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Metronidazole 200 mg Tab

Trade Name

Prescriber Category

:

:

Flagyl

B

Department

Antimicrobial Restriction

:

:

-

Green Category

INDICATION (BLUE BOOK / UKK)

Anaerobic infections.

DOSING FOR ADULTS GUIDE [DIAMS HSgB]

Usual dose:
500 mg IV q8h
or
400 mg PO q8h

H. pylori infection, Non-gonococcal urethritis (NGU), Pelvic inflammatory disease (PID) or Bacterial vaginosis:
400 mg PO q12h

Entamoeba histolytica liver abscess:
750 mg IV q8h
or
800 mg PO q8h

RENAL DOSE ADJUSTMENT IN ADULTS GUIDE [DIAMS HSgB]

No dosage adjustment required

IV TO PO GUIDE [DIAMS HSgB]

IV Metronidazole:
500 mg q12h --> Tab Metronidazole 400 mg BD
500 mg q8h --> Tab Metronidazole 400 mg TDS
750 mg q8h --> Tab Metronidazole 800 mg TDS

Bioavailability: 100%

*Abstain from alcohol to avoid disulfiram-like reaction.

EXTENDED INFUSION GUIDE [DIAMS HSgB]

In-progress

SPECIAL MONITORING & PRECAUTION GUIDE [DIAMS HSgB]

In-progress

ALTERNATIVE DOSING (BLUE BOOK / HSgB DRUG LIST)

Anaerobic bacterial infections Adult: Initially, 800 mg followed by 400 mg 8 hly for about 7 days. Other recommended doses: 500 mg 8 hrly or 7.5 mg/kg 6 hrly (max: 4 g in 24 hr). Child: 7.5 mg/kg 8 hrly. Elderly: Use lower end of adult dose recommendations. Do not admin as a single dose. Prophylaxis of postoperative anaerobic bacterial infections Adult: 400 mg by mouth 8 hrly in the 24 hr prior to surgery followed postoperatively by IV or rectal admin until oral therapy is possible. Other sources recommend that oral doses be initiated only 2 hr prior to surgery and that number of doses for all admin routes be limited to a total of 4. Elderly: Dose reduction may be necessary. Tab: Should be taken with food.

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