Norflox LB 400mg Tablet 10'S

Introduction About NORFLOX LB 400MG TABLET

NORFLOX LB 400MG TABLET contains Norfloxacin which belongs to the group of
medicines called Fluoroquinolone antibiotics. It is used to manage urinary tract
infections (infection in any part of the urinary system, the kidneys, bladder or
urethra) and gonococcal infections (sexually transmitted infection that infects
both male and female).

Always take NORFLOX LB 400MG TABLET exactly as directed by your doctor. Before
taking this medicine, inform your doctor if you have or had seizures, tendon
problems, liver, kidney or heart problems. Drink plenty of liquids during
management with NORFLOX LB 400MG TABLET (such as water or juice) to avoid
potential side effects (such as crystalluria).

NORFLOX LB 400MG TABLET should be taken at least 1 hour before or 2 hours after
taking products containing calcium such as dairy products (milk or liquid milk
products such as yoghurt), including iron, zinc or multivitamin supplements.

NORFLOX LB 400MG TABLET is not recommended for use in pregnant and
breast-feeding women. NORFLOX LB 400MG TABLET is not recommended for use in
children and adolescents (aged under 18 years). Also, it should be used with
caution in elderly patients (aged 60 years and above) due to increased risk of
pain and swelling in the joints and inflammation or rupture of tendons.

The common side effects of taking NORFLOX LB 400MG TABLET are headache,
dizziness, light-headedness stomach pain and nausea. Consult your doctor if any
of the side effect worsens or persist for a long period of time.

Uses Of NORFLOX LB 400MG TABLET

• Manage urinary tract infections
• Manage gonococcal infections

How NORFLOX LB 400MG TABLET Works

NORFLOX LB 400MG TABLET works by inhibiting the activity of the bacterial enzyme
DNA-gyrase, which helps to manage the bacteria from multiplying and thus
effectively manages the bacterial infection.

How to use NORFLOX LB 400MG TABLET

Take NORFLOX LB 400MG TABLET exactly as advised by your doctor. Swallow the
medicine with a glass of water. Do not crush or chew the medicine. Your doctor
will decide the correct dose and duration of the management for you based on the
age, body weight and disease condition.

Side Effects Of NORFLOX LB 400MG TABLET

Common

• headache
• dizziness, light-headedness, drowsiness
• abdominal pain and spasms
• nausea
• rash

Uncommon

• crystalluria
• tiredness
• mood swings
• difficulty sleeping, sleep disorders
• anxiety, nervousness
• irritability, euphoria, disorientation
• hallucination, confusion
• polyneuropathy (nervous system in your arms and legs does not work properly)
• fits
• myasthenia gravis (disease causing muscle weakness)
• disturbed vision
• increased lacrimation (tear production)
• tinnitus (ringing in the ears)
• palpitation (feeling your heartbeat)
• heartburn, vomiting
• diarrhea
• loss of appetite
• skin reactions and photosensitivity (increased sensitivity to sunlight)
• pain or inflammation in joints
• muscle pain, inflamed tendons
• vaginal candidiasis

Rare

• pseudomembranous colitis (inflammation of the bowel causing fever, abdominal pain or diarrhoea
• inflammation of the Achilles (pain and swelling in the backside of your heel when you walk or run)

Stop taking NORFLOX LB 400MG TABLET and consult your doctor immediately if you
experience any of the following side effects:

• symptoms of angio-oedema (such as swollen face, tongue or throat, difficulty in swallowing, hives and difficulty breathing)
• severe skin reaction
• symptom of an inflammation of the liver (hepatitis) or liver failure (such as yellow discoloration of the eye whites or skin)
• pain or inflammation of a tendon (in your ankle, wrist, elbow, shoulder or knee)
• symptoms of nerve damage (neuropathy) such as pain, burning, tingling, numbness and/or weakness especially in the feet and legs or hands and arms
• pseudomembranous colitis (infection causing inflammation of the large intestine, severe and persistent diarrhoea)

How To Manage Side Effects

!### Diarrhea

Drink lot of fluids such as water to keep yourself hydrated. Avoid eating
high-fat or spicy foods. Consult your doctor if the symptom gets worse.

Headache

Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to
be relaxed and stress free. Apply pain relieving balm on your forehead if
necessary. Consult your doctor if the symptom does not improve.

!### Nausea And Vomiting

Stick to simple meals while taking NORFLOX LB 400MG TABLET. Avoid eating oily
rich, fried or spicy foods. Do not lie down or sleep immediately after eating.
Inform your doctor if the symptom does not improve.

!### Skin rash Or Itching

Avoid hot showers because hot water can irritate the skin further. Do not rub or
scratch the affected area. Use sunscreen and protective clothing when going
outdoor. Regularly use moisturizers to soothe and hydrate the affected area. If
the symptom still persists, consult your doctor.

!### Stomach Pain

Try to rest and relax. Eat and drink slowly or try to have smaller and frequent
meals. Keep a heating pad on your stomach. If the symptom does not improve,
consult your doctor.

Warning & Precautions

!### Pregnancy

ContraindicatedNORFLOX LB 400MG TABLET is not recommended for use in pregnant women and those
who are planning to become pregnant. If you become pregnant while taking this
medicine inform your doctor immediately. You must use effective contrace
methods while you are taking this medicine. Consult your doctor before taking
it.

!### Breastfeeding

ContraindicatedNORFLOX LB 400MG TABLET is not recommended for use in breast-feeding women.
Consult your doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or handle machines while taking NORFLOX LB 400MG TABLET, since it
may cause dizziness or light-headedness.

!### Alcohol

ContraindicatedConsum
400MG TABLET.

