Entamizole

Entamizole Uses, Dosage, Side Effects, Food Interaction and all others data.

Entamizole is a 5-nitroimidazole derivative active against protozoa and anaerobic bacteria. It is converted to reduction products that interact with DNA to cause destruction of helical DNA structure and strand leading to a protein synthesis inhibition and cell death in susceptible organisms.

Trade Name Entamizole
Generic Ornidazole
Ornidazole Other Names ornidazol, Ornidazole
Weight 500mg, 400mg, 125mg/5ml, 100mg/5ml, 250mg, 200mg,
Type Syrup, Tablet, Suspension
Formula C7H10ClN3O3
Weight Average: 219.63
Monoisotopic: 219.0410689
Groups Investigational
Therapeutic Class Amoebicides, Anti-diarrhoeal Antiprotozoal
Manufacturer Abbott Healthcare Pvt Ltd, Abbott Laboratories (pakistan) Limited,
Available Country India, Pakistan
Last Updated: September 19, 2023 at 7:00 am
Entamizole
Entamizole

Uses

Entamizole is used for Amoebiasis (Intestinal and hepatic), Giardiasis, Trichomoniasis, Bacterial vaginosis, Treatment of susceptible anaerobic infections

Entamizole is also used to associated treatment for these conditions: Amebiasis, Anaerobic Bacterial Infection, Chlamydial Infections, Gastrointestinal Infections caused by entamoeba histolytica, Giardiasis, Mixed Vaginal Infections, Surgical Site Infections, Trichomonal Vaginitis, Trichomoniasis

Dosage

Entamizole dosage

Amoebiasis:

  • Adults: 500 mg twice a day for 5 days.
  • Children: 10-25 mg per kg body weight in two divided doses.

Amoebic dysentery:

  • Adults: 1.5 gm once a day for 3 days.
  • Children: 40 mg per kg body weight, once a day for 3 days.

Giardiasis:

  • Adults: 1.5 gm once daily for 1-2 days.
  • Children: 40 mg per kg body weight for 2 days.

Trichomoniasis: 1.5 gm once or 500 mg twice a day for 5 days. Sexual partner should also be treated at the same time.

Bacterial vaginosis: 3 tablets of 500 mg each as a single dose or one tablet of 500 mg once daily for 5-7 days.

Side Effects

Side effects of Entamizole have been mainly limited to the gastrointestinal tract (nausea, vomiting, epigastric pain) and central nervous system (dizziness, headache, lassitude). Unlike other nitroimidazoles, Entamizole does not interact with alcohol, although this requires further study.

Leukopenia has been described occasionally during therapy. Adverse central nervous system (CNS) effects of Entamizole have mainly included headache, dizziness, lassitude or somnolence, fatigue and weakness. Adverse CNS effects of Entamizole may be less than that happens with metronidazole. Seizures have not been reported with Entamizole in studies available to date.

Precaution

In patient with ataxia, vertigo, and mental confusion, Entamizole should be prescribed with caution. During prolonged treatment with Entamizole, blood dyscrasia namely mild leukopenia have been reported rarely. In case leukopenia occurs, the decision to discontinue the therapy should depend upon the gravity of infection.

Interaction

Like other imidazoles, Entamizole has a mild potential to cause disulfiramlike reactions. Concomitant administration of oral anticoagulants may increase the risk of haemorrhage due to diminished hepatic metabolism. Entamizole has been reported to decrease the clearance of 5-fluorouracil.

Pregnancy & Breastfeeding use

Adequate clinical trials have not been conducted. Entamizole should be prescribed only if the potential benefit justifies the potential risk to fetus/neonate.

Contraindication

Previous hypersensitivity to Entamizole and to other nitroimidazoles. Entamizole is contraindicated in central nervous system disorders, particularly in epilepsy or in peripheral neuropathy.

Acute Overdose

Renal Impairment Haemodialysis patients: Give a supplemental dose (50% of the usual dose) before dialysis.

Hepatic Impairment Severe: Double the interval between doses.

Storage Condition

Store at room temperature and protect from light and moisture.

Innovators Monograph

You find simplified version here Entamizole

*** Taking medicines without doctor's advice can cause long-term problems.
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