Noragyl-D 400/600/10 Mg Tablet 10

Noragyl D Tablet is a combination of Ofloxacin and Tinidazole, which are antibiotics used to treat bacterial and parasitic infections. It is used for conditions such as giardiasis, amebiasis, vaginal infection, kidney or bladder infection, and respiratory infection. Symptoms of infection may include fever, chills, tiredness, vomiting, and stomach upset.

Ofloxacin works by blocking DNA enzymes to kill and prevent the growth of bacteria, while Tinidazole reduces the nitro group to destroy bacteria's DNA. Before taking Noragyl D Tablet, inform your doctor if you have genetic disorders, seizures, muscle weakness following antibiotic treatment, diabetes, abnormal blood pressure, heart disease, kidney diseases, intestinal inflammation, severe skin problems, muscle-weakening diseases, nerve pain, liver disease, or psychiatric illness. It is not recommended for use in pregnant or breastfeeding women.

Common side effects may include changes in taste sensation, nausea, weakness, stomach upset, vomiting, weight gain, headache, dizziness, difficulty sleeping, itching, diarrhea, or constipation. Contact your doctor if any symptoms worsen.

Dosage

Overdose

• Symptoms of overdose of Noragyl D Tablet include dizziness, confusion, nausea and fits (rarely)
• In case of an overdose, contact your doctor or reach out to your nearest hospital

Missed a Dose

• It would be best if you never miss your dose of antibiotics as it may lead to treatment failure
• If you missed any dose of medicine, take it as soon as you remember
• If it's time for your next dose, skip the missed dose and continue with your regular dosing schedule
• Do not take a double dose of medicine to compensate for the missed one

Mode of Action

How Does It Work?

Noragyl D Tablet works by inhibiting the formation and action of bacterial enzymes responsible for the growth of bacteria which eventually leads to the death of infection-causing bacteria.

Directions for Use

Take Noragyl D Tablet as a whole with a sufficient amount of water. Maintain the time interval between two doses and do not make changes to the dose unless your doctor recommends it.

Precautions and Warnings

Pregnancy

Can I take Noragyl D Tablet during pregnancy?

Components of Noragyl D Tablet can alter the growth and development of bones in the unborn baby. Thus, it should not be used during pregnancy.

Breast Feeding

Can I take Noragyl D Tablet while breastfeeding?

This medicine passes in breast milk and women consuming this medicine should not breastfeed the baby at least 3 days after taking the last dose. Also, watch your baby for fungal infection of mouth and diarrhoea.

Driving

Can I drive if I have consumed Noragyl D Tablet?

You might experience dizziness or sleepiness, visual disturbance or drowsiness after taking Noragyl D Tablet. Therefore, avoid driving if you have any of these symptoms.

Alcohol

Can I consume alcohol with Noragyl D Tablet?

It is advised not to consume alcohol during the treatment and at least 3 days after stopping the treatment. It may cause stomach cramps, nausea, vomiting, headaches and sometimes hot flushes may also occur.

Other General Warnings

Talk to your doctor if

• If you experience pain and swelling in the joints or tendons, take rest, stop this medicine and inform your doctor
• If you experience muscle pain and muscle weakness (myasthenia gravis)
• If you have a history of fits
• If you experience burning, tingling, numbness and pain sensations
• If you experience nervousness, aggression, lack of sleep, anxiety, hallucinations, depression or suicidal thoughts, immediately inform your doctor
• If you have liver and kidney failure
• If you have watery diarrhoea and black tarry stools, immediately stop this medicine and inform your doctor
• If you experience any blood disorder, anaemia or abnormal blood count
• If you experience irregular heartbeat and difficulty in passing urine
• If you experience low and high blood sugar levels

Contraindications

• If you are allergic to Ofloxacin or Tinidazole, similar medicines or any ingredient of Noragyl D Tablet
• Should not be used by patients younger than 18 years
• If you are breastfeeding, are pregnant or planning to become pregnant
• If you have a history of fits or epilepsy
• If you experience problems related to tendons, for example, swelling in the tendons
• If you have a family history of autoimmune blood disorder
• If you have any neurological disorders (like brain, spinal cord or other nerves)

Side effects

• Nausea, vomiting, stomach pain and diarrhoea
• Headache
• Loss of appetite
• Spinning head
• Allergic skin reactions

Interactions

Interactions with other medicines

• Painkillers like Naproxen, Diclofenac, Aspirin and Indomethacin
• Concomitant use of painkillers like NSAIDs can cause fits and should be avoided as you may experience fits
• This medicine should be taken at least two hours before taking acidity medicines like Sucralfate, any preparation containing zinc, iron and certain anti-HIV drugs like Didanosine
• You may experience low blood sugar levels if you are taking anti-diabetic medicines, close blood sugar monitoring is needed
• Blood-thinning medications like Warfarin should not be given along with this medicine as it may lead to bleeding
• Medicines that can change the heart rhythm are Alprazolam, Resperidone and Lithium and antibiotics like Azithromycin, Clarithromycin, Procainamide and Quinidine
• Other medicines like Methotrexate, Furosemide(water pill), Probenecid and Cimetidine

Storage and disposal

• Store Noragyl D Tablet in a cool and dry place protected from sunlight
• Keep it out of reach of children

Frequently Asked Questions (FAQs)

Can I stop taking this medicine if I feel better?

No, you should follow the prescribed duration by your doctor. If you stop it early, you may develop resistance and your infection may reoccur. On reoccurrence, the infection may not respond to such antibiotics.