Metronidazole - Flagyl - Patient Info
Source: http://www.drugs.com/flagyl.html
Flagyl
Generic Name: metronidazole (me troe NI da zole)
Brand Names: Flagyl, Flagyl 375, Flagyl ER, Protostat
What is Flagyl?
Flagyl is an antibiotic. It fights bacteria in your body.
Flagyl is used to treat bacterial infectionsi of the vagina, stomach, skin, joints, and respiratory tract. Flagyl will not treat a vaginal yeast infection.
Flagyl may also be used for purposes other than those listed in this medication guide.
Important information about Flagyl
Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Flagyl will not treat a viral infection such as the common cold or flu. Do not drink alcohol while you are taking Flagyl and for at least 3 days after you stop taking it. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting.Before taking Flagyl
Do not use this medication if you are allergic to metronidazole, or if you are in the first trimester of pregnancy.Before taking Flagyl, tell your doctor if you are allergic to any drugs, or if you have:
- liver disease;
a stomach or intestinal disease such as Crohn's disease;
a blood cell disorder such as anemia (lack of red blood cells) or leukopenia (lack of white blood cells);
epilepsy or other seizure disorder; or
nerve disorders.
If you have any of these conditions, you may not be able to use Flagyl, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Flagyl can pass into breast milk and may harm a nursing baby. Do not use Flagyl without telling your doctor if you are breast-feeding a baby.How should I take Flagyl?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Take the extended-release form of metronidazole (Flagyl ER) on an empty stomach, at least 1 hour before or 2 hours after eating a meal. Do not crush, chew, or break the extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Flagyl will not treat a viral infection such as the common cold or flu.To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your liver function may also need to be tested. Do not miss any scheduled visits to your doctor.
This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Flagyl.
Store Flagyl at room temperature away from moisture and heat.What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.Symptoms of a Flagyl overdose may include nausea, vomiting, dizziness, loss of balance or coordination, numbness and tingling, or seizures (convulsions).
What should I avoid while taking Flagyl?
Do not drink alcohol while you are taking Flagyl and for at least 3 days after you stop taking it. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting.Check the labels of any medicines or food products you use to make sure they do not contain alcohol.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
Flagyl side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:seizures (convulsions);
fever, chills, body aches, sore throat, flu symptoms;
numbness or tingling in your hands or feet;
white patches or sores inside your mouth or on your lips;
pain or burning when you urinate; or
diarrhea that is watery or bloody.
Keep taking Flagyl and talk with your doctor if you have any of these less serious side effects:
nausea, stomach pain, diarrhea;
headache, dizziness, loss of balance;
vaginal itching or discharge;
dry mouth or unpleasant metallic taste;
cough, sneezing, runny or stuffy nose; or
swollen or sore tongue.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Flagyl?
Before taking this medication, tell your doctor if you are taking any of the following medicines:
cimetidine (Tagamet);
seizure medication such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton);
a blood thinner such as warfarin (Coumadin);
lithium (Lithobid, Eskalith, others); or
disulfiram (Antabuse).
If you are using any of these drugs, you may not be able to use Flagyl or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Flagyl. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitaminsi, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
- Your pharmacist has information about Flagyl written for health professionals that you may read.
What does my medication look like?
Flagyl is available with a prescription under the brand names Flagyl and Protostat. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Flagyl 250 mg - blue tablets
Flagyl 375 mg - light-green/grey capsules
Flagyl 500 mg - oblong, blue tablets
Flagyl ER 750 mg - oval, blue film-coated tablets
Protostat 250 mg - capsule-shaped, white tablets
Protostat 500 mg - capsule-shaped, white tablets
- Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
- Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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Louise CFSii, CPN+/Bb+, Wheldon CAPi 6/07, Cholestyramine 1-2 pks @ HS for Porphoria & Endotoxinsii PRN, Doxy100daily, Roxi300BID, Tiniii 500mgBID pulses, VitD3-4000IU, Magnascent Iodine,{S.O.D.3/QD[KAL Brand], +Pyruvate 3.75G +SAM-e For Energy support

Louise, thanks for posting
Louise, thanks for posting this as I was going to bring this to the site's attention. I had been taking, on occasion, 400 mg. of Cimetidine (Tagamet) for porphyriai... I noticed when I filled my script for Flagyli the precaution about Cimetidine:
"If you are using any of these drugs, you may not be able to use Flagyl or you may need dosage adjustments or special tests during treatment."
Thought it should be brought to others attention as well. Hmm, it doesn't say what problem it causes.....???
Jeanne ~CPNi 4/2007; also HHV6, EBVi, CFIDS/FM; IBSi, prior kidney infectionsi, food allergies, hypothyroid (RAI for Graves in 1998), Adrenal issues (hypo); prior bronchitis/sinus problemsi. 200 mg/doxyi & 250 mg AZITH M/W/F, supplementsi
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JeanneRoz~CPNi diagnosed & started protocol 4/2007, also HHV6, EBVi. CFIDSi/FM diagnosed: 6/07; 100mg/doxyi/BID ~ 250 mg AZITH M/W/F ~
1st Tinii pulse 4/17/08- 1 250 mg. tab for 2 days. Pulse 5: 9/28/08, 250 mg TINI BID, 3 days. SupHi Jeanne, follow the link
Hi Jeanne,
follow the link to the original site. There are various levels of information there. This is consumer I seem to recall that there may be several professional scope info choices as well. So the link is important really, yest if I were in a foggly state this would be very helpful for a starter......... eh?
