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Formulas

Metronidazole 50 mg/ml Oral Liquid

Our Metronidazole 50 mg/ml Oral Liquid is a specially compounded medication designed for oral use, ensuring precise dosing and ease of administration. This formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. Metronidazole is an antibiotic that is effective in treating a variety of infections caused by anaerobic bacteria and certain parasites. The conditions commonly treated with this formulation include bacterial vaginosis, trichomoniasis, amoebiasis, giardiasis, and certain types of gum ulcers and dental infections. It is also used in the management of Helicobacter pylori infections associated with peptic ulcer disease. Our oral liquid formulation provides a valuable treatment option for these disease states, ensuring that all patients have access to the necessary medication regardless of their ability to swallow solid forms.

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Metronidazole
Oral Liquid
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Formula Information

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Metronidazole 50 mg/ml Oral Liquid is a specially compounded medication designed for oral use, providing a precise 50 milligrams of metronidazole per milliliter of liquid. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or for those who require a dosage not readily available in commercial tablet or capsule forms. The liquid formulation allows for flexible dosing, which can be adjusted according to the specific needs of the patient.

Metronidazole is an antibiotic and antiprotozoal medication that is effective in treating a variety of infections caused by anaerobic bacteria and certain parasites. It is commonly prescribed for conditions such as bacterial vaginosis, trichomoniasis, amoebiasis, giardiasis, and infections of the abdominal cavity, skin, bones, and joints. It works by inhibiting the nucleic acid synthesis of the microorganisms, leading to their death. This medication is also used as part of combination therapy for Helicobacter pylori eradication in peptic ulcer disease.

For patients and prescribers considering Metronidazole 50 mg/ml Oral Liquid, it is important to note that the dosing must be individualized based on the type and severity of the infection, as well as the patient's age, weight, and renal function. The liquid form allows for easy adjustment of doses, which is particularly useful in pediatric and geriatric populations where dosing requirements may vary significantly. Additionally, the liquid formulation can improve patient compliance, as it is easier to ingest than solid forms and can be flavored to mask the bitter taste of the medication.

As with any medication, there are potential side effects associated with metronidazole, including gastrointestinal disturbances, a metallic taste in the mouth, and, in some cases, neurological symptoms. It is also important to avoid alcohol consumption during treatment and for at least 48 hours after the last dose due to the risk of a disulfiram-like reaction. Patients should be counseled on the importance of completing the full course of therapy, even if symptoms improve before the medication is finished, to prevent the development of resistance.

Bayview Pharmacy is committed to providing high-quality, customized medications to meet the unique needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Metronidazole 50 mg/ml Oral Liquid. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Metronidazole is an antibiotic that is effective against a variety of anaerobic bacteria and certain parasites. It is commonly used to treat infections such as bacterial vaginosis, trichomoniasis, and infections of the skin, joints, gastrointestinal tract, and respiratory tract. When formulated as a 50 mg/ml oral liquid, metronidazole provides a dosage form that is particularly useful for patients who have difficulty swallowing pills, including pediatric and geriatric patients, or those with certain medical conditions that affect swallowing.

When taking metronidazole, it is important to be aware of potential drug interactions that may affect the efficacy of the treatment or increase the risk of adverse effects. Alcohol should be avoided during treatment and for at least 48 hours after the last dose of metronidazole due to the risk of a disulfiram-like reaction, which can include symptoms such as flushing, headache, nausea, vomiting, and abdominal cramps. Patients should also be advised to avoid products containing propylene glycol while taking metronidazole.

Metronidazole is known to interact with anticoagulants like warfarin, potentially increasing the risk of bleeding. Close monitoring of prothrombin time or international normalized ratio (INR) is recommended, and dosage adjustments of the anticoagulant may be necessary. Additionally, metronidazole can inhibit the clearance of other drugs metabolized by the liver enzymes CYP2C9 and CYP3A4, such as phenytoin, cyclosporine, and some benzodiazepines, potentially leading to increased plasma levels of these drugs and heightened risk of adverse effects.

Concomitant use of metronidazole with lithium may increase lithium serum concentrations, which could lead to lithium toxicity. Patients on lithium therapy should have their lithium levels monitored and their dosage adjusted as necessary. The use of metronidazole with busulfan may increase the plasma concentration of busulfan, which can result in increased toxicity. If the combination cannot be avoided, close monitoring for busulfan toxicity is warranted.

Patients should also be aware that metronidazole may potentiate the effects of other drugs that cause QT prolongation. Caution is advised when using metronidazole with drugs such as certain antiarrhythmics, antipsychotics, and antidepressants. It is important to inform the healthcare provider of all medications, including over-the-counter drugs and herbal supplements, that are being taken to avoid potential interactions.

For patients with Cockayne syndrome, there have been reports of severe hepatotoxicity with metronidazole use, and these patients should be advised to report any symptoms of liver dysfunction immediately. Metronidazole should be used with caution in patients with active or chronic severe peripheral and central nervous system diseases due to the risk of neurological complications.

If you have any questions or concerns regarding the use of metronidazole 50 mg/ml oral liquid or its potential drug interactions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure safe and effective treatment.

How Does it Work

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Metronidazole is an antibiotic that works by stopping the growth of bacteria and protozoa. This 50 mg/ml oral liquid formulation of metronidazole is designed to provide a precise dosage of medication in a form that is easier to ingest for those who have difficulty swallowing pills, such as children and the elderly. The liquid form allows for flexible dosing, which is particularly beneficial for pediatric patients who require doses that are not readily available in pre-formed tablet or capsule strengths.