!### Kidney

Use with CautionNORFLOX LB 400MG TABLET should be used with caution in patients with kidney
disease or problems. Consult your doctor before taking it.

Liver

Use with CautionNORFLOX LB 400MG TABLET should be used with caution in patients with liver
disease. Consult your doctor before taking it.

!### Allergy

ContraindicatedDo not take NORFLOX LB 400MG TABLET if you are allergic (hypersensitive) to
Norfloxacin or other ingredients of this medicine.

!### Heart Disease

Use with CautionNORFLOX LB 400MG TABLET should be used with caution in patients with an
enlargement or bulge of a large blood vessel (aortic aneurysm or large vessel
peripheral aneurysm), experienced a previous episode of aortic dissection (a
tear in the aorta wall), very slow heart rhythm, weak heart (heart failure),
history of heart attack, have a family history of prolonged QT interval, aortic
aneurysm or aortic dissection or predisposing conditions (such as connective
tissue disorders such as marfan syndrome, vascular disorders such as takayasu
arteritis, high blood pressure or known atherosclerosis). Consult your doctor
before taking it.

!### Use In Pediatrics

ContraindicatedNORFLOX LB 400MG TABLET is not recommended for use in children and adolescents
(aged under 18 years). Consult your child’s doctor for advice.

!### Use In Geriatrics

Use with CautionNORFLOX LB 400MG TABLET should be used with caution in elderly patients (aged 60
years and above) due to increased risk of pain and swelling in the joints and
inflammation or rupture of tendons. Consult your doctor before taking it.

Others

NORFLOX LB 400MG TABLET is not recommended for use if you:

• have a history of inflamed (tendonitis) or ruptured tendons related to management with fluoroquinolones

Before taking NORFLOX LB 400MG TABLET, inform your doctor if you:

• have a surgical history of organ transplant recently
• epilepsy or convulsions (fits)
• mental disorders such as hallucination or confusion
• disorders of the central nervous system such as reduced blood flow to the brain or a stroke
• glucose-6-phosphate dehydrogenase enzyme deficiency
• myasthenia gravis

Interactions

A.Drug-Drug Interactions:

Before taking NORFLOX LB 400MG TABLET, inform your doctor if you are taking any
of the following medicines:

• tiz
• nitrofurantoin (manages urinary tract infection)
• probenecid (used to manage gout)
• theophylline (used to manage asthma and lung disease)
• cyclosporine (used to manage rejection of organs after transplant)
• warfarin (used to manage or manage blood clots)
• fenbufen (used to manage pain)
• anti-arrhythmics such as quinidine, hydroquinidine, disopyramide, amiodarone, sotalol, dofetilide, ibutilide (used to manage or manage irregular heart beat)
• tricyclic antidepressants such as amitriptyline (used to manage depression)
• macrolides such as erythromycin, clarithromycin (used to manage bacterial infections)
• antipsychotics such as risperidone, ziprasidone (used to manage mental disorders such as schizophrenia and bipolar disorder)
• oral contrace
• multivitamins (used to manage vitamin deficiency)
• antacids such as aluminum hydroxide and magnesium hydroxide (manages heartburn and indigestion)
• sucralfate (manages ulcers)
• caffeine (found in some pain-killing medicines)

B. Drug–Food interaction:

NORFLOX LB 400MG TABLET should be taken at least 1 hour before or 2 hours after
taking products containing calcium such as dairy products (milk or liquid milk
products such as yoghurt). Consult your doctor before taking NORFLOX LB 400MG
TABLET.

Overdosage:

If you or anyone else accidentally takes too much of NORFLOX LB 400MG TABLET,
consult your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Norfloxacin
Pharmacological Category	:	Fluoroquinolone antibiotics
Therapeutic Indication	:	Urinary tract and gonococcal infections
Dosage Forms	:	Tablet, Eye/Ear drops, Ointment, Suspension, Syrup

More Information

• Keep NORFLOX LB 400MG TABLET out of reach of children
• Store NORFLOX LB 400MG TABLET at room temperature

FAQs About NORFLOX LB 400MG TABLET

Q: What isNORFLOX LB 400MG TABLET used for?

A: NORFLOX LB 400MG TABLET is used to manage urinary tract infections (infection
in any part of the urinary system, the kidneys, bladder or urethra) and
gonococcal infections (sexually transmitted infection that infects both male and
female).

Q: CanNORFLOX LB 400MG TABLET be used in elderly patients?

A: NORFLOX LB 400MG TABLET should be used with caution in elderly patients (aged
60 years and above) due to increased risk of pain and swelling in the joints and
inflammation or rupture of tendons. Consult your doctor before taking NORFLOX LB
400MG TABLET.

Q: Can I stop takingNORFLOX LB 400MG TABLET when my symptoms are
relieved?

A: Do not stop taking NORFLOX LB 400MG TABLET abruptly even if your symptoms may
get better quickly. You should continue to take your medicine for as long as
your doctor recommends, otherwise the infection may reoccur again.

Q: Is NORFLOX LB 400MG TABLET safe to use in pregnant women?

A: NORFLOX LB 400MG TABLET is not recommended for use in pregnant women and
those who are planning to become pregnant. If you become pregnant while taking
this medicine inform your doctor immediately. You must use effective
contrace
before taking NORFLOX LB 400MG TABLET.

Q: Can NORFLOX LB 400MG TABLET be taken with foods containing calcium?

A:NORFLOX LB 400MG TABLET should be taken at least 1 hour before or 2 hours
after taking products containing calcium such as dairy products (milk or liquid
milk products such as yoghurt). Consult your doctor before taking NORFLOX LB
400MG TABLET.

Useful Diagnostic Tests

• Complete Blood Count
• Peripheral Smear Examination