Product image of Metronidazol Fresenius (Metronidazole) supplied by GNH India

Metronidazol Fresenius

Active Ingredient:
Metronidazole
Origin:
EU

Metronidazol Fresenius (Metronidazole)

Metronidazole, the active ingredient in Metronidazol Fresenius, is a nitroimidazole antibiotic presented as an injection for intravenous use. It treats anaerobic bacterial infections and certain protozoal diseases in adults and children as prescribed, and is indicated for a range of infections caused by susceptible anaerobic bacteria and protozoa.

GNH India supplies Metronidazol Fresenius as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, ensuring quality‑assured products and reliable logistics across regulated markets throughout the globe.

Manufacturer / TM Owner

Fresenius Kabi D.O.O.

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Indications & Clinical Uses

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

  • Bacterial vaginosis: restores normal vaginal flora by eliminating anaerobic bacteria.
  • Trichomoniasis: eradicates Trichomonas vaginalis, relieving symptoms and preventing transmission.
  • Amoebiasis: clears intestinal Entamoeba histolytica infection, reducing dysentery and liver abscess risk.
  • Anaerobic bacterial infections: controls intra‑abdominal, pelvic, skin and soft‑tissue infections caused by susceptible anaerobes.
  • Clostridioides difficile infection: reduces toxin‑producing C. difficile overgrowth in selected cases.

How It Works

  • Metronidazole enters susceptible microorganisms by passive diffusion. Inside the cell, its nitro group is reduced by ferredoxin‑type proteins to generate reactive nitro radical anions. These radicals damage DNA, inhibit nucleic acid synthesis and disrupt essential metabolic pathways, leading to bacterial and protozoal cell death.

Side Effects

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

Common Side Effects

  • Nausea: mild stomach upset.
  • Metallic taste: transient metallic sensation.
  • Headache: mild headache.
  • Diarrhea: loose stools.

Serious or Rare Side Effects

  • Seizures: convulsions, especially with high doses.
  • Peripheral neuropathy: tingling or numbness in extremities.
  • Stevens‑Johnson syndrome: severe skin blistering and mucosal involvement.
  • Anaphylaxis: acute allergic reaction with respiratory distress.

Precautions & Warnings

Metronidazol Fresenius should be used with careful clinical assessment and monitoring.

  • Renal impairment: adjust dose or monitor plasma levels in patients with reduced kidney function.
  • Hepatic disease: use with caution in liver dysfunction, monitor liver enzymes.
  • Alcohol consumption: avoid alcohol during and for at least 48 hours after therapy to prevent disulfiram‑like reaction.
  • Pregnancy: category B; generally considered safe but use only if benefits outweigh risks.
  • Concomitant CNS depressants: monitor for enhanced central nervous system effects.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Metronidazol Fresenius can interact with several medicines; clinicians should review patient medication lists.

Major Interactions (Avoid)

  • Alcohol: may cause severe flushing, tachycardia, nausea, and vomiting.
  • Warfarin: potentiates anticoagulant effect, increasing bleeding risk.
  • Lithium: may increase lithium levels, leading to toxicity.

Moderate Interactions (Monitor Closely)

  • Cimetidine: can raise metronidazole plasma concentrations.
  • Phenytoin: may reduce metronidazole efficacy.
  • Rifampicin: may decrease metronidazole levels.

Frequently Asked Questions

Metronidazol Fresenius is an intravenous formulation of metronidazole indicated for the treatment of bacterial vaginosis, trichomoniasis, amoebiasis, a variety of anaerobic bacterial infections, and selected cases of Clostridioides difficile infection. It targets susceptible microorganisms that thrive in low‑oxygen environments.

Metronidazole penetrates susceptible microbes and is reduced by intracellular redox proteins to form nitro radical anions. These reactive species damage microbial DNA and inhibit nucleic acid synthesis, ultimately leading to cell death of anaerobic bacteria and certain protozoa.

The specific dose and infusion rate are determined by the prescribing clinician based on the infection type, severity, patient weight, renal and hepatic function, and local treatment guidelines. Healthcare professionals should follow the product label and institutional protocols.

Metronidazole is classified as Pregnancy Category B, indicating that animal studies have not shown risk and there are no adequate human studies. It may be used during pregnancy when the potential benefit justifies the risk. Limited data are available for breastfeeding; clinicians should weigh benefits against possible exposure to the infant.

To place an order, submit an enquiry on the product page at gnhindia.com, providing the required quantity and your institutional credentials. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional verification before responding with pricing, availability, shipping details (including cold‑chain logistics if needed), and import documentation.

Metronidazol Fresenius shares the same class mechanism as tinidazole and ornidazole but differs in pharmacokinetic profile. Metronidazole has a well‑established safety record, a shorter half‑life requiring more frequent dosing, and broader clinical experience for severe anaerobic infections, whereas tinidazole offers a longer half‑life and may be preferred for oral regimens.

The product must be stored at 2‑8 °C in a refrigerator, protected from light. It should not be frozen or shaken. Prior to use, inspect the vial for particulate matter and ensure the solution is clear. Follow aseptic technique when preparing the intravenous infusion.

Metronidazol Fresenius is given by intravenous infusion. The vial is typically diluted with an appropriate compatible IV fluid (e.g., 5% dextrose or normal saline) and infused over 30‑60 minutes, depending on the prescribed dose and patient tolerance. Administration should be performed by qualified healthcare personnel under sterile conditions.

Serious adverse reactions include seizures, peripheral neuropathy, severe cutaneous adverse reactions such as Stevens‑Johnson syndrome, and anaphylaxis. Patients should be monitored for neurological symptoms, skin changes, and signs of allergic reaction, especially during high‑dose or prolonged therapy.

Metronidazol Fresenius is contraindicated in individuals with a known hypersensitivity to metronidazole or any nitroimidazole component. Caution is advised in patients with severe hepatic impairment, severe renal dysfunction, or those receiving concomitant alcohol, as a disulfiram‑like reaction may occur.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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