{"id":52628,"date":"2023-09-20T09:35:48","date_gmt":"2023-09-20T09:35:48","guid":{"rendered":"https:\/\/medsname.com\/metrogyl\/"},"modified":"2026-04-30T10:18:10","modified_gmt":"2026-04-30T10:18:10","slug":"metrogyl","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/metrogyl\/","title":{"rendered":"Metrogyl"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fffbe6;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0 22px;border-radius:6px;font-size:15px;line-height:1.55;\">\n<h3 style=\"margin:0 0 6px;font-size:17px;color:#8a6d3b;\">\u26a1 Quick Answer \u2014 What is Metrogyl?<\/h3>\n<p style=\"margin:0;\">Metrogyl is a <strong>metronidazole tablet (200 mg \/ 400 mg, Unique Pharma)<\/strong> \u2014 a nitroimidazole antibiotic and antiprotozoal. Used for bacterial vaginosis, trichomoniasis, anaerobic infections (intra-abdominal, dental abscess), C. difficile colitis, amoebiasis, and giardiasis. Avoid all alcohol during the course and for 48 hours after \u2014 disulfiram-like reaction.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03b1\u03b3\u03bf\u03c1\u03ac\u03c3\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase;<\/strong> \u03a0\u03c1\u03bf\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ad\u03bd\u03b1\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 <a href=\"\/el\/reviews\/\" rel=\"noopener\">1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 \u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<h2 id=\"mechanism\">How Metrogyl works<\/h2>\n<p>Metrogyl contains <strong>Metronidazole<\/strong>, a 5-nitroimidazole that is reduced inside anaerobic organisms to short-lived radicals which damage bacterial DNA, RNA, and proteins, killing the cell. Nitroimidazoles are bactericidal against obligate anaerobes (Bacteroides fragilis, Clostridium spp., Fusobacterium, Prevotella, Peptostreptococcus) and protozoa (Giardia lamblia, Entamoeba histolytica, Trichomonas vaginalis). They are inactive against aerobes \u2014 combination with a Gram-negative agent (cipro \/ ceftriaxone) is needed for mixed aerobic-anaerobic infection.<\/p>\n<h2 id=\"indications\">Indications &amp; dosing<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:14px;\">\n<caption style=\"text-align:left;font-weight:bold;margin-bottom:6px;\">Adult dosing<\/caption>\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u0394\u03cc\u03c3\u03b7<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u0394\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Bacterial vaginosis<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">400\u2013500 mg twice daily OR 2 g single dose<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5\u20137 days<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Trichomoniasis<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg twice daily OR 2 g single dose<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5\u20137 days<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Helicobacter pylori (triple therapy)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">400 mg three times daily<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">14 days<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Anaerobic intra-abdominal infection (with cipro \/ ceftriaxone)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg three times daily<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5\u201314 days<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Pseudomembranous (C. difficile) colitis \u2014 non-severe<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">400 mg three times daily<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">10\u201314 days<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Amoebiasis (intestinal) \/ liver abscess<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">750 mg three times daily<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">7\u201310 days<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Giardiasis<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">2 g single dose \u00d7 3 days OR 400 mg three times daily for 5 days<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">3\u20135 days<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Dental abscess<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">400 mg three times daily<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5 days<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\"><strong style=\"color:#a94442;\">\u26a0 Disulfiram-like reaction with alcohol<\/strong><\/p>\n<div style=\"margin-top:6px;font-size:14px;line-height:1.55;\">\n<p style=\"margin:0;\">Metronidazole and tinidazole inhibit acetaldehyde dehydrogenase. Drinking alcohol during therapy or within 48\u201372 hours of stopping can produce flushing, severe nausea, vomiting, palpitations, shortness of breath and headache. Avoid all alcohol \u2014 including alcohol-containing mouthwash, cough syrups, and topical preparations \u2014 during the course and for 48 hours after.