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What are the potential renal side effects of ciprofloxacin, including nephrotoxicity or kidney damage and how should patients with preexisting kidney disease be monitored or managed during ciprofloxacin therapy?
Ciprofloxacin may cause renal toxicity manifesting as crystalluria, interstitial nephritis, or acute renal failure. Patients with kidney disease should have their renal function monitored closely and dosage adjusted accordingly.