PRODUCT INTRODUCTION

NORFAX TZ TAB is a potent combination medication designed to combat a wide range of bacterial and protozoal infections. It contains Norfloxacin, a fluoroquinolone antibiotic, and Tinidazole, an anti-protozoal and antibacterial agent. This synergistic combination makes NORFAX TZ TAB particularly effective in treating mixed infections, especially those affecting the gastrointestinal tract, such as bacterial diarrhea, dysentery, amoebiasis, and giardiasis. It is a prescription-only medicine, ensuring appropriate diagnosis and treatment under medical supervision. Patients are advised to complete the full course of treatment to achieve optimal results and prevent the development of drug resistance.

Uses of NORFAX TZ TAB

NORFAX TZ TAB is prescribed for the treatment of various bacterial and protozoal infections. It is particularly effective in conditions where both types of pathogens may be involved.

  • Bacterial Diarrhea and Dysentery

    This medication is highly effective in treating acute bacterial diarrhea and dysentery caused by susceptible organisms. Norfloxacin targets bacterial pathogens, while Tinidazole helps manage any co-existing protozoal infections, providing comprehensive relief from symptoms like loose stools, abdominal cramps, and fever.

  • Amoebiasis

    NORFAX TZ TAB is used to treat amoebic infections, including intestinal amoebiasis (amoebic dysentery) and hepatic amoebiasis (amoebic liver abscess). Tinidazole, a key component, is particularly effective against Entamoeba histolytica, the parasite responsible for these conditions, helping to eradicate the infection.

  • Giardiasis

    Giardiasis, an intestinal infection caused by the parasite Giardia lamblia, can be effectively managed with NORFAX TZ TAB. Tinidazole targets and eliminates the Giardia parasites, reducing symptoms such as abdominal pain, bloating, nausea, and watery diarrhea, leading to a faster recovery.

Side Effects of NORFAX TZ TAB

Like all medications, NORFAX TZ TAB can cause side effects, although not everyone experiences them. Most side effects are mild to moderate and temporary.

Common side effects

  • Nausea
  • Vomiting
  • Headache
  • Dizziness
  • Abdominal pain
  • Metallic taste in mouth

Less common but potentially serious side effects require immediate medical attention. If you experience any of these, contact your doctor promptly.

  • Peripheral neuropathy (numbness, tingling)
  • Seizures or convulsions
  • Tendon rupture (especially Achilles tendon)
  • Severe allergic reactions (rash, swelling, difficulty breathing)
  • Liver problems (yellowing of skin/eyes)

If any side effect persists or worsens, or if you experience any other unusual symptoms, consult your doctor immediately. Do not discontinue the medication without medical advice.

How to use NORFAX TZ TAB

  • Adults:

    Typically, one tablet of NORFAX TZ TAB is taken twice daily, preferably after meals, or as directed by the physician. The duration of treatment usually ranges from 5 to 7 days, depending on the type and severity of the infection. It is crucial to complete the entire prescribed course even if symptoms improve.

  • Children:

    The use of NORFAX TZ TAB in children should be strictly under medical supervision. Pediatric dosage will be determined by a doctor based on the child's age, weight, and the specific infection being treated. Self-medication in children is not recommended.

  • Elderly:

    Elderly patients may require dose adjustments, especially if they have impaired kidney or liver function. A doctor should assess the patient's overall health and co-existing conditions before prescribing NORFAX TZ TAB to ensure safety and efficacy.

  • Missed Dose:

    If you miss a dose of NORFAX TZ TAB, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

How NORFAX TZ TAB works

NORFAX TZ TAB exerts its therapeutic effects through the distinct yet complementary mechanisms of its two active components. Norfloxacin, a potent fluoroquinolone antibiotic, works by inhibiting bacterial DNA gyrase and topoisomerase IV, essential enzymes involved in bacterial DNA replication, transcription, repair, and recombination. This leads to disruption of bacterial DNA synthesis and ultimately, bacterial cell death, making it bactericidal. Tinidazole, a nitroimidazole derivative, acts by entering microbial cells, where it is reduced to active metabolites. These metabolites then interact with and damage the DNA and other macromolecules of susceptible anaerobic bacteria and protozoa. This damage inhibits nucleic acid synthesis, leading to the death of the infectious organisms. The combination of Norfloxacin and Tinidazole provides broad-spectrum coverage against both aerobic and anaerobic bacteria, as well as various protozoal parasites, making NORFAX TZ TAB highly effective against complex infections.

Precautions

  • Avoid alcohol consumption during and for at least 3 days after treatment with Tinidazole due to disulfiram-like reaction.
  • Use with caution in patients with a history of central nervous system (CNS) disorders like epilepsy or seizures.
  • Patients should avoid excessive exposure to sunlight or artificial UV light as Norfloxacin can cause photosensitivity.
  • Exercise caution in patients with kidney or liver impairment; dose adjustment may be necessary.
  • Discontinue treatment if you experience pain, swelling, or inflammation of a tendon, especially in the elderly or those on corticosteroids.
  • Inform your doctor about all other medications you are taking to avoid potential drug interactions.

Safety Advice

Alcohol

Alcohol

UNSAFE

It is unsafe to consume alcohol while taking NORFAX TZ TAB and for at least 3 days after the last dose. Tinidazole can cause a disulfiram-like reaction, leading to symptoms like flushing, nausea, vomiting, and headache.

