Metrogel Vaginal (Metronidazole Vaginal) - Drug Interactions, Contraindications, Overdosage, etc

DRUG INTERACTIONS

Drug Interactions:

Oral metronidazole has been reported to potentiate the anticoagulant effect of warfarin and other coumarin anti‑coagulants, resulting in a prolongation of prothrombin time. This possible drug interaction should be considered when metronidazole vaginal gel is prescribed for patients on this type of anticoagulant therapy.

In patients stabilized on relatively high doses of lithium, short-term oral metronidazole therapy has been associated with elevation of serum lithium levels and, in a few cases, signs of lithium toxicity.

Use of cimetidine with oral metronidazole may prolong the half-life and decrease plasma clearance of metronidazole.

OVERDOSAGE

There is no human experience with overdosage of metronidazole vaginal gel. Vaginally applied metronidazole gel,  0.75% could be absorbed in sufficient amounts to produce systemic effects. (See WARNINGS.)

CONTRAINDICATIONS

METROGEL-VAGINAL is contraindicated in patients with a prior history of hypersensitivity to metronidazole, parabens, other ‑ingredients of the formulation, or other nitroimidazole derivatives.