Metrogyl DG Gel Forte 20 gm belongs to the class of medication called oral topical antimicrobial agents primarily used for the treatment of gum diseases like gum inflammation (gingivitis) and prevention of dental plaque. Gingivitis is the inflammation of gum caused by bacteria, if left untreated can lead to periodontitis(gum infection that damages gums and can destroy the jawbone). This can cause the gum to separate from teeth leading to loss of teeth. 

Metrogyl DG Gel Forte 20 gm contains two medicines, namely: Metronidazole (an antibiotic) and Chlorhexidine (an antiseptic and preservative). Metrogyl DG Gel Forte 20 gm kills oral bacteria that cause plaque and forms a protective antibacterial layer over gums and teeth for the prevention of plaque formation. As a result, it helps in maintaining good oral and dental hygiene. 

Your doctor will decide the dose depending on the type of infection that is being treated. The most common side effects of Metrogyl DG Gel Forte 20 gm are metallic taste, bitter taste, burning, transient redness, irritation, dryness, and staining of teeth. If these side effects are persistent and bothersome, please see your doctor. 

Please inform your doctor before using Metrogyl DG Gel Forte 20 gm if you are pregnant or breastfeeding. Avoid intake of alcohol while having treatment with Metrogyl DG Gel Forte 20 gm as it may affect the working of Metrogyl DG Gel Forte 20 gm. Maintain good oral hygiene and brush at least 2 times a day to avoid any oral infection and its spread. Do not rinse the mouth or drink or eat anything for 30 minutes after applying Metrogyl DG Gel Forte 20 gm. 

Metrogyl DG Gel Forte 20 gm is a combination medication containing Metronidazole (an antibiotic) and Chlorhexidine (an antiseptic). Metrogyl DG Gel Forte 20 gm is primarily used in treating mouth infections. When microorganisms overgrow the otherwise normally present mouth, it can lead to unpleasant symptoms like mouth sores or ulcers, swollen gums, unpleasant taste changes and suggestive mouth infection. Chlorhexidine, which also acts as a preservative, helps by binding to the inner surface of teeth, cheeks, and metronidazole, being bactericidal in nature kills the bacteria by damaging its DNA and preventing these bacteria's growth spread hence relieving the symptoms. As a result, good oral hygiene is maintained and it is easier to go out and perform daily activities.

• Metallic taste 
• Bitter taste
• Burning
• Transient redness
• Irritation
• Dryness
• Staining of teeth

Please inform your doctor before using Metrogyl DG Gel Forte 20 gm if you are pregnant or breastfeeding. Avoid intake of alcohol while having treatment with Metrogyl DG Gel Forte 20 gm as it may affect the working of Metrogyl DG Gel Forte 20 gm. Maintain good oral hygiene and brush at least 2 times a day to avoid any oral infection and its spread. Do not rinse the mouth or drink or eat anything for 30 minutes after applying Metrogyl DG Gel Forte 20 gm. Metrogyl DG Gel Forte 20 gm may cause staining; it can be reduced by reducing the consumption of tea, coffee, and red wine and brushing with toothpaste daily before using the gel. 

Drug-Drug Interaction: Metrogyl DG Gel Forte 20 gm may interact with blood clotting medicines (coumarins, warfarin), drugs to treat alcohol addiction (disulfiram), and stomach ulcer treating medicines (cimetidine). 

Drug-Food Interaction: No interactions were found.

Drug-Disease Interaction: No interactions were found.

• COUMARINS
• WARFARIN
• DISULFIRAM
• CIMETIDINE

• Maintain good oral hygiene to prevent infection from spreading.
• Regular dental check-ups can help prevent the progression of cavities.
• Get your teeth cleaned by a dental professional every six months.
• Brush your teeth with fluoride toothpaste.
• Flossing your teeth once a day help removes plaque and bacteria from the teeth.
• Use an antibacterial mouthwash to control plaque formation.
• Avoid tobacco products and alcohol consumption.
• Limit sugary and starch foods.

Gingivitis: It is a periodontal or gum disease with swollen and bleeding gums which can be caused due to various bacteria. If left untreated can lead to periodontitis and eventually loss of teeth. Its signs and symptoms include bleeding from gums, swollen gums, a loose tooth and sometimes foul oral smell. Fusobacterium, Lachnospiraceae, Lautropia, Prevotella oulorum and Rothