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פלאג'יל 250 מ"ג טבליות FLAGYL 250 MG TABLETS (METRONIDAZOLE)

תרופה במרשם תרופה בסל נרקוטיקה ציטוטוקסיקה

צורת מתן:

פומי : PER OS

צורת מינון:

טבליות מצופות פילם : FILM COATED TABLETS

Interactions : אינטראקציות

4.5. Interaction with other medicinal products and other forms of interaction
Antabuse reaction
Many medicinal products trigger an antabuse effect with alcohol and their concomitant use with alcohol is not advisable.
Inadvisable combinations
+ Alcohol (beverage or excipient)
An antabuse effect (hot flushes, erythema, vomiting, tachycardia) may occur. Patients should not consume alcoholic beverages or medicinal products containing alcohol. Alcoholic beverages or medicinal products containing alcohol should not be ingested again until medicinal products have been completely eliminated from the body. The half-life should be used as a reference.
+ Busulfan
When co-administered with high busulfan doses, metronidazole causes a two-fold increase in plasma busulfan concentrations.
+ Disulfiram
There is a risk of acute psychotic episodes or confusion, reversible on discontinuation of the drug combination.

+ Drugs causing QT interval prolongation
Cases of QT interval prolongation have been reported, particularly when metronidazole is administered with medicinal products that may prolong the QT interval.
Combinations requiring precautions for use
+ Enzyme-inducing anticonvulsants
Decreased plasma concentrations of metronidazole can occur due to increased liver metabolism by the inducer.
Clinical monitoring is required, and the metronidazole dose may need to be adjusted during and after treatment with the inducer.
+ Rifampicin
Decreased plasma concentrations of metronidazole can occur due to increased liver metabolism by rifampicin.
Clinical monitoring is required, and the metronidazole dose may need to be adjusted during and after treatment with rifampicin.
+ Lithium
Increased blood lithium levels can occur, which can reach toxic levels with signs of lithium overdose.
Strict monitoring of blood lithium levels should be performed, and the lithium dose adjusted if necessary.
Combinations to be taken into consideration
Fluorouracil (and by extrapolation, tegafur and capecitabine)
Increased fluorouracil toxicity can occur due to decreased clearance.
Specific issue: INR imbalance
Numerous cases of increased oral anticoagulant activity have been reported in patients receiving antibiotics. The severity of the infection or inflammation, age and general health status of the patient appear to be risk factors. Under these circumstances, it seems difficult to determine to what extent the infection itself or its treatment play a role in the INR imbalance. However, certain classes of antibiotics are more involved, particularly fluoroquinolones, macrolides, cyclines, cotrimoxazole and certain cephalosporins.
שימוש לפי פנקס קופ''ח כללית 1994 Anaerobic infections, acute intestinal & hepatic amebiasis, lambliasis, trichomoniasis, pseudomembranous colitis
תאריך הכללה מקורי בסל 01/01/1995
הגבלות תרופה שאושרה לשימוש כללי בקופ'ח

בעל רישום

SANOFI ISRAEL LTD

רישום

106 97 21742 01

מחיר

0 ₪

מידע נוסף

עלון מידע לרופא

12.10.22 - עלון לרופא 08.11.22 - עלון לרופא

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08.03.22 - עלון לצרכן אנגלית 12.10.22 - עלון לצרכן עברית 08.03.22 - עלון לצרכן ערבית 08.11.22 - עלון לצרכן עברית 10.05.23 - עלון לצרכן אנגלית 10.05.23 - עלון לצרכן עברית 10.05.23 - עלון לצרכן ערבית 01.09.13 - החמרה לעלון 08.10.13 - החמרה לעלון 17.01.17 - החמרה לעלון 04.05.17 - החמרה לעלון 06.12.20 - החמרה לעלון 25.08.21 - החמרה לעלון 12.10.22 - החמרה לעלון 08.11.22 - החמרה לעלון

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פלאג'יל 250 מ"ג טבליות

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