Micogyl 200 mg/5 ml (Oral Suspension)

60 ml bottle: ৳ 35.00

Medicine Details

Title

Micogyl 200 mg/5 ml Suspension

Categories

  • Medicine
  • Pharmaceuticals
  • Antibiotic
  • Antiprotozoal
  • Amoebicide
  • Anti-diarrheal

Description

Micogyl 200 mg/5 ml Suspension is an antibiotic medication that prevents the growth of bacteria and parasites. It is used for the treatment and prevention of viral, parasitic, and bacterial infections.

DosageAndAdministration

  • TabletAndSuspension:
    • Trichomoniasis (Adults & Children over 10 yrs): 200 mg tid or 400 mg bid for 7 days
    • Intestinal Amoebiasis (Adults & Children over 10 yrs): 800 mg tid for 5 days
    • Giardiasis (Adults & Children over 10 yrs): 2 gm once daily for 3 days
    • Vaginal Gel: One applicator full intravaginally once or twice a day for 5 days
    • Suppository (Anaerobic Infections): Adults: 1 g every 8 hours for 3 days, then 1 g every 12 hours
  • IVInfusion:
    • Adults and children over 12 years: Infuse 500 mg 8 hourly at a rate of 5 ml/minute, maximum of 4 g should not be exceeded during a 24-hour period

Indications

  • Prevention of post-operative infections due to anaerobic bacteria
  • Treatment of trichomoniasis, bacterial vaginosis, amoebiasis, giardiasis, acute ulcerative gingivitis, anaerobically infected leg ulcers
  • Bacteraemia, peritonitis, brain abscess, pelvic cellulitis, post-operative wound infections

Pharmacology

Metronidazole is a member of the imidazole class of antibacterial drugs, classified therapeutically as an antiprotozoal agent. The 5-nitro group of Metronidazole is reduced by anaerobes metabolically, and the reduced form interacts with DNA, giving bactericidal action.

Interaction

  • Disulfiram: May cause psychotic reactions when used concurrently
  • Alcohol: Consumption during therapy and for at least one day afterwards may cause a disulfiram-like reaction
  • Lithium: Plasma levels may be increased by Metronidazole
  • Cyclosporin: Serum levels and serum creatinine should be closely monitored when co-administration is necessary

Contraindications

Metronidazole is contraindicated in patients with a history of hypersensitivity to Metronidazole or other Nitroimidazole derivatives.

SideEffects

  • Metallic taste
  • Nausea
  • Vomiting
  • Diarrhoea
  • Drowsiness
  • Rashes

PregnancyAndLactation

  • Category: US FDA Pregnancy Category B
  • Guidance: Should be used during pregnancy only if clearly needed, caution should be exercised when administered to a nursing woman

PrecautionsAndWarnings

  • Hematological tests should be carried out regularly if administered longer than recommended duration
  • Administer with caution to patients with hepatic encephalopathy
  • Patients should be warned that Metronidazole may darken urine

UseInSpecialPopulations

  • HepaticImpairment: Metronidazole should be administered with caution to patients with hepatic encephalopathy, daily dosage should be reduced and may be administered once daily
  • RenalImpairment: The elimination half-life remains unchanged, no routine adjustment in dosage need to be made

OverdoseEffects

Symptoms of overdose include vomiting, ataxia, slight disorientation; no specific antidote, symptomatic and supportive treatment should be instituted

TherapeuticClass

Amoebicides, Anti-diarrhoeal, Antiprotozoal

StorageConditions

Store below 30°C, keep protected from light, keep out of the reach of children

CommonQuestions

  • Uses: Treatment and prevention from viral and parasitic infections, bacterial infections such as cold, cough, flu, vaginal infections, liver, skin, joints, brain, respiratory tract infections
  • SideEffects:
    • Diarrhoea
    • Headache
    • Weakness
    • Painful urination
    • Trouble sleeping

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