Source: Registered Drug Product Database (NG) Publisher: BIOMEDICAL LTD, 1, Ohimege Road, Industrial Estate, Ilorin Kwara State, PMB 1449
Pharmacotherapeutic group: Antiemetic
Metronidazole has antiprotozoal and antibacterial actions including activity against anaerobic bacteria and entamoeba histolytica.
A nitroimidazole derivative well absorbed and widely distributed in the body. It is metabolised by hepatic acid oxidation, hydroxylation and glucuronidation and excreted in urine and faeces with a T½ of about 6-10 hours. After a 400 mg metronidazole (or equivalent) single oral dose, given either as metronidazole benzoate 6.4% suspension or metronidazole tablet to 10 healthy subjects in a cross-over study (Table 1), tmax is delayed by approximately 2 hours, Cmax decreased by 45% and AUC by 20% corresponding to a decrease in relative bioavailability of 20% of the metronidazole benzoate 6.4% oral suspension compared to the tablet. No change in elimination half-life is reported. No metronidazole benzoate was found in plasma. These slight differences in the rate and extent of metronidazole absorption are due to the transformation of metronidazole benzoate to the active compound metronidazole by hydrolysation in the gastrointestinal tract.
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