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Norfloxacin+Tinidazole

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Molecule Summary

Uses
Diarrhoea, dysentery
Therapy
Antibacterial And Antiprotozoal
Side Effects
Headache, dizziness, nausea, vomiting
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Molecule Description

Norfloxacin+Tinidazole is an antibiotic medicine. It contains a combination of norfloxacin and tinidazole. It is used for the treatment of diarrhoea and dysentery caused due to bacteria, amoeba or other microorganisms. Diarrhoea is a condition of passing three or more loose or liquid stools per day. It is usually a symptom of infection due to a bacteria, parasite, amoeba or other organisms. Norfloxacin+Tinidazole works by killing the microorganisms that cause infection. The dose, frequency and duration of the treatment are decided by your doctor. This medicine should be taken at least 1 hour before or at least 2 hours after a meal or ingestion of milk and/or other dairy products. Diarrhoea or dysentery is usually caused due to contaminated food or drinking-water, or from person to person as a result of poor hygiene. Regular hand washing, consuming safe drinking water and maintaining good personal and food hygiene should be followed while taking this medicine to prevent the spread of infection. You should also consume plenty of liquid to combat dehydration due to diarrhoea. Before initiating the treatment inform your doctor about all the medicines and supplements you are taking and all the conditions or diseases you suffer from. Norfloxacin+Tinidazole is not recommended in patients below 18 years of age.

Uses

  • Diarrhoea
  • Dysentery

Contraindications

When should one not use Norfloxacin+Tinidazole

  • If you are allergic to this medicine or any other components of Norfloxacin+Tinidazole.
  • If you have a history of a tendon (tissue joining muscle to bone) infection or tendon rupture or damage with any medicine.
  • If you are pregnant or breastfeeding.
  • If you have a brain and nerves-related problem.
  • If you have a history or any disorder related to blood.
  • If you are suffering from muscle weakness due to myasthenia gravis.

Side effects

Common side effects of this drug are:

  • Headache
  • Dizziness
  • Nausea
  • Vomiting
  • Stomach cramps
  • Body pain
  • Weakness

Precautions and Warnings

Pregnancy

Pregnancy

Norfloxacin+Tinidazole should be avoided during pregnancy as there is limited information about its safety in human pregnancy. You should consult your doctor if you are pregnant or think you may be pregnant or are planning to have a child before starting this medicine.

Breast Feeding

Breast Feeding

Norfloxacin+Tinidazole passes into human milk and could harm the breastfed baby. Hence, this medicine is not recommended during breastfeeding. You should consult your doctor before using this medicine during breastfeeding.

Driving

Driving

Norfloxacin+Tinidazole may make you dizzy and feel sleepy; you should avoid driving if you do not feel well or are unable to be alert.

Alcohol

Alcohol

Alcohol and other preparations containing ethanol or propylene glycol should be avoided during treatment with Norfloxacin+Tinidazole and 3 days following the treatment. It may produce symptoms like stomach cramps, nausea, vomiting, headache, and skin redness.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have tendon or nerve problems.
  • You have a condition that causes muscle weakness.
  • You have problems with your heart like irregular heartbeats, abnormal heart rhythm, and slow heartbeat.
  • You have problems with your kidney, liver or lung.
  • You are pregnant or are planning to have a baby or are breastfeeding.
  • You have fits, restlessness, light-headedness, confusion, and hallucinations or are suffering from a brain disorder.
  • You have rheumatoid arthritis or a history of joint issues.
  • You have glucose-6-phosphate dehydrogenase (G6PD) deficiency.
  • You must avoid being in the sunlight for too long as Norfloxacin+Tinidazole may make you more sensitive to the sun.
  • You are above 60 years of age, as older people may be at the risk of developing tendon disorders like tendon rupture.
  • Patient on this treatment should drink enough water to keep the body hydrated as this medicine increases the chances of crystal formation in urine.
  • Norfloxacin+Tinidazole is not recommended in patients below 18 years of age as their safety and efficacy have not been established.

Mode of Action

How Does It Work?

  • The combination of Norfloxacin+Tinidazole kills bacteria and protozoa that are responsible for diarrhoea.
  • Norfloxacin is an antibiotic that damages the bacterial DNA and eventually kills them. It helps in clearing different types of bacterial infections.
  • Tinidazole is an antiprotozoal and antibacterial agent that produces free radicals and damages the cells and DNA of protozoa.

