Normaxin Tablet 10'S

Introduction About NORMAXIN TABLET

NORMAXIN TABLET is a combination of Chlordiazepoxide, Clidinium and Dicyclomine which belongs to the group of medicines called Antianxiety drugs and Antispasmodics respectively. It is used to relieve painful stomach cramps in patients suffering from stomach problems such as peptic ulcers, irritable bowel syndrome or colitis.

It also helps in the management of nervous dyspepsia (signs of indigestion associated with anxiety and nervousness) in patients with or without any mental disorders.

NORMAXIN TABLET should be used under medical supervision. It is preferably taken before meals and at bedtime. Before taking NORMAXIN TABLET inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have glaucoma, an enlarged prostate, trouble urination or any vision problems as a precaution.

Do not take NORMAXIN TABLET without consulting your doctor if you are pregnant or breastfeeding. The most common side effects of taking NORMAXIN TABLET are tiredness, weakness, headache, dizziness, sleepiness, dry mouth, thirst, dry skin, problems in passing urine, reduced sex drive and irregular periods. Consult your doctor if any of these side effects trouble you.

Uses Of NORMAXIN TABLET

• Manage painful stomach cramps associated irritable bowel syndrome, colitis or peptic ulcers
• Manage nervous dyspepsia (signs of indigestion associated with anxiety and nervousness)

How NORMAXIN TABLET Works

NORMAXIN TABLET contains three medicines namely chlordiazepoxide, clidinium and dicyclomine. Chlordiazepoxide is an antianxiety medication. It suppresses the abnormal electrical activity within the brain and induces calmness. This helps in the management of nervous dyspepsia.

Clidinium and dicyclomine are smooth muscle relaxants. They reduce stomach cramps by relaxing the smooth muscles present in the stomach and in the intestines. Collectively, these actions reduce stomach cramps, signs of indigestion and nervousness associated with indigestion.

How to use NORMAXIN TABLET

Take NORMAXIN TABLET as advised by your physician. It is preferably taken before meals and at bedtime. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition. Do not stop taking NORMAXIN TABLET unless your doctor advice you to stop.

Side Effects Of NORMAXIN TABLET

How To Manage Side Effects

Constipation

Taking NORMAXIN TABLET with meals may reduce the chances of constipation. However, if you experience constipation, eat plenty of fiber rich foods such as fresh fruits, vegetables and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Nausea And Vomiting

Stick to simple meals and avoid oil rich or spicy foods. Consult your doctor if nausea worsens.

Warning & Precautions

Pregnancy

Monitoring required

NORMAXIN TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.

Breastfeeding

Monitoring required

NORMAXIN TABLET may reduce breast milk production. Therefore, it is not recommended for use in breastfeeding women unless considered necessary by the physician.

Driving and Using Machines

Use with Caution

NORMAXIN TABLET may induce drowsiness. Therefore, do not drive or handle heavy tools or machines if your ability is affected by NORMAXIN TABLET.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking NORMAXIN TABLET, as it could make you feel more dizzy or drowsy.

Kidney

Use with Caution

NORMAXIN TABLET should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.

Liver

Use with Caution

NORMAXIN TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.

Allergy

Contraindicated

Do not take NORMAXIN TABLET if you are allergic to Chlordiazepoxide, Clidinium and Dicyclomine.

Use In Pediatrics

Contraindicated

NORMAXIN TABLET is not recommended for use in children and adolescents (aged below 18 years) due to lack of safety data. Therefore, consult your doctor before taking it.

Use In Geriatrics

Contraindicated

NORMAXIN TABLET is generally not recommended for use in the elderly patients (aged 65 years and above). Therefore, consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking NORMAXIN TABLET inform your doctor if you are taking any of the following medicines such as:

• medicines used to manage psychiatric disorders (such as pimozide, haloperidol, risperidone, thioridazine, fluphenazine, chlorpromazine, clozapine) or selegiline
• medicine used to manage depression like monoamine oxidase inhibitors (Ex. tranylcypromine, moclobemide iproniazid, nialamide, isocarboxazid, toloxatone)
• linezolid (a medicine used to manage bacterial infection)
• methylene blue (a medicine used to manage high methaemoglobin in blood)
• medicines used for blood thinning (such as heparin, warfarin)

B. Drug-Food interaction:

Try to take this medicine before meals to achieve maximum efficacy.

