Norfloxacin 400 mg film-coated tablet What Norfloxacin is used for: Norfloxacin belongs to the so-called fluoroquinolones, a group of antibacterial medicines. Norfloxacin is used for the treatment of infections caused by bacteria that are sensitive to norfloxacin, such as infections of the urinary tract. Do not take Norfloxacin if: you are allergic to norfloxacin or any of the other ingredients of Norfloxacin have had a history of tendon problems from using this type of medicine before you have had a reaction to a similar medicine in the past the patient is a child or young person who is still growing. Do not take Norfloxacin if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Norfloxacin. Warnings and precautions: Talk to your doctor or pharmacist before using Norfloxacin tablets if: You have liver or kidney problems. You are elderly. You have heart disease or problems with your heartbeat. You have low levels of potassium or magnesium in your blood. You have or have ever had any mental health problems. You have diabetes. If you have a condition called myasthenia gravis, which causes muscle weakness and excessive muscle fatigue. You have nerve problems (peripheral neuropathy). You have been diagnosed with an enlargement of a large blood vessel. You have experienced a previous episode of aortic dissection (a tear in the aorta wall). You have a family history of aortic aneurysm or aortic dissection or other risk factors or predisposing conditions. Possible side effects: Like all medicines this medicine can cause side effects, although not everybody gets them. Serious side effects If any of the following happens, stop taking this medicine and tell your doctor immediately or go to the casualty department at your nearest hospital: Convulsions. Severe pain in the abdomen and back (signs of inflamed pancreas). Inflammation of the bowels, called colitis (or antibiotic-associated colitis), causing severe long-lasting watery diarrhea with stomach cramps and fever. Allergic reaction – the signs may include swelling of your face, lips, tongue and throat (This may Make it difficult to breathe or swallow). A serious skin reaction that causes blisters and bleeding called ‘Stevens-Johnson’s syndrome’. Yellowing of the skin and eyes, unusual tiredness or fever, dark colored urine (signs of inflamed Liver and liver damage). Kidney disorder. Other medicines and Norfloxacin: You must tell your doctor if you are taking other medicines that can alter your heart rhythm: Medicines that belong to the group of anti-arrhythmics, tricyclic antidepressants, some Antimicrobials (that belong to the group of macrolides), some antipsychotics. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other Medicines, including medicines obtained without a prescription. This includes herbal medicines. This is because Norfloxacin can affect the way some other medicines work. Also, some other Medicines can affect the way Norfloxacin works. How to take Norfloxacin Drink sufficient amounts during the treatment in order to prevent crystallization of norfloxacin in The urine. Take at least one hour before or two hours after food, milk or multivitamins. Swallow the tablets whole with a full glass of water in the morning and in the evening. If you have Only one tablet per day this should always be taken at the same time of day. The dose depends on the type of infection you have contracted and on the location of infection. The duration depends on the severity of the infection Uncomplicated acute cystitis: 400 mg twice a day 3 day Urethritis, including cases due to susceptible Neisseria gonorrhoeae): 400 mg twice a day 7-10 days Complicated urinary tract infections (urethritis and acute cystitis): 400 mg twice a day 2-3 weeks People with kidney disease: It can be necessary to adjust the dose. Elderly: It is not necessary to adjust the dose. Children: This medicine is not recommended for children and growing adolescents. How to store Norfloxacin: Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date refers to the last day of that month. This medicinal product does not require any special storage conditions. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.