Metryl 400

Generic

Metronidazole.

 

Indications

Metronidazole is indicated in the treatment of the following diseases:

• The prevention of post-operative infections due to anaerobic bacteria (particularly species of Bacteroides and anaerobic streptococci).
• The treatment of septicemia, bacteremia, peritonitis, brain abscess, pelvic abscess, pelvic cellulitis, and postoperative wound infections caused by anaerobes.
• In the treatment of urogenital trichomoniasis.
• Bacterial vaginosis (also known as non-specific vaginitis).
• All forms of amoebiasis (intestinal, extra-intestinal disease, and that of symptomless cyst passers).
• Giardiasis.
• Acute ulcerative gingivitis.
• Anaerobically infected leg ulcers and pressure sores.
• Acute dental infections due to anaerobic organisms.
• Antibiotic-associated pseudomembranous colitis.

 

Pharmacology

Metronidazole could be a part of the imidazole lesson of antibacterial sedate and is classified remedially as an antiprotozoal specialist. The 5-nitro gather of Metronidazole is diminished by anaerobes metabolically. Thinks about have illustrated that the decreased shape of this medicate interatomic with DNA and gives the bactericidal activity of Metronidazole.

 

Dosage & Administration

Tablet and Suspension:

Trichomoniasis (Adults & Children over 10 yrs)-

• 200 mg tid or 400 mg bid for 7 days
• 800 mg in the morning and 1-2 gm at night for 2 days
• 2 gm as a single dose for 1 days

Trichomoniasis (Children)-

• Children 7-10 yrs: 100 mg tid
• Children 3-7 yrs: 100 mg bid
• Children 1-3 yrs: 50 mg tid

 

Interaction

• Disulfiram: Psychotic reactions have been reported in patients who were using metronidazole and disulfiram concurrently.
• Alcohol: Alcoholic beverages and drugs containing alcohol should not be consumed during therapy and for at least one day afterward because of the possibility of a disulfiram-like (Antabuse effect) reaction (flushing, vomiting, tachycardia). Oral anticoagulant therapy (warfarin type): Potentiation of the anticoagulant effect and increased hemorrhagic risk caused by decreased hepatic catabolism. In the case of co-administration, prothrombin time should be more frequently monitored and anticoagulant therapy adjusted during treatment with metronidazole.
• Lithium: Plasma levels of lithium may be increased by metronidazole.
• Cyclosporin: Serum cyclosporin and serum creatinine should be closely monitored when co-administration is necessary.
• Phenytoin or phenobarbital: increased elimination of metronidazole resulting in reduced plasma levels.
• 5-Fluorouracil: Reduced clearance of 5-fluorouracil resulting in increased toxicity of 5-fluorouracil.
• Busulfan: Plasma levels of busulfan may be increased by metronidazole, which may lead to severe busulfan toxicity.

 

Contraindications

Metronidazole is contraindicated in patients with a history of touchiness to Metronidazole or other Nitroimidazole subsidiaries.

 

Side Effect

US FDA Pregnancy Category of Metronidazole is B. There are, in any case, no satisfactory and well-controlled ponders in pregnant ladies. Since creature generation considers is not continuously prescient of human reaction, this medicate ought to be utilized amid pregnancy as it were in the event that clearly required. Metronidazole has been appeared to be excreted in the human drain. So, caution ought to be worked out when Metronidazole is managed by a nursing lady.

 

Pregnancy & Lactation

This should be prescribed in pregnancy and lactation only if absolutely required.

 

Precautions & Warnings

• If for compelling reasons, metronidazole must be administered longer than the usually recommended duration, it is recommended that hematological tests, especially leucocyte count should be carried out regularly and that patients should be monitored for adverse reactions such as peripheral or central neuropathy (such as paresthesia, ataxia, dizziness, convulsive seizures).
• Metronidazole should be administered with caution to patients with hepatic encephalopathy.
• Patients should be warned that metronidazole may darken the urine.

 

Therapeutic Class

Amebicides, Anti-diarrheal Antiprotozoal.

 

Storage Conditions

Keep the temperature below 30°C and away from light and moisture. Keep out of children's reach.

 

Pharmaceutical Name

Opsonin Pharma Ltd.