Package Leaflet: Information for the Patient
Moxifloxacino Normon 400 mg Film-Coated Tablets EFG
Read this leaflet carefully before you start taking this medicine because it contains important information for you.
1. What Moxifloxacino Normon is and what it is used for
2. What you need to know before you start taking Moxifloxacino Normon
3. How to take Moxifloxacino Normon
4. Possible side effects
5. Storage of Moxifloxacino Normon
6. Contents of the pack and additional information
Moxifloxacino Normon contains moxifloxacino as the active ingredient, which belongs to the group of antibiotics known as fluoroquinolones. Moxifloxacino acts by eliminating bacteria that cause infections.
Antibiotics are used to treat bacterial infections and do not work for viral infections such as the flu or a cold.
It is essential to follow the instructions regarding the dose, administration interval, and treatment duration indicated by your doctor.
Do not store or reuse this medication. If you have any leftover antibiotic after treatment, return it to the pharmacy for proper disposal. Do not dispose of the medication through the drain or in the trash.
Moxifloxacino Normon is indicated for patients 18 years of age and older for the treatment of the following bacterial infections when caused by bacteria where moxifloxacino is active against these bacteria. Moxifloxacino should only be used to treat these infections when usual antibiotics cannot be used or have not been effective.
Acute exacerbation of chronic inflammation of the airways or sinusitis, or community-acquired pneumonia (except severe cases).
Mild to moderate upper genital tract infections in females (inflammatory pelvic disease), including fallopian tube infection and uterine mucous membrane infection. For this type of infection, moxifloxacino is not sufficient as a single treatment, so your doctor should also prescribe another antibiotic for the treatment of mild to moderate upper genital tract infections (see section22. What you need to know before starting to take Moxifloxacino Normon, Warnings and precautions, Consult your doctor before taking Moxifloxacino Normon).
If the following diseases have shown improvement during initial treatment with moxifloxacino solution for infusion, your doctor may prescribe Moxifloxacino Normon tablets to complete the treatment: Community-acquired pneumonia, skin and soft tissue infections.
Moxifloxacino should not be used to initiate treatment for any type of skin and soft tissue infection or severe pneumonia.
Consult your doctor if you are unsure if you belong to one of the patient groups described below.
Do not take Moxifloxacino Normon:
Warnings and precautions
Before starting to take this medication
Do not take fluoroquinolone or quinolone-containing antibacterial medications, including Moxifloxacino Normon, if you have had a severe reaction to a quinolone or fluoroquinolone in the past. If this is the case, inform your doctor as soon as possible.
Consult your doctor or pharmacist before taking Moxifloxacino Normon
During treatment with Moxifloxacino Normon
Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis (TEN), generalized acute pustular psoriasis (GAP), and drug reaction with eosinophilia and systemic symptoms (DRESS or drug hypersensitivity syndrome), have been reported with the use of moxifloxacino.
If you develop a severe skin rash or any of these skin symptoms, stop taking moxifloxacino and contact your doctor or seek immediate medical attention.
If you experience any of these side effects after taking Moxifloxacino Normon, contact your doctor immediately before continuing treatment. You and your doctor will decide whether to continue or discontinue treatment, also considering the use of another class of antibiotic.
Children and adolescents
Do not give this medication to children and adolescents under 18 years old, as its efficacy and safety have not been established (see sectionDo not take Moxifloxacino Normon)
Other medications and Moxifloxacino Normon
Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take other medications in addition to Moxifloxacino Normon.
With moxifloxacino, you should be aware of the following:
Moxifloxacino Normon with food and drinks
The effect of moxifloxacino is not altered by food, including dairy products.
Pregnancy, lactation, and fertility
Do not use moxifloxacino during pregnancy or if you are breastfeeding. If you are pregnant or breastfeeding, or if you think you may be pregnant, consult your doctor or pharmacist before using this medication.
Animal studies do not indicate that this medication may affect your fertility.
Driving and operating machinery
Moxifloxacino may cause dizziness or vertigo or a brief loss of consciousness. If you experience these symptoms, do not drive vehicles or operate machinery.
Moxifloxacino Normon contains sodium
This medication contains less than 1 mmol of sodium (23 mg) per tablet; it is essentially "sodium-free".
The recommended dosein adults is one 400 mg film-coated tablet, once a day.
Moxifloxacino tablets are for oral administration. Take the tablet whole without chewing (to mask the bitter taste) and with plenty of liquid. Moxifloxacino can be taken with or without food. It is recommended to take the tablet approximately at the same time every day.
No dose adjustment is necessary in elderly patients, in patients with low body weight, or in patients with kidney problems.
The duration of treatment depends on the type of infection. Unless your doctor has told you otherwise, the duration of treatment with moxifloxacino is as follows:
When Moxifloxacino 400 mg tablets are used to complete a treatment initiated with Moxifloxacino intravenous solution (intravenous treatment), the recommended durations are:
Most patients with pneumonia switched from intravenous to oral treatment after 4 days
Most patients with soft tissue and skin infections switched from intravenous to oral treatment after 6 days.
