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Vocal Cord Paralysis : Long-term smoking can damage the nerves controlling the vocal cords, potentially leading to vocal cord paralysis

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Inform patients of the following serious adverse reactions that have been associated with ciprofloxacin or other fluoroquinolone use: Disabling and potentially irreversible serious adverse reactions that may occur together: Inform patients that disabling and potentially irreversible serious adverse reactions, including tendinitis and tendon rupture, peripheral neuropathies, and central nervous system effects, have been associated with use of ciprofloxacin and may occur together in the same patient