Metronidazole

Indications

Metronidazole is indicated in:
  • All forms of amoebiasis (intestinal and extra-intestinal disease including liver abscess and that of symptomless cyst passers)
  • Trichomoniasis
  • Giardiasis
  • Bacterial vaginosis
  • Acute ulcerative gingivitis
  • Anaerobic infections including septicaemia, bacteraemia, peritonitis, brain abscess, necrotising pneumonia, osteomyelitis, puerperal sepsis, pelvic abscess, pelvic cellulitis etc.
  • Anaerobically-infected leg ulcers and pressure sores
  • Acute dental infections (e.g. acute pericoronitis and acute apical infections)
  • Surgical prophylaxis (prevention of postoperative infections due to anaerobic bacteria, particularly species of bacteroides and anaerobic streptococci
  • Chronic symptomatic peptic ulcer disease (as an agent of triple therapy to eradicate H. pylori-the most important aetiological factor of peptic ulcer)

Therapeutic Class

Amoebicides, Anti-diarrhoeal Antiprotozoal

Pharmacology

Metronidazole, a nitroimidazole has an extremely broad spectrum antiprotozoal and antimicrobial activities, with high activity against anaerobic bacteria and protozoa. Metronidazole is usually completely and rapidly absorbed after oral administration. The half-life in plasma is about 8 hours. About 10% of the drug is bound to plasma proteins. Metronidazole penetrates well into body tissues and fluids. The liver is the main site of metabolism. Both unchanged Metronidazole and metabolites are excreted in various proportions in the urine after oral administration.

Dosage & Administration

Tablet and Suspension:

Amoebic dysentery: Duration 5-10 Days; 
  • For Tablet: Adults- 750 mg t.i.d. Children- (7-10 years) 500 mg t.i.d. (3-7 years) 250 mg q.i.d. (1-3 years) 250 mg t.i.d.
  • For Suspension: Adults- 800 mg t.i.d. Children- (7-10 years) 500 mg t.i.d. (3-7 years) 200 mg q.i.d. (1-3 years) 200 mg t.i.d.
Asymptomatic amoebiasis: Duration 5-10 Days;
  • For Tablet: Adults- 500-750 mg t.i.d. Children- (7-10 years) 250-500 mg t.i.d. (3-7 years) 250 mg q.i.d. (1-3 years) 250 mg t.i.d.
  • For Suspension: Adults- 500-800 mg t.i.d. Children- (7-10 years) 200-500 mg t.i.d.; (3-7 years) 200 mg q.i.d.; (1-3 years) 200 mg t.i.d.
Hepatic extraintestinal amoebiasis : Duration 5-10 Days (or 2days); 
  • For Tablet: Adults- 500-750 mg t.i.d.; Children- (7-10 years) 250-500 mg t.i.d.; (3-7 years) 250 mg q.i.d.; (1-3 years) 250 mg t.i.d.
  • For Suspension: Adults- 500-800 mg t.i.d.; Children- (7-10 years) 200-500 mg t.i.d.; (3-7 years) 200 mg q.i.d.; (1-3 years) 200 mg t.i.d.
Giardiasis: Duration 3 Days;
  • For Tablet: Adults- 2 g once daily; Children-(7-10 years) 1g once daily; (3-7 years) 750 mg once daily; (1-3 years) 500 mg once daily.
  • For suspension: Adults- 2 g once daily; Children-(7-10 years) 1g once daily; (3-7 years) 800 mg once daily; (1-3 years) 500 mg once daily.
Trichomoniasis: Duration 7 Days;
  • For Tablet: Adults- 250 mg t.i.d.; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
  • For Suspension: Adults- 200 mg t.i.d.; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
Trichomoniasis: Duration 1 Day;
  • For Tablet: Adults- 2 g single dose; 
  • For Suspension: Adults- 2 g single dose; 
Vincent's infection (Ulceration of mucous membrane of respiratory tract & mouth): Duration 3 Days;
  • For Tablet: Adults- 250 mg t.i.d. or 500 mg b.i.d; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
  • For Suspension: Adults- 200 mg t.i.d. or 500 mg b.i.d; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
Periodontal infection: Duration 3 Days;
  • For Tablet: Adults- 250 mg t.i.d.; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
  • For Suspension: Adults- 200 mg t.i.d.; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
Severe dental infection: Duration 3 Days;
  • For Tablet: Adults- 500 mg t.i.d.; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
  • For Suspension: Adults- 500 mg t.i.d.; Children- (7-10 years) 100 mg t.i.d.; (3-7 years) 100 mg b.i.d.; (1-3 years) 50 mg t.i.d.
Anaerobic infection: Duration 7 Days;
  • For Tablet: Adults- 500 mg t.i.d.; Children- 7.5 mg/kg body weight t.i.d.
  • For Suspension: Adults- 500 mg t.i.d.; Children- 7.5 mg/kg body weight t.i.d.
Postoperative anaerobic infection (specially in operation abdominal or gynecological surgery): Duration 7 Days;
  • For Tablet: Adults- 500 mg t.i.d. before and after operation; Children- 7.5 mg/kg body weight t.i.d.
  • For Suspension: Adults- 500 mg t.i.d. before and after operation; Children- 7.5 mg/kg body weight t.i.d.
Bacterial vaginitis: Duration 7 Days;
  • For Tablet: Adults- 500 mg b.i.d. 
  • For Suspension: Adults- 500 mg b.i.d.
Leg ulcers: Duration 1 Day;
  • For Tablet: Adults- 2 g as a single dose 
  • For Suspension: Adults- 2 g as a single dose
Pressure sores: Duration 7 Days;
  • For Tablet: Adults- 500 mg t.i.d. 
  • For Suspension: Adults- 500 mg t.i.d.
H. pylori infection: Duration 7 Days;
  • For Tablet: Adults- 500 mg b.i.d 
  • For Suspension: Adults-500 mg b.i.d
Antibiotic Associated Pseudomembranus colitis: Duration 7 Days;
  • For Tablet: Adults- 500 mg b.i.d 
  • For Suspension: Adults- 500 mg b.i.d

