Elderly patients on ciprofloxacin have a higher risk of tendonitis and tendon rupture, especially with concurrent corticosteroid use. To manage risks, avoid steroids if possible and monitor for tendon pain.

Ciprofloxacin in elderly can increase risk of CNS side effects like confusion and seizures. Risk management includes monitoring neurological status regularly and dose adjustment.

Elderly using ciprofloxacin might experience exacerbated muscle weakness, particularly in those with myasthenia gravis. It’s crucial to assess muscle strength frequently and adjust treatment accordingly.