GODRICK CHUKWUEBUKA 17/MHS03/016 ANATOMY NAME OF DRUG Metronidazole ANTIBACTERIAL ACTIVITY- Metronidazole has activity against protozoans like Entamoeba histolytica, Giardia lamblia and Trichomonas vaginalis MECHANISM OF ACTION It inhibits nucleic acid synthesis by disrupting the DNA of microbial cells. PHARMACOKINETICS- Metronidazole given orally is absorbed almost completely, with bioavailability > 90% for tablets; absorption is unaffected by infection. Rectal and intravaginal absorption are 67 to 82%, and 20 to 56%, of the dose, respectively. Metronidazole is extensively metabolised by the liver to 5 metabolites. SIDE EFFECTS- Common metronidazole side effects may include: • nausea, vomiting, loss of appetite, stomach pain; • diarrhea, constipation; • headache; • unpleasant metallic taste; • rash, itching; • vaginal itching or discharge; • mouth sores; or. • swollen, red, or "hairy" tongue.