QuestionSBA
QuestionChoice
It is important to remind the patients not to consume any alcohol during the course of treatment and for 48 hours after the completion of therapy. Metronidazole can interact with alcohol to produce a disulfiram-like reaction that brings about side effects such as hot flushes, palpitation and headache
34180
a
She should not drink alcohol during the course of treatment
QuestionChoice
Metronidazole is an antibiotic that is highly effective against anaerobic bacteria and protozoa
34181
b
Metronidazole is an antifungal medication
QuestionChoice
Patients should continue the full course of treatment even if they have felt better to in order to prevent the development of antibiotic resistance in the future
34182
c
She should stop taking the medication once the discharge has gone to reduce the risk of side effects
QuestionChoice
Metronidazole is associated with decrease in appetite
34183
d
Metronidazole can lead to increased appetite and weight gain
QuestionChoice
Dark urine is a rare side effect of metronidazole
34184
e
Dark urine is a common side effect of metronidazole
QuestionComment
no mention of alcohol in BNF section...
17493
QuestionComment
The interaction does appear under the interaction tab of the BNF  
38568
User
subscriber
Mary
User
subscriber
Prognosis Benign
QuestionComment
from personal experience do NOT try to do this omfg
61880
User
subscriber
Defibrillator Dominant
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

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3426
Metronidazole and anaerobic cells
Topic
92
General Practice
6847
Case presentation: A 25-year-old woman attends her GP appointment with a one-week history of vaginal discharge. She describes the discharge as thin and white and has a fishy odour. A swab is performed and clue cells are seen under the microscope.  

The patient is advised to commence treatment with metronidazole 400mg PO twice daily for 7 seven days.

Question: Select the most appropriate information that should be provided for this patient.
a