Vaginal Gel:

The recommended dose is one applicator full of Metronidazole GEL (approximately 5 grams containing approximately 37.5 mg of Metronidazole) intravaginally once or twice a day for 5 days. For once a day dosing, Metronidazole GEL should be administered at bedtime.



Suppository:

Anaerobic infections:
  • Adult: 1 g 8 hrly for 3 days, then 12 hrly thereafter until oral medication is possible.
  • Child: 5-10 yr 500 mg. All doses to be given 8 hrly for 3 days, then 12 hrly thereafter until oral medication is possible.
Prophylaxis of postoperative anaerobic bacterial infections:
  • Adult: 1 g 2 hr before surgery, repeated 8 hrly for 3 days, then 12 hrly thereafter until oral medication is possible.
  • Child: 5-10 yr 500 mg 2 hr before surgery, repeated 8 hrly for 3 days, then 12 hrly thereafter until oral medication is possible.


IV Infusion:

Metronidazole injection should be infused intravenously at an approximate rate of 5 ml/min. Oral medication should be substituted as soon as feasible. Treatment for 7 days should be satisfactory for most patients, but the physician might decide to prolong treatment.
  • For bacterial infections: Adults: 500 mg (100 ml) 8 hourly. Children: 7.5 mg/kg (1.5 ml/kg) 8 hourly. 
  • For treatment before and during surgery: Adults: 500 mg (100 ml) shortly before operation, repeated 8 hourly. Children: 7.5 mg/kg (1.5 ml/kg) 8 hourly

Interaction

Metronidazole interacts with warfarin, nicoumalone, phenytoin, phenobarbitone, fluorouracil, disulfiram, lithium, cimetidine etc.

Contraindications

Metronidazole is contraindicated in patients with prior history of hypersensitivity to Metronidazole or other Nitroimidazole derivatives.