Overdosage:

If you or anyone else accidentally took more NORMAXIN TABLET, contact your doctor immediately or go to a hospital straight away. Symptoms of overdosage might include headache, dizziness, nausea, vomiting, dry mouth, difficulty in swallowing, blurred vision, and a hot dry skin.

Synopsis

More Information

• Keep NORMAXIN TABLET out of the sight and reach of children
• Store NORMAXIN TABLET at room temperature

FAQs About NORMAXIN TABLET

Q: What is the use of NORMAXIN TABLET?

A: NORMAXIN TABLET is used in the management of Irritable Bowel Syndrome (IBS) and other digestive problems caused due to excessive stress such as peptic ulcer, Crohn’s disease and Colitis. It helps in relieving painful stomach cramps, bloating, indigestion and other symptoms of IBS and also reduces the excessive tension and anxiety associated with IBS or nervous dyspepsia (signs of indigestion associated with anxiety and nervousness).

Q: How NORMAXIN TABLET works in my body?

A: NORMAXIN TABLET suppresses the abnormal electrical activity within the brain and induces calmness. This helps in the management of nervous dyspepsia. It also relaxes the smooth muscles present in the stomach and in the intestines which reduces stomach cramps.

Q: Can NORMAXIN TABLET be used in children?

A: NORMAXIN TABLET is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor before taking it.

Q: Can NORMAXIN TABLET be used during pregnancy?

A: NORMAXIN TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.

Q: Will the use of NORMAXIN TABLET cause sleepiness?

A: Yes, NORMAXIN TABLET can make your feel sleepy, drowsy, or tired. Therefore, do not drive or handle heavy machines or tool if you feel drowsy or sleepy. Avoid consumption of alcohol as it can aggravate your drowsiness.

Q: Can I consume alcohol while taking NORMAXIN TABLET?

A: Avoid consumption of alcohol while taking this medicine as it may make you feel more dizzy or drowsy.

Q: What to do if I forget to take a dose of NORMAXIN TABLET?

A: If you forget to take a dose of NORMAXIN TABLET, take it as soon as you remember. However, if it is time to take the next dose, skip the missed dose and take the next one at regular times. Do not take a double dose of NORMAXIN TABLET to compensate a missed dose, as it could lead to toxicity.

Q: Will taking a higher dose of NORMAXIN TABLET than the prescribed one be beneficial?

A: No, taking a higher dose of NORMAXIN TABLET will not be effective rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.

Q: Can I stop taking NORMAXIN TABLET once my symptoms subside?

A: No. Do not stop taking NORMAXIN TABLET without consulting your doctor even if you feel better during the mid-way of the therapy. Sudden discontinuation of therapy may cause withdrawal symptoms such as headaches, muscle pain, tension, restlessness, confusion, mood changes, difficulty in sleeping, irritability, dizziness, tingling sensation, tiredness or weakness, nausea, vomiting and tremors.

Q: Can NORMAXIN TABLET be taken daily?

A: Yes. NORMAXIN TABLET can be taken daily as per your doctor’s instruction. However, if you are doubtful, consult your doctor.

Q: How to take NORMAXIN TABLET?

A: Take NORMAXIN TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. It is preferably taken before meals and at bedtime.

Q: What are the common side effects of taking NORMAXIN TABLET?

A: The most common side effects of taking NORMAXIN TABLET are tiredness, weakness, headache, dizziness, sleepiness, dry mouth, thirst, dry skin, problems in passing urine, reduced sex drive and irregular periods. Consult your doctor if any of these side effects trouble you.

Q: Will NORMAXIN TABLET reduce my sex drive?

A: Yes. NORMAXIN TABLET may affect your sexual life. It may decrease sex drive or cause problems in orgasm, ejaculation or erection. Therefore, consult your doctor if you experience any such symptoms.

References

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4. Mylan Products Ltd. Librium 5 mg and 10 mg Capsules Chlordiazepoxide hydrochloride. Electronic Medicines Compendium (EMC). [Revised in April 2022] [Accessed on 25th February 2023] https://www.medicines.org.uk/emc/files/pil.1729.pdf

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Author Details

Written By Srilekha. R - B.Pharm

Reviewed For Accuracy By Dr. Vrushabhakumar Jitendra Shah. - MBBS

Last updated on 25 Feb 2023 | 03:49 PM(IST)