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

Metronidazole Fresenius

Active Ingredient:
Metronidazole
Origin:
EU

Metronidazole Fresenius (Metronidazole)

Metronidazole, the active ingredient in Metronidazole Fresenius, is a nitroimidazole antibiotic presented as an injection for intravenous use and approved in the European Union for adult patients. It treats anaerobic bacterial infections, bacterial vaginosis, trichomoniasis, intra‑abdominal infections and pelvic inflammatory disease.

GNH India supplies Metronidazole Fresenius as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies, and clinics worldwide while adhering to stringent quality standards and regulatory requirements. The company’s global logistics network ensures timely delivery across EU and other markets.

Manufacturer / TM Owner

Fresenius Kabi Polska Sp. Z O.O.

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Indications & Clinical Uses

  • Metronidazole is an antibacterial agent used to treat infections caused by anaerobic bacteria and certain protozoa.
  • Anaerobic bacterial infections: eradicates infection in low‑oxygen tissues.
  • Bacterial vaginosis: restores normal vaginal flora.
  • Trichomoniasis: eliminates Trichomonas vaginalis infection.
  • Intra‑abdominal infections: controls polymicrobial abdominal infections.
  • Pelvic inflammatory disease: treats PID caused by susceptible organisms.

How It Works

  • Metronidazole diffuses into susceptible microorganisms and is reduced by ferredoxin‑type proteins to reactive nitro radicals. These radicals damage DNA by causing strand breaks and inhibit nucleic acid synthesis, leading to cell death. The reduction process is selective for anaerobic bacteria and certain protozoa, sparing most aerobic cells.

Side Effects

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

Common Side Effects

  • Nausea: upset stomach and feeling sick.
  • Metallic taste: persistent metallic sensation in the mouth.
  • Headache: mild to moderate head pain.
  • Abdominal discomfort: cramping or pain in the abdomen.
  • Diarrhea: loose stools.
  • Dizziness: feeling light‑headed or unsteady.

Serious or Rare Side Effects

  • Seizures: convulsive episodes.
  • Peripheral neuropathy: tingling or numbness in extremities.
  • Severe allergic reactions: anaphylaxis or rash.
  • Stevens‑Johnson syndrome: severe skin blistering.
  • Hepatotoxicity: liver enzyme elevation.
  • Neutropenia: low white‑blood‑cell count.

Precautions & Warnings

  • Use of Metronidazole requires careful consideration of several safety factors.
  • Pregnancy: Category B – use only if benefits outweigh risks.
  • Liver disease: monitor hepatic function and adjust dose if needed.
  • Alcohol interaction: avoid alcohol during treatment and for 48 hours after completion.
  • Renal impairment: dose may need adjustment; monitor renal function.
  • Concurrent neurotoxic drugs: increased risk of neuropathy; observe closely.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • Alcohol: causes disulfiram‑like reaction.
  • Lithium: increased lithium toxicity.
  • Warfarin: enhanced anticoagulant effect.
  • CYP450 inducers (e.g., rifampin): reduced metronidazole levels.
  • CNS depressants: heightened neurotoxicity.

Moderate Interactions (Monitor Closely)

  • Cimetidine: may raise metronidazole concentrations.
  • Phenytoin: may lower metronidazole levels.
  • Carbamazepine: may reduce efficacy.
  • Protease inhibitors: altered metabolism.
  • Oral contraceptives: possible reduced effectiveness.

Frequently Asked Questions

Metronidazole Fresenius is indicated for the treatment of anaerobic bacterial infections, bacterial vaginosis, trichomoniasis, intra‑abdominal infections, and pelvic inflammatory disease. It is prescribed when the causative microorganisms are known to be susceptible to nitroimidazole antibiotics.

Metronidazole enters susceptible bacteria and protozoa and is reduced inside the cell to reactive nitro radicals. These radicals damage DNA and inhibit nucleic acid synthesis, leading to cell death. The reduction process occurs preferentially in anaerobic organisms, sparing most aerobic cells.

The dosage of Metronidazole Fresenius is determined by the prescribing clinician based on the infection type, severity, patient weight, renal and hepatic function, and other clinical factors. Only a qualified healthcare professional should set the exact dose and administration schedule.

Metronidazole is classified as Pregnancy Category B, indicating that animal studies have not shown risk but there are limited human data. It should be used only if the potential benefit justifies the potential risk. Small amounts are excreted in breast milk; breastfeeding decisions should be made with a healthcare provider.

To order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and required import documentation.

Metronidazole is a nitroimidazole that specifically targets anaerobic bacteria and certain protozoa, offering rapid bactericidal activity. Compared with broad‑spectrum agents like clindamycin or beta‑lactams, metronidazole has a narrower spectrum focused on anaerobes, which can reduce collateral impact on normal flora but may require combination therapy for mixed infections.

Metronidazole Fresenius for injection should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and do not freeze or shake the solution. Follow aseptic techniques when preparing the dose for intravenous administration.

The product is supplied as a sterile injection for intravenous use. It is administered by a qualified healthcare professional, typically as a slow infusion over a specified period. The exact rate and duration are determined by the prescriber based on the clinical situation and patient tolerance.

Serious adverse reactions include seizures, peripheral neuropathy, severe allergic responses such as anaphylaxis, Stevens‑Johnson syndrome, hepatotoxicity, and neutropenia. Patients should be monitored for neurological symptoms, skin reactions, and liver function abnormalities, especially during prolonged therapy.

Metronidazole should be avoided in patients with known hypersensitivity to the drug or other nitroimidazoles. Caution is advised for individuals with severe hepatic impairment, those taking disulfiram, or patients with a history of seizures or peripheral neuropathy. Pregnant or breastfeeding women should use it only when clearly indicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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