Side Effects

Side effects of Metronidazole include gastrointestinal discomfort, nausea, coated tongue, dryness of mouth and unpleasant metallic or bitter taste, headache, pruritus and skin rashes and less frequently, vertigo, depression, insomnia, drowsiness, urethral discomfort, and darkening of the urine. Occasionally there may be temporary moderate leucopenia. Peripheral neuropathy has been reported in patients on prolonged therapy.

Pregnancy & Lactation

Not recommended during first & later trimesters. Breast feeding should be delayed until 48 hours after discontinuing metronidazole in the mother.

Precautions & Warnings

Metronidazole should not be used in patients with blood dyscrasia. It is suggested that it should not be given in the first three months of pregnancy. When given in conjunction with alcohol, Metronidazole may provoke a disulphiram like effect.

Storage Conditions

Store in a cool and dry place. Protect from light and moisture. Keep out of the reach of children

Available Brand Names

  • Oral Suspension Alkazol
    200 mg/5 ml
    Alkad Laboratories
    60 ml bottle : ৳ 24.00
  • Tablet Amezol
    400 mg
    Cosmic Pharma Ltd.
    Unit Price : ৳ 1.25
  • Oral Suspension Amezol
    200 mg/5 ml
    Cosmic Pharma Ltd.
    60 ml bottle : ৳ 24.21
  • Tablet Amirid
    400 mg
    Veritas Pharmaceuticals Ltd.
    Unit Price : ৳ 1.26
  • Tablet Amobin
    400 mg
    Doctor’s Chemical Works Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Amobin
    200 mg/5 ml
    Doctor’s Chemical Works Ltd.
    60 ml bottle : ৳ 24.00
  • Tablet Amobin
    200 mg
    Doctor’s Chemical Works Ltd.
    Unit Price : ৳ 0.53
  • Tablet Amodis
    400 mg
    Square Pharmaceuticals Ltd.
    Unit Price : ৳ 1.27
  • Tablet Amodis
    500 mg
    Square Pharmaceuticals Ltd.
    Unit Price : ৳ 1.91
  • Oral Suspension Amodis
    200 mg/5 ml
    Square Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.89
  • IV Infusion Amodis
    500 mg/100 ml
    Square Pharmaceuticals Ltd.
    100 ml bottle : ৳ 53.56
  • Tablet Amodis
    200 mg
    Square Pharmaceuticals Ltd.
    Unit Price : ৳ 1.01
  • Tablet Amogit
    400 mg
    Marksman Pharmaceuticals Ltd.
    Unit Price : ৳ 1.03
  • Tablet Amotrex
    200 mg
    ACI Limited
    Unit Price : ৳ 0.69
  • Tablet Amotrex
    400 mg
    ACI Limited
    Unit Price : ৳ 1.27
  • Oral Suspension Amotrex
    200 mg/5 ml
    ACI Limited
    60 ml bottle : ৳ 29.90
  • IV Infusion Amotrex
    500 mg/100 ml
    ACI Limited
    100 ml bottle : ৳ 85.26
  • Tablet Anamet
    400 mg
    Navana Pharmaceuticals Ltd.
    Unit Price : ৳ 1.27
  • Oral Suspension Anamet
    200 mg/5 ml
    Navana Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.90
  • Tablet Antipro
    400 mg
    Rangs Pharmaceuticals Ltd.
    Unit Price : ৳ 1.55
  • Oral Suspension Antipro
    200 mg/5 ml
    Rangs Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.88
  • Tablet Anzole
    400 mg
    Monicopharma Ltd.
