METRONIDAZOLE
Background and Date of Approval
Metronidazole is an antibiotic approved by the U.S. Food and Drug Administration on 24 November 1998 for the treatment of various bacterial infections.
Uses
Metronidazole helps to treat various bacterial infections and gynecological infections. It is also helpful in preventing postoperative infections.
How is it administered?
Metronidazole will be administered to you by a healthcare professional in a hospital setting. It is usually administered as an intravenous injection into a vein. Your physician will decide the dose, route of administration, and frequency based on your disease condition and other factors.
Side Effects
The side effects known to occur commonly during the treatment with Metronidazole are diarrhea, constipation, loss of appetite, fever, headache, drowsiness, dizziness, hallucinations, depressed mood, and poor sleep. Some serious side effects also include severe allergic reaction (which may cause sudden faintness, severe breathlessness, abdominal pain, or swelling of the face, tongue and throat), severe neurological effects (convulsion or fits, brain disease, disorder of the nerves which can causes loss of vision or speech disorder), inflammation of your pancreas which may cause pain in your belly with radiation through the back (pancreatitis), severe skin effects (erythema, serious illness with blistering of the skin, mouth, and genitals and skin peeling), and unexpected infections, mouth ulcers, bruising, bleeding gums, or severe tiredness.
Warnings
Suppose you have a history of jaundice or liver problems that occurred while taking Metronidazole or other macrolide antibiotics in the past. In that case, informing your physician about this medical history is important. Individuals who have previously experienced those conditions may have an increased risk of developing further liver problems or experiencing a recurrence of jaundice if exposed to the drug again. Your doctor will consider this information when prescribing medications and may recommend alternative antibiotics that are less likely to cause liver problems or choose a different approach to manage your condition.
Precautions
This drug can increase the chance of side effects that affect the heart, particularly by prolonging the QT interval. Prolongation of the QT interval leads to a serious heart rhythm abnormality called torsades de pointes. Before taking Metronidazole, it is important to be aware of the side effects and discuss them with your healthcare provider. It is advised to avoid using the drug if you are mainly allergic to it or its ingredients.
Word of Advice
Complete the full course of Metronidazole as prescribed by your doctor, even if symptoms improve before treatment ends. Discontinuing the medication early can result in incomplete infection clearance, potentially allowing bacteria to develop resistance. Inform your doctor if symptoms worsen or fail to improve during treatment. Your doctor may need to reassess your condition and modify your treatment plan accordingly. Metronidazole is prescribed for your specific condition and should not be shared with others, regardless of symptom similarity.
References
Baxter Healthcare Ltd, Electronic medicines compendium (EMC), [ Revised on July 2017] [ Accessed on 28th July 2023], https://www.medicines.org.uk/emc/files/pil.1842.pdf Pfizer Inc, US Food and Drug Administration, [ Revised on June 2013] [Accessed on 28th July 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/018353s026lbl.pdf Goodman & Gilman's, The Pharmacological Basis of Therapeutics, Chemotherapy of Microbial Diseases, 12th edition, 2011,1428. KD Tripathi, Essentials of Medical Pharmacology, Antiamoebic and other antiprotozoal drugs, 7th edition, 2013, 837.
Frequently Asked Questions
Can Metronidazole be used for viral infections?
No, Metronidazole is not effective against viral infections, such as the common cold or flu. It is specifically used to treat bacterial and protozoal infections.
Can I stop taking Metronidazole if my symptoms improve?
No, it's important to complete the full course of Metronidazole as prescribed by your physician, even if your symptoms improve. Stopping the medication suddenly may lead to incomplete eradication of the infection, which could result in a relapse.
Is Metronidazole safe during pregnancy and breastfeeding?
Metronidazole should be used with caution during pregnancy and only when absolutely necessary. Discuss the risks and benefits with your physician before using this medication while pregnant or breastfeeding.
Can Metronidazole interact with other medications?
Metronidazole can interact with other medications, including certain blood thinners, antifungal drugs, and seizure medications. You must inform your physician about all your medications to avoid serious interactions.
Are there any common side effects of Metronidazole?
Some common side effects of Metronidazole may include nausea, metallic taste in the mouth, loss of appetite, headache, dizziness, and diarrhea. If these side effects become severe, consult your doctor.