What is the black box warning for metronidazole?

FDA warnings

A black box warning indicates drug effects that may be dangerous. Cancer warning: Cancer was found in some animals during testing with metronidazole. There may be a similar risk in humans. Because of this risk, metronidazole should only be used to treat conditions as approved by the FDA.

What is the warning for metronidazole?

Serious skin reactions can occur with this medicine. Check with your doctor right away if you have blistering, peeling, or loosening of the skin, red skin lesions, severe acne or a skin rash, sores or ulcers on the skin, or fever or chills with this medicine.

What should be avoided while using metronidazole?

You should not drink alcoholic beverages or take other alcohol-containing preparations while you are using this medicine and for at least 3 days after stopping it. If you have trichomoniasis: Using this medicine while you are pregnant (especially during the first 3 months of pregnancy) can harm your unborn baby.

Who should not take metronidazole?

You should not use this medicine if you are allergic to metronidazole, secnidazole, or tinidazole, or if: you drank alcohol in the past 3 days; you consumed foods or medicines that contain propylene glycol in the past 3 days; or. you took disulfiram (Antabuse) within the past 14 days.

What does metronidazole do to the body?

Metronidazole is used to treat bacterial infections in different areas of the body. The extended-release tablets are used to treat women with vaginal infections (bacterial vaginosis). Metronidazole belongs to the class of medicines known as antibiotics. It works by killing bacteria or preventing their growth.

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Is metronidazole worth taking?

Metronidazole is a very safe and effective antibiotic medication used to treat bacterial vaginosis (BV). Many users will not experience any negative Metronidazole side effects at all and will have a very positive experience with the medication on the whole.

Can metronidazole cause damage?

Serious side effects of oral metronidazole

Peripheral neuropathy. Damage to the optic nerve. Brain damage. Anaphylaxis (severe allergic reaction producing hives and swelling of the face and throat)

Is there an alternative antibiotic to metronidazole?

In cases where metronidazole is unable to be used due to drug-drug interactions, tinidazole may be a safe alternative.

Why would a doctor prescribe metronidazole?

Metronidazole is an antibiotic. It's used to treat skin infections, rosacea and mouth infections, including infected gums and dental abscesses. It's also used to treat conditions such as bacterial vaginosis and pelvic inflammatory disease.

What are the long term side effects of metronidazole?

Serious side effects of Flagyl and Flagyl ER include brain disease, fevers, mouth sores, painful urination, nerve damage resulting in prickling or tingling sensations that may become permanent, cystitis, pelvic pain or pressure, decreased sex drive, inflammation of the lining of the rectum, inflammation of the mouth ...

What happens if I take metronidazole with food?

The capsules can be taken with or without food. If the medicine upsets your stomach, it is best to take it with a meal or snack. The extended–release tablet must be taken without food, 1 hour before or 2 hours after a meal.

How long before metronidazole clears your system?

How long does metronidazole stay in your system? For most people, metronidazole may still be present in the body up to 40 hours (a little less than 2 days) after your last dose. But for people with liver problems, this time could rise to 6 days.

Can I eat dairy with metronidazole?

Take bismuth, metronidazole, and tetracycline at least 1 hour before or 2 hours after you eat or drink foods that contain calcium, such as dairy products and calcium-fortified juices and foods.

How common is metronidazole toxicity?

Neurological toxicity is fairly common with this drug, however majority of these are peripheral neuropathy with very few cases of central nervous toxicity reported.

How long is metronidazole toxicity?

Abstract. The currently recommended treatment for metronidazole toxicosis is drug discontinuation and supportive therapy. Reported recovery times are 1-2 weeks.

What bacteria does metronidazole get rid of?

Metronidazole is highly active against gram-negative anaerobic bacteria, such as B. fragilis, and gram-positive anaerobic bacteria, such as C. difficile. The pharmacokinetic and pharmacodynamic properties of the drug are favorable, and it is available as oral, intravenous, vaginal, and topical formulations.

Why did my Obgyn prescribe metronidazole?

Metronidazole is used to treat vaginal infections such as bacterial vaginosis (an infection caused from too much of certain bacteria in the vagina). Metronidazole is in a class of medications called nitroimidazole antimicrobials. It works by stopping the growth of bacteria.

Which is better metronidazole or Flagyl?

Flagyl ER (metronidazole) are all almost identical antimicrobial drugs used to treat bacterial vaginosis (mainly Flagyl ER), trichomonas, amebiasis, and anaerobic bacterial infections.

Is metronidazole the same as Monistat?

Metronidazole and miconazole belong to different drug classes. Metronidazole is an antibiotic and miconazole is an antifungal. Brand names for metronidazole include Flagyl, Flagyl ER, Metrogel, and Noritate. Brand names for Miconazole include Monistat, M-Zole, and Micatin.

What can I take for BV besides metronidazole?

Alternative regimens include secnidazole oral granules (1012–1014), multiple oral tinidazole regimens (1015), or clindamycin (oral or intravaginal) (1016).

Is metronidazole hard on your body?

It can give you severe side effects such as feeling or being sick, stomach pain, hot flushes, difficulty breathing, a pounding heartbeat (palpitations) and headaches.

Is metronidazole cancerous?

MTZ is potentially carcinogenic to humans due to the following facts: it is a proven mutagen in bacterial systems, it is genotoxic to human cells and also, it is carcinogenic to animals.

Can metronidazole affect your brain?

There have been several reported cases in which abnormalities of the brain on MRI were associated with metronidazole treatment: lesions involving the subcortical white matter, splenium, midbrain, and cerebellar dentate nuclei.

When is the best time to take metronidazole?

The capsules can be taken with or without food. If the medicine upsets your stomach, it is best to take it with a meal or snack. The extended–release tablet must be taken without food, 1 hour before or 2 hours after a meal.

Does metronidazole always cure BV?

BV is treated with antibiotics, of which oral and vaginal formulations of metronidazole or clindamycin are most commonly used. Although short-term BV cure rates of multiday oral and vaginal metronidazole regimens are 65%–90%,^{11, 12} recurrence rates are high.