Metrogel (Metronidazole)

Do’s

• Use Metrogel only on your skin, as prescribed by your healthcare provider.
• Wash and dry your hands thoroughly before and after applying the gel.
• Clean and dry the affected area before applying Metrogel.
• Wait 15 minutes after washing before applying the medication.
• Apply a thin layer of Metrogel to the affected area(s), following your healthcare provider's instructions (usually once or twice daily).
• Wait 5 minutes after applying Metrogel before using cosmetics.
• Consult your healthcare provider if instructed to use Metrogel around the eye area.

Don'ts

• Don't apply Metrogel in or near your eyes unless your healthcare provider specifically instructs you to do so.
• Don't rinse your eyes thoroughly with cool water if Metrogel gets in them.
• Don't use more Metrogel than prescribed or apply it more often than directed.
• Don't expect immediate results. It may take several weeks to see the full benefit.
• Don't stop using Metrogel without talking to your healthcare provider first.
• Don't use Metrogel after the expiration date.

Common side effects:

• Eye irritation, including tearing, redness, or discomfort
• Sore throat and nasal congestion
• Upper respiratory tract infections
• Headache
• Skin irritation, such as itching, reddening of the skin, or rash
• Nausea
• Vomiting
• Weakness
• Diarrhea
• Constipation
• Allergic reactions, including rash, itching/swelling (especially of the face/tongue/throat), and severe dizziness
• Tingling or numbness of the hands and feet
• Skin lesions caused by rosacea

Serious side effects that may require immediate medical attention include:

• Seizures
• Symptoms of liver disease, such as nausea/vomiting, loss of appetite, stomach/abdominal pain, yellowing of the eyes/skin, and dark urine
• Unusual bleeding or bruising
• Lack of energy
• Pain in the upper right part of the stomach
• Yellowing of the skin or eyes
• Flu-like symptoms with a rash, red or purple rash turning into blisters, or peeling of the skin
• Very fast or unusual heartbeat
• Serious allergic reaction, including swelling of the face, lips, tongue, or throat, skin rash, hives, or difficulty breathing

This is not an exhaustive list, and other side effects may occur. If you experience any unusual or severe side effects while taking Metrogel,  contact your healthcare provider for medical advice.

Disclose any allergies you have, especially to Metronidazole itself, other nitroimidazole antibiotics like tinidazole, or any ingredients in the medication.

Inform your healthcare provider if you have any history of blood disorders (blood dyscrasias).

Before any surgery, tell your healthcare provider about all medications you take, including prescription, non-prescription, and herbal products.

Metronidazole should only be used during pregnancy if absolutely necessary. Discuss the risks and benefits with your healthcare provider.

It's unknown if Metronidazole passes into breast milk. Consult your healthcare provider before breastfeeding.

Metronidazole can interact with other medications. To avoid potential problems:

• Maintain a list of all medications you take (prescription, non-prescription, and herbal products).
• Share this list with your healthcare provider.
• Never adjust medications on your own. Always consult your healthcare provider before starting, stopping, or changing the dosage of any medications you take.