Metronidazole Oral liquid 200 mg/5 mL (p)

Here’s the detailed profile for Metronidazole Oral Liquid 200 mg/5 mL (pediatric formulation) 👇


💊 Metronidazole Oral Liquid 200 mg/5 mL


📘 Description:

  • Metronidazole is a nitroimidazole antimicrobial agent with both antiprotozoal and antibacterial action.
  • Mechanism: Inside susceptible protozoa and anaerobic bacteria, the nitro group is reduced → reactive metabolites bind DNA → inhibit nucleic acid synthesis → cell death.
  • This oral suspension provides a pediatric-friendly formulation for children and patients unable to swallow tablets.

📄 Prescription / Indications:

Protozoal Infections:

  • Amoebiasis (intestinal & hepatic)
  • Giardiasis
  • Trichomoniasis

Anaerobic Bacterial Infections:

  • Dental & oral infections (gingivitis, periodontitis, dental abscess)
  • Respiratory tract infections due to anaerobes
  • Intra-abdominal infections (peritonitis, abscess)
  • Septicemia, gynecological infections (in selected cases)

Other Uses:

  • Bacterial vaginosis (in older children/adolescents)
  • Clostridioides difficile colitis (alternative if standard options unavailable)

🌿 Nature / Drug Class:

  • Antiprotozoal & Antibacterial
  • Nitroimidazole derivative
  • Active against anaerobic bacteria & protozoa

Advantages:

  • Liquid form allows accurate pediatric dosing by body weight
  • Broad activity against both protozoa and anaerobes
  • Good absorption and wide tissue distribution (including CNS & liver)
  • Useful alternative when tablets not suitable (children/elderly)

⚠️ Precautions:

Contraindications:

  • Known hypersensitivity to metronidazole
  • First trimester pregnancy (for mothers)
  • Neonates <1 month (use with caution)

Cautions:

  • Hepatic impairment → dose adjustment required
  • Avoid alcohol (risk of disulfiram-like reaction: nausea, flushing, tachycardia)
  • Prolonged use → monitor for neuropathy

Adverse Effects:

  • Nausea, vomiting, abdominal pain, diarrhea
  • Metallic taste, dry mouth
  • Headache, dizziness
  • Dark-colored urine (harmless)
  • Rare: seizures, peripheral neuropathy, severe allergic skin reactions

📦 Common Packaging:

  • Bottle of 60 mL / 100 mL with dosing spoon/syringe
  • Concentration: 200 mg per 5 mL suspension

❄️ Storage Conditions:

  • Store at room temperature (<25°C)
  • Protect from light & moisture
  • Shake bottle well before each use
  • Keep tightly closed & out of children’s reach

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