Flagyl Tablet Ke Fayde | Flagyl Side Effects | Flagyl 400mg Tablets Used For | metronidazole tablets
Автор: Dr Asif Izhar
Загружено: 2024-09-26
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Flagyl Tablet Ke Fayde | Flagyl Side Effects | Flagyl 400mg Tablets Used For | metronidazole tablets
Flaygyl 400mg
Metronidazole is a versatile antibiotic used to treat a variety of infections caused by anaerobic bacteria and certain parasites. Here’s a detailed overview of its uses, side effects, drug interactions, and contraindications:
Uses
1. Bacterial Infections:
◇ Anaerobic Bacterial Infections: Metronidazole is effective against anaerobic bacteria, including those causing intra-abdominal infections, pelvic infections, and certain types of skin infections.
◇ Bacterial Vaginosis: It is commonly prescribed to treat bacterial vaginosis.
◇ Clostridium difficile Infection: It is sometimes used to treat C. difficile-associated diarrhea and colitis, though vancomycin is often preferred.
2. Protozoal Infections:
◇ Giardiasis: Caused by the parasite Giardia lamblia.
◇ Amebiasis: Caused by Entamoeba histolytica.
◇ Trichomoniasis: A sexually transmitted infection caused by Trichomonas vaginalis.
3. Other Uses:
◇ Peptic Ulcer Disease: Often used in combination with other medications to eradicate Helicobacter pylori, a bacterium linked to peptic ulcers.
◇ Rosacea: Topical forms are used to treat rosacea.
Side Effects:-
Common side effects
1. Gastrointestinal Symptoms: Nausea, vomiting, diarrhea, and abdominal pain.
2. Metallic Taste: A common complaint among patients taking metronidazole.
3. Headache: Can occur, particularly with higher doses.
4. Dizziness: Some patients report feeling lightheaded.
Less common but more serious side effects:
5. Neurological Effects: Seizures, peripheral neuropathy (numbness or tingling in extremities), and encephalopathy (brain dysfunction).
6. Allergic Reactions: Rash, itching, and in severe cases, anaphylaxis.
7. Hematologic Effects: Rarely, metronidazole can cause blood disorders like leukopenia (low white blood cell count) or thrombocytopenia (low platelet count).
8 Liver Toxicity: Elevated liver enzymes can occur, particularly with prolonged use.
Drug Interactions:-
1. Alcohol: Metronidazole can cause a disulfiram-like reaction when combined with alcohol, leading to flushing, nausea, vomiting, and abdominal pain. It’s generally advised to avoid alcohol during treatment and for at least 48 hours after completing the medication.
2. Warfarin: Metronidazole can enhance the anticoagulant effect of warfarin, increasing the risk of bleeding. Monitoring of INR levels is recommended when these drugs are used together.
3. Lithium: Metronidazole may increase lithium levels, potentially leading to lithium toxicity.
4. CYP450 Interactions: Metronidazole can inhibit certain liver enzymes (such as CYP2C9), affecting the metabolism of other drugs like phenytoin and cyclosporine. Dose adjustments may be necessary.
5. Other Interactions: Combining metronidazole with certain medications (like disulfiram) can cause adverse reactions, including psychotic symptoms.
Contraindications
1. Hypersensitivity: Patients with a known allergy or hypersensitivity to metronidazole or other nitroimidazole antibiotics should avoid this medication.
2. Pregnancy: Metronidazole is generally considered safe in pregnancy for short-term use, particularly in the second and third trimesters. However, it should be used cautiously, and its use should be justified by the benefits outweighing the risks.
3. Liver Disease: Patients with severe liver impairment should use metronidazole cautiously, as it is metabolized in the liver. Dose adjustments may be needed.
4. Neurological Disorders: Use with caution in patients with a history of seizures or other neurological conditions due to the risk of exacerbating symptoms.
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