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

Metronidazole Noridem

Active Ingredient:
Metronidazole
Origin:
EU

Metronidazole Noridem (Metronidazole)

Metronidazole, the active ingredient in Metronidazole Noridem, is a nitroimidazole presented as an injectable solution for intravenous use. It treats anaerobic bacterial infections and certain protozoal diseases in adult and pediatric patients when prescribed by a qualified clinician. The drug is supplied in a sterile vial that can be diluted in compatible IV fluids before administration.

GNH India supplies Metronidazole Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Metronidazole is a nitroimidazole antibiotic that targets anaerobic bacteria and susceptible protozoa. It is employed in several recognised clinical situations.

  • Anaerobic bacterial infections: eradicates susceptible anaerobes, reducing tissue damage and systemic spread.
  • Bacterial vaginosis: restores normal vaginal flora by eliminating over‑growth of anaerobic organisms.
  • Trichomoniasis: kills Trichomonas vaginalis, relieving symptoms and preventing recurrence.
  • Amebic liver abscess: eliminates Entamoeba histolytica trophozoites, facilitating resolution of hepatic lesions.
  • Clostridioides difficile infection: suppresses toxin‑producing C. difficile, aiding clinical recovery.

How It Works

  • Metronidazole is taken up by anaerobic microorganisms and reduced by intracellular electron‑transport proteins to generate nitro radical anions. These reactive species damage DNA, inhibit nucleic acid synthesis, and disrupt essential metabolic pathways, leading to irreversible cell injury and death of the targeted microbes.

Side Effects

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

Common Side Effects

  • Nausea: transient gastrointestinal upset.
  • Metallic taste: temporary alteration of taste perception.
  • Diarrhea: loose stools that usually resolve after therapy.
  • Headache: mild to moderate cranial pain.
  • Dizziness: occasional light‑headedness.
  • Abdominal pain: cramping or discomfort.

Serious or Rare Side Effects

  • Seizures: neurologic events requiring immediate medical attention.
  • Peripheral neuropathy: tingling or numbness of extremities.
  • Severe allergic reactions: anaphylaxis, angioedema, or rash.
  • Stevens‑Johnson syndrome: life‑threatening skin eruption.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Neutropenia: marked reduction in white blood cells.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Assess renal function: adjust therapy in patients with severe impairment.
  • Monitor liver enzymes: watch for signs of hepatotoxicity during prolonged use.
  • Avoid alcohol: risk of a disulfiram‑like reaction with flushing and tachycardia.
  • Use caution in pregnancy: safety not established; weigh benefits against potential risks.
  • Store at ambient temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Metronidazole can interact with several medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Alcohol: may cause severe disulfiram‑like reaction.
  • Warfarin: can increase anticoagulant effect and bleeding risk.
  • Lithium: may raise lithium concentrations, leading to toxicity.

Moderate Interactions (Monitor Closely)

  • Cimetidine: may increase metronidazole plasma levels.
  • Phenytoin: may reduce metronidazole effectiveness.
  • Theophylline: may elevate theophylline concentrations, requiring dose adjustment.

Frequently Asked Questions

Metronidazole Noridem is an intravenous formulation of metronidazole used to treat infections caused by anaerobic bacteria and certain protozoa. Indications include anaerobic bacterial infections, bacterial vaginosis, trichomoniasis, amebic liver abscess, and Clostridioides difficile infection, when prescribed by a qualified healthcare professional.

Metronidazole enters susceptible anaerobic microorganisms and is reduced by their internal electron‑transport proteins. This reduction creates nitro radical anions that damage DNA and inhibit nucleic acid synthesis, ultimately leading to microbial cell death and resolution of the infection.

The specific dose and duration of Metronidazole Noridem are determined by the prescribing clinician based on the infection type, severity, patient age, weight, and renal or hepatic function. Dosing regimens can vary widely, so the prescriber sets the appropriate schedule.

Safety data for metronidazole during pregnancy are limited, and the pregnancy category is listed as unknown. It should be used only if the potential benefit justifies any potential risk to the fetus. Caution is also advised during breastfeeding, as the drug can be excreted in milk.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Metronidazole is a nitroimidazole that specifically targets anaerobic organisms, offering rapid bactericidal activity. Compared with broad‑spectrum beta‑lactams, it provides a narrower spectrum focused on anaerobes, often with fewer drug‑resistance concerns. However, clinicians may combine it with other agents for mixed‑flora infections to ensure comprehensive coverage.

Metronidazole Noridem should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the vial from moisture, direct sunlight, and extreme temperature fluctuations. Do not freeze. Follow standard aseptic techniques when preparing the solution for intravenous infusion.

Metronidazole Noridem is given by intravenous infusion. The sterile vial is typically diluted in a compatible IV fluid (such as 5 % dextrose or normal saline) and administered over a period specified by the prescriber, often ranging from 30 minutes to several hours depending on the clinical scenario.

Serious adverse events include seizures, peripheral neuropathy, severe allergic reactions (anaphylaxis), Stevens‑Johnson syndrome, hepatotoxicity, and neutropenia. Patients should be instructed to seek immediate medical attention if they experience neurological symptoms, skin eruptions, jaundice, or signs of severe infection.

Metronidazole Noridem is contraindicated in patients with a known hypersensitivity to metronidazole or other nitroimidazole compounds. Caution is advised for individuals with severe hepatic impairment, those receiving concurrent alcohol, and patients with a history of seizures or peripheral neuropathy, unless the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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