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Metronidazole
inhibit synthesis of DNA in bacteria and other organism
Bactericidal
Effective agaisnt anaerobic bacteria or protozoans
Narrow spectrum
How to take metronidazole
IV per orally or topical cream
Penetrates well intro body tissues and fluids
Does not cross over the placenta
Metronidazole effective against
Anaerobic bacterial infections- clostridium difficile, H. Pylori, Lactobacillus species
Protozoan infections- amoebiasis, trichomonads vaginalis, giardiasis
Where is metronidazole metabolized
in the liver
Inhibitor of CYP450 enzyme → slow down metabolism of other medicines
Side effects of metronidazole
decreased appetite, nausea, metallic taste in the mouth, headaches, stomach cramps, neurological effects (seizures, confusion, peripheral neuropathy)
Contradictions of metronidazole
first trimester of pregnancy
Alcohol