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Amrizole 100ml IV Vial

EGP47

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Medication Name: Amrizole 100 ml IV Vial

Active Ingredient (per 100 ml):

  • Metronidazole 500 mg

Pharmacological Class:
Nitroimidazole antimicrobial (antibacterial and antiprotozoal)

Dosage Form:
Intravenous infusion (IV solution)

Indications:

  • Anaerobic bacterial infections (intra-abdominal, pelvic, or respiratory)

  • Septicemia and endocarditis caused by anaerobic organisms

  • Bone and joint infections

  • Central nervous system infections (e.g., brain abscess)

  • Gynecological infections (pelvic inflammatory disease, endometritis)

  • Prophylaxis for anaerobic infections in surgery (especially colorectal and gynecological)

Mechanism of Action:
Metronidazole enters bacterial and protozoal cells and disrupts DNA synthesis through formation of toxic intermediates, leading to cell death.

Dosage and Administration:

  • Adult usual dose: 500 mg (one vial) every 8 hours by slow IV infusion over 30–60 minutes.

  • Adjust dose in patients with severe hepatic impairment.

  • Do not administer by IV bolus injection.

  • Switch to oral therapy as soon as possible when clinically appropriate.

Side Effects:

  • Nausea, vomiting, or metallic taste

  • Headache or dizziness

  • Local irritation at injection site

  • Rare: seizures, peripheral neuropathy, or allergic reaction

Precautions:

  • Avoid alcohol during and for 48 hours after therapy (risk of disulfiram-like reaction)

  • Use with caution in patients with liver disease, central nervous system disorders, or history of blood dyscrasias

  • Monitor liver function in prolonged therapy

  • Not recommended during the first trimester of pregnancy unless clearly needed

Storage:

  • Store below 25°C

  • Protect from light

  • Do not freeze

  • Use immediately after opening the vial

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