolone exposure solely because redness persists.
  • Exact safety in puppies/kittens, pregnancy, lactation, breeding animals, severe dry eye and prolonged or repeated courses is not established. Low systemic exposure from comparator products is not proof of exact Floximed safety.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Formulation Type
Ointment
Administration route
Into the eye
Manufacturer
EIPICO · Egypt
Registration
Georgia Yes, human
In force until 03 Feb 2027
Human (Ministry of Health, RAMA)
In the register: Floximed 0.3% eye ointment 5 g
№ რ-034300
Verified on: 22 Oct 2026
EU Not confirmed
UK Not confirmed
Verified on: 23 Oct 2026
US Not confirmed
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified No product-specific veterinary dose is established. Do not transfer the oral 25–50 mg/kg ciprofloxacin dose or a human comparator schedule. Select frequency and duration from diagnosis, depth/severity, cytology/culture, susceptibility, response and ophthalmic review.

Floximed 3 mg/ml (0.3%), Eye drops

eye drops 5 ml, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Veterinarian-directed topical treatment of a diagnosed susceptible bacterial ocular-surface infection, including selected infected keratitis; culture-led for complicated disease
4.9/10
Weak evidence support
vetman assessment

Floximed

3 mg/ml (0.3%), eye drops 5 ml, human medicine
Assessed clinical scopeDog · Veterinarian-directed topical treatment of a diagnosed susceptible bacterial ocular-surface infection, including selected infected keratitis; culture-led for complicated disease · Into the eye
Care settingVeterinarian-directed clinic/home treatment after complete ocular examination, with early recheck and cytology/culture for deep, melting, recurrent, severe or nonresponsive disease.
vetman score 4.9/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-037297 · Verified on 22 Oct 2026 Off-label use

Useful culture-aware topical fluoroquinolone activity, strongest for susceptible Gram-negative infection, but incomplete exact-product documentation and variable streptococcal/overall coverage prevent routine monotherapy claims.

Regulatory and scientific credibility4.0/10

Exact strength, form, pack and current Georgian human registration are traceable, but no complete current Floximed regulator label or exact-product veterinary dossier was found; EU/GB/US status remains unknown. Because efficacy evidence is formulation-mismatched, the PLAYBOOK gate caps scientific credibility at 4.0.

Clinical efficacy4.0/10

Canine isolate and ocular-PK studies support useful Gram-negative, especially Pseudomonas, activity, but only 69% overall susceptibility in one large cohort, poor Streptococcus coverage, regional variation and absent exact-product outcomes make monotherapy situational.

Safety and tolerability6.5/10

Topical comparator exposure is low and immature-dog ocular study found no articular lesions, but Floximed excipients, sterility/in-use limits and dog/cat safety are incompletely documented; irritation, deposits, keratopathy, contamination and hypersensitivity remain relevant.

Clinical practicality5.5/10

Drops avoid tube contact and allow intensive treatment, but severe keratitis may require dosing every one to few hours, multiple agents, culture and frequent rechecks; no exact Floximed animal schedule or calibrated drop volume is established.

Full-course cost-effectiveness-

No verified current Georgian patient-adjusted full-course price is available, so cost is excluded.

Important safety and use flags

  • Human ophthalmic medicine used off-label in dogs and cats. The exact Georgian human registration does not establish veterinary authorisation, animal efficacy or a product-specific animal dose.
  • Do not treat an undifferentiated red or painful eye empirically. Perform complete ocular examination, fluorescein staining and tear-film/ocular-surface assessment; identify trauma, foreign body, dry eye, uveitis, glaucoma, viral, fungal or immune-mediated disease.
  • Obtain cytology and culture/susceptibility for deep, stromal, melting, rapidly progressive, recurrent, previously treated or nonresponsive keratitis, preferably before the first dose when this will not dangerously delay treatment.
  • Ciprofloxacin is strong against many Pseudomonas isolates but does not reliably cover Streptococcus or every ocular isolate. Do not assume class-wide or regional susceptibility; combine, narrow or change treatment from findings and response.
  • No exact Floximed dog/cat regimen is established. Do not transfer the 25–50 mg/kg oral ciprofloxacin dose, a human comparator schedule, another fluoroquinolone schedule or solution frequency to ointment.
  • Keep topical eye medicines at least five minutes apart; if ointment is also prescribed, use it last. Do not let the dropper tip touch eye, eyelid, hair, fingers or another surface.
  • Never inject into the eye. Use one container for one patient, preserve tip sterility, close promptly and follow the exact pack discard/storage instruction; these Floximed in-use details were not independently verified.
  • Monitor pain, blepharospasm, discharge, hyperaemia, corneal opacity, staining, crystalline deposit, epitheliopathy, irritation, allergy and vision. Worsening, melting, perforation or vision change needs urgent ophthalmic reassessment.
  • Reassess early and document an objective response. De-escalate, narrow, combine, change or stop according to culture, susceptibility, epithelial healing and diagnosis; do not extend fluoroquinolone exposure solely because redness persists.
  • Exact safety in puppies/kittens, pregnancy, lactation, breeding animals, severe dry eye and prolonged or repeated courses is not established. Low systemic exposure from comparator products is not proof of exact Floximed safety.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Veterinarian-directed topical treatment of a diagnosed susceptible bacterial ocular-surface infection, including selected infected keratitis; culture-led for complicated disease
4.9/10
Weak evidence support
vetman assessment