It is essential to complete the treatment, even if you start feeling better after a few days. If you interrupt the treatment too soon, the infection may not be fully cured, the infection may recur, your condition may worsen, and you may also develop antibiotic resistance.
Do not exceed the recommended dose and duration of treatment (see section 2.What you need to know before starting to take Moxifloxacino Normon, Warnings and precautions).
If you take more Moxifloxacino Normon than you should
If you take more than one of the recommended tablets per day, consult your doctor immediately and, if possible, bring the remaining medication, the packaging, or this leaflet to show the doctor or pharmacist what you have taken.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service. Telephone: 91 562 04 20 indicating the medication and the amount used.
If you forget to take Moxifloxacino Normon
If you forget to take a dose, take it as soon as you remember on the same day. If you miss a dose, take the normal dose (one tablet) the next day. Do not take two tablets to make up for the missed dose.
If you are unsure of what to do, consult your doctor or pharmacist.
If you interrupt the treatment with Moxifloxacino Normon
If you interrupt the treatment too soon, your infection may not be fully cured. Consult your doctor if you plan to stop taking the tablets before completing the full treatment.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
The most serious side effects observed during treatment with moxifloxacino are listed below:
If you notice:
Stop taking moxifloxacino and contact your doctor immediately as you may need urgent medical help.
Additionally, if you notice:
Contact an ophthalmologist immediately.
If you have experienced potentially fatal irregular heartbeats (Torsade de Pointes) or cardiac arrest while taking moxifloxacino (very rare side effects),inform your doctor immediately that you have been taking moxifloxacino and do not restart treatment.
In rare cases, symptoms of myasthenia gravis may worsen. If this occurs,consult your doctor immediately.
If you have diabetes and notice that your blood sugar levels increase or decrease (rare or very rare side effect),inform your doctor immediately.
If you are elderly with kidney problems and notice a decrease in urine production, swelling in the legs, ankles, or feet, fatigue, nausea, drowsiness, shortness of breath, or confusion (these may be signs and symptoms of kidney insufficiency, a rare side effect),consult your doctor immediately.
The following are other side effects that have been observed during treatment with moxifloxacino according to their probability:
Frequent (may affect up to 1 in 10 people)
Rare (may affect up to 1 in 100 people)
Rare (may affect up to 1 in 1,000 people)
Very rare (may affect up to 1 in 10,000 people)
Frequency unknown (cannot be estimated from available data)
The administration of quinolone and fluoroquinolone antibiotics has been associated with very rare cases of long-lasting or permanent adverse reactions (including months or years), such as tendon inflammation, tendon rupture, joint pain, limb pain, difficulty walking, abnormal sensations such as pinching, tingling, itching, burning, numbness, or pain (neuropathy), fatigue, decreased memory and concentration, mental health problems (such as sleep disturbances, anxiety, panic attacks, depression, and suicidal thoughts) and decreased hearing, vision, taste, and smell, in some cases regardless of the presence of pre-existing risk factors.
Cases of increased size and weakening or tearing of the aortic wall (aneurysms and dissections) that could lead to rupture and be fatal, and heart valve insufficiency in patients who have received fluoroquinolones have been reported. See also section 2.
In addition, very rare cases of the following adverse effects have been reported, described after treatment with other quinolone antibiotics, and may also occur during treatment with moxifloxacino: elevation of sodium and calcium levels in the blood, reduced count of a certain type of red blood cells (hemolytic anemia),
Reporting of adverse effects
If you experience any type of adverse effect, consult your pharmacist or nurse, even if it is possible adverse effects that do not appear in this prospectus. You can also report them directly through the national notification systemwww.notificaRAM.es.By reporting adverse effects, you can contribute to providing more information on the safety of this medication
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated
No special storage conditions are required.
Medications should not be disposed of through drains or in the trash. Dispose of the packaging and medications you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. In this way, you will help protect the environment.
Moxifloxacino Normon Composition
The active ingredient is moxifloxacino. Each film-coated tablet contains 400 mg of moxifloxacino (in the form of moxifloxacino hydrochloride).
The other components are: Tablet core: Croscarmelosa sodium, microcrystalline cellulose, anhydrous colloidal silica, talc, and magnesium stearate. Film-coating: Hydroxypropylcellulose (E-464), titanium dioxide (E-171), macrogol 6000, talc, and iron oxide red (E-172).
Product appearance and packaging content
Moxifloxacino Normon 400 mg film-coated tablets are available in packaging of 5 and 7 tablets.
Film-coated tablets of pale red color, elongated, biconvex, and marked with “M400” on one face.
Marketing authorization holder and responsible manufacturer
LABORATORIOS NORMON, S.A.
Ronda de Valdecarrizo, 6
28760 Tres Cantos, Madrid
Spain
This prospectus has been approved in:January 2022
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
You can access detailed and updated information about this medication by scanning the QR code included in the prospectus and packaging with your smartphone. You can also access this information at the following internet address:
https://cima.aemps.es/cima/dochtml/p/81027/P_81027.html
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.