Metronidazole

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Generic Name

Metronidazole

Flagyl, Metro, MetroCream, MetroGel, MetroGel-Vaginal, NidaGel,


Brand Name
Noritate, Vandazole
Drug PHARMACOTHERAPEUTIC: Nitroimidazole derivative

Classification CLINICAL: Antibacterial, Antiprotozoal

It inhibits nucleic acid synthesis by disrupting the DNA of microbial


cells. This function only occurs when metronidazole is partially
Mechanism of
reduced, and because this reduction usually happens only in
Action
anaerobic bacteria and protozoans, it has relatively
little effect upon human cells or aerobic bacteria.
Metronidazole Rosemont 200mg/5ml Oral Suspension
Route & Dosage
Metronidazole 200mg/5ml Oral Suspension
Anaerobic Infections, Amebiasis, Giardiasis, Pseudomembranous
Colitis, Trichomoniasis, Bacterial Vaginosis, Rosacea, Renal
Indication
Impairment & Hepatic Impairment

Contraindications: Hypersensitivity to metronidazole. Pregnancy


(first trimester with trichomoniasis), use of disulfiram within 2
Contraindication
weeks, use alcohol during therapy or within 3 days of
discontinuing metronidazole.
FREQUENT: Systemic: Anorexia, nausea, dry mouth, metallic
taste. Vaginal: Symptomatic cervicitis/vaginitis, abdominal
cramps, uterine pain. OCCASIONAL: Systemic: Diarrhea,
constipation, vomiting, dizziness, erythematous rash, urticaria,
Side Effects
reddish-brown urine. Topical: Transient erythema, mild dryness,
burning, irritation, stinging, tearing when applied too close to eyes.
Vaginal: Vaginal, perineal, vulvar itching; vulvar swelling. RARE:
Mild, transient leukopenia; thrombophlebitis with IV therapy.
Adverse Effects Oral therapy may result in furry tongue, glossitis, cystitis, dysuria,
pancreatitis. Peripheral neuropathy (manifested as numbness,
tingling of hands/feet) usually is reversible if treatment is stopped
immediately upon appearance of neurologic symptoms. Seizures
occur occasionally.
DRUG: Alcohol may cause disulfiram type reaction (e.g.,
abdominal cramps, nausea, vomiting, headache, psychotic
Drug Interaction reactions). Disulfiram may increase risk of toxicity. May increase
effects of oral anticoagulants. HERBAL: None significant. FOOD:
None known. LAB VALUES: May increase serum LDH, ALT, AST.
Monitor daily pattern of bowel activity, stool consistency. Monitor
I&O, assess for urinary problems. Avoid alcohol, alcohol-
containing preparations (cough syrups, elixirs) for at least 48
hours after last dose. Avoid tasks that require alertness, motor
Nursing skills until response to drug is established. If taking metronidazole
Responsibilities for trichomoniasis, refrain from sexual intercourse until full
treatment is completed. Topical: Avoid contact with eyes. Other
recommendations for rosacea include avoidance of hot/spicy
foods, alcohol, extremes of hot/cold temperatures, excessive
sunlight.

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