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Metronidazole capsules

Function and Efficacy

Metronidazole has a strong antibacterial effect on most anaerobic bacteria, but has no effect on aerobic bacteria and facultative anaerobes. The antibacterial spectrum includes Bacteroides fragilis and other Bacteroides, Fusobacterium, Clostridium perfringens, Eubacterium, Veillonella, Peptococcus and Peptostreptococcus. Its bactericidal concentration is slightly higher than the inhibitory concentration. In addition, it also has a strong killing effect on amoeba and Trichomonas. The bactericidal mechanism of metronidazole has not been fully elucidated. The nitroreductase of anaerobic bacteria plays an important role in the energy metabolism of sensitive strains. The nitro group of this product is reduced to a cytotoxin, which acts on the DNA metabolism process of bacteria and promotes cell death. The mechanism of anti-amoeba is to inhibit its redox reaction and break the nitrogen chain of the protozoa.

Ingredients

Chemical name: 2-methyl-5-nitroimidazole-1-ethanol Molecular weight: C6H9N3O3

Name Description Content CAS NO. Manufacturer
MetronidazoleIngredients

It has a strong antibacterial effect on most anaerobic bacteria, and the antibacterial spectrum includes Bacteroides fragilis and other Bacteroides, Fusobacterium, Clostridium perfringens, Eubacterium, Veillonella, Peptococcus and Peptostreptococcus, etc. In addition, it also has a strong killing effect on amoeba and Trichomonas. The bactericidal mechanism is that nitro is reduced to a cytotoxin, thereby acting on the DNA metabolism process of bacteria and promoting cell death; the anti-amoeba mechanism is to inhibit its redox reaction, causing the nitrogen chain of the protozoa to break.

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443-48-1 39

Appearance

This product is a capsule, and the contents are yellow or slightly yellow granules or powder.

Indication

1. It is used for various anaerobic infections, such as sepsis, endocarditis, empyema, lung abscess, abdominal infection, pelvic infection, gynecological infection, bone and joint infection, meningitis, brain abscess, skin and soft tissue infection, antibiotic-related enteritis caused by Clostridium difficile, Helicobacter pylori-related gastritis or peptic ulcer, periodontal infection and Gardner vaginitis, etc. It can also be used as a preventive drug for certain contaminated or potentially contaminated surgeries, such as colorectal elective surgery, etc.; 2. It can also be used to treat intestinal and extraintestinal amebiasis (such as amoebic liver abscess, thoracic amebiasis, etc.), vaginal trichomoniasis, balantidiasis, cutaneous leishmaniasis, dracunculiasis, giardiasis, etc.

Usage and Dosage

Oral. 1. Anaerobic infection: 0.5g once, 3 times a day, the course of treatment is 7 days or longer, the maximum daily dose shall not exceed 4g; 2. Intestinal infection: 0.5g once, 3 times a day; 3. Antibiotic-related enteritis: 0.5g once, 3-4 times a day; 4. Helicobacter pylori-related gastritis and peptic ulcer: 0.5g once, 3 times a day, combined with other antibiotics, the course of treatment is 7-14 days; 5. Protozoan infection: ① Intestinal amoebiasis, 0.4-0.6g once, 3 times a day, the course of treatment is 7 days; ② Extraintestinal amoebiasis, 0.6-0.8g once, 3 times a day, the course of treatment is 20 days; ③ Giardiasis, 0.4g once, 3 times a day, the course of treatment is 5-10 days; ④ Guinea worm disease, 0.2g once, the course of treatment is 7 days; ⑤ Balantidiasis, once

Adverse Reactions

1. The most serious adverse reaction of this product is that it can cause epileptic seizures and peripheral neuropathy at high doses, the latter of which is mainly manifested as numbness and paresthesia of the extremities. In some cases, long-term use of the drug may cause persistent peripheral neuropathy; 2. Gastrointestinal reactions, such as nausea, loss of appetite, vomiting, diarrhea, abdominal discomfort, taste changes, dry mouth, metallic taste in the mouth, etc.; 3. Reversible neutropenia; 4. Allergic reactions, rash, urticaria, itching, etc.; 5. Central nervous system symptoms, such as headache, dizziness, syncope, paresthesia, limb numbness, ataxia and mental confusion, etc.; 6. Others include fever, vaginal candidiasis, cystitis, dysuria, dark urine color, etc., which are all reversible and will recover on their own after stopping the drug.

Precautions

1. Patients who are allergic to this product or azole drugs, as well as those with active central nervous system diseases and blood diseases are prohibited from using this product; 2. Pregnant women are prohibited from using this product, and lactating women should use it with caution; 3. Children should use this product with caution; 4. Due to decreased liver function, the pharmacokinetics of this product may change in the elderly, and blood drug concentrations need to be monitored;

Special Population Medication

Precautions for children: Use with caution in children. Precautions for pregnancy and lactation: Pregnant women are prohibited from using this product, and lactating women should use it with caution. Precautions for the elderly: Due to decreased liver function, the pharmacokinetics of this product may change when used in the elderly, and blood drug concentrations need to be monitored.

Drug Interactions

1. This product can inhibit the metabolism of warfarin and other oral anticoagulants, enhance their effects, and cause the prothrombin time to be prolonged; 2. When used in combination with drugs that induce liver microsomal enzymes such as phenytoin sodium and phenobarbital, it can enhance the metabolism of this product, reduce the blood drug concentration, and slow down the excretion of phenytoin sodium; 3. When used in combination with drugs that inhibit the activity of liver microsomal enzymes such as cimetidine, it can slow down the metabolism and excretion of this product in the liver, and prolong the blood elimination half-life (t1/2β) of this product. The dosage should be adjusted according to the results of blood drug concentration determination; 4. This product can interfere with the metabolism of disulfiram. When the two are used together, patients may experience mental symptoms after drinking. Therefore, patients who have used disulfiram within 2 weeks should not use this product again; 5. This product can interfere with the results of serum aminotransferase and lactate dehydrogenase determinations, and can reduce cholesterol and triglyceride levels.

Storage

Keep away from light and store in a sealed container.

Packaging Specification

0.2g

Validity Period

36 months

Manufacturer

Tonghua Zhongchen Pharmaceutical Co., Ltd.

  • Founded in:

    2000-11-03
  • Address:

    Changzhan Street, Liuhe Town
  • Tax NO.:

    912205247295446002
  • Registered Funds:

    28.5 million yuan
  • Email:

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