Metronidazole

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Sections available in full article Name, Class of drug, Description, Uses, Administration, Routes of administration, Dosage, Pharmocokinetics, Normal, Physiological, variations, Pathological variations, Precautions, Contra-indications, Use with care, Interactions, Adverse reactions, Sources, Publications,
Contributors

Name

  • Metronidazole.

Class of drug

  • Synthetic nitroimidazole.

Uses

Action

  • Antibacterial and antiprotozoal activity.
  • May have effects on the immune system by modulating cell-mediated immune responses.
  • Mechanism of action on protozoans unknown but in bacteria it appears to be reduced spontaneously under anaerobic conditions to compounds that bind to DNA and cause cell death.

Indications

  • Anaerobic infections, eg Bacteroidesspp Bacteroides fragilis , Clostridiumspp Clostridium perfringens , etc giardiasis Giardia spp and other protozoal infections.
  • Management of hepatic encephalopathy Hepatic encephalopathy.
  • Spiramycin is active against gram-positive aerobes including Staphylococcusspp Staphylococcus spp , Streptococcusspp Streptococcus spp , Bacillusspp, Actinomycesspp Actinomyces pyogenesActinomyces viscosus , Clostridiumspp Clostridia spp and Bacteroidesspp.
  • Appetite stimulant in reptiles.
  • Adjunct to treatment of pyothorax Pyothorax.

Adverse reactions

Other reported reactions

  • Adverse effects uncommon:
    • Vomiting.
    • Nystagmus.
    • Ataxia.
    • Knuckling.
    • Head tilt.
    • Seizures.
    • Hepatotoxicity.
    • Hematuria.

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