Floximed

3 mg/ml (0.3%), eye drops 5 ml, human medicine
Assessed clinical scopeCat · Veterinarian-directed topical treatment of a diagnosed susceptible bacterial ocular-surface infection, including selected infected keratitis; culture-led for complicated disease · Into the eye
Care settingVeterinarian-directed clinic/home treatment after complete ocular examination, with early recheck and cytology/culture for deep, melting, recurrent, severe or nonresponsive disease.
vetman score 4.9/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-037297 · Verified on 22 Oct 2026 Off-label use

Useful culture-aware topical fluoroquinolone activity, strongest for susceptible Gram-negative infection, but incomplete exact-product documentation and variable streptococcal/overall coverage prevent routine monotherapy claims.

Regulatory and scientific credibility4.0/10

Exact strength, form, pack and current Georgian human registration are traceable, but no complete current Floximed regulator label or exact-product veterinary dossier was found; EU/GB/US status remains unknown. Because efficacy evidence is formulation-mismatched, the PLAYBOOK gate caps scientific credibility at 4.0.

Clinical efficacy4.0/10

A feline referral cohort found 94% ciprofloxacin susceptibility and supports it among initial keratitis options, but evidence is retrospective and in-vitro, regional resistance matters and no exact-product feline outcome trial exists.

Safety and tolerability6.5/10

Topical comparator exposure is low and immature-dog ocular study found no articular lesions, but Floximed excipients, sterility/in-use limits and dog/cat safety are incompletely documented; irritation, deposits, keratopathy, contamination and hypersensitivity remain relevant.

Clinical practicality5.5/10

Drops avoid tube contact and allow intensive treatment, but severe keratitis may require dosing every one to few hours, multiple agents, culture and frequent rechecks; no exact Floximed animal schedule or calibrated drop volume is established.

Full-course cost-effectiveness-

No verified current Georgian patient-adjusted full-course price is available, so cost is excluded.

Important safety and use flags

  • Human ophthalmic medicine used off-label in dogs and cats. The exact Georgian human registration does not establish veterinary authorisation, animal efficacy or a product-specific animal dose.
  • Do not treat an undifferentiated red or painful eye empirically. Perform complete ocular examination, fluorescein staining and tear-film/ocular-surface assessment; identify trauma, foreign body, dry eye, uveitis, glaucoma, viral, fungal or immune-mediated disease.
  • Obtain cytology and culture/susceptibility for deep, stromal, melting, rapidly progressive, recurrent, previously treated or nonresponsive keratitis, preferably before the first dose when this will not dangerously delay treatment.
  • Ciprofloxacin is strong against many Pseudomonas isolates but does not reliably cover Streptococcus or every ocular isolate. Do not assume class-wide or regional susceptibility; combine, narrow or change treatment from findings and response.
  • No exact Floximed dog/cat regimen is established. Do not transfer the 25–50 mg/kg oral ciprofloxacin dose, a human comparator schedule, another fluoroquinolone schedule or solution frequency to ointment.
  • Keep topical eye medicines at least five minutes apart; if ointment is also prescribed, use it last. Do not let the dropper tip touch eye, eyelid, hair, fingers or another surface.
  • Never inject into the eye. Use one container for one patient, preserve tip sterility, close promptly and follow the exact pack discard/storage instruction; these Floximed in-use details were not independently verified.
  • Monitor pain, blepharospasm, discharge, hyperaemia, corneal opacity, staining, crystalline deposit, epitheliopathy, irritation, allergy and vision. Worsening, melting, perforation or vision change needs urgent ophthalmic reassessment.
  • Reassess early and document an objective response. De-escalate, narrow, combine, change or stop according to culture, susceptibility, epithelial healing and diagnosis; do not extend fluoroquinolone exposure solely because redness persists.
  • Exact safety in puppies/kittens, pregnancy, lactation, breeding animals, severe dry eye and prolonged or repeated courses is not established. Low systemic exposure from comparator products is not proof of exact Floximed safety.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Ciprofloxacin3 mg/ml
Formulation Type
Eye drops
Administration route
Into the eye
Manufacturer
EIPICO · Egypt
Registration
Georgia Yes, human
In force until 09 Feb 2028
Human (Ministry of Health, RAMA)
In the register: Floximed 0.3% eye drops 5 ml
№ რ-037297
Verified on: 22 Oct 2026
EU Not confirmed
UK Not confirmed
Verified on: 23 Oct 2026
US Not confirmed
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified No product-specific veterinary dose is established. Do not transfer the oral 25–50 mg/kg ciprofloxacin dose or a human comparator schedule. Select frequency and duration from diagnosis, depth/severity, cytology/culture, susceptibility, response and ophthalmic review.

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.