Acne vulgaris
Adult: As 1% cream/gel: Apply to affected area bid. Discontinue treatment if desired effect is not achieved after 4 weeks.
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Indications and Dosage
                                             
                                            
Topical/Cutaneous 
                                        Acne vulgaris Adult: As 1% cream/gel: Apply to affected area bid. Discontinue treatment if desired effect is not achieved after 4 weeks. 
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Contraindications
                                             
                                            
Hypersensitivity to nadifloxacin or other fluoroquinolones.
                                             
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Adverse Reactions
                                             
                                            
Skin and subcutaneous tissue disorders: Itching and erythema at application sites, pruritus, redness, flushing, feeling of facial warmth, papules, contact dermatitis, dry skin.
                                             
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Action
                                             
                                            
Description:  
                                        Mechanism of Action: Nadifloxacin, a synthetic fluoroquinolone anti-infective agent, acts by inhibiting the bacterial DNA gyrase which is involved in DNA synthesis and replication, thus inhibiting bacterial multiplication Pharmacokinetics: Absorption: Time to peak plasma concentration: 8 hours (post-final dosing). Excretion: Via urine (approx 0.09%). Elimination half-life: 19.4 hours.  | 
                                
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Chemical Structure
                                             
                                            ![]() Source: National Center for Biotechnology Information. PubChem Database. Nadifloxacin, CID=4410, https://pubchem.ncbi.nlm.nih.gov/compound/Nadifloxacin (accessed on Mar. 25, 2020)  | 
                                
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Storage
                                             
                                            
Store below 30°C.
                                             
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MIMS Class
                                             
                                            
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ATC Classification
                                             
                                            
D10AF05 - nadifloxacin ; Belongs to the class of topical antiinfective preparations used in the treatment of acne.  
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References
                                             
                                            
Acuatim (Otsuka). MIMS Indonesia. http://mims.com/indonesia. Accessed 17/01/2020.  Anon. Nadifloxacin. Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 17/01/2020.  Buckingham R (ed). Nadifloxacin. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 17/01/2020.  Nadibact (Cipla - Xterna). MIMS Philippines. http://mims.com/philippines. Accessed 17/01/2020.  Quinolones. Gold Standard Drug Database in ClinicalKey [online]. Elsevier Inc. https://www.clinicalkey.com/. Accessed 17/01/2020.  
                                             
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