Metronidazole has a molecular weight of It is a white to pale yellow crystalline powder.
Metronidazole belongs to the nitroimidazole class of compounds. Metronidazole Gel - Clinical Pharmacology The mechanism of action of metronidazole in the treatment of rosacea is unknown. Pharmacodynamics The pharmacodynamics of metronidazole in association with the treatment of rosacea are metronidazole. The treatment to maximum plasma concentration Tmax was 6 to 10 hours after topical application. Nonclinical Toxicology Carcinogenesis, Mutagenesis, Impairment of Fertility Metronidazole has shown evidence of carcinogenic activity in a number of studies involving chronic, oral administration in mice and rats, but not in studies involving hamsters, metronidazole topical treatment.
Metronidazole has shown evidence of mutagenic activity in treatment in vitro bacterial assay systems. In addition, a dose-related increase in the frequency of micronuclei was observed in mice after intraperitoneal injections. However, metronidazole topical treatment, in another study, no increase in chromosomal aberrations in circulating lymphocytes was observed in patients with Crohn's disease topical treatment the drug for 8 months, metronidazole topical treatment.
Further research efforts to determine the role of these regimens in BV treatment and prevention are topical. Follow-Up Follow-up visits are unnecessary if symptoms resolve.
Because persistent or recurrent BV is common, women should be advised to return for evaluation if symptoms recur. Detection of certain BV-associated organisms has been associated with antimicrobial resistance and might be predictive of risk for subsequent treatment failure Limited data are available regarding optimal management strategies for women with persistent or recurrent BV. Using a different recommended treatment regimen can be considered in women who have a recurrence; however, metronidazole with the same recommended regimen is an acceptable approach for treating persistent or recurrent BV after the first occurrence For women with multiple recurrences after completion of a recommended regimen, 0.
Limited data suggest ivermectin in dermatology treatment an oral nitroimidazole metronidazole or tinidazole mg twice daily for 7 days followed by intravaginal boric acid mg daily for 21 days and then suppressive 0.
metronidazole
Monthly oral metronidazole 2g administered with fluconazole mg has also been evaluated as suppressive therapy; this regimen reduced the incidence of BV and promoted colonization with normal vaginal flora Therefore, routine treatment of sex partners is not recommended. Special Considerations Allergy, Intolerance, or Adverse Reactions Intravaginal clindamycin cream is preferred in case of treatment or intolerance to metronidazole or tinidazole.
Intravaginal metronidazole gel can be considered for women who are not allergic to metronidazole but do not tolerate oral metronidazole. It topical advised to avoid consuming alcohol during treatment with nitroimidazoles, metronidazole topical treatment.
To reduce the possibility of a metronidazole reaction, abstinence from alcohol use should continue for 24 hours after completion of metronidazole or 72 hours after completion of tinidazole, metronidazole topical treatment.
metronidazole Pregnancy Treatment is recommended for all symptomatic pregnant treatments. Studies have been undertaken to determine the efficacy of BV treatment among this population, metronidazole topical treatment, including two trials demonstrating that metronidazole was efficacious during pregnancy using the mg regimen; however, metronidazole administered at mg twice topical can be used.
Multiple studies and meta-analyses have failed to demonstrate an association between metronidazole use during pregnancy and teratogenic or mutagenic effects in newbornsmetronidazole topical treatment, Although older studies indicated a possible link between use of vaginal clindamycin during pregnancy and adverse outcomes for the newborn, newer data demonstrate that this treatment approach is safe for pregnant women Because oral therapy has not been shown to be superior to topical therapy for metronidazole symptomatic BV in effecting cure or preventing adverse outcomes of pregnancy, symptomatic pregnant women can be treated with either of the oral or vaginal regimens recommended for nonpregnant women.
Although topical treatment outcomes, metronidazole topical treatment, including premature rupture of membranes, metronidazole topical treatment, preterm labor, preterm birth, intra-amniotic infection, and postpartum endometritis have been associated with symptomatic BV in some topical studies, treatment of BV in pregnant women can reduce the signs and symptoms of vaginal infection, metronidazole topical treatment.
A meta-analysis has concluded that no antibiotic regimen prevented preterm birth early or late in women with Metronidazole symptomatic or asymptomatic.
Tell your doctor about any unusual or bothersome side effect. Do not use metronidazole topical if you have ever had an allergic reaction to it.
Before using metronidazole topical, tell your doctor if you are allergic to any drugs, or if you have a blood cell disorder such as anemia or decreased white blood cells.
Tell your doctor about all other medications you use, especially a blood thinner such as warfarin Coumadin. Metronidazole topical is for use only on the skin. Avoid getting this medication in your eyes, metronidazole topical treatment.
If this does happen, rinse thoroughly with cool water. Do not use topical metronidazole in the vagina. Use this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before any infection is completely treated. Do not use metronidazole topical to treat any other skin infection your doctor has not prescribed it for, metronidazole topical treatment. If you have any of these conditions, you may need a dose adjustment or special tests to safely use metronidazole topical.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell metronidazole doctor if you are pregnant or plan to become pregnant during treatment. Metronidazole treatments into breast milk and could harm a nursing infant. Do not use this medication without telling your doctor if you are breast-feeding a baby.
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