Louise CFSi. CPn postitve, Bb(Borrelia B.)postive. CAP 6/24/07 Initial High Dose Doxyi by Rx and NACi started. 10/31/07 Macrolide Abxi. added to Doxy and NAC. 11/3/07 Doxy 100mg BID, Macrolide 150mg BID, NAC600mg BID
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Louise CFSi, CPN+/Bb+, Wheldon CAPi 6/07, Cholestyramine 1-2 pks @ HS for Porphoria & Endotoxinsi PRN, Doxy100daily, Roxi300BID, Tinii 500mgBID pulses, VitD3-4000IU, Magnascent Iodine,{S.O.D.3/QD[KAL Brand], +Pyruvate 3.75G +SAM-e For Energy support
I've got a feeling that
I've got a feeling that cimetidine reduces the effectiveness of metronidazolei, there is a similar effect with other antibioticsi and antacid medication.
Michele (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metro pulse. Zoo keeper for Ella, RRMSi, At worse EDSSi 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006
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Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse. Zoo keeper for Ella, RRMSi, At worse EDSSi 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006
Hi Michele, take a look at
Hi Michele, take a look at the Pt. Info for Tinii and there I find that Cholystyramine reduces the effectiveness of that medication and a few other things of note. Good information so that you can space your medications appropriately for maximum application.
Louise CFSi. CPn postitve, Bb(Borrelia B.)postive. Northeastern US.
CAPi 6/24/07 Initial Doxyi and NACi started.
10/31/07 Macrolide Abxi. added to Doxy and NAC.
11/3/07 Doxy 100mg BID, Macrolide 150mg BID, NAC600mg BID
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Louise CFSi, CPN+/Bb+, Wheldon CAPi 6/07, Cholestyramine 1-2 pks @ HS for Porphoria & Endotoxinsi PRN, Doxy100daily, Roxi300BID, Tinii 500mgBID pulses, VitD3-4000IU, Magnascent Iodine,{S.O.D.3/QD[KAL Brand], +Pyruvate 3.75G +SAM-e For Energy support
That patient leaflet
A bit of searching the net didn't turn up any details -- and these leaflets are written by lawyers, for the purpose of protecting the drug makers against lawsuits, so they are often overly cautious.
Norman, Did you go to the
Norman, Did you go to the site address included in the post?
This is the consumer information of the site look around a bit there is professionally geared information there. I thought that more general consumer info would be a good baseline to add. Also through the tinii link the same thing. I looked more at the tini professional info as that is where my interest is at this time. Keep picking around the site there are tabs for consumer, professional advanced with detail a number of them so maybe there is also the same for flagyli as they are both form the same reference website.
Louise CFSi. CPn postitve, Bb(Borrelia B.)postive. CAP 6/24/07 Initial High dose Doxyi and NACi started. 10/31/07 Macrolide Abxi. added to Doxy 200 and NAC.
11/3/07 Doxy 100mg BID, Macrolide 150mg BID, NAC600mg BID
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Louise CFSi, CPN+/Bb+, Wheldon CAPi 6/07, Cholestyramine 1-2 pks @ HS for Porphoria & Endotoxinsi PRN, Doxy100daily, Roxi300BID, Tinii 500mgBID pulses, VitD3-4000IU, Magnascent Iodine,{S.O.D.3/QD[KAL Brand], +Pyruvate 3.75G +SAM-e For Energy support
Norman.. I just got my
Norman.. I just got my flagyli script filled about a week or so ago and noticed the statement about Tagemet/cimetidine on the patient leaflet I got before this was posted here. I had been thinking about asking about it since I had occasionally taken cimetidine for porphyriai. .. funny yours didn't have the same verbiage. I go to CVS, but I would think pharmaceutical info would be consistent.
Jeanne ~CPNi 4/2007; also HHV6, EBVi, CFIDS/FM; IBSi, prior kidney infectionsi, food allergies, hypothyroid (RAI for Graves in 1998), Adrenal issues (hypo); prior bronchitis/sinus problemsi. 200 mg/doxyi & 250 mg AZITH M/W/F, supplementsi
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JeanneRoz~CPNi diagnosed & started protocol 4/2007, also HHV6, EBVi. CFIDSi/FM diagnosed: 6/07; 100mg/doxyi/BID ~ 250 mg AZITH M/W/F ~
1st Tinii pulse 4/17/08- 1 250 mg. tab for 2 days. Pulse 5: 9/28/08, 250 mg TINI BID, 3 days. SupHmm, no, I hadn't looked at
The outfit I go to for testing (LabCorp) does not list this interaction on the web page they have which lists all the substances which interfere with their lab tests, so I suppose it's a non-issue for me.
Gonna' add this to the
Gonna' add this to the appendix of the Handbook. Great stuff.
CAPi for Chlamydia pneumonia since 11/04. 25yrs CFSi & FMSi- Currently: 200 Doxycycline, 500mg MWF Azithromycin, Tinii pulses.
A motto, not an aspiration: "Anything worth doing is worth overdoing."
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CAPi for Cpni 11/04. Dx: 25yrs CFSi & FMSi. Currently: 150mg BID Roxithromycin, Doxycycline 100mg BID, Tinii 1000mg/day pulses; Vit D2000 units, T4 & T3
I found this! So does this
I found this! So does this mean that the idea is to be taking Cimetidine/Tagamet at least 2 hours apart from ABXi? I suppose it would make sense to take this with the probiotics, yes?
Is anyone taking Cimetidine/Tagamet right now? Most particularly, during a Flagyli pulse? Ken