    Unit Price : ৳ 1.15
  • Oral Suspension Anzole
    200 mg/5 ml
    Monicopharma Ltd.
    60 ml bottle : ৳ 25.00
  • Tablet Apetryl
    400 mg
    APC Pharma Ltd.
    Unit Price : ৳ 1.13
  • Oral Suspension Apetryl
    200 mg/5 ml
    APC Pharma Ltd.
    60 ml bottle : ৳ 25.00
  • Tablet Benmet
    400 mg
    Pacific Pharmaceuticals Ltd.
    Unit Price : ৳ 1.26
  • Oral Suspension Benmet
    200 mg/5 ml
    Pacific Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.00
  • Tablet Benzol
    400 mg
    Bengal drugs Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Benzol
    200 mg/5 ml
    Bengal drugs Ltd.
    60 ml bottle : ৳ 22.00
  • Tablet Biozyl
    400 mg
    Biopharma Laboratories Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Biozyl
    200 mg/5 ml
    Biopharma Laboratories Ltd.
    60 ml bottle : ৳ 25.26
  • Tablet Cedol
    400 mg
    Central Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Cedol
    200 mg/5 ml
    Central Pharmaceuticals Ltd.
    60 ml bottle : ৳ 22.00
  • Tablet D Metro
    400 mg
    Desh Pharmaceuticals Ltd.
    Unit Price : ৳ 0.80
  • Oral Suspension D Metro
    200 mg/5 ml
    Desh Pharmaceuticals Ltd.
    60 ml bottle : ৳ 16.80
  • Tablet Decagyl
    400 mg
    Decent Pharma Laboratories Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Decagyl
    200 mg/5 ml
    Decent Pharma Laboratories Ltd.
    60 ml bottle : ৳ 25.50
  • Tablet Dirozyl
    200 mg
    ACME Laboratories Ltd.
    Unit Price : ৳ 0.67
  • Tablet Dirozyl
    400 mg
    ACME Laboratories Ltd.
    Unit Price : ৳ 1.27
  • Oral Suspension Dirozyl
    200 mg/5 ml
    ACME Laboratories Ltd.
    60 ml bottle : ৳ 29.90
  • Suppository Dirozyl
    500 mg
    ACME Laboratories Ltd.
    Unit Price : ৳ 12.09
  • IV Infusion Dirozyl
    500 mg/100 ml
    ACME Laboratories Ltd.
    100 ml bottle : ৳ 54.05
  • Oral Suspension Dymet
    200 mg/5 ml
    Syntho Laboratories Ltd.
    60 ml bottle : ৳ 22.00
  • Tablet Dymet
    400 mg
    Syntho Laboratories Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Elygyl
    200 mg/5 ml
    S.N. Pharmaceutical Ltd.
    60 ml bottle : ৳ 22.00
  • Tablet Elygyl
    400 mg
    S.N. Pharmaceutical Ltd.
    Unit Price : ৳ 1.00
  • Tablet Filmet
    200 mg
    Beximco Pharmaceuticals Ltd.
    Unit Price : ৳ 0.68
  • Tablet Filmet
    400 mg
    Beximco Pharmaceuticals Ltd.
    Unit Price : ৳ 1.52
  • Oral Suspension Filmet
    200 mg/5 ml
    Beximco Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.90
  • IV Infusion Filmet
    500 mg/100 ml
    Beximco Pharmaceuticals Ltd.
    100 ml bottle : ৳ 53.86
  • Tablet Filmet DS
    800 mg
    Beximco Pharmaceuticals Ltd.
    Unit Price : ৳ 2.01
  • Tablet Flagyl
    200 mg
    Sanofi Bangladesh Ltd.
    Unit Price : ৳ 0.67
  • Tablet Flagyl
    400 mg
    Sanofi Bangladesh Ltd.
    Unit Price : ৳ 1.58
  • Oral Suspension Flagyl
    200 mg/5 ml
    Sanofi Bangladesh Ltd.
    60 ml bottle : ৳ 29.89
  • Tablet Flamyd
    250 mg
