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  Norfloxacin

Norfloxacin

Pronunciation

(nor FLOKS a sin)

Brand Names

Chibroxin™ Ophthalmic; Noroxin® Oral

Canadian/Mexican Brand Names

Floxacin® (Mexico); Oranor (Mexico)

Therapeutic Categories

Antibiotic, Ophthalmic; Antibiotic, Quinolone

What is this medicine used for?

  • This medicine is used as a treatment for a variety of bacterial infections.
  • The eye solution treats bacterial infections of the eye.

How does it work?

  • Norfloxacin inhibits metabolic activities in the bacteria causing its death.

How is it best taken?

  • To gain the most benefit, do not miss doses.
  • Use entire prescription as directed, even if feeling better.

Oral:

  • Take on an empty stomach. Take 1 hour before or 2 hours after meals.
  • Do not take dairy products, antacids, didanosine, multivitamins, minerals (calcium, iron, zinc, magnesium), nutritional supplements, or sucralfate within 4 hours of this medicine.
  • Make sure you are drinking enough fluids unless told to drink less by healthcare provider. Avoid products with caffeine.

Eye:

  • For the eye only.
  • Take out soft contact lenses before using medicine. Lenses can be replaced 15 minutes after medicine is given.
  • Do not touch the bottle or tube tip to the eye, lid, or other skin.
  • Tilt head back and drop medicine into eye.
  • After using medicine keep your eyes closed. Apply pressure to the inside corner of the eye. Do this for 3-5 minutes. This keeps medicine in the eye.
  • Separate each eye medicine by 5 minutes. Give one and wait 5 minutes before using the next.
  • Do not wear contact lenses if you are being treated for a bacterial infection.

What do I do if I miss a dose?

  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra doses.

What are the precautions when taking this medicine?

  • Check medicines with healthcare provider. This medicine may not mix well with theophylline and warfarin.
  • Oral form is not recommended in children younger than 18 years of age.
  • Avoid alcohol (includes wine, beer, and liquor). Alcohol may make infection more difficult to treat.
  • Limit caffeine (teas, coffee, colas) and chocolate intake.
  • Avoid wearing contact lenses if you have an infection. Talk with healthcare provider.
  • You can get sunburned more easily. Use sunscreen; wear protective clothing and eyewear.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Do not use if you are breast-feeding.

What are the common side effects of this medicine?

Oral:

  • Headache. Mild pain medicine may help.
  • Dizziness is common. Avoid driving, doing other tasks or hobbies that require you to be alert until you see how this medicine affects you.
  • Belly pain and cramps.
  • Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
  • Diarrhea. Yogurt, Bifidobacterium bifidum , or Lactobacillus acidophilus may help. These products are available at health food stores or in some pharmacies.

Eye:

  • Crusting of eyelid, feeling as if something is in your eye.
  • Redness or bitter taste in your mouth.

What should I monitor?

  • Watch for severe nausea, vomiting, and/or diarrhea.
  • Watch for change in temperature or worsening of infection.

Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • Pain in back of the ankle. The part called the Achilles tendon.
  • Any rash.
  • No improvement in condition or feeling worse.

How should I store this medicine?

  • Store tablets/solution in a tight, light-resistant container at room temperature.
  • Store eye solution at room temperature.

General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant)
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).

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