Product image of Nitroxolin Forte Chephasaar Chemisch-Pharmazeutische Fabrik (Nitroxoline) supplied by GNH India

Nitroxolin Forte Chephasaar Chemisch-Pharmazeutische Fabrik

Active Ingredient:
Nitroxoline
Origin:
EU

Nitroxolin Forte Chephasaar Chemisch-Pharmazeutische Fabrik (Nitroxoline)

Nitroxoline, the active ingredient in Nitroxolin Forte Chephasaar Chemisch-Pharmazeutische Fabrik, is a quinoline antibacterial presented as an oral tablet for oral use. It treats uncomplicated urinary tract infections, including cystitis, in adult patients.

GNH India supplies Nitroxolin Forte Chephasaar Chemisch-Pharmazeutische Fabrik as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches for global distribution. Our supply chain ensures timely delivery, temperature‑controlled storage where required, and full documentation for import compliance.

Manufacturer / TM Owner

Chephasaar Chemisch-Pharmazeutische Fabrik Gmbh

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Indications & Clinical Uses

  • Nitroxoline is used to treat bacterial infections of the urinary tract, targeting Gram‑negative uropathogens.
  • Uncomplicated urinary tract infection: eliminates the causative bacteria and relieves dysuria and frequency.
  • Cystitis: reduces bacterial load in the bladder, leading to symptom resolution.
  • Recurrent urinary tract infection prophylaxis: may be employed to prevent repeat episodes in selected patients.

How It Works

  • Nitroxoline exerts antibacterial activity by chelating divalent metal ions such as iron and magnesium, which are essential cofactors for bacterial enzymes. This chelation inhibits bacterial DNA gyrase and topoisomerase IV, disrupting DNA replication and transcription. Additionally, the drug interferes with bacterial metabolic pathways, leading to bacteriostatic effects against Gram‑negative uropathogens. The combined actions result in inhibition of bacterial growth and aid host clearance of infection.

Side Effects

Nitroxoline may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Vomiting: occasional.
  • Abdominal pain: cramping discomfort.
  • Headache: transient.
  • Taste alteration: metallic or bitter taste.
  • Dizziness: light‑headed sensation.

Serious or Rare Side Effects

  • Severe allergic reaction: anaphylaxis, swelling of face or throat.
  • Hepatic dysfunction: elevated liver enzymes, jaundice.
  • Blood dyscrasias: neutropenia or agranulocytosis.
  • Stevens‑Johnson syndrome: severe skin blistering.
  • Renal impairment: acute kidney injury.
  • Severe skin rash: toxic epidermal necrolysis.

Precautions & Warnings

Before initiating nitroxoline therapy, consider the following precautions to ensure safe use.

  • Assess renal function: adjust use in patients with severe renal impairment.
  • Monitor liver enzymes: watch for signs of hepatic toxicity during treatment.
  • Avoid in known hypersensitivity: discontinue immediately if rash or swelling develops.
  • Use caution in pregnancy: safety has not been established; weigh benefits against risks.
  • Review concomitant metal supplements: iron, calcium, or zinc may reduce absorption.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Nitroxoline can interact with other medicines, affecting its absorption or increasing toxicity.

Major Interactions (Avoid)

  • Metal ion supplements (iron, calcium, zinc): chelation reduces nitroxoline absorption.
  • Anticoagulants (warfarin): may potentiate anticoagulant effect and increase INR.
  • Probenecid: can raise nitroxoline plasma concentrations, raising risk of toxicity.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may increase gastrointestinal irritation.
  • Diuretics: monitor electrolytes and renal function when combined.
  • Oral contraceptives: possible reduction in efficacy; consider alternative contraception.

Frequently Asked Questions

Nitroxolin Forte contains nitroxoline, a quinoline antibacterial indicated for the treatment of uncomplicated urinary tract infections, including acute cystitis. It is prescribed to eradicate Gram‑negative uropathogens and relieve associated urinary symptoms such as dysuria, frequency, and urgency.

Nitroxoline acts by chelating essential metal ions like iron and magnesium, which are cofactors for bacterial enzymes. This chelation inhibits DNA gyrase and topoisomerase IV, disrupting bacterial DNA replication and transcription, and also interferes with metabolic pathways, resulting in a bacteriostatic effect against common urinary pathogens.

The appropriate dose of Nitroxolin Forte is determined by the prescribing healthcare professional based on the patient’s age, weight, renal function, and severity of infection. Dosage regimens are individualized and should follow the prescriber’s instructions and local clinical guidelines.

The safety of nitroxoline in pregnancy and lactation has not been established. It is classified as pregnancy category unknown, and use should be limited to situations where the potential benefit justifies any potential risk to the fetus or infant. Consultation with a healthcare provider is essential.

To request Nitroxolin Forte, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details, and any necessary import documentation.

Nitroxolin Forte offers a quinoline‑based mechanism distinct from beta‑lactams, fluoroquinolones, and nitrofurantoin. Its metal‑chelation property provides activity against some resistant Gram‑negative strains, and it is generally well tolerated. However, choice of therapy depends on local resistance patterns, patient allergies, and specific clinical circumstances.

Nitroxolin Forte should be stored at room temperature, below 25 °C, in its original packaging. Protect the tablets from moisture, direct sunlight, and excessive heat to maintain stability and potency throughout the shelf life.

Nitroxolin Forte is taken orally, usually with a full glass of water. The tablet should be swallowed whole and not crushed or chewed unless otherwise directed by a healthcare professional. Administration timing (e.g., with or without food) follows the prescriber’s guidance.

Serious adverse events, although rare, include severe allergic reactions such as anaphylaxis, hepatic dysfunction manifested by jaundice or elevated liver enzymes, blood dyscrasias like neutropenia, and severe skin reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis. Immediate medical attention is required if any of these occur.

Nitroxolin Forte should be avoided in individuals with known hypersensitivity to nitroxoline or any quinoline derivatives. Patients with severe renal impairment may require dose adjustment or alternative therapy. Pregnant or breastfeeding women should only use it if clearly indicated and after risk‑benefit assessment by a qualified clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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