Tizanidine and Ciprofloxacin Interaction

Drug interaction information between Tizanidine and Ciprofloxacin.

Tizanidine and Ciprofloxacin have a documented major interaction in FDA labeling.

FDA drug labeling documents a major-severity interaction between Tizanidine and Ciprofloxacin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Tizanidine

Central Alpha-2 Agonist (Muscle Relaxant)

Drug B

Ciprofloxacin

Fluoroquinolone Antibiotic

How They Interact

Ciprofloxacin stops the body from breaking down tizanidine. This can cause tizanidine to build up to dangerous levels in your system.

FDA Label Information

( 7.2 , 12.3 ) 7.1 Strong CYP1A2 Inhibitors Concomitant use of tizanidine with strong cytochrome P450 1A2 (CYP1A2) inhibitors (e.g., fluvoxamine, ciprofloxacin) is contraindicated.

Frequently Asked Questions

What SPL severity band is on file for Tizanidine + Ciprofloxacin?

Compiled FDA labeling labels this pair major. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Tizanidine has 17 labeled pairs on file vs Ciprofloxacin's 14. In the major band specifically: Tizanidine has 2 (also Fluvoxamine); Ciprofloxacin has 1.

What mechanism field is on file for Tizanidine and Ciprofloxacin?

Ciprofloxacin stops the body from breaking down tizanidine. This can cause tizanidine to build up to dangerous levels in your system.

Tizanidine carries more major-labeled pairs than Ciprofloxacin

SPL source-record counts only. This page's band is major · classes on file: Tizanidine (Central Alpha-2 Agonist (Muscle Relaxant)); Ciprofloxacin (Fluoroquinolone Antibiotic).

Tizanidine has 2 major-labeled pairs vs Ciprofloxacin's 1.

Tizanidine

2 major · 1 moderate · 14 minor · 17 total

Ciprofloxacin

1 major · 0 moderate · 13 minor · 14 total

Ciprofloxacin has no other major-band peer in this dataset besides Tizanidine.

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.