When ingested, metronidazole is absorbed into the bloodstream from the digestive tract and is carried throughout the body. It works by entering bacterial and protozoal cells and interfering with their DNA synthesis, ultimately leading to cell death and the resolution of infection. This mechanism of action makes metronidazole effective against a variety of anaerobic bacteria and certain parasites. It is commonly prescribed for conditions such as bacterial vaginosis, trichomoniasis, and certain types of gastroenteritis, as well as dental infections, infections of the bones and joints, and leg ulcers and pressure sores that are infected with anaerobic bacteria.

It is important for patients and prescribers to understand that metronidazole should only be used to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria or protozoa. Misuse or overuse of antibiotics can lead to decreased effectiveness and an increase in antibiotic-resistant infections. Patients should follow the prescribed dosage regimen and complete the full course of treatment, even if they feel better before the medication is finished, to ensure that the infection is fully treated and to prevent the development of resistant organisms.

For any questions regarding the use of metronidazole 50 mg/ml oral liquid, or to discuss the suitability of this formulation for specific patients or conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure safe and effective treatment outcomes.

Other Uses

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While Metronidazole is primarily used for the treatment of various infections caused by anaerobic bacteria and certain parasites, this 50 mg/ml oral liquid formulation may have additional applications beyond its common indications. It is essential, however, to emphasize that any use of metronidazole should be under the direction of a healthcare professional. Off-label uses of metronidazole, although not approved by regulatory agencies, might include the management of certain inflammatory conditions in the bowel, like Crohn's disease, where bacteria are implicated in the disease process. In veterinary medicine, metronidazole is often prescribed for similar indications as in humans, and a liquid formulation can be particularly beneficial for dosing in small animals or those averse to taking tablets.

Furthermore, due to its anti-inflammatory properties, metronidazole has been explored for topical use in dermatology, particularly for skin conditions like rosacea. However, this oral liquid formulation is intended for ingestion and should not be repurposed for topical use as it may contain ingredients that are not suitable for dermatological application. It is critical that it is used strictly as an oral treatment unless otherwise formulated and indicated for alternative routes of administration.

Additionally, metronidazole has been sometimes used to combat malodorous wounds, since its antimicrobial action can help to reduce the bacteria producing the odor; this particular use could also extend to managing the symptoms of fungating tumors. However, this remains an area that calls for careful medical judgment and is not an FDA-approved indication.

Patients and prescribers should consider all potential drug interactions, contraindications, and patients' specific medical conditions before utilizing a metronidazole oral liquid formulation for any of the aforementioned uses. If there is any uncertainty or if there are questions about the broad uses of this medication, please reach out to us for guidance. Our expertise as compounding pharmacists is to ensure that the medication we provide meets the specific needs of each patient, aligning with therapeutic goals and facilitated by careful formulation.

In summary, while the typical use of Metronidazole 50 mg/ml Oral Liquid is focused on the treatment of specific infections, there could be other potential uses within a clinical context. Any such use should be approached with full awareness of the current medical literature, a patient's health history, and professional guidance. We encourage open communication between patients, prescribers, and our pharmacy to ensure safe and effective medication use.

Frequently Asked Questions

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What is Metronidazole 50 mg/ml Oral Liquid?

Metronidazole 50 mg/ml Oral Liquid is a specially formulated antibacterial and antiprotozoal medication designed to be taken by mouth in liquid form. It is particularly useful for patients who have difficulty swallowing pills or tablets.

How should this medication be stored?

Metronidazole Oral Liquid should be stored at room temperature, away from direct light and moisture. Make sure the bottle is securely closed and keep the medication out of reach of children and pets.

How do I know if Metronidazole Oral Liquid is the right medication for me?

Metronidazole Oral Liquid is prescribed by a healthcare professional for the treatment of specific infections caused by bacteria and protozoa. Your doctor will determine if this medication is appropriate based on your diagnosis and medical history.

Can this liquid medication be mixed with food or drinks?

It is important to follow your doctor's or pharmacist's instructions regarding medication intake. Some liquid medications can be mixed with food or beverages, but doing so may affect the effectiveness or absorption of Metronidazole. Always consult with your healthcare provider before altering how you take the medication.

Are there any potential side effects of taking Metronidazole Oral Liquid?

As with any medication, there are potential side effects which may include nausea, a metallic taste in the mouth, loss of appetite, diarrhea, and sometimes dizziness or headache. If you experience any severe reactions or signs of an allergic reaction, contact your healthcare provider immediately.

How is Metronidazole Oral Liquid administered?

Metronidazole Oral Liquid is administered orally using a provided dosing device, such as a medicine dropper or syringe, to ensure you receive the correct dose. It is important to measure the dose precisely as prescribed by your doctor.

What if I miss a dose of Metronidazole Oral Liquid?

If you miss a dose of your medication, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Can I drink alcohol while taking Metronidazole Oral Liquid?

No, you should not drink alcohol while taking Metronidazole and for at least 48 hours after completing your course of treatment. Consuming alcohol with Metronidazole can lead to unpleasant side effects such as nausea, vomiting, cramps, flushing, and headache.

Is Metronidazole Oral Liquid safe for children?

Metronidazole Oral Liquid can be prescribed to children if deemed appropriate by a healthcare provider. Dosages for children are determined based on weight and age, therefore, it is imperative to follow the doctor's prescription carefully.

Can Metronidazole Oral Liquid affect my ability to drive or operate machinery?

Metronidazole Oral Liquid may cause dizziness or confusion in some individuals. If you experience these side effects, it is advised that you avoid driving or operating heavy machinery until you know how the medication affects you.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.