Metronidazole

Anaerobex, Metronidazol B. Braun, Metronidazol Bradex, Metronidazol Hikma · ATC code J01XD01

Also known as: Metronidazol · Brand names: Anaerobex, Metronidazol B. Braun, Metronidazol Bradex, Metronidazol Hikma, Metronidazol Kabi, Metronidazol Vioser, Nidazea, Rozex, Arilin, Metrocreme, Metrogalen, Metrogel, Metrolotion, Metronidazol Al, Metronidazol Aristo …

Key facts
Active substance
Metronidazole
ATC code
J01XD01
Authorisation
authorised nationally; no central EU authorisation
Information as of
2026-10-27

Boxed warning

WARNING

Metronidazole has been shown to be carcinogenic in mice and rats (see PRECAUTIONS ). Unnecessary use of the drug should be avoided. Its use should be reserved for the conditions described in the INDICATIONS AND USAGE section below.

Key facts

Metronidazole is a nitroimidazole antimicrobial. Per the US label, oral metronidazole is used for trichomoniasis, amebiasis and anaerobic bacterial infections.

What it is used for

  • Symptomatic trichomoniasis in females and males, confirmed by laboratory testing
  • Asymptomatic trichomoniasis in females with endocervicitis, cervicitis or cervical erosion
  • Acute intestinal amebiasis and amebic liver abscess
  • Serious anaerobic bacterial infections

Dosing

  • Trichomoniasis: one-day treatment of two grams (single or two divided doses) or 250 mg three times daily for seven days
  • Acute amebic dysentery, adults: 750 mg three times daily for 5 to 10 days; liver abscess 500 mg or 750 mg three times daily
  • Amebiasis, pediatric: 35 to 50 mg/kg/24 hours in three doses for 10 days
  • Anaerobic infections, adults: 7.5 mg/kg every six hours, maximum 4 g per 24 hours; usually 7 to 10 days
  • Severe hepatic impairment (Child-Pugh C): reduce dose by 50%; hemodialysis guidance in the full text

Contraindications

  • Hypersensitivity to metronidazole or other nitroimidazoles
  • Trichomoniasis in the first trimester of pregnancy
  • Disulfiram use within the last two weeks
  • Alcohol or propylene glycol products during and for at least three days after therapy
  • Cockayne syndrome

Important warnings

  • Boxed warning: carcinogenic in mice and rats; avoid unnecessary use
  • Severe cutaneous adverse reactions (TEN, SJS, DRESS, AGEP); discontinue immediately
  • Encephalopathy, peripheral and optic neuropathy, convulsive seizures
  • QT prolongation, especially with other QT-prolonging drugs

Side effects

  • Most common gastrointestinal: nausea, anorexia, vomiting, diarrhea, abdominal cramping
  • Metallic taste, glossitis, stomatitis
  • Serious: seizures, encephalopathy, aseptic meningitis, neuropathy
  • Headache, dizziness, ataxia, confusion; rash, pruritus

Interactions

  • Alcohol: disulfiram-like reaction; disulfiram: psychotic reactions
  • Warfarin and coumarins: prolonged prothrombin time; monitor INR
  • Lithium: serum lithium may rise

Pregnancy and breastfeeding

  • Contraindicated for trichomoniasis in the first trimester
  • Present in human milk; infant serum levels can approach therapeutic levels

Summary of the official product information, written with AI (Claude, Anthropic) on 2026-10-28. Every number was checked automatically against the original text. Not reviewed by a physician – the full official text is authoritative.

Full official text →

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For patients

Patient information (US)

This product has no separate US patient information.

Authorisation and brand names by country

Medicines with exactly this active-substance composition, as listed in the national registers – alphabetical and without ranking. Whether a product is currently available is not shown here.

Austria

  • AnaerobexG.L. Pharma Gmbh · 2 register entries
  • Metronidazol B. BraunB.Braun Melsungen Ag · 1 register entry
  • Metronidazol BradexBradex S.A. · 1 register entry
  • Metronidazol HikmaHikma Farmacêutica (Portugal), S.A. · 1 register entry
  • Metronidazol KabiFresenius Kabi Austria Gmbh · 1 register entry
  • Metronidazol VioserVioser S.A. · 1 register entry
  • NidazeaDr. August Wolff Gmbh & Co. Kg Arzneimittel · 1 register entry
  • RozexGalderma International · 1 register entry

