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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
Last Updated Dec 7, 2024 | 2:26 PM IST
NOR TZ TABLET is used to treat diarrhoea and dysentery of bacterial, amoebic or mixed origins. It prevents the bacteria from repairing and reproducing themselves. It kills the harmful bacteria and helps balance the number of beneficial bacteria in the digestive tract (gut) to manage water loss (diarrhoea) due to antibiotics or infections. It may cause certain common side effects such as abdominal cramps, nausea, headache, dry mouth, and dizziness. Maintain a minimum gap of two hours between this medicine and antacid, vitamin and mineral medicines containing zinc and iron. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer

Alkem Laboratories Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About NOR TZ TABLET

NOR TZ TABLET belongs to the group of medicines called antibiotics used to treat diarrhoea and dysentery of bacterial, amoebic or mixed origins. Diarrhoea is a condition which is characterized by loose and watery stools. Dysentery is an inflammation of intestines accompanied by bloody diarrhoea.
 
NOR TZ TABLET is a combination of three drugs, namely: Norfloxacin, Tinidazole, and Lactobacillus. Norfloxacin prevents the bacteria from repairing and reproducing themselves. Tinidazole kills the bacteria by damaging their DNA. Lactobacillus helps balance the number of beneficial bacteria in the digestive tract (gut) to manage water loss (diarrhoea) due to antibiotics or infections. 
 
You can take NOR TZ TABLET with or without food. Swallow NOR TZ TABLET as a whole; do not crush or chew it. In some cases, NOR TZ TABLET may cause certain common side-effects such as abdominal cramps, nausea, headache, dry mouth, and dizziness. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Consult your doctor if you experience pain in tendons, swelling, and inflammation as NOR TZ TABLET is associated with an increased risk of tendon rupture and tendonitis. Maintain a minimum gap of two hours between NOR TZ TABLET and antacid, vitamin and mineral medicines containing zinc and iron. Consult your doctor if you are pregnant or breastfeeding. NOR TZ TABLET may cause dizziness and vision problems, so be cautious while driving. 

Uses of NOR TZ TABLET

Treatment of diarrhoea and dysentery

Medicinal Benefits

NOR TZ TABLET belongs to the group of medicines called antibiotics used to treat diarrhoea and dysentery of bacterial, amoebic or mixed origins. NOR TZ TABLET is a combination of three drugs, namely: Norfloxacin, Tinidazole, and Lactobacillus. Norfloxacin prevents the bacteria from repairing and reproducing themselves. Tinidazole kills bacteria by damaging their DNA. Due to antibiotic intake, a large amount of beneficial bacteria gets destroyed, so Lactobacillus helps in balancing the number of beneficial bacteria in the digestive tract (gut) to manage water loss (diarrhoea) due to antibiotics or infections. Lactobacillus also helps in the treatment of diarrhoea (water loss) and cramps caused due to harmful E. Coli bacteria. NOR TZ TABLET is a broad-spectrum antibiotic which is effective against a wide range of gram-positive and gram-negative bacteria.

Directions for Use

You can take NOR TZ TABLET with or without food. Swallow NOR TZ TABLET as a whole with water; do not crush or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of NOR TZ TABLET

  • Abdominal cramps
  • Nausea
  • Headache
  • Dry mouth
  • Dizziness

Drug Warnings

Do not take NOR TZ TABLET if you are allergic to any of its contents; if you had swelling or tearing of tendons while taking quinolone antibiotics. NOR TZ TABLET is associated with an increased risk of tendon rupture and tendonitis. Consult your doctor immediately if you experience tendon pain, swelling or inflammation while taking NOR TZ TABLET. Do not take NOR TZ TABLET if you have myasthenia gravis as it may cause increased muscle weakness. Talk to your doctor before taking NOR TZ TABLET if you have/had blood dyscrasia, peripheral neuropathy, heart, liver or kidney problems. Maintain a minimum gap of two hours between NOR TZ TABLET and antacid, vitamin and mineral medicines containing zinc and iron. Do not take NOR TZ TABLET if you are pregnant or breastfeeding. Avoid alcohol consumption while taking NOR TZ TABLET as it causes increased dizziness. NOR TZ TABLET may cause dizziness and vision problems, so be cautious while driving. 