    Incepta Pharmaceuticals Ltd.
    Unit Price : ৳ 1.05
  • Tablet Flamyd
    500 mg
    Incepta Pharmaceuticals Ltd.
    Unit Price : ৳ 1.90
  • IV Infusion Flamyd
    500 mg/100 ml
    Incepta Pharmaceuticals Ltd.
    100 ml bottle : ৳ 53.41
  • Vaginal Gel Flamyd
    0.75%
    Incepta Pharmaceuticals Ltd.
    30 gm tube : ৳ 50.00
  • Oral Suspension Flamyd
    200 mg/5 ml
    Incepta Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.50
  • Tablet Florazol
    400 mg
    NIPRO JMI Pharma Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Florazol
    200 mg/5 ml
    NIPRO JMI Pharma Ltd.
    60 ml bottle : ৳ 24.94
  • Tablet G-Metronidazole
    400 mg
    Gonoshasthaya Pharma Ltd.
    100's blister : ৳ 100.05
  • Oral Suspension G-Metronidazole
    200 mg/5 ml
    Gonoshasthaya Pharma Ltd.
    60 ml bottle : ৳ 20.00
  • IV Infusion G-Metronidazole
    500 mg/100 ml
    Gonoshasthaya Pharma Ltd.
    100 ml bottle : ৳ 35.00
  • Tablet G-Metronidazole
    200 mg
    Gonoshasthaya Pharma Ltd.
    Unit Price : ৳ 0.45
  • Tablet Gly
    400 mg
    Astra Biopharmaceuticals Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Gly
    200 mg/5 ml
    Astra Biopharmaceuticals Ltd.
    60 ml bottle : ৳ 25.00
  • Tablet Jetrazole
    200 mg
    Biogene Pharma Ltd.
    Unit Price : ৳ 1.25
  • Oral Suspension Jetrazole
    200 mg/5 ml
    Biogene Pharma Ltd.
    60 ml bottle : ৳ 29.89
  • Tablet Kemet
    400 mg
    Kemiko Pharmaceuticals Ltd.
    Unit Price : ৳ 1.26
  • Oral Suspension Kemet
    200 mg/5 ml
    Kemiko Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.80
  • Tablet Kilpro
    400 mg
    Techno Drugs Ltd.
    Unit Price : ৳ 1.13
  • IV Infusion Kilpro
    500 mg/100 ml
    Techno Drugs Ltd.
    100 ml bottle : ৳ 64.70
  • Tablet Klion
    200 mg
    Ambee Pharmaceuticals Ltd.
    Unit Price : ৳ 0.67
  • Tablet Klion
    400 mg
    Ambee Pharmaceuticals Ltd.
    Unit Price : ৳ 1.09
  • Oral Suspension Klion
    200 mg/5 ml
    Ambee Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.74
  • IV Infusion Librazol
    500 mg/100 ml
    Libra Infusions Ltd.
    100 ml bottle : ৳ 49.57
  • Tablet M-400
    400 mg
    Pharmasia Limited
    Unit Price : ৳ 1.14
  • Tablet M-Dazole
    200 mg
    Modern Pharmaceuticals Ltd.
    Unit Price : ৳ 0.61
  • Tablet M-Dazole
    400 mg
    Modern Pharmaceuticals Ltd.
    Unit Price : ৳ 1.20
  • Oral Suspension M-Dazole
    200 mg/5 ml
    Modern Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.67
  • Tablet Mecozol
    400 mg
    Amico Laboratories Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Mecozol
    200 mg/5 ml
    Amico Laboratories Ltd.
    60 ml bottle : ৳ 25.00
  • Tablet Medizol
    400 mg
    Medicon Pharmaceuticals Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Medizol
    200 mg/5 ml
    Medicon Pharmaceuticals Ltd.
    60 ml bottle : ৳ 23.86
  • Tablet Meenazole
    400 mg
    Pharmik Laboratories Ltd.
    Unit Price : ৳ 1.27