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"side-effects\">\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2<\/h2>\n<ul>\n<li><strong>\u0393\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc:<\/strong> metallic taste (very common \u2014 almost all patients), nausea, anorexia, dyspepsia.<\/li>\n<li><strong>CNS:<\/strong> headache, dizziness, ataxia. <em>Cerebellar dysfunction<\/em> reported with prolonged or high-dose use \u2014 discontinue if movement \/ balance problems.<\/li>\n<li><strong>Peripheral neuropathy:<\/strong> typically with cumulative dosing &gt; 50 g (long courses, repeat exposure). Discontinue at first symptom \u2014 recovery may be incomplete.<\/li>\n<li><strong>Dark \/ red-brown urine:<\/strong> harmless metabolite; reverses on stopping.<\/li>\n<li><strong>Disulfiram-like reaction with alcohol<\/strong> (see warning above).<\/li>\n<li><strong>Encephalopathy:<\/strong> rare; presents as confusion, ataxia, seizures.<\/li>\n<li><strong>Pancreatitis:<\/strong> rare.<\/li>\n<li><strong>\u0391\u03bb\u03bb\u03b5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03c4\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2:<\/strong> rash, urticaria; very rarely Stevens-Johnson.<\/li>\n<\/ul>\n<h2 id=\"contraindications\">\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>First trimester of pregnancy (relative); use cautiously throughout pregnancy.<\/li>\n<li>Active alcohol use within 48 hours of dose.<\/li>\n<li>Severe hepatic impairment (dose reduction needed).<\/li>\n<li>Active CNS disease (relative).<\/li>\n<\/ul>\n<h2 id=\"interactions\">\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:14px;\">\n<caption style=\"text-align:left;font-weight:bold;margin-bottom:6px;\">Selected interactions<\/caption>\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">Action<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">\u0391\u03bb\u03ba\u03bf\u03cc\u03bb<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Disulfiram-like reaction<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Avoid all alcohol during course and 48 h after<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">\u0392\u03b1\u03c1\u03c6\u03b1\u03c1\u03af\u03bd\u03b7<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Marked INR rise (CYP2C9 inhibition)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Check INR within 3 days; reduce warfarin dose or switch<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">\u039b\u03b9\u03b8\u03b9\u03bf<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Raises lithium levels \u2014 toxicity risk<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Monitor lithium level<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Phenytoin \/ phenobarbital<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Reduce metronidazole levels<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">May need higher antibiotic dose<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Cyclosporine \/ tacrolimus<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Levels rise<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Monitor levels<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Disulfiram<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Acute psychosis reported<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Absolute contraindication if disulfiram in last 2 weeks<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">5-fluorouracil<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Toxicity rises<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Avoid combination<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"pregnancy\">Pregnancy &amp; Breastfeeding<\/h3>\n<p>Metronidazole is FDA category B and considered <strong>safe in second and third trimesters<\/strong>; first-trimester use is acceptable when bacterial vaginosis or trichomoniasis treatment is clinically necessary, but some guidelines prefer to defer treatment until after the first trimester. Tinidazole is FDA category C with less safety data \u2014 avoid in the first trimester. Both transfer to breast milk; many guidelines recommend interrupting breastfeeding for 12\u201324 hours after a single 2 g dose.<\/p>\n<h3 id=\"storage\">\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h3>\n<p>Store below 25 \u00b0C, away from direct sunlight and moisture. Keep in original packaging. Keep out of reach of children. Discard any unused tablets after the printed expiry date \u2014 degraded antibiotics can lose potency or release breakdown products.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\"><strong style=\"color:#a94442;\">\u26a0 Antibiotic resistance \u2014 please use responsibly<\/strong><\/p>\n<div style=\"margin-top:6px;font-size:14px;line-height:1.55;\">\n<p style=\"margin:0;\">This medicine is only effective against bacterial infections. Do not use it for viral illnesses (common cold, most sore throats, flu, COVID-19), do not stop early when you feel better, and do not save leftovers for future infections. Misuse drives drug-resistant bacteria like MRSA, ESBL, and CRE \u2014 the WHO ranks antimicrobial resistance among the top 10 global public-health threats.