Pregnancy

Pregnancy

UNSAFE

NORFAX TZ TAB is generally considered unsafe during pregnancy, especially in the first trimester. Consult your doctor immediately if you are pregnant or planning a pregnancy. The doctor will weigh the benefits against the potential risks.

Breastfeeding

Breastfeeding

UNSAFE

NORFAX TZ TAB is not recommended during breastfeeding as both Norfloxacin and Tinidazole can pass into breast milk and may harm the infant. Consult your doctor for alternative treatment options or advice on breastfeeding.

Driving

Driving

CAUTION

NORFAX TZ TAB may cause dizziness, lightheadedness, or visual disturbances in some individuals. If you experience these symptoms, avoid driving or operating heavy machinery until you know how the medication affects you.

Kidney

Kidney

CAUTION

Patients with kidney disease should use NORFAX TZ TAB with caution. Dose adjustment may be necessary based on kidney function. Always consult your doctor before taking this medication if you have any kidney issues.

Liver

Liver

CAUTION

Individuals with liver disease should use NORFAX TZ TAB with caution. The liver metabolizes medications, and impaired liver function may affect drug clearance. Your doctor may adjust the dosage or recommend alternative treatments.

Fact Box

Chemical Class
Fluoroquinolone (Norfloxacin), Nitroimidazole (Tinidazole)
Habit Forming
No
Therapeutic Class
Antibiotic, Anti-protozoal
Action Class
DNA gyrase inhibitor, DNA damaging agent

Frequently asked questions by patients

Q: Can I take NORFAX TZ TAB with food?

A: Yes, it is generally recommended to take NORFAX TZ TAB with food or after meals. This can help reduce the chances of stomach upset, nausea, and other gastrointestinal side effects.

Q: How long should I take NORFAX TZ TAB?

A: The duration of treatment with NORFAX TZ TAB depends on the type and severity of your infection. Typically, it is prescribed for 5 to 7 days. Always complete the full course as directed by your doctor, even if your symptoms improve.

Q: What if I feel better before completing the course?

A: It is crucial to complete the entire prescribed course of NORFAX TZ TAB, even if you start feeling better. Stopping the medication prematurely can lead to a relapse of the infection and contribute to antibiotic resistance.

Q: Can NORFAX TZ TAB cause dizziness?

A: Yes, dizziness is a common side effect of NORFAX TZ TAB. If you experience dizziness, avoid driving, operating machinery, or performing tasks that require mental alertness until you know how the medication affects you.

Frequently Asked Questions

Q: What is NORFAX TZ TAB used for?

NORFAX TZ TAB is primarily used to treat various bacterial and protozoal infections, particularly those affecting the gastrointestinal tract. This includes conditions like bacterial diarrhea, dysentery, amoebiasis, and giardiasis, where a dual-action approach is beneficial.

Q: How does NORFAX TZ TAB work?

NORFAX TZ TAB combines Norfloxacin and Tinidazole. Norfloxacin inhibits bacterial DNA replication, while Tinidazole damages the DNA of anaerobic bacteria and protozoa. Together, they provide broad-spectrum antimicrobial action, effectively eliminating the infectious organisms.

Q: What are the common side effects of NORFAX TZ TAB?

Common side effects include nausea, vomiting, headache, dizziness, abdominal pain, and a metallic taste in the mouth. These are usually mild and temporary. If they persist or worsen, consult your doctor.

Q: Can I drink alcohol while taking NORFAX TZ TAB?

No, it is strictly advised to avoid alcohol consumption during treatment with NORFAX TZ TAB and for at least three days after the last dose. Tinidazole can cause a severe reaction with alcohol, leading to unpleasant symptoms like flushing, severe nausea, and vomiting.

Q: Is NORFAX TZ TAB safe during pregnancy?

NORFAX TZ TAB is generally not recommended during pregnancy, especially in the first trimester, due to potential risks to the fetus. If you are pregnant or planning to conceive, discuss the risks and benefits with your doctor before taking this medication.

Additional Information

Category
Antibiotics
FORM
TABLET
Tag
Broad-spectrum antibiotic, Anti-protozoal
Packing
6x5x6
Composition
NORFLOXACIN 200MG +TINIDAZOLE 300MG
Disclaimer: This information is provided for educational purposes only and should not replace professional medical advice. Always consult your healthcare provider before starting, stopping, or changing any medication. Individual results may vary. Keep this and all medications out of reach of children.

NORFAX TZ TAB, a combination of Norfloxacin and Tinidazole, offers a powerful solution for treating a range of bacterial and protozoal infections, particularly those affecting the digestive system. Its dual mechanism of action ensures comprehensive coverage against various pathogens, making it an effective choice for conditions like bacterial diarrhea, dysentery, amoebiasis, and giardiasis. While highly effective, it is crucial to use NORFAX TZ TAB strictly under medical supervision and adhere to the prescribed dosage and duration. Awareness of potential side effects, precautions, and drug interactions is vital for safe usage. Patients must complete the full course of treatment to prevent recurrence of infection and combat antibiotic resistance. Always consult your healthcare provider for personalized advice and to address any concerns regarding your treatment with NORFAX TZ TAB.

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