  • Tablet Melagyl
    400 mg
    Reliance Pharmaceuticals Ltd.
    Unit Price : ৳ 1.02
  • Oral Suspension Melagyl
    200 mg/5 ml
    Reliance Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.75
  • Tablet Menida
    400 mg
    Oyster Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Menida
    200 mg/5 ml
    Oyster Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.00
  • Tablet Menilet
    400 mg
    Alco Pharma Ltd.
    Unit Price : ৳ 1.57
  • Tablet Menol
    400 mg
    Supreme Pharmaceutical Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Menol
    200 mg/5 ml
    Supreme Pharmaceutical Ltd.
    60 ml bottle : ৳ 25.75
  • Tablet Metason
    400 mg
    Jayson Pharma Ltd.
    Unit Price : ৳ 1.50
  • Oral Suspension Metason
    200 mg/5 ml
    Jayson Pharma Ltd.
    60 ml bottle : ৳ 25.17
  • Tablet Metco
    400 mg
    Eskayef Bangladesh Ltd.
    Unit Price : ৳ 1.26
  • Oral Suspension Metco
    200 mg/5 ml
    Eskayef Bangladesh Ltd.
    60 ml bottle : ৳ 29.89
  • IV Infusion Metco
    500 mg/100 ml
    Eskayef Bangladesh Ltd.
    100 ml bottle : ৳ 60.18
  • Tablet Metfil
    400 mg
    Bristol Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Tablet Metonid
    400 mg
    Popular Pharmaceuticals Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Metonid
    200 mg/5 ml
    Popular Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.32
  • IV Infusion Metonid
    500 mg/100 ml
    Popular Pharmaceuticals Ltd.
    100 ml bottle : ৳ 75.00
  • Tablet Metra
    400 mg
    Ad-din pharmaceuticals Ltd.
    Unit Price : ৳ 1.05
  • Oral Suspension Metra
    200 mg/5 ml
    Ad-din pharmaceuticals Ltd.
    60 ml bottle : ৳ 24.00
  • Tablet Metrion
    400 mg
    General Pharmaceuticals Ltd.
    Unit Price : ৳ 2.01
  • IV Infusion Metrion
    500 mg/100 ml
    General Pharmaceuticals Ltd.
    100 ml bottle : ৳ 80.24
  • Tablet Metrizol
    400 mg
    Cosmo Pharma Laboratories Ltd.
    Unit Price : ৳ 1.01
  • IV Infusion Metro
    500 mg/100 ml
    Opso Saline Ltd.
    100 ml bottle : ৳ 53.95
  • Tablet Metro
    400 mg
    Ziska Pharmaceuticals Ltd.
    Unit Price : ৳ 1.05
  • Oral Suspension Metro
    200 mg/5 ml
    Ziska Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.00
  • IV Infusion Metrobac
    500 mg/100 ml
    Ziska Pharmaceuticals Ltd.
    100 ml bottle : ৳ 53.00
  • Tablet Metrocon
    400 mg
    Concord Pharmaceuticals Ltd.
    Unit Price : ৳ 2.00
  • Tablet Metrodol
    400 mg
    Aristopharma Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Metrodol
    200 mg/5 ml
    Aristopharma Ltd.
    60 ml bottle : ৳ 19.98
  • Tablet Metrogard
    400 mg
    Guardian Healthcare Ltd.
    Unit Price : ৳ 1.26
  • Tablet Metrogyl
    400 mg
    Rephco Pharmaceuticals Ltd.
    Unit Price : ৳ 1.10
  • Tablet Metrogyl
    200 mg
    Rephco Pharmaceuticals Ltd.
    Unit Price : ৳ 1.25
  • Oral Suspension Metrogyl
    200 mg/5 ml
    Rephco Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.00
