Vigil 200 mg/5 ml (Oral Suspension)

60 ml bottle: ৳ 22.08

Medicine Details

Category Details
Generic Metronidazole
Company Salton pharmaceuticals ltd
Also available as

Indications

  • Prevention of post-operative infections due to anaerobic bacteria
  • Treatment of septicaemia, bacteraemia, peritonitis, brain abscess, pelvic abscess, pelvic cellulitis
  • Treatment of urogenital trichomoniasis
  • Treatment of bacterial vaginosis
  • Treatment of all forms of amoebiasis
  • Treatment of giardiasis
  • Treatment of acute ulcerative gingivitis
  • Treatment of anaerobically infected leg ulcers and pressure sores
  • Treatment of acute dental infections due to anaerobic organisms
  • Treatment of antibiotic associated pseudomembranus colitis

Pharmacology

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

Dosage & Administration

  • Tablet and Suspension:
    • Various dosages for trichomoniasis in adults and children
    • Dosages for intestinal amoebiasis in adults and children
    • Dosages for extra-intestinal & asymptomatic amoebiasis in adults and children
    • Dosages for giardiasis in adults and children
    • Dosages for acute ulcerative gingivitis in adults and children
    • Dosages for acute dental infections in adults and children
    • Dosages for bacterial vaginosis in adults and children
    • Dosages for leg ulcers and pressure sores in adults and children
    • Dosages for anaerobic infections in adults and children
    • Dosages for surgical prophylaxis in adults and children
  • Vaginal Gel: Recommended dosage is one applicator full intravaginally once or twice a day for 5 days
  • Suppository: Different dosages for anaerobic infections and surgical prophylaxis in adults and children
  • IV Infusion:
    • Adults and children over 12 years: Infuse 500 mg 8 hourly at a rate of 5 ml/minute, not to exceed 4 g in 24 hours
    • Children under 12 years: 7.5 mg/kg body weight/day every 8 hours at a rate of 5 ml/minute

Interaction

  • Disulfiram: May cause psychotic reactions when used concurrently with Vigil
  • Alcohol: Should not be consumed during therapy and for at least one day afterwards
  • Oral anticoagulant therapy: May potentiate the anticoagulant effect
  • Lithium: May increase plasma levels of lithium
  • Cyclosporin: Serum levels should be closely monitored when co-administered
  • Phenytoin or phenobarbital: May increase elimination of Vigil
  • 5-Fluorouracil: May reduce clearance of 5-fluorouracil
  • Busulfan: May increase plasma levels of busulfan

Contraindications

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

Side Effects

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

Pregnancy & Lactation

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

Precautions & Warnings

  • Regular hematological tests recommended for longer duration usage
  • Caution in patients with hepatic encephalopathy
  • May darken urine

Use in Special Populations

  • Hepatic impairment: Dosage should be reduced and administered with caution
  • Renal impairment: Dosage needs no reduction, metabolites are retained in patients

Overdose Effects

Symptomatic and supportive treatment recommended, no specific antidote available

Therapeutic Class

Amoebicides, Anti-diarrhoeal Antiprotozoal

Storage Conditions

Store below 30°C, keep protected from light, keep out of the reach of children, do not use after the date of expiry

Commonly Asked Questions

  • What is Vigil 200 mg/5 ml Suspension?: An antibiotic medication that prevents the growth of bacterias and parasites
  • What are the uses of Vigil 200 mg/5 ml Suspension?: Treatment and prevention from viral and parasitic infections, and bacterial infections such as cold, cough, flu, and vaginal infections
  • What are the side effects of Vigil 200 mg/5 ml Suspension?: Diarrhoea, headache, weakness, painful urination, trouble sleeping, numbness, muscle weakness, mouth ulcer
  • How long do I need to use Vigil 200 mg/5 ml Suspension before I see improvement of my conditions?: 1 or 2 days before improvement is seen
  • What are the contraindications to Vigil 200 mg/5 ml Suspension?: Should not be used in certain conditions such as hives, flushing, nasal congestion, dryness of the mouth, fever, etc.
  • Is Vigil 200 mg/5 ml Suspension safe to use when pregnant?: Not recommended for use in pregnant women unless absolutely necessary
  • Will Vigil 200 mg/5 ml Suspension be more effective if taken in more than the recommended dose?: No, may lead to increased chances of side effects

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