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Generic Metronidazole Information
Introduction
Metronidazole is an antibacterial and antiprotozoal agent widely used in the United Kingdom for the treatment of anaerobic bacterial infections and certain parasitic diseases. It belongs to the broader medication group of antibiotics and antibacterial drugs. The active compound, Metronidazole, is supplied by many reputable manufacturers; the most recognised brand name is Flagyl. In clinical practice, Metronidazole is valued for its rapid bactericidal effect against organisms that thrive in low‑oxygen environments, making it a cornerstone therapy for conditions such as bacterial vaginosis, dento‑alveolar infections and giardiasis.
What is Metronidazole?
Metronidazole is a synthetic nitro‑imidazole compound first introduced in the 195s. It is classified as an antibiotic/antibacterial and antiprotozoal drug. The original brand‑name product, Flagyl, was developed by Roche.
Metronidazole is the generic version of Flagyl, containing the same active compound Metronidazole. Our online pharmacy provides this generic alternative as a cost‑effective treatment option.
Manufacture of the generic drug is carried out by several GMP‑certified facilities across Europe and Asia, all adhering to the European Medicines Agency (EMA) standards for quality, safety and efficacy.
How Metronidazole Works
Metronidazole exerts its antimicrobial activity after entering the microbial cell by passive diffusion. Inside anaerobic organisms, the nitro group of Metronidazole is reduced by ferredoxin‑type enzymes to generate reactive nitro‑radical intermediates. These radicals interact with DNA, proteins and bacterial membranes, causing strand breakage and loss of structural integrity. The result is irreversible damage that leads to cell death.
Key pharmacokinetic points:
- Onset of action: Clinical effect typically appears within 24–48 hours of the first dose.
- Distribution: The drug penetrates well into tissues with low oxygen tension, including the gastrointestinal tract, central nervous system and genital mucosa.
- Elimination: Approximately 60–80 % of an oral dose is excreted unchanged in the urine; the half‑life averages 6–8 hours in healthy adults, allowing twice‑daily dosing for most indications.
Conditions Treated with Metronidazole
Metronidazole is approved for a range of infections that involve anaerobic bacteria or susceptible protozoa. In the UK, the most common indications include:
- Bacterial Vaginosis – caused by Gardnerella vaginalis and related anaerobes; Metronidazole restores normal vaginal flora.
- Trichomoniasis – infection with Trichomonas vaginalis; a single dose regimen is highly effective.
- Giardiasis – intestinal protozoal infection (Giardia lamblia); eradicates trophozoites and cysts.
- Amoebic Dysentery – caused by Entamoeba histolytica; prevents invasive disease.
- Clostridioides difficile‑Associated Diarrhea (mild‑to‑moderate) – Metronidazole remains an alternative when first‑line agents are unsuitable.
- Dental and Oral Infections – including acute necrotising ulcerative gingivitis and periapical abscesses where anaerobes dominate.
- Skin and Soft‑Tissue Infections – such as cellulitis or infected ulcers with anaerobic components.
- Intra‑abdominal Infections – e.g., perforated appendicitis, peritonitis and pelvic inflammatory disease where mixed aerobic/anaerobic flora are present.
Epidemiologically, anaerobic infections account for roughly 15 % of all bacterial infections seen in UK hospitals, reinforcing the clinical relevance of Metronidazole as a first‑line therapeutic choice.
Who is Metronidazole For?
Metronidazole is suitable for adult patients who require treatment of infections caused by susceptible anaerobic bacteria or protozoa. Typical patient groups include:
- Women of reproductive age with bacterial vaginosis or trichomoniasis.
- Travelers returning from endemic regions with diarrhoeal illness suspected to be giardiasis or amoebiasis.
- Dental patients undergoing invasive procedures or presenting with acute periodontal infections.
- Individuals with chronic skin ulcers or pressure sores where anaerobic colonisation is documented.
- Patients with postoperative intra‑abdominal infections in whom anaerobic coverage is indicated.
Contra‑indications or cautionary scenarios:
- Pregnancy (first trimester) and lactation – Metronidazole crosses the placental barrier and is excreted in breast milk; use only when benefits outweigh risks.
- Severe hepatic impairment – reduced clearance may increase systemic exposure.
- Known hypersensitivity to nitro‑imidazole compounds – avoid exposure to prevent allergic reactions.
Risks, Side Effects, and Interactions
Common
- Nausea, vomiting, abdominal discomfort
- Metallic taste or altered taste perception
- Headache or dizziness
- Mild skin rash or pruritus
Rare
- Peripheral neuropathy (tingling, pins‑and‑needles) with prolonged therapy
- Pseudomembranous colitis (Clostridioides difficile overgrowth)
- Elevated liver enzymes (transaminases)
Serious
- Severe allergic reactions – anaphylaxis, angioedema, or Stevens‑Johnson syndrome
- Seizures – particularly in patients with pre‑existing neurological disease or high plasma concentrations
- Blood dyscrasias – agranulocytosis, leukopenia, or thrombocytopenia
Clinically Relevant Drug–Drug Interactions
- Alcohol – concurrent intake may produce a disulfiram‑like reaction (flushing, tachycardia, hypotension).
- Warfarin – Metronidazole can potentiate anticoagulant effect; INR monitoring is advised.
- Lithium – may increase serum lithium levels; dose adjustment or close monitoring required.