  • Oral Suspension Metrol
    200 mg/5 ml
    Indo Bangla Pharmaceutical
    60 ml bottle : ৳ 21.00
  • Tablet Metrol
    400 mg
    Indo Bangla Pharmaceutical
    Unit Price : ৳ 1.00
  • Tablet Metrolin
    400 mg
    City Overseas Ltd.
    Unit Price : ৳ 1.14
  • Tablet Metromax
    400 mg
    Novo Healthcare and Pharma Ltd.
    Unit Price : ৳ 1.35
  • IV Infusion Metromax
    500 mg/100 ml
    Novo Healthcare and Pharma Ltd.
    100 ml bottle : ৳ 52.00
  • Tablet Metron
    400 mg
    Leon Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Metrona
    200 mg/5 ml
    Aztec Pharmaceuticals Ltd.
    60 ml bottle : ৳ 24.00
  • Tablet Metrona
    400 mg
    Aztec Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Tablet Metronidazole
    200 mg
    Essential Drugs Company Ltd.
    Price not available
  • Tablet Metronidazole
    400 mg
    Essential Drugs Company Ltd.
    Unit Price : ৳ 1.10
  • Oral Suspension Metronidazole
    200 mg/5 ml
    Essential Drugs Company Ltd.
    60 ml bottle : ৳ 24.92
  • IV Infusion Metronidazole
    500 mg/100 ml
    Essential Drugs Company Ltd.
    100 ml bottle : ৳ 51.48
  • Tablet Metropill
    200 mg
    Medimet Pharmaceuticals Ltd.
    Unit Price : ৳ 0.60
  • Tablet Metropill
    400 mg
    Medimet Pharmaceuticals Ltd.
    Unit Price : ৳ 1.10
  • Oral Suspension Metropill
    200 mg/5 ml
    Medimet Pharmaceuticals Ltd.
    60 ml bottle : ৳ 22.00
  • Tablet Metrosil
    400 mg
    Silva Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Metrosil
    200 mg/5 ml
    Silva Pharmaceuticals Ltd.
    60 ml bottle : ৳ 19.07
  • Tablet Metroson
    400 mg
    Hudson Pharmaceuticals Ltd.
    Unit Price : ৳ 1.05
  • Oral Suspension Metroson
    200 mg/5 ml
    Hudson Pharmaceuticals Ltd.
    60 ml bottle : ৳ 18.00
  • Tablet Metrozen
    400 mg
    Zenith Pharmaceuticals Ltd.
    Unit Price : ৳ 1.07
  • Oral Suspension Metrozen
    200 mg/5 ml
    Zenith Pharmaceuticals Ltd.
    60 ml bottle : ৳ 21.44
  • Tablet Metryl
    200 mg
    Opsonin Pharma Ltd.
    Unit Price : ৳ 0.67
  • Tablet Metryl
    400 mg
    Opsonin Pharma Ltd.
    Unit Price : ৳ 1.27
  • Tablet Metryl
    500 mg
    Opsonin Pharma Ltd.
    Unit Price : ৳ 1.91
  • Oral Suspension Metryl
    200 mg/5 ml
    Opsonin Pharma Ltd.
    60 ml bottle : ৳ 29.59
  • IV Infusion Metryl
    500 mg/100 ml
    Opsonin Pharma Ltd.
    100 ml bottle : ৳ 53.58
  • Tablet Metsina
    400 mg
    Ibn-Sina Pharmaceuticals Ltd.
    Unit Price : ৳ 1.55
  • Oral Suspension Metsina
    200 mg/5 ml
    Ibn-Sina Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.49
  • IV Infusion Metsina
    500 mg/100 ml
    Ibn-Sina Pharmaceuticals Ltd.
    100 ml bottle : ৳ 75.00
  • IV Infusion Mez
    500 mg/100 ml
    Renata Limited
    100 ml bottle : ৳ 70.27
  • Tablet Micogyl
    400 mg
    Globe Pharmaceuticals Ltd.
    Unit Price : ৳ 1.20
  • Oral Suspension Micogyl
    200 mg/5 ml
    Globe Pharmaceuticals Ltd.
    60 ml bottle : ৳ 29.88