Drug Interactions

Drug-Drug Interactions: NOR TZ TABLET may interact with pain killers (aspirin, ibuprofen), anti-coagulant/blood thinner (warfarin), anti-gout (probenecid), antibiotic (azithromycin, sulfamethoxazole, trimethoprim, metronidazole, nitrofurantoin, erythromycin), and calcium supplements (calcium/vitamin D).

Drug-Food Interactions:  Avoid consuming caffeine products along with NOR TZ TABLET as it might increase the effects of caffeine.

Drug-Disease Interaction: Inform your doctor if you have colitis (inflammation in the lining of the colon), tendonitis (inflammation in tendons), CNS disorders, myasthenia gravis (neuromuscular disease), peripheral neuropathy (nerve pain), neurological toxicity, alcoholism, blood dyscrasia, crystalluria (cloudy urine), diabetes, kidney, liver and heart problems.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • IBUPROFEN
  • WARFARIN
  • PROBENECID
  • AZITHROMYCIN
  • SULFAMETHOXAZOLE
  • TRIMETHOPRIM
  • METRONIDAZOLE
  • NITROFURANTOIN
  • ERYTHROMYCIN
  • CALCIUM CARBONATE+CHOLECALCIFEROL

Habit Forming

No

Diet & Lifestyle Advise

  • Antibiotics can alter the useful bacteria in the stomach, which help indigestion. Therefore, you are advised to take foods rich in probiotics such as yoghurt/curd, kefir, sauerkraut, tempeh, kimchi, miso, kombucha, buttermilk, natto and cheese.

  • Eat fibre-rich food like whole grains, beans, lentils, berries, broccoli, peas and bananas.

  • Avoid foods rich in calcium, grapefruit and grapefruit juice as they might hinder the absorption of antibiotics.

  • Avoid consumption of alcohol and usage of tobacco.

Special Advise

  • NOR TZ TABLET may cause changes in liver function tests and prothrombin time (time taken for blood clotting). Inform the person doing the tests that you are taking NOR TZ TABLET.

Disease/Condition Glossary

Diarrhoea: It is a condition which is characterized by loose and watery stools with a frequent need to have a bowel movement. Diarrhoea might be a result of bacterial or viral infection. It can be acute (lasts for a few days) or chronic (lasts for a few weeks). The common causes of diarrhoea include food intolerance, food allergy, adverse reactions to a medication, or infections. Symptoms include nausea, abdominal pain, cramps, bloating, dehydration, watery loose stools, and frequent urge to evacuate the bowels.

Dysentery: It is an inflammation of the intestines accompanied by bloody diarrhoea. Sometimes, mucus may be found in stools. Dysentery usually lasts for 3-7 days. Dysentery usually occurs due to poor hygiene, improper sanitization, and contaminated food or water. Symptoms include abdominal cramps, nausea, vomiting, fever, and dehydration.

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Alcohol

Unsafe

Avoid consuming alcohol while taking NOR TZ TABLET as it may cause increased dizziness.

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Pregnancy

Unsafe

Avoid taking NOR TZ TABLET if you are pregnant. Please consult your doctor if you have any concerns regarding this.

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Breast Feeding

Unsafe

Avoid taking NOR TZ TABLET if you are breastfeeding. Please consult your doctor if you have any concerns regarding this.

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Driving

Caution

NOR TZ TABLET may cause dizziness and vision problems. So, drive only if you are alert.

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Liver

Caution

Dose adjustment may be needed. Please consult your doctor before taking NOR TZ TABLET if you have liver impairment/liver disease before taking NOR TZ TABLET.

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Kidney

Caution

Dose adjustment may be needed. Please consult your doctor if you have any concerns regarding this or if you have kidney impairment/kidney disease before taking NOR TZ TABLET.

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Children

Unsafe

NOR TZ TABLET should not be given to children below 18 years as safety and effectiveness have not been established.

Country of origin

India

Manufacturer/Marketer address

16th Floor, Godrej BKC, Plot – C, “G” Block, Bandra-Kurla Complex, Bandra (East), Mumbai – 400 051, India
Other Info - NOR0129

