Metronidazole (INN) (IPA: ) is a nitroimidazole anti-infective drug used mainly in the treatment of infections caused by susceptible organisms, particularly anaerobic bacteria and protozoa. It is marketed by Sanofi-Aventis under the trade name Flagyl, and also by various generic manufacturers. Metronidazole is also used in the treament of the dermatological condition rosacea, where it is marketed by Galderma under the trade names Rozex and MetroGel.
Mode of action
Metronidazole is selectively taken up by
anaerobic bacteria and sensitive
protozoal organisms because of the ability of these organisms to reduce metronidazole to its active form intracellularly. The nitro group of metronidazole is chemically reduced by
ferredoxin (or ferredoxin-linked metabolic process) and the products are responsible for disrupting the
DNA helical structure, thus inhibiting
nucleic acid synthesis.
Indications
Systemic metronidazole is indicated for the treatment of:
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