Product image of Metronidazole Zentiva Pharma (Metronidazole) supplied by GNH India

Metronidazole Zentiva Pharma

Active Ingredient:
Metronidazole
Origin:
EU

Metronidazole Zentiva Pharma (Metronidazole)

Metronidazole, the active ingredient in Metronidazole Zentiva Pharma, is a nitroimidazole antibiotic presented as an oral dosage form for systemic use. It treats infections caused by susceptible anaerobic bacteria and certain protozoa in adults and children as prescribed by a healthcare professional.

GNH India supplies Metronidazole Zentiva Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality, regulatory compliance and reliable logistics for timely delivery across global markets.

Manufacturer / TM Owner

Zentiva Pharma Uk Limited

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Indications & Clinical Uses

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

  • Bacterial vaginosis: eradicates the anaerobic bacterial overgrowth responsible for the condition.
  • Trichomoniasis: eliminates Trichomonas vaginalis, relieving symptoms and preventing recurrence.
  • Amoebiasis: clears intestinal Entamoeba histolytica infection and associated dysentery.
  • Intra‑abdominal and pelvic anaerobic infections: provides antibacterial coverage for mixed anaerobic flora.
  • Clostridioides difficile‑associated diarrhea (adjunct therapy): reduces toxin‑producing bacterial load when used with standard therapy.

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 interact with DNA, causing strand breakage and inhibiting nucleic acid synthesis, leading to bacterial and protozoal cell death. The reduction process is selective for anaerobic organisms, sparing most aerobic cells.

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.
  • Diarrhea: loose stools.
  • Headache: mild headache.

Serious or Rare Side Effects

  • Seizures: rare neurologic events.
  • Peripheral neuropathy: tingling or numbness in extremities.
  • Severe allergic reactions: rash, swelling, or anaphylaxis.

Precautions & Warnings

Before prescribing Metronidazole, clinicians should consider several precautionary measures to ensure safe use.

  • Pregnancy: Category B, use only if benefits outweigh potential risks.
  • Alcohol consumption: avoid during therapy and for at least 48 hours after to prevent disulfiram‑like reaction.
  • Liver disease: dose adjustment may be required; monitor hepatic function.
  • Renal impairment: consider dose reduction in severe renal dysfunction.
  • Neurologic symptoms: discontinue if seizures or peripheral neuropathy develop.
  • Store at ambient temperature: keep below 25 °C, in original packaging, protected from moisture and light.

Avoid Interactions

Metronidazole can interact with several medicines, altering efficacy or increasing toxicity.

Major Interactions (Avoid)

  • Alcohol: concurrent use may cause severe flushing, tachycardia, and nausea.
  • Warfarin: may enhance anticoagulant effect, increasing bleeding risk.
  • Lithium: can raise lithium levels, leading to toxicity.

Moderate Interactions (Monitor Closely)

  • Cimetidine: may increase metronidazole plasma concentrations.
  • Phenytoin: may reduce metronidazole levels, decreasing effectiveness.
  • Oral contraceptives: may reduce hormonal efficacy; advise additional contraceptive measures.

Frequently Asked Questions

Metronidazole Zentiva Pharma is an oral nitroimidazole antibiotic indicated for the treatment of bacterial vaginosis, trichomoniasis, amoebiasis, intra‑abdominal and pelvic anaerobic infections, and as adjunct therapy for Clostridioides difficile‑associated diarrhea. It works against susceptible anaerobic bacteria and certain protozoa, and is prescribed by qualified healthcare professionals based on the specific infection.

Metronidazole penetrates susceptible microorganisms and is reduced by anaerobic cellular proteins to form nitro radical anions. These reactive species damage DNA and inhibit nucleic acid synthesis, leading to bacterial and protozoal cell death. The reduction process is selective for anaerobic organisms, providing targeted antimicrobial activity while sparing most aerobic cells.

The dosage of Metronidazole Zentiva Pharma is individualized by the prescribing clinician according to the infection type, severity, patient age, weight, renal and hepatic function, and local treatment guidelines. Patients should follow the exact regimen written on the prescription and consult their healthcare provider for any adjustments.

Metronidazole is classified as Pregnancy Category B, indicating that animal studies have not shown risk to the fetus and there are no adequate human studies. It may be used during pregnancy only when clearly needed. Small amounts are excreted in breast milk; breastfeeding mothers should discuss potential risks and benefits with their physician.

To request Metronidazole Zentiva Pharma, visit the product page on gnhindia.com, enter the desired quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and required import documentation.

Metronidazole offers a broad spectrum against anaerobic bacteria and certain protozoa, often preferred for its oral availability and cost‑effectiveness. Compared with clindamycin or beta‑lactam/beta‑lactamase inhibitor combinations, it has a lower risk of Clostridioides difficile overgrowth but may cause a disulfiram‑like reaction with alcohol. Choice depends on pathogen susceptibility, patient tolerance, and clinical guidelines.

Metronidazole Zentiva Pharma should be stored at ambient temperature, below 25 °C, in its original container to protect from moisture and light. Keep the product out of reach of children and do not use after the expiration date. No special refrigeration is required for this oral formulation.

The medication is taken orally, usually with food or a full glass of water to reduce gastrointestinal irritation. Tablets should be swallowed whole and not chewed or crushed unless specifically instructed by a healthcare professional. The exact schedule, including frequency and duration, is determined by the prescriber based on the infection being treated.

Serious adverse reactions, though uncommon, include seizures, peripheral neuropathy, severe allergic responses such as anaphylaxis, and hepatotoxicity. Patients should seek immediate medical attention if they experience neurological symptoms, rash with swelling, or signs of liver dysfunction. Monitoring is especially important in individuals with pre‑existing liver or kidney disease.

Metronidazole is contraindicated in individuals with a known hypersensitivity to the drug or other nitroimidazole compounds. It should also be avoided in patients with severe hepatic impairment unless benefits outweigh risks, and in those who cannot abstain from alcohol during therapy due to the risk of a disulfiram‑like reaction. Pregnant or breastfeeding women should only use it when clearly indicated by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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