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Suggest Treatment For UTI While On Lexapro And Propranol

Posted on Tue, 7 Mar 2017

Question: I am on 10 mg of lexapro and 20mg of propranol. My PA is prescribing cipro, 500 mg, for a UTI that I no longer have symptoms. I have read there can be bad side effects and that worries me. Is there another drug and I am allergic to sulfa and penicillin

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern

You can retest for a UTI if you are asymptomatic. Urine routine exam can be done. If it doesn't show any significant pus cells or rbcs or wbcs then ciprofloxacin can be withheld for now.

Cipro is a safe drug. Alternatives include fosfomycin and enoxacin.

Wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Muhammad Sareer Khalil (14 minutes later)

Thank you for your response. I have read that Lexapro and cipro can cause fainting and or heart problems. What is your opinion. Again, I am on 10mg of lexapro and 20mg of propranol.
Thank you.
XXXXXXX XXXXXXX
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Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

Generally, both Lexapro (Escitalopram) and ciprofloxacin are safe drugs. There is no significant drug interaction between these two, either.

Fainting and cardiac issues are very rare with their use and its unlikely/ unproven whether the drugs would directly cause these problems.

Slight dizziness and anxiety can occur, initially, which is usually transient and fades away with regular use and time. QT interval prolongation also occurs and should be avoided in patients with already prolonged QT interval on EKG or a history of ventricular arrhythmias.

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar