Norbax M Syrup 30 ml is a combination drug containing antibacterial and anti-amoebic medication, primarily used to treat dysentery and diarrhea caused due to amoeba. In addition, it is also used to treat infections caused due to microbes. Amoebic dysentery can be caused due to Entamoeba histolytica, Giardia lamblia or Clostridium difficile.

Norbax M Syrup 30 ml is a combination medicine that contains Norfloxacin and Metronidazole. Norfloxacin prevents the division of bacterial cells. It also inhibits the repairing of bacterial cells. Metronidazole kills parasites and anaerobic bacteria that are responsible for causing infections. It works by damaging their DNA. Both are bactericidal (kills the bacteria) in nature, and collectively they help treat the disease effectively.

Take Norbax M Syrup 30 ml in the dose and duration as advised by your doctor. It is advised to take it with food at a fixed time to achieve maximum effect. In some cases, you may experience nausea, vomiting, upset stomach, loss of appetite, dry mouth and metallic taste. Metronidazole can also cause headaches, dizziness, drowsiness and confusion. Most of these side effects of Norbax M Syrup 30 ml do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor. If you experience any allergic reaction symptoms such as rashes, itching, swelling, shortness of breath, etc., please consult your doctor immediately.

It is not advisable to stop taking Norbax M Syrup 30 ml suddenly to avoid unpleasant side effects. The full course prescribed by the doctor should be completed. Inform your doctor if you have any lung disease, epilepsy, sleeping disorder or difficulty sleeping (sleep apnoea), severe liver disease or problem with alcohol or other prescription recreational drugs. Norbax M Syrup 30 ml should not be used by pregnant women (especially during the first trimester), breastfeeding mothers and patients with liver diseases, low blood white cells (leukopenia), or gastro intestine diseases (like Crohn's disease, Inflammatory bowel disease, etc.). Do not drive or operate heavy machinery, as it can lower your mental alertness and cause dizziness.

Norbax M Syrup 30 ml is a combination medicine that consists of Norfloxacin and Metronidazole. Norfloxacin prevents the division of bacterial cells. It also inhibits the repairing of bacterial cells. Both these actions lead to the killing of the bacteria. Metronidazole kills parasites and bacteria that are responsible for causing infections. It works by damaging their DNA. Both are bactericidal.

• Nausea
• Vomiting
• Headache
• Dizziness
• Upset stomach
• Heartburn
• Loss of appetite
• Dry mouth
• Metallic taste

If you are allergic to norfloxacin, metronidazole or any other antibacterial or anti-amoebic agents, please inform your doctor to avoid unwanted side effects like swallowing or breathing problems, and swelling of your lips, face, throat or tongue. Taking Norbax M Syrup 30 ml may increase the chances of developing tendinitis (swelling of a tissue that joins a bone to a muscle) or a tendon rupture. Dairy products should be avoided along with Norbax M Syrup 30 ml. And also, exposure to sunlight should be avoided while taking Norbax M Syrup 30 ml as it may cause increased phototoxicity or photosensitivity. Patients with an irregular heartbeat (QT prolongation) should tell their doctor before taking Norbax M Syrup 30 ml. Norbax M Syrup 30 ml should not be given to the pregnant mother (during the first trimester) and in nursing mothers as it passes into the breast milk. Please inform your doctor before taking Norbax M Syrup 30 ml if you have a history of problems with your liver, blood, low white blood cell count (leukopenia), and nervous system (convulsions). Do not drink alcohol with Norbax M Syrup 30 ml as it may cause flushing and drowsiness, which can alter your mental alertness.

Drug-Drug Interaction: This medicine may have an interaction with other antibiotics (sparfloxacin, azithromycin, sulfamethoxazole, trimethoprim, metronidazole, nitrofurantoin, erythromycin), calcium supplements (calcium/vitamin D), pain killers (ibuprofen or diclofenac), anti-asthma (theophylline), anti-diabetic (glibenclamide), anti-gout (probenecid), anti-cancer (busulfan, fluorouracil, mycophenolate), antidepressant (lithium), antiepileptic (phenobarbital, phenytoin) and blood thinner (warfarin).

Drug-Food Interaction: Norbax M Syrup 30 ml interacts with dairy products (like milk or yogurt) or calcium-fortified juices alone, alcohol.

Drug-Disease Interaction: Inform your doctor if you have or have ever had a liver, kidney or heart problem or lung transplant, a joint or tendon disorder (rheumatoid arthritis), seizures (fits), low white blood cell count (leukopenia), epilepsy, muscle problems (myasthenia gravis), heart rhythm disorder (arrhythmia), seizures (fits), alcoholism, cancer, electrolyte imbalance (low potassium or magnesium level), colitis (inflammation of the intestine), porphyria (rare genetic blood disorder) and neuro-related diseases.

• SPARFLOXACIN
• AZITHROMYCIN
• SULFAMETHOXAZOLE
• TRIMETHOPRIM
• ERYTHROMYCIN
• NITROFURANTOIN
• CALCIUM
• IBUPROFEN
• DICLOFENAC
• THEOPHYLLINE
• GLIBENCLAMIDE
• PROBENECID
• BUSULFAN
• FLUOROURACIL
• MYCOPHENOLATE MOFETIL
• LITHIUM
• PHENOBARBITAL
• PHENYTOIN
• WARFARIN

• Do not drink or eat a lot of caffeine-containing products such as coffee, tea, energy drinks, cola or chocolate. Norbax M Syrup 30 ml may increase nervousness, sleeplessness and anxiety caused by caffeine.
• Probiotics should be taken after taking the full course of Norbax M Syrup 30 ml to restore some healthy bacteria in the intestines that may have been killed. Taking probiotics after antibiotic treatment can reduce the risk of antibiotic-associated diarrhea. Certain fermented foods like yogurt, cheese, sauerkraut, kombucha and kimchi can help restore the intestine's good bacteria. 
• Include more fibre-enriched food in your diet, as it can be easily digested by gut bacteria, which helps stimulate their growth. Thus, fibre-rich foods may help restore healthy gut bacteria after antibiotics. Whole grains like whole-grain bread and brown rice should be included in your diet. Make sure you drink plenty of water or other fluids every day while you are taking Norbax M Syrup 30 ml.
• Avoid alcoholic beverages with Norbax M Syrup 30 ml as they can make you dehydrated and may affect your sleep. This can make it harder for your body to aid the Norbax M Syrup 30 ml in fighting off infections.

• You should consult a doctor if you have symptoms associated with dehydration, like dry mouth, excessive thirst, wrinkled skin, little or no urination, dizziness and lightheadedness.
• Norbax M Syrup 30 ml 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 Norbax M Syrup 30 ml.

• Diarrhea: It is the increase in bowel movement leading to increased and loose motions. 
• Dysentery: It is inflammation of the intestine, particularly the colon, caused by bacteria.