Axcel Metronidazole 400mg Tablet

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Brand Axcel
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Last updated:

Overview

Axcel Metronidazole 400mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Metronidazole 400mg as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take Axcel Metronidazole 400mg Tablet with or after food to reduce stomach upset, and complete the full course exactly as prescribed. Avoid alcohol during treatment and for at least 24-48 hours after finishing this medicine, as combining the two can cause an unpleasant reaction.

Dosage

The dose and duration of Axcel Metronidazole 400mg Tablet depend on the infection being treated, ranging from a short course for bacterial vaginosis to longer courses for amoebiasis or giardiasis. Your doctor will prescribe the regimen appropriate for your specific infection.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or vomiting
  • Metallic taste in the mouth
  • Headache
  • Diarrhea or stomach upset
  • Dizziness
  • Dark-colored urine
  • Mild skin rash

Contraindications

  • Known hypersensitivity to metronidazole or other nitroimidazole medicines
  • First trimester of pregnancy, unless your doctor determines the benefit outweighs the risk
  • Concurrent use of alcohol or alcohol-containing products
  • Concurrent use with disulfiram or within 2 weeks of stopping disulfiram

Drug / Food Interactions

  • Alcohol can cause a disulfiram-like reaction (flushing, nausea, vomiting, rapid heartbeat) when combined with metronidazole
  • Warfarin’s blood-thinning effect may be significantly enhanced, requiring closer INR monitoring
  • Lithium blood levels may increase when combined with metronidazole
  • Disulfiram combined with metronidazole may cause confusion or psychotic reactions

Quick Tips

  • Avoid all alcohol during treatment and for at least 24-48 hours after your last dose
  • Complete the full course even if symptoms improve early
  • A metallic taste and darker urine are common and not usually a cause for concern
  • Report any numbness, tingling, or weakness in your hands or feet to your doctor

Ingredients / Active Ingredients

  • Metronidazole 400mg

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Safe

It is not safe to consume alcohol with this medicine as it may cause adverse effects.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandAxcel
ClassificationPrescription medicine
Ingredients / Active IngredientsMetronidazole
Pack Size10s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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