Product image of Metran (Metronidazole) supplied by GNH India

Metran

Active Ingredient:
Metronidazole
Origin:
EU

Metran (Metronidazole)

Metronidazole, the active ingredient in Metran, is a nitroimidazole antibiotic presented as an oral dosage form for systemic use. It is employed to treat infections caused by susceptible anaerobic bacteria and certain protozoa in both adult and pediatric patients. The medication is indicated for conditions such as bacterial vaginosis, trichomoniasis, amoebiasis, giardiasis, and a range of anaerobic bacterial infections, providing targeted antimicrobial activity.

GNH India supplies Metran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and other healthcare providers worldwide.

Manufacturer / TM Owner

Esteve Pharmaceuticals Ltd

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Indications & Clinical Uses

Metronidazole is used to treat infections caused by anaerobic bacteria and certain protozoa.

  • Bacterial vaginosis: eradicates the causative anaerobic bacteria and restores normal vaginal flora.
  • Trichomoniasis: eliminates Trichomonas vaginalis, relieving symptoms and preventing recurrence.
  • Amoebiasis: destroys Entamoeba histolytica trophozoites in intestinal and extra‑intestinal disease.
  • Giardiasis: clears Giardia lamblia infection, reducing diarrhoea and abdominal discomfort.
  • Anaerobic bacterial infections: targets susceptible anaerobes in intra‑abdominal, pelvic and skin‑soft tissue infections.

How It Works

  • Metronidazole diffuses into susceptible microorganisms and is reduced by intracellular ferredoxin proteins to form nitro radical anions. These reactive intermediates bind to DNA, causing strand breakage and loss of helical stability, and also inhibit protein synthesis. The resulting DNA damage and metabolic disruption lead to cell death in anaerobic bacteria and protozoa, while aerobic cells are largely unaffected due to efficient oxidation of the drug.

Side Effects

Metronidazole may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Nausea
  • Metallic taste
  • Headache
  • Diarrhoea

Serious or Rare Side Effects

  • Seizures
  • Peripheral neuropathy
  • Severe allergic reactions, including Stevens‑Johnson syndrome

Precautions & Warnings

When prescribing metronidazole, clinicians should consider several precautionary measures to ensure safe use.

  • Renal impairment: assess renal function and adjust dose if necessary.
  • Hepatic disease: use with caution in patients with liver dysfunction.
  • Alcohol consumption: avoid alcohol during treatment and for at least 48 hours after completion.
  • Pregnancy: evaluate risk‑benefit ratio before use in pregnant women.
  • Concomitant anticoagulants: monitor for increased bleeding tendency.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Metronidazole can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Alcohol: may cause a disulfiram‑like reaction with flushing, nausea and vomiting.
  • Warfarin: can potentiate anticoagulant effect and increase bleeding risk.
  • Lithium: may raise lithium serum concentrations, leading to toxicity.

Moderate Interactions (Monitor Closely)

  • Phenytoin: may reduce metronidazole plasma levels, decreasing effectiveness.
  • Cimetidine: can increase metronidazole concentrations, heightening side‑effect potential.
  • Phenobarbital: may enhance metabolism of metronidazole, lowering its therapeutic levels.

Frequently Asked Questions

Metran contains metronidazole and is prescribed to treat infections caused by anaerobic bacteria and certain protozoa. It is commonly used for bacterial vaginosis, trichomoniasis, amoebiasis, giardiasis, and a variety of anaerobic bacterial infections such as intra‑abdominal or pelvic infections.

Metronidazole enters susceptible microorganisms and is reduced to nitro radical anions by bacterial ferredoxin proteins. These reactive species damage DNA and inhibit protein synthesis, leading to cell death in anaerobic bacteria and protozoa while sparing aerobic cells.

The appropriate dose of metronidazole is determined by the prescribing healthcare professional based on the specific infection, patient age, weight, renal and hepatic function, and other clinical factors. Patients should follow the prescriber’s instructions and the product label.

Safety of metronidazole during pregnancy or lactation depends on the trimester and clinical necessity. Healthcare providers weigh potential benefits against risks, and the drug may be used when clearly needed. Breastfeeding mothers should consult their physician, as small amounts can be excreted in milk.

To order Metran, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details and any required import documentation.

Metronidazole is a first‑line nitroimidazole for many anaerobic and protozoal infections. Compared with alternatives such as tinidazole, it has a similar spectrum but a shorter half‑life, often requiring multiple daily doses. Choice of therapy depends on infection type, patient tolerance, drug interactions and local resistance patterns.

Metran should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Metran is administered orally, usually as tablets or a liquid suspension, and should be taken with or without food as directed by the prescriber. The full course should be completed even if symptoms improve, to ensure eradication of the infection.

Serious adverse events include seizures, peripheral neuropathy, severe allergic reactions such as Stevens‑Johnson syndrome, and hepatic toxicity. Patients should seek immediate medical attention if they experience neurological symptoms, rash, or signs of liver dysfunction while on therapy.

Metronidazole is contraindicated in individuals with a known hypersensitivity to the drug or other nitroimidazoles. Caution is advised for patients with severe hepatic impairment, and it should be avoided in those who cannot abstain from alcohol during and shortly after treatment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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