Author Details

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FAQs

NOR TZ TABLET is used to treat diarrhoea and dysentery (inflammation of the intestines accompanied by bloody diarrhoea).
NOR TZ TABLET is a combination of three drugs, namely: Norfloxacin, Tinidazole, and Lactobacillus. Norfloxacin prevents the bacteria from repairing and reproducing themselves. Tinidazole kills the bacteria by damaging their DNA. Lactobacillus helps in balancing the number of beneficial bacteria in the digestive tract (gut) to manage water loss (diarrhoea) due to antibiotics or infections.
It is recommended to complete the course of NOR TZ TABLET even if you feel better as it is an antibiotic, and leaving it in between may lead to even severe infection. To treat your condition effectually, continue taking NOR TZ TABLET for as long as your doctor has prescribed it.
Avoid taking antacids or anti-ulcer medicines along with NOR TZ TABLET. Maintain a minimum gap of two hours between both.
NOR TZ TABLET is generally prescribed for short-term use. Take only as prescribed by the doctor. Do not take NOR TZ TABLET for longer durations unless prescribed by the doctor.
Do not take vitamin or mineral supplements containing zinc or iron along with NOR TZ TABLET. Maintain a minimum gap of two hours between both.
Consult your doctor before taking NOR TZ TABLET if you have diabetes, as NOR TZ TABLET may cause hypoglycaemia (low blood sugar levels). Regularly monitor blood sugar levels while taking NOR TZ TABLET to avoid hypoglycaemic events.
NOR TZ TABLET may cause changes in liver function tests and prothrombin time (time taken for blood clotting). Inform the person doing the tests that you are taking NOR TZ TABLET.
NOR TZ TABLET may cause photosensitivity (sensitivity to sunlight) and can make you sunburn easily. Avoid prolonged exposure to sunlight or tanning beds. Always wear protective clothing and sunscreen with SPF 30 or higher before going out.
NOR TZ TABLET is a combination medication containing two antibiotics, Norfloxacin and Tinidazole, and a probiotic, Lactobacillus. Together, they treat diarrhoea and dysentery of bacterial, amoebic, or mixed origins.
The common side effects of NOR TZ TABLET include abdominal cramps, nausea, headache, dry mouth, and dizziness. These side effects are usually mild and tend to resolve on their own over time. However, if they persist or become bothersome, please consult your doctor.
NOR TZ TABLET is generally safe when used as directed by a healthcare provider. However, like all medications, it may cause side effects in some people. It is essential to inform your doctor if you have any pre-existing conditions, such as muscle disorders, liver problems, kidney and heart issues, or a history of allergies, as these can affect how the medication works or lead to unpleasant interactions. If you have any concerns about its safety, consult your doctor for guidance.
Yes, NOR TZ TABLET can sometimes cause a metallic taste in the mouth as a side effect. This occurs because the medication may affect your taste buds, leading to bitter or metallic taste sensations. The symptom is generally temporary and should disappear once you finish the medication. However, if it becomes uncomfortable or persists, please consult your doctor.
No, you should not take a higher dose of NOR TZ TABLET than recommended. Taking more than the prescribed amount can increase the risk of side effects and may not improve the effectiveness of the treatment. Additionally, it may contribute to antibiotic resistance, making future infections harder to treat. If you feel the medication is not working as expected or if you have concerns, consult your doctor for proper guidance instead of adjusting the dose on your own.
NOR TZ TABLET is contraindicated in individuals who are allergic to any of its ingredients or who have tendon rupture or tendonitis. People with myasthenia gravis should avoid NOR TZ TABLET, as it may worsen muscle weakness. Pregnant or breastfeeding women are contraindicated from using NOR TZ TABLET. Furthermore, alcohol consumption is contraindicated during the use of NOR TZ TABLET due to the potential for increased dizziness. Always consult your doctor before using this medication if you have any concerns.
Yes, NOR TZ TABLET can increase the risk of tendon rupture, especially because of Norfloxacin (one of its ingredients). The risk is higher in people over 60, those taking corticosteroids, and those with certain health problems like muscle disorders (myasthenia gravis), kidney disease, or heart issues. Tendon ruptures usually happen in the Achilles tendon (near the ankle) but can affect other tendons, too. If you notice pain, swelling, or inflammation in your tendons, especially your lower legs, contact your doctor immediately. Your doctor may advise you to stop the medication and provide appropriate treatment.
If you don't get better after using NOR TZ TABLET, it is important to contact your doctor. This medication effectively treats infections, but if your symptoms persist, it could mean the infection is resistant to the treatment, or there might be another underlying cause. Your doctor may need to reassess your condition and consider other treatment options. Do not stop taking the medication without consulting your doctor.
If you miss a dose, take it as soon as you remember unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular schedule. Do not take two doses at once to make up for a missed dose.

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