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"Metronidazole" from what (tablets)? Treatment with Metronidazole: reviews

Consider the drug "Metronidazole". What do tablets appoint doctors to their patients? The answer to this question you will find in the materials of the article. You will also learn about what other forms of release of this tool exist, how they should be taken.

General information about the pharmacological agent

The drug "Metronidazole", whose price varies between 8-10 Russian rubles for 20 tablets, is an effective antiprotozoal and antibacterial synthetic drug. It should be noted that this is the cheapest tool in its group.

Forms and composition of the medicinal product

What is Metronidazole? From what tablets are appointed by doctors? What side effects can they cause? We will answer all of these questions below. Now I want to tell you about the forms in which this product goes on sale:

  • 0.5% solution for infusion. Such a means is a greenish transparent liquid. In 1 ml of the drug contains about 5 mg of the active ingredient - metronidazole. The solution for infusions goes on sale in bottles of 100 ml, which are packed in a cardboard box.
  • Pills. One tablet of "Metronidazole" contains 0.25 g of the basic substance. The drug goes on sale for 10, 20 and 50 pieces.
  • Suppositories are vaginal. One candle contains 0.5, 0.25 or 0.125 g of active ingredient. Suppositories are issued in ten pieces in a cardboard package, have a torpedo shape and white color (can be with a yellowish tinge).
  • 1% colorless vaginal gel. In 100 g of this product contains 1 g of active substance. It goes on sale in aluminum tubes for 30 g. The kit includes an applicator.

Pharmacodynamics

How does the drug Metronidazole work? Tablets, reviews of which are very diverse, at the biochemical level, restore 5-nitro groups with the help of intracellular transport proteins of anaerobic microorganisms and protozoa. As a result of such exposure, all pathogenic bacteria begin to die.

In what other cases is the drug Metronidazole shown? From what tablets are prescribed to patients with a duodenal ulcer and stomach? As is known, in combination with the antibiotic "Amoxicillin" this medicine shows activity against such a microorganism as Helicobacter pylori.

It should also be noted that some facultative anaerobes and aerobic microorganisms are resistant to this drug. However, in the presence of mixed flora, the drug "Metronidazole" begins to act synergistically with antibiotics, which are effective against aerobes.

Among other things, such a drug can increase the sensitivity of tumors to radiation, and also have a disulfiram-like effect and stimulate reparative processes.

The drug "Metronidazole": from what tablets?

The medication in question is assigned with the following problems:

  • Protozoal infections (for example, trichomonas vaginitis, extraintestinal and intestinal amebiasis, balantidiasis, trichomoniasis, giardiasis, trichomoniasis urethritis and cutaneous leishmaniasis).
  • Infections of joints, central nervous system and bones (eg, lung abscess, brain, meningitis, pneumonia, bacterial endocarditis and empyema).
  • Abdominal infections (for example, liver abscess, etc.), pelvic infection (endometriometritis, endometritis, ovarian and fallopian tube abscess), vagina after surgery, soft tissues and skin.
  • Gastritis or duodenal ulcer (stomach) associated with Helicobacter pylori.
  • Sepsis, which is caused by Bacteroides spp.
  • Pseudomembranous colitis, directly associated with the use of antibiotics.
  • Alcoholism.
  • As a radiosensitizing drug during radiation therapy.
  • For the prevention of postoperative infections.

Contraindications to the use of the product

When can I not use Metronidazole? Tablets (reviews about them will be considered further), suppositories, solution for infusions and gel are not recommended for:

  • Leukopenia (including in the anamnesis);
  • Organic lesions of the central nervous system;
  • Epilepsy;
  • Hepatic insufficiency (especially in high dosages);
  • During the first three months of pregnancy;
  • Lactation;
  • Hypersensitivity.

Metronidazole medication: use in tablets

This remedy is recommended only after a meal. Its dosage and duration of therapy depend on the type of disease and age of the patient.

With trichomoniasis, Metronidazole tablets are taken twice a day for two times for ten days. It should also be noted that during the treatment it is desirable to use vaginal suppositories. Suppositories are prescribed twice a day for two (in the evening and in the morning). Therapy with candles must be done at the very beginning of the menstrual cycle. The course of treatment can be repeated after thirty days. For children, the drug is prescribed in the following dosages: over eleven years - up to 500 mg per day, at 5-11 years - up to 375 mg, in 2-5 years - 250 mg.

If a cyst is detected, the drug is prescribed in the amount of two tablets up to three times a day. The duration of therapy can be from five to eight days.

Treatment of "metronidazole" giardiasis should be made within 5-8 days (two tablets twice a day).

In chronic amoebiasis, the drug is prescribed at 1.5 g. Dosage is recommended to be divided into three doses. The duration of treatment is 5-11 days.

With amoebic dysentery (acute), the medication should be taken at 2.25 g per day until the symptoms stop. The dosage should be divided into three doses.

With balantidiasis, "Metronidazole" is prescribed 750 mg three times a day for 5-8 days.

In combination with the antibiotic means of the tetracycline group and other methods of treatment with liver abscess, a maximum amount of 2.5 g is prescribed for 3-5 days.

When ulcerative stomatitis is recommended to take two tablets of the drug twice a day (up to five days). To treat alcoholism should take two tablets a day for six months.

If the patient has pronounced impaired renal function, then the daily dosage should be halved. In case of severe infection, and if there is no possibility to take the "Metronidazole" medication inside, it is prescribed intravenously. In this case, the dosage should not be more than 4 g per day. When the patient's condition improves, it is necessary to switch to oral medication.

Side effects

Many patients believe that this medication is an ordinary antibiotic. "Metronidazole" is not an antibiotic. This is only an antiprotozoal and antibacterial synthetic drug of the widest spectrum of action. But this fact does not make it safer. According to the instructions, this medication has a huge number of side effects. Among them are the following:

  • Diarrhea, dry mouth, anorexia, vomiting, constipation, nausea, glossitis, metallic taste in the mouth, pancreatitis.
  • Cystitis, urinary incontinence, candidiasis, polyuria, dysuria, staining the urine in a brownish-red color.
  • Vertigo, hallucinations, confusion, depression, irritability, increased excitability and impaired coordination of movements.
  • Urticaria, skin rash, fever, skin hyperemia, arthralgia, nasal congestion.
  • Neutropenia and leukopenia.

Reviews about the drug

The drug "Metronidazole" (tablets), the application of which we examined in this article, has a lot of both positive and negative reviews. Those patients who have repeatedly used this remedy to treat a disease, note its high efficiency. However, many of them often complain that the medication has many side effects, most of which appear already on the second-third day of treatment. Everything starts with an unpleasant aftertaste in the mouth. Further, there may be severe headaches, dizziness, discomfort in the upper abdomen, etc.

With severe side effects, doctors recommend stopping the medication and replace it with a similar remedy.

It is important to know

When using this medication, special care should be taken when using other drugs at the same time. This is due to the fact that the patient may exhibit undesirable side effects. It should also be noted that during therapy with the drug "Metronidazole" is not recommended to take alcohol because of the possible development of neurological symptoms.

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