- Cimetidine, oral contraceptives, and phenytoin – potential for altered metabolism; clinicians should assess need for dose modification.
Patients should always disclose over‑the‑counter products, herbal supplements and any chronic medications to their prescriber.
Practical Use: Dosing, Missed Dose, Overdose
Standard adult dosing (oral) – typical regimens:
- Bacterial vaginosis / Trichomoniasis: 2 g single dose or 500 mg twice daily for 7 days.
- Giardiasis / Amebiasis: 250 mg three times daily for 5‑10 days.
- Anaerobic intra‑abdominal infections: 500 mg IV every 8 hours, or 500 mg oral tablets every 6 hours.
Missed dose – take the forgotten dose as soon as remembered, unless the next scheduled dose is within 2 hours. In that case, skip the missed dose and continue the regular schedule. Do not double‑dose.
Overdose – symptoms may include nausea, vomiting, dizziness, and central nervous system depression. Seek urgent medical attention. Activated charcoal may be administered in a hospital setting; there is no specific antidote.
Precautions –
- Take tablets with a full glass of water; food does not significantly affect absorption but may reduce gastrointestinal upset.
- Avoid alcohol for at least 48 hours after the final dose.
- Patients with renal or hepatic impairment may require dose adjustment; clinicians will tailor regimens accordingly.
Buying Metronidazole from Our
Metronidazole can be purchased securely from our online pharmacy in the UK. Our service offers several advantages for patients who need reliable access to this essential antibiotic:
- Affordable pricing – generic Metronidazole is supplied at near‑manufacturer cost, reducing the financial burden compared with brand‑name alternatives.
- Verified quality – all stock is sourced from licensed, GMP‑certified overseas pharmacies that meet EMA standards for purity and potency.
- Guaranteed delivery – we provide discreet packaging with a choice of 7‑day express service for urgent need or standard airmail (approximately 3 weeks) for non‑urgent orders.
- Online‑only convenience – our pharmacy broker model works with international licensed suppliers, allowing you to obtain Metronidazole even when local pharmacies have limited stock.
We operate as a pharmacy‑broker service, respecting patient privacy through confidential handling of personal information and discreet shipping. This model enables us to bridge gaps in the UK supply chain, offering a safe, cost‑effective route to obtain Metronidazole for those with limited access through traditional channels.
FAQ
-
Is Metronidazole available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name product is Flagyl, produced by Roche, while numerous generic manufacturers sell the same active compound, Metronidazole, at lower cost. -
Does Metronidazole require refrigeration?
No. Metronidazole tablets and capsules should be stored at room temperature, protected from moisture and direct sunlight. Refrigeration is unnecessary and may affect tablet integrity. -
What does a Metronidazole tablet look like?
Generic tablets are typically white to off‑white, round or oval, and may be film‑coated. In the UK, the common 500 mg strength is often marked with “500” on one side and may include a faint imprint indicating the manufacturer. -
Can Metronidazole be taken while travelling abroad?
Yes, provided you carry a valid prescription or documented medical need. Keep the medication in its original packaging, store it at room temperature, and be aware of customs limits for personal import into the UK (usually up to a three‑month supply). -
Are there any regional formulation differences for Metronidazole?
Minor variations can exist in inactive ingredients such as fillers or dyes, depending on the country of manufacture. These differences do not alter the therapeutic effect but may be relevant for patients with specific excipient allergies. -
Is it safe to use Metronidazole during a gluten‑free diet?
Most Metronidazole tablets contain no gluten‑containing ingredients. However, individuals with severe celiac disease should verify the excipient list on the packaging or consult the supplier’s product information sheet. -
How does Metronidazole appear on drug‑testing panels?
Metronidazole is not a prohibited substance in standard workplace or sports drug tests. It is not screened for in typical occupational drug‑testing programmes. -
Can Metronidazole affect hormonal contraceptive efficacy?
Current evidence suggests Metronidazole does not significantly reduce the effectiveness of combined oral contraceptives. Nonetheless, using a backup non‑hormonal method during treatment is a prudent precaution. -
What historical milestone led to the discovery of Metronidazole?
Metronidazole was first synthesised in 1955 by researchers at the Swiss pharmaceutical company Hoffman‑La Roche as part of a programme to find agents effective against anaerobic bacteria, leading to its approval for clinical use in 196. -
Why is Metronidazole often preferred over older agents like chloramphenicol for anaerobic infections?
Metronidazole offers a broader anaerobic spectrum, superior tissue penetration, and a more favourable safety profile. Chloramphenicol is associated with rare but serious bone‑marrow toxicity, whereas Metronidazole’s adverse events are generally less severe and more predictable.
Glossary
- Anaerobic bacteria
- Microorganisms that thrive in environments lacking oxygen; they are common causes of deep‑tissue and intra‑abdominal infections.
- Nitro‑imidazole
- A chemical class that includes Metronidazole; characterised by a nitro group attached to an imidazole ring, enabling reduction in low‑oxygen conditions and subsequent microbial killing.
- ‑life
- The time required for the plasma concentration of a drug to decrease by 50 %; for Metronidazole this is typically 6‑8 hours in healthy adults.
- Disulfiram‑like reaction
- An unpleasant physiological response (flushing, tachycardia, nausea) that occurs when certain drugs, such as Metronidazole, interact with alcohol, mimicking the effect of the drug disulfiram.
⚠️ Disclaimer
The information provided about Metronidazole is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Metronidazole for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.