Indication |
For the treatment of urinary tract infection |
Pharmacodynamics |
Norfloxacin is a quinolone/fluoroquinolone antibiotic.
Norfloxacin is bactericidal and its mode of action depends on blocking
of bacterial DNA replication by binding itself to an enzyme called DNA
gyrase, which allows the untwisting required to replicate one DNA double
helix into two. Notably the drug has 100 times higher affinity for
bacterial DNA gyrase than for mammalian. |
Mechanism of action |
The bactericidal action of Norfloxacin results from inhibition of
the enzymes topoisomerase II (DNA gyrase) and topoisomerase IV, which
are required for bacterial DNA replication, transcription, repair, and
recombination. Norfloxacin is a broad-spectrum antibiotic that is active
against both gram-positive and gram-negative bacterias. The fluorine
atom at the 6 position increases potency against gram-negative
organisms, and the piperazine moiety at the 7 position is responsible
for anti-pseudomonal activity |
Absorption |
Rapid |
Volume of distribution |
Not Available |
Protein binding |
10 and 15% (Serum protein binding) |
Metabolism |
Via liver and kidney |
Route of elimination |
Norfloxacin is eliminated through metabolism, biliary excretion,
and renal excretion.
Renal excretion occurs by both glomerular filtration and tubular
secretion as evidenced by the high rate of renal clearance
(approximately 275 mL/min). |
Half life |
3-4 hours |
Clearance |
Not Available |
Toxicity |
Not Available |