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3>Can I drink alcohol with Metrogyl?<\/h3>\n<p>No \u2014 and not for at least 48 hours after the last dose. The disulfiram-like reaction (flushing, severe nausea, palpitations) can be very uncomfortable.<\/p>\n<h3>Why is my urine dark \/ brownish?<\/h3>\n<p>A harmless metronidazole metabolite. It does not signal kidney damage and reverses within a day or two of stopping.<\/p>\n<h3>How quickly will it work for trichomoniasis?<\/h3>\n<p>A single 2 g dose is curative in &gt; 90% of women. Symptoms typically resolve over 3\u20135 days. Treat all sexual partners simultaneously to prevent re-infection.<\/p>\n<h3>Should I take it with food?<\/h3>\n<p>Yes \u2014 taking with food substantially reduces GI side effects (nausea, metallic taste). Absorption is unaffected.<\/p>\n<h3>\u03a4\u03b9 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd \u03c7\u03ac\u03c3\u03c9 \u03bc\u03b9\u03b1 \u03b4\u03cc\u03c3\u03b7;<\/h3>\n<p>Take it as soon as you remember. If close to the next scheduled dose, skip and resume. Do not double up \u2014 single missed doses rarely affect outcomes.<\/p>\n<h3>Why does it cause a metallic taste?<\/h3>\n<p>A direct effect of nitroimidazole metabolites on taste-bud receptors. Reverses within a few days of stopping. Sucking on hard candy or flavoured mints during the course can mask it.<\/p>\n<h3>Can I use Metrogyl for a UTI?<\/h3>\n<p>No \u2014 nitroimidazoles are inactive against aerobic Gram-negative rods like E. coli, the main cause of UTI. Use nitrofurantoin \/ TMP-SMX \/ cephalosporin \/ fosfomycin \/ fluoroquinolone instead.<\/p>\n<h3>Will it interact with my contraceptive pill?<\/h3>\n<p>Modern evidence does not show a clinically meaningful reduction. Continue your usual schedule \u2014 but use additional protection if you experience vomiting or diarrhoea.<\/p>\n<h3>I am pregnant \u2014 can I take Metrogyl?<\/h3>\n<p>Metronidazole is considered safe in second and third trimesters; cautious use in the first trimester is acceptable when treatment is clinically needed. Tinidazole has less safety data and is usually avoided in the first trimester.<\/p>\n<h3>Will I need a probiotic?<\/h3>\n<p>Optional \u2014 Saccharomyces boulardii or a multi-strain Lactobacillus product taken several hours apart from the antibiotic may reduce diarrhoea risk. Stop if any GI symptoms.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Other Antibiotics &amp; Anti-Infective Medications<\/h2>\n<ul>\n<li><a href=\"\/el\/metrogyl\/\">Metrogyl (Metronidazole) \u2014 anaerobic \/ protozoal infections<\/a><\/li>\n<li><a href=\"\/el\/tiniba\/\">Tiniba (Tinidazole) \u2014 single-dose alternative for trichomonas \/ amoebiasis<\/a><\/li>\n<li><a href=\"\/el\/cifran\/\">Cifran (Ciprofloxacin) \u2014 combination partner for IBD \/ abdominal sepsis<\/a><\/li>\n<li><a href=\"\/el\/augmentin\/\">Augmentin (Amoxicillin + Clavulanic acid) \u2014 broad-spectrum partner<\/a><\/li>\n<li><a href=\"\/el\/doxt\/\">Doxt (Doxycycline) \u2014 alternative for some STIs<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:22px 0 0;border-radius:6px;font-size:13px;color:#555;\"><strong>\u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u0391\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u0395\u03c5\u03b8\u03c5\u03bd\u03ce\u03bd:<\/strong> The information on this page is provided for educational purposes and does not replace a consultation with a qualified clinician. Antibiotic resistance is a serious global health issue \u2014 use antibiotics only for confirmed bacterial infections, complete the full prescribed course, and never share or save leftover doses. Always check for personal allergies, drug interactions, and dose adjustments before starting therapy.<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Treats bacterial infections<br \/>\n\u2705 Reduces inflammation<br \/>\n\u2705 Heals dental abscesses<br \/>\n\u2705 Prevents post-surgery infections<br \/>\n\u2705 Effective against parasites<\/p>","protected":false},"featured_media":52629,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3342],"product_tag":[],"class_list":{"0":"post-52628","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-general-health","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/52628","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=52628"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/52629"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=52628"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=52628"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=52628"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=52628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}