Interactions

Interactions with other medicines

  • Concomitant use of this medicine along with Theophylline, may cause headache, insomnia, irritability, restlessness, fits, diarrhoea, nausea, vomiting, skin rash, shaking, and fast heart rate.
  • Concomitant use with blood thinners like warfarin, coumadin, etc. may enhance the effects of these medicines.
  • The use of antidiabetics like Glyburide, along with this medicine, can affect your blood sugar level. The doctor may ask you to monitor blood sugar level regularly.
  • Multivitamins (containing iron, & zinc), antacids, sucralfate, and didanosine should not be consumed together with this medicine. These medicines should be taken either 2 hours before or 2 hours after taking this medicine.
  • Concomitant use of Norfloxacin+Tinidazole along with Nitrofurantoin (used to treat infection) is not recommended as it may alter the effects of Norfloxacin.
  • Concomitant use of this medicine along with NSAIDs (Aspirin, Ibuprofen, etc.), may increase the risk of having fits or seizures. Hence, it should be used with caution.
  • You should be cautious when taking this medicine along with caffeine, Clozapine, Ropinirole, Tacrine and Tizanidine.
  • Medicines like Phenobarbital, Phenytoin (used in epilepsy), Rifampin (used in tuberculosis), Cholestyramine (used to decrease blood cholesterol levels), Oxytetracycline (used in infections) decreases the effectiveness of Norfloxacin+Tinidazole.
  • Medicines like Cimetidine (used in stomach and intestinal ulcers) and Ketoconazole (fungal infections) increases the chances of side effects of Norfloxacin+Tinidazole in the body.
  • Other medicines like Cyclosporine, Probenecid, Erythromycin, Hydrochlorothiazide, Fluorouracil, Indapamide, Digoxin, and Lithium should be used cautiously along with Norfloxacin+Tinidazole.

Interactions with food items

Norfloxacin+Tinidazole should be taken at least 1 hour before or 2 hours after a meal or ingestion of milk and/or other dairy products.

Dosage

Overdose

In case of an overdose, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

It would help if you never missed your dose of Norfloxacin+Tinidazole as it may lead to treatment failure. If you missed any dose, take it as soon as you remember. If it's time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose of this medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

Yes, Norfloxacin+Tinidazole is used for the treatment of diarrhoea due to infection of bacteria and other organisms and controls loose motion. However, this medicine should only be used under a doctor's prescription for the treatment of loose motion.

No, Norfloxacin+Tinidazole is not effective for the treatment of urinary tract infections. Do not consume this medicine for any other condition on your own.

Yes, it should be taken on an empty stomach. Take Norfloxacin+Tinidazole 1 hour before or at least 2 hours after a meal or ingestion of milk and/or other dairy products.

Norfloxacin+Tinidazole is used to treat infectious diarrhoea caused by bacterial, amoebic, or mixed organisms.

Norfloxacin+Tinidazole should be avoided during pregnancy, as there is limited information about its safety and efficacy. You should always consult a doctor before starting any medicine and should avoid self-medicating.

No, this medicine should only be consumed for the duration advised by your doctor. If you use it for more or less duration than prescribed, there are chances that the next dose of this medicine won't be effective due to bacteria's development of resistance.

Norfloxacin+Tinidazole is not recommended if you are a pregnant or breastfeeding mother, or if you have a history of medical conditions like tendon infection, muscle weakness, or brain or nerve-related problems. Also, it is not recommended in patients below 18 years of age. Therefore, it is advised to take this medicine only if prescribed by the doctor. And before using this medicine, inform the doctor about your detailed medical history.

The dose and frequency of taking this antibiotic medicine normally depend on the type and severity of the infection. Therefore, you must take this medicine exactly as told by the doctor. Do not exceed the maximum daily doses and treatment durations prescribed.

There are chances of a decrease in blood glucose levels with Norfloxacin+Tinidazole. Hence, you should always consult your doctor before using this medicine in diabetic patients.

The combination of Norfloxacin+Tinidazole kills bacteria and protozoa that are responsible for diarrhoea. Norfloxacin is an antibiotic that damages bacterial DNA and eventually kills them. It helps in clearing different types of bacterial infections. While Tinidazole is an antiprotozoal and antibacterial agent that produces free radicals and damages the cells and DNA of protozoa.

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