How does this medication work? What will it do for me?

Norfloxacin is an antibiotic that belongs to the class of medications called quinolones. It is used to treat infections caused by certain types of bacteria. It is most commonly used to treat urinary tract (bladder) infections. Norfloxacin works by killing some types of bacteria that can cause these infections.

Your doctor may have suggested this medication for conditions other than the ones listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

What form(s) does this medication come in?

This medication is available as a 400 mg tablet.

How should I use this medication?

The usual recommended adult dose is 400 mg twice daily, taken with a glass of water at least one hour before or 2 hours after a meal or milk. You should drink plenty of liquids (water or juice) every day unless your doctor has told you otherwise. Norfloxacin should not be taken within 2 hours of taking iron, zinc supplements, or multivitamins containing them. The dose of norfloxacin can vary depending on the circumstances and the condition being treated.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the one above, do not change the way that you are taking the medication without consulting your doctor.

It is important to take this medication exactly as prescribed by your doctor. Finish all this medication, even if you have started to feel better. If you miss a dose, take it as soon as possible and continue on with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue on with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Who should NOT take this medication?

Do not take norfloxacin if you are allergic to norfloxacin, other quinolones (e.g., ciprofloxacin, nalidixic acid), or any other ingredients of the medication.

What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • dizziness or lightheadedness
  • headache
  • nausea

Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • blistering of skin
  • joint or tendon pain
  • mood changes such as anxiety or depression
  • sensation of skin burning
  • skin itching, rash, redness, or swelling

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • signs of a serious allergic reaction (swelling of face or throat, hives, or difficulty breathing)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.


March 14, 2012

Health Canada has issued new information concerning the use of norfloxacin. To read the full report, visit Health Canada's website at

A previous advisory on norfloxacin was issued on November 7, 2011.

To read the full Health Canada Advisory, visit Health Canada's web site at

Diarrhea: People taking this medication may develop diarrhea caused by an infection with the bacteria C. difficile. If you have loose, watery and bloody bowel movements, with or without fever or stomach cramps, after taking norfloxacin, get medical attention as soon as possible. Diarrhea caused by C. difficile infection can lead to serious health problems if it is not properly treated.

Kidney: Norfloxacin is passed from the body mostly by the kidney. If you have reduced kidney function, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Medical conditions: If you have convulsions or a history of seizures, a medical condition called myasthenia gravis, or if you have a condition where you cannot metabolize glucose, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Sunburn: People who take norfloxacin are more likely to suffer from sunburn. Avoid exposure to excessive sunlight, including sunlamps and tanning beds, and use sunblock with minimum SPF 15. Stop taking the medication if sun sensitivity occurs.

Tendons: Rarely, people taking norfloxacin have experienced tendonitis and/or tendon rupture, especially if they were also taking corticosteroids. If you experience any joint or tendon pain or swelling, contact your doctor as soon as possible.

Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: Norfloxacin may pass into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children under 16 years of age.

What other drugs could interact with this medication?

There may be an interaction between norfloxacin and any of the following:

  • aminophylline
  • antacids containing aluminum and magnesium (do not take within 2 hours of norfloxacin)
  • caffeine
  • colchicine
  • cyclosporine
  • didanosine (do not take within 2 hours of norfloxacin)
  • dronedarone
  • eplerenone
  • fentanyl
  • iron supplements, such as ferrous sulfate, or multivitamins containing iron (do not take within 2 hours of norfloxacin)
  • nilotinib
  • nitrofurantoin
  • oxtriphylline
  • pimozide
  • probenecid
  • quinine
  • sevelamer
  • sucralfate (do not take within 2 hours of norfloxacin)
  • tetrabenazine
  • theophylline
  • typhoid vaccine
  • warfarin
  • zinc supplements or multivitamins containing zinc (do not take within 2 hours of norfloxacin)
  • ziprasidone

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.