  • IV Infusion Micogyl
    500 mg/100 ml
    Globe Pharmaceuticals Ltd.
    100 ml bottle : ৳ 53.41
  • Tablet Neogyl
    400 mg
    Millat Pharmaceuticals Ltd.
    Unit Price : ৳ 1.14
  • Oral Suspension Neogyl
    200 mg/5 ml
    Millat Pharmaceuticals Ltd.
    60 ml bottle : ৳ 24.88
  • Tablet Nida
    400 mg
    Sonear Laboratories Ltd.
    Unit Price : ৳ 0.82
  • Tablet Nidazyl
    400 mg
    Orion Pharma Ltd.
    Unit Price : ৳ 1.15
  • Oral Suspension Nidazyl
    200 mg/5 ml
    Orion Pharma Ltd.
    60 ml bottle : ৳ 29.90
  • IV Infusion Nidazyl
    500 mg/100 ml
    Orion Infusion Ltd.
    100 ml bottle : ৳ 52.36
  • Tablet Onida
    400 mg
    Mystic Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Onida
    200 mg/5 ml
    Mystic Pharmaceuticals Ltd.
    60 ml bottle : ৳ 21.00
  • Tablet Orbizol
    400 mg
    Orbit Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Orbizol
    200 mg/5 ml
    Orbit Pharmaceuticals Ltd.
    60 ml bottle : ৳ 25.00
  • Oral Suspension Ormet
    200 mg/5 ml
    Belsen Pharmaceuticals Ltd.
    60 ml bottle : ৳ 20.00
  • Tablet Ormet
    400 mg
    Belsen Pharmaceuticals Ltd.
    Unit Price : ৳ 1.12
  • Tablet Orozole
    400 mg
    Quality Pharmaceuticals Ltd.
    Unit Price : ৳ 1.27
  • Tablet Phidazole
    400 mg
    Pharmadesh Laboratories Ltd.
    Unit Price : ৳ 1.10
  • Oral Suspension Phidazole
    200 mg/5 ml
    Pharmadesh Laboratories Ltd.
    60 ml bottle : ৳ 24.50
  • Tablet Premet
    400 mg
    Premier Pharmaceuticals Ltd.
    Unit Price : ৳ 1.50
  • Tablet Protec
    400 mg
    Hallmark Pharmaceuticals Ltd.
    Unit Price : ৳ 1.08
  • Oral Suspension Remagyl
    200 mg/5 ml
    Reman Drug Laboratories Ltd.
    60 ml bottle : ৳ 21.50
  • Tablet SB-Mezol
    400 mg
    Sunman-Birdem Pharma Ltd.
    Unit Price : ৳ 1.50
  • Oral Suspension Seemagyl
    200 mg/5 ml
    Seema Pharmaceuticals Ltd.
    60 ml bottle : ৳ 24.00
  • Tablet Seemagyl
    400 mg
    Seema Pharmaceuticals Ltd.
    Price not available
  • Tablet Servizol
    400 mg
    SANDOZ (A Novartis Division)
    Unit Price : ৳ 1.13
  • Oral Suspension Silmet
    200 mg/5 ml
    Silco Pharmaceutical Ltd.
    Price not available
  • Tablet Silmet
    400
    Silco Pharmaceutical Ltd.
    Price not available
  • Tablet Starzyl
    400 mg
    Asiatic Laboratories Ltd.
    Unit Price : ৳ 1.02
  • Oral Suspension Starzyl
    200 mg/5 ml
    Asiatic Laboratories Ltd.
    60 ml bottle : ৳ 24.84
  • Tablet Tricozyl
    400 mg
    Edruc Ltd.
    Unit Price : ৳ 1.26
  • Oral Suspension Tricozyl
    200 mg/5 ml
    Edruc Ltd.
    60 ml bottle : ৳ 25.00
  • Tablet Varizil
    400 mg
    Drug International Ltd.
    Unit Price : ৳ 0.86
  • IV Infusion Varizil
    500 mg/100 ml
    Drug International Ltd.
    100 ml bottle : ৳ 45.16
  • Tablet Vigil
    400 mg
    Salton Pharmaceuticals Ltd.
    Unit Price : ৳ 1.00
  • Oral Suspension Vigil
    200 mg/5 ml
    Salton Pharmaceuticals Ltd.
    60 ml bottle : ৳ 22.08