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Germany

  • ArilinDr. August Wolff Gmbh & Co. Kg Arzneimittel · 3 register entries
  • MetrocremeGalderma Laboratorium Gmbh · 1 register entry
  • MetrogalenGalenpharma Gmbh · 1 register entry
  • MetrogelGalderma Laboratorium Gmbh · 1 register entry
  • MetrolotionGalderma Laboratorium Gmbh · 1 register entry
  • Metronidazol AlAliud Pharma Gmbh · 1 register entry
  • Metronidazol AristoAristo Pharma Gmbh (Art 57) · 1 register entry
  • Metronidazol Artesan-DrossapharmDrossapharm Gmbh · 1 register entry
  • Metronidazol B. BraunB.Braun Melsungen Ag · 1 register entry
  • Metronidazol DeltamedicaDeltamedica Gmbh · 1 register entry
  • Metronidazol FreseniusFresenius Kabi Deutschland Gmbh · 1 register entry
  • Metronidazol HeumannHeumann Pharma Gmbh & Co. Generica Kg · 1 register entry
Show all 19 brand names
  • Metronidazol NoridemNoridem Enterprises Ltd · 1 register entry
  • Metronidazol PanpharmaPanpharma Gmbh · 1 register entry
  • Metronidazol RatiopharmRatiopharm Gmbh · 1 register entry
  • Metronidazol StadaStadapharm Gmbh · 1 register entry
  • Metronidazole RatiopharmRatiopharm Gmbh · 1 register entry
  • RosicedLaboratoires Bailleul S.A. · 1 register entry
  • Vagi - MetroDrossapharm Gmbh · 1 register entry

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Turkey

  • AzogylVEM İLAÇ SAN. VE TİC. A.Ş. · 2 register entries
  • Biofleks MetroselOSEL İLAÇ SAN. VE TİC. A.Ş. · 2 register entries
  • FladazolKOÇAK FARMA İLAÇ VE KİMYA SAN. A.Ş. · 2 register entries
  • Laronium %SM PHARMA İLAÇ SAN. LTD. ŞTİ. · 2 register entries
  • MultiflexHAVER FARMA İLAÇ A.Ş. · 2 register entries
  • Neofleks %TURKTIPSAN SAĞLIK TURİZM EĞİTİM VE TİC. A.Ş. · 2 register entries
  • NidazolMENARİNİ SAĞLIK VE İLAÇ SAN. TİC. A.Ş. · 2 register entries
  • PolgylPOLİFARMA İLAÇ SAN. VE TİC. A.Ş. · 2 register entries
  • Turkfleks %TURK İLAÇ VE SERUM SAN. A.Ş. · 2 register entries

Source: TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, as of 2026-10-16

USA

  • FlagylPfizer Laboratories Div Pfizer Inc · 1 register entry
  • LikmezKesin Pharma Corporation · 1 register entry
  • NoritateBausch Health US, LLC · 1 register entry
  • NuvessaExeltis USA, Inc. · 1 register entry
  • VandazoleUpsher-smith Laboratories, LLC · 1 register entry

Source: U.S. FDA – Drug labels (openFDA/DailyMed), as of 2026-10-28

Brand names in 27 more European countries
Belgium
Flagyl, Metronidazole B. Braun, Metronidazole Noridem, Rozex
Bulgaria
Aрилин, Арилин Рапид, Ефлоран, Метроза, Метронидазол Абр, Метронидазол И.В Браун, Полгил
Croatia
Arilin Rapid, Efloran, Medazol, Metronidazol B. Braun, Metronidazol Fresenius, Metronidazol Noridem, Metrosa, Rozamet
Cyprus
Colpocin-T, Flagymet, Metronidazole, Nidagyl
Czechia
Efloran, Entizol, Metronidazol Avmc, Metronidazol B. Braun, Metronidazole Noridem, Metronidazole Polpharma, Rosalox, Rozex
Denmark
Metronidazol Actavis, Metronidazol Avia Pharma, Metronidazol B. Braun, Metronidazol Dak, Metronidazol Viaflo Baxter, Metronidazole Noridem, Rozex, Zidoval
Estonia
Arilin, Metronidazol Orifarm, Metronidazole Fresenius, Metrosa, Rozex
Finland
Arilin, Flagyl, Metronidazole Braun, Metronidazole Noridem, Metronidazole Vioser, Rosazol, Rozex, Trikozol, Zidoval
France
Flagyl, Metronidazole B Braun, Metronidazole Bailly-Creat, Metronidazole Baxter, Metronidazole Biogaran, Metronidazole Biosedra, Metronidazole Gerda, Metronidazole Noridem, Metronidazole Sg-Pharm, Metronidazole Substipharm, Métronidazole Arrow, Rozacreme, Rozagel, Rozex
Greece
Colpocin-T, Emedal, Flagyl, Flagymet, Flanygrame, Metrogyl, Metronidazole B.Braun, Metronidazole Baxter, Metronidazole Cooper, Metronidazole Norma, Metronidazole Βιοσερ, Robaz, Tricodazole, Unitrim
Hungary
Klion, Metronidazol-Human Teva Gyógyszergyár, Metronidazol Noridem, Rozex
Iceland
Flagyl, Metronidazol Actavis, Metronidazol Baxter, Metronidazol Normon, Rosazol
Ireland
Flagyl, Metronidazole B. Braun Melsungen, Metronidazole Noridem, Rozex
Italy
Deflamon, Flagyl, Metronidazole Noridem, Metronidazolo Aurobindo, Metronidazolo B. Braun, Metronidazolo Baxter S.P.A., Metronidazolo Bioindustria Lim, Metronidazolo Kabi, Metronidazolo S.A.L.F., Metronidazolo Same Savoma Medicinali, Rosiced, Rozex, Vagilen, Zidoval
Latvia
Arilin, Metronidazol Orifarm, Metronidazole B. Braun, Metronidazole Basi, Metronidazole Fresenius, Metronidazole Unifarma, Metrosa, Rozex, Trichopol
Lithuania
Arilin, Metronidazole B.Braun, Metronidazole Basi, Metronidazole Fresenius, Metronidazole Vioser, Metrosa, Supplin, Trichopol
Luxembourg
Flagyl, Metronidazol B. Braun, Metronidazole Noridem, Rozex
Malta
Metronidazole B. Braun, Metronidazole Remedica, Nidagyl, Rozex
Netherlands
Flagyl, Metronidazol Aurobindo, Metronidazol B. Braun, Metronidazol Fresenius, Metronidazol Hikma, Metronidazol In Viaflo Baxter, Metronidazol Noridem, Metronidazole Aurobindo, Metrosa, Rozex
Norway
Flagyl, Metronidazol Actavis, Metronidazol Viaflo Baxter, Metronidazole Braun, Metronidazole Noridem, Rosazol, Rozex, Zidoval
Poland
Arilin Rapid, Metronidazol Aurovitas, Metronidazol Chema, Metronidazol Fresenius, Metronidazol Jelfa, Metronidazol Polpharma, Metronidazol Ziaja, Metronidazole B. Braun, Rozetic, Rozex, Vilantrin
Portugal
Dabenzol, Dumozol, Flagyl, Metroderme, Metronidazol Basi, Metronidazol Braun, Metronidazol Generis, Metronidazol Hikma, Metronidazol Isab, Metronidazol Labesfal, Metronidazol Noridem, Rodermil, Rosiced
Romania
Metronidazol Arena, Metronidazol B Infomed Fluids, Metronidazol Braun, Metronidazol Vioser, Metronidazole Noridem
Slovakia
Efloran, Entizol, Metronidazol B. Braun, Metronidazole Noridem, Metronidazole Polpharma, Rozex
Slovenia
Efloran, Metronidazol Braun, Metronidazol Noridem Enterprises, Rozamet
Spain
Flagyl, Intizol Vaginal, Metronidazol Altan, Metronidazol Aurovitas, Metronidazol B. Braun, Metronidazol Normon, Metronidazol Serraclinics, Metronidazol Viñas, Metronidazole Noridem, Rozex
Sweden
Flagyl, Metronidazol Actavis, Metronidazol Eql Pharma, Metronidazole Basi, Metronidazole Braun, Metronidazole Noridem, Rosazol, Rozex, Zidoval

EMA – Article 57 product data (EU/EEA), 2026-10-28

Medelix receives no money from pharmaceutical companies. Brand names are listed alphabetically and without ranking.

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Sources

  1. U.S. Food and Drug Administration. Metronidazole (BluePoint Laboratories) – Prescribing Information, 2026-02-23. DailyMed (NLM), 2026-10-27. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=3cf021b6-5794-4a86-b09d-bece0ba8b302
  2. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  3. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  4. TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, 2026-10-16. https://www.titck.gov.tr/dinamikmodul/85
  5. U.S. FDA – Drug labels (openFDA/DailyMed), 2026-10-28. https://dailymed.nlm.nih.gov/dailymed/

Editorial: Medelix editorial team · last updated 2026-10-27 · How these pages are made · Report an error

Source: U.S. Food and Drug Administration (FDA), prescribing information, via DailyMed (NLM); public domain. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.