March 21, 2026 · The American journal of medicine · DOI: 10.1016/j.amjmed.2026.03.020

The Ciprofloxacin QTc Alarm: What Every Hospitalist Needs to Know Ciprofloxacin and QTc Alarm

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The authors aim to address the concerns surrounding QTc prolongation associated with ciprofloxacin, a fluoroquinolone antibiotic, which is often avoided in inpatient settings despite its minimal QTc effects. By reviewing pharmacologic and real-world data, they highlight ciprofloxacin's favorable cardiac safety profile and advocate for aligning evidence with clinical practice to reduce unnecessary hospitalizations and support safer antibiotic transitions.

Zeynep Naz Efe, Mir A Husain

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