... suspension (liquid) prepared by the pharmacist and a tablet to take by mouth. It is usually taken ... inhibitors such as indinavir (Crixivan) and ritonavir (Norvir); isoniazid (INH, Nydrazid); lithium (Lithobid); metronidazole (Flagyl); nefazodone (Serzone); ...
... Paclitaxel Suramin Vincristine Drugs used to fight infections: Chloroquine Dapsone Isoniazid (INH), used against tuberculosis Metronidazole (Flagyl) ... to treat gout) Disulfiram (used to treat alcohol use) Arsenic Gold Symptoms Symptoms may include any of ...
... drugs can darken urine, including the antimalarial drugs chloroquine and primaquine, the antibiotics metronidazole (Flagyl) and nitrofurantoin ( ... Mayo Clinic Footer Legal Conditions and Terms Any use of this site constitutes your agreement to the ...
... of interest in life, and strong or inappropriate emotions); anxiety (excessive worry). Trazodone is also sometimes used ... methylene blue; metronidazole (Flagyl); muscle relaxants; nefazodone; oral contraceptives (birth control pills); procainamide (Procanbid, Pronestyl); quinidine; rifabutin ( ...
Eplerenone comes as a tablet to take by mouth. It is usually taken once or twice a day, with or without food. To help you ... Crixivan), ritonavir (Norvir, in Kaletra), and saquinavir (Invirase); isoniazid (Laniazid, in Rifamate, Rifater); lithium (Lithobid); metronidazole (Flagyl); ...
F. C. Vilela
Full Text Available We describe a case of trichomoniasis in a Bothrops jararaca (Serpentes, Viperidae donated to the Center for the Study of Venoms and Venomous Animals - CEVAP/UNESP. The animal had diarrhea with great quantity of flagellated protozoa in the feces. Microscopic examination of fecal smears stained with Giemsa revealed the presence of trichomonads, morphologically similar to Trichomonas acosta. Trichomonads were not detected in fecal exams after treatment with a single dose of 40 mg/kg metronidazole (Flagyl®.
Recently Adams and coworkers at the Gray Laboratory have developed a new class of radiosensitizers which act specifically on hypoxic cells by abolishing the protection afforded by low oxygen concentrations. Since most experimental tumours contain a high proportion of oxygen-deprived cells, and most normal tissues are well oxygenated, these drugs are tumour specific radiosensitizers. Based on the hypothesis that sensitization increases with increasing electron affinity, the two nitroimidazoles, metronidazole (Flagyl) and Ro-07/0582 were identified as potent radiosensitizers with low toxicity. These drugs are effective only in the absence of oxygen, and only if the drug is present at the time of irradiation. The degree of sensitization increases with drug concentration rapidly over the range 0.1 to 1.0mg/g body weight for Ro-07-0582, and more gradually for Flagyl. Tumour studies have been performed on at least 12 different experimental tumours, using a variety of end points. Significant sensitization has been observed in every tumour studied, often corresponding to a dose reduction factor of 2.0 for high but non-toxic drug doses. Fractionated studies have also been performed on a few tumour lines. In most cases a useful therapeutic advantage was observed, although the sensitization was smaller. Ro-07-0582 used with X-rays gives a therapeutic gain comparable with that from cyclotron-produced fast neutrons. Neutrons used together with Ro-07-0582 are even more effective. In addition to the radiosensitization there is a specific cytotoxicity to hypoxic cells after prolonged exposure to Ro-07-0582. This cytotoxicity can be greatly enhanced in vitro by moderate hyperthermia. Flagyl and Ro-07-0582 have been used clinically as radiosensitizers, with promising early results. The clinical application is limited to certain dose fractionation patterns because of neurotoxicity. (author)
A review is presented of the historical aspects of the search for radiation sensitizing drugs. Metronidazole, Flagyl and misonidazole are undergoing clincial trials as the result of basic free radical and cellular research. Studies at the molecular, biochemical and cellular levels are described. From the information obtained it now appears that several processes may be involved in sensitization: interference with charge recombination due to a sensitizer having a high electron affinity; an increase in the yield of oxidizing hydroxyl radicals by electron sequestration; interference with radical combination reactions due to a sensitizer having a high one electron oxidation potential; oxidation or organic radicals so fixing them; formation of products which are toxic; and changes in the biochemistry of the cell. 106 references, 4 figures
FELIPE REBELLO LOURENçO
Full Text Available O presente trabalho tem por objetivos validar métodos por espectrofotometria de absorção no ultravioleta e cromatografia líquida de alta eficiência para o doseamento de metronidazol em solução injetável e aplicá-los em estudo de equivalência farmacêutica entre medicamento de referência, genérico e similar. Os métodos propostos para doseamento de metronidazol em solução injetável por espectrofotometria de absorção no ultravioleta e por cromatografia líquida de alta eficiência foram validados, mostrando especificidade / seletividade, linearidade e faixa linear, limite de detecção / quantificação, exatidão e precisão adequados para o uso pretendido. Os medicamentos foram avaliados quanto aos testes de determinação de pH, volume médio, identificação por espectrofotometria de absorção no infravermelho, identificação por cromatografia líquida de alta eficiência, esterilidade, endotoxinas bacterianas e doseamento por espectrofotometria de absorção no ultravioleta e por cromatografia líquida de alta eficiência. Os três medicamentos atenderam as especificações para os testes avaliados e, portanto, podem ser considerados apresentando equivalência farmacêutica. Palavras-chave: Metronidazol. Equivalência farmacêutica. Validação. Flagyl. ABSTRACT Validation of metronidazole assay methods and application to study of pharmaceutical equivalence of injectable solutions of this drug The aim of this study was to validate analytical methods, based on UV absorption spectrophotometry and high performance liquid chromatography (HPLC, to assay metronidazole supplied in injectable solutions, and to employ these methods in a study of the pharmaceutical equivalence of the original brand name medicine (‘reference’, generic and similar (brand medicines. The methods proposed for the metronidazole assay were validated, showing adequate specificity/selectivity, linearity, linear range, detection and
El-Mahrouk, Galal M; Aboul-Einien, Mona H; Makhlouf, Amal I
Floating pH-sensitive chitosan hydrogels containing metronidazole were developed for the eradication of Helicobacter pylori from the stomach. Hydrogels were prepared by crosslinking medium or high molecular weight chitosan in lyophilized solutions containing metronidazole using either citrate or tripolyphosphate (TPP) salts at 1% or 2% concentration. A 2 3 factorial design was developed to study the influence of formulation parameters on the physical characteristics of the prepared hydrogels. The interaction between hydrogel components was investigated. The morphology of the prepared hydrogels was inspected and their percentage swelling, release pattern, and moisture content were evaluated. The results revealed the absence of interaction between hydrogel components and their highly porous structure. Percentage swelling of the hydrogels was much higher, and drug release was faster in gastric pH compared with intestinal pH. The formula prepared using 2% high molecular weight chitosan and 2% TPP significantly swelled (700%) within the first 4 h and released the loaded drug over a period of 24 h. Its moisture content was not affected by storage at high relative humidity. Therefore, this formula was selected to be tested in dogs for its gastric retention (using X-ray radiography) and efficacy in the eradication of H. pylori (using histopathological and microbiological examination). The results revealed that the prepared hydrogel formula was retained in dog stomach for at least 48 h, and it was more effective against H. pylori than the commercially available oral metronidazole tablets (Flagyl®).
Krishnan, D.; Singh, D.R.; Mahajan, J.M.; Madhvanath, U.
Metronidazole (Flagyl; 2-methyl-5-nitroimidazole-1-ethanol) is of potential clinical application as a radiosensitizer. Studies have been made of the effect of 1mM metronidazole on γ-induced heteroallelic recombination (reversion) under euoxic or hypoxic conditions in yeast strain BZ34, and compared with the effect on survival. The o.e.r. for reversions was 2.2, and very close to that for survival (2.3), indicating that oxygen equally sensitized gross cellular events such as killing, and genetic phenomena like reversions. The introduction of metronidazole during irradiation sensitized cells with killing as the end point only in hypoxic condition, whereas with reversion as the end point no sensitization due to the chemical was observed either in euoxic or hypoxic conditions. Since DNA damage is responsible for both cell-killing and mutations, the sensitizer might have been expected to have had an equal effect on both these end-points. The results show that only in a limited sense can metronidazole be considered to be an oxygen mimic. (U.K.)
Cramp, W A; George, A M; Howlett, J [Hammersmith Hospital, London (UK). M.R.C. Cyclotron Unit
Suspensions of E.coli B/r were irradiated under aerobic and anoxic conditions with electrons (7 to 8 MeV, 2 and 20 krad/min, MRC linear accelerator), or with neutrons (average energy 7.5 MeV, 2 krad/min, MRC cyclotron) in an investigation of the effects of the radiosensitizer, metronidazole (Flagyl, 5 or 10 mM) on survival and DNA degradation. These results are compared with those for another electron affinic radiosensitizer, indane trione. Survival studies yielded enhancement ratios, for anoxic irradiation only, of 1.7 (5mM) and 1.9 (10mM) for electrons, and 1.2 (5mM and 10mM) for neutrons. Unlike indane trione, metronidazole had no pronounced inhibitory effect on post-irradiation DNA degradation, either when incubated with the bacteria before irradiation or when present during irradiation. When present under anoxic conditions of irradiation with electrons, some enhancement of degradation was observed. DNA degradation was reduced at higher doses, with a pronounced maxiumum effect, for neutrons as well as for electrons. Metronidazole allowed this degradation to continue and showed some sensitizing action, but did not prevent the decrease in total degradation at high doses. It is therefore difficult to correlate DNA degradation with cell-depth.
Kamma, J J; Lygidakis, N A; Nakou, M
Prepubertal periodontitis affects both primary and permanent dentition. The purpose of this study was to examine the composition of subgingival microflora of the permanent dentition in an 11-year-old Caucasian female, who had premature exfoliation of her deciduous teeth on her 5th year of age, and the response of this condition to the antibiotic therapy and supportive periodontal care. Gingival tissues were highly inflamed and alveolar bone loss was detected radiographically. The girl had experienced frequent upper respiratory tract infections, tonsilitis and recurrent otitis media. Her mother had history of early onset periodontitis associated with chronic idiopathic neutropenia. Blood chemistry tests and immunological examinations were also performed. Subgingival plaque samples were collected from the proximal sites of permanent molars, incisors, canines and maxillary premolars. 27 different microbial species were isolated from the subgingival microflora. Among the predominant species were Porphyromonas gingivalis (17.6%-7.3%), Prevotella intermedia (12.4%-4.7%), Capnocytophaga sputigena (14.4%-10.4%), Capnocytophaga ochracea (13.2%-6.9%) and Actinobacillus actinomycetemcomitans (9.3%-5.5%). Periodontal treatment consisted of scaling, root planing in conjunction with antibiotic administration of Augmentin 312.5 mg and Flagyl 200 mg, each t.i.d. for 10 days. 3 weeks after the antibiotic therapy, bacterial samples were collected from the same sites. All the periodontal pathogens were recovered in lower levels and A.actinomycetemcomitans was almost eliminated in the 3-week period. The evaluation of clinical indices at 3, 6 and 12 months showed that periodontal treatment in conjunction with antibiotics was effective and rapidly followed by marked clinical improvement. The microbiological monitoring at 3, 6 and 12 months after antibiotic treatment and each time prior to supportive periodontal care, revealed that the periodontal pathogens fluctuated in low levels even
Full Text Available Abstract Introduction Chronic mesenteric ischemia is a condition that is classically associated with significant atherosclerosis of the abdominal arteries, causing postprandial abdominal pain out of proportion to physical examination. The abdominal pain is exacerbated after meals due to the shunting of blood away from the intestines to the stomach, causing relative ischemia. More than 95% of chronic mesenteric ischemia cases are due to atherosclerosis. We report the first known case of chronic mesenteric ischemia from fibromuscular dysplasia. To the best of our knowledge, this is also the first known case in the literature where postprandial abdominal pain was the presenting symptom of fibromuscular dysplasia. Case presentation A 44-year-old Caucasian woman with a history of hypertension and preeclampsia, who had taken oral contraceptive pills for 15 years, presented with an intractable, colicky abdominal pain of two weeks duration. This abdominal pain worsened with oral intake. It was also associated with diarrhea and vomiting. Physical examination revealed stage III hypertension out of proportion to her risk factors and diffuse abdominal pain without peritoneal signs. An abdominal computed tomography scan, completed in the emergency room, revealed nonspecific colitis. Laboratory work revealed leukocytosis with a left shift, an erythrocyte sedimentation rate of 79 and a C-reactive protein level of 100. She was started on intravenous flagyl and intravenous ciprofloxacin. However, all microbial cultures were negative including three cultures for clostridium difficile. Urine analysis revealed nephritic range proteinuria. The laboratory profile was within normal limits for perinuclear-anti-neutrophil cytoplasmic antibody, cytoplasmic-anti-neutrophil cytoplasmic antibody, anti-saccharomyces cerevisiae antibody, antinuclear antibody test, celiac profile, lactate, carbohydrate antigen-125 and thyroid stimulating hormone. A colonoscopy was completed
Sieron, Dominik A; Steib, Moritz; Suter, Dominik; Obmann, Verena C; Huber, Adrian T; Ebner, Lukas; Inderbitzin, Daniel; Christe, Andreas
To investigate the computed tomography (CT) density of frequently administered medications (1) for the better characterisation of substances on abdominal CT, (2) to allow radiologists to narrow down possibilities in the identification of hyperdense material in the bowel and (3) to provide forensic doctors with a tool to identify gastric contents before an autopsy. From the list of the local hospital pharmacy, the 50 most frequently used medications were identified and scanned twice with a 128 row CT scanner (Acquillion, Toshiba, Tokyo, Japan). The protocol comprised two tube voltages of 100 kVp and 120 kVp, with a tube current of 100 mAs, a collimation of 0.5 mm and a slice thickness of 0.5 mm. Two readers were asked to measure the density (in Hounsfield units) and the noise (standard deviation of the Hounsfield units) of each pill in the two scans (100/120 kVp). After 4 weeks, both readers repeated the measurements to test repeatability (intra-rater agreement). The behaviour of each pill in hydrochloric acid (pH 2) was examined and the dissolution time was determined. The most dense pill was Cordarone (7265 HU), and the least was Perenterol (529 HU), with an attenuation that was lower than fat density (standard deviation of pixel density (noise) reflects inhomogeneity of the pharmacological product, varying from 9 to 1592 HU among the different pills (at 120 kVp). The absolute average HU increase per pill when changing to lower voltage was 78 ± 253 HU, with a linear fitting line with a slope of 0.21 as a constant variable in the density spectroscopy. After 4 hours in hydrochloric acid, only six tablets were still intact, including Flagyl and Dafalgan. The intra- and inter-rater agreements for all measurements were nearly perfect, with a correlation coefficient r of ≥0.99 (p <0.0001). Our data suggest that measuring the attenuation of drugs on CT images, including the homogeneity, and applying CT spectroscopy can narrow down possible identities of the most
Mete Korkut Gülmen
ğuk tatlı suda boğulma sırasında, su aspirasyonu vücut ağırlığında ortalama %16,5 artışla gross bir hemodilüsyona neden oldu. Serum potasyum konsantrasyonu, kate- kolamin ve serbest hemoglobin artarken, hemotokrit değeri, serum sodyum konsantrasyonu ve osmolarite azalmıştır. Pa02 dışında ölçülen tüm biyokimyasal veriler yaşanabilir seviyede idi. Aksine, soğuk tuzlu su boğulması sırasında hemokonsantrasyon ve vasküler hacim azalması ile vücut ağırlığı ortalama sadece %6 arttı. Hematokrit ve hemoglobin değerleri %30 arttı, ama başlangıç plazma serbest hemoglobin değerleri değişmeden kaldı. Serum sodyum konsantrasyonları, osmolarite, potasyum konsantrasyonları hızla kritik seviyelere yükseldi. Sonuçlar: Soğuk su altında kalan hayvanların tümünde birden takipne gelişti. Bunu, olası etkileriyle aspirasyon takip etti. Soğuk suda boğulmalarda biyokimyasal ve patofizyolojik değişiklikler (hem tatlı su hem de tuzlu su için, ılık suda boğulmada rapor edilen değişikliklere, dolaşım devam etmesi sonucunda aşırı hızlı vücudun soğuması dışında benzerdir. Soğuk tatlı su boğulma olgularında kaydedildiği gibi akut su içinde kalma süreci, beyni ölümcül zarardan geçiçi olarak koruyabilir. Dolaşan katekolaminlerin konsantrasyonları, test hayvanlarının her iki grubunda da, daha fazla artmıştır. Klinik olarak, önemli hipotermi ve aşırı anoksi ile birleşen katekolaminlerin dolaşım üstündeki akut etkileri kurtarma işlemi sırasında residüel dolaşımın ortaya çıkmasını engellemektedir. Suda boğulma yokluğunda, soğuk suda ani ölümlerde rol oynayabilir. METRONİDAZOLE/ETANOL ETKİLEŞİMİNE BAĞLI ANİ ÖLÜM Sudden Death Due to Metranidazole/ Ethanole Interaction. Cina SJ, Russel RA, Conradi SA et al. Am. J. Forensic Med. and Pathol. 1996; 17/4:343-346 Yaygın olarak antimikrobiyal ajan olarak hekimler tarafından yazılan, Metranidazole (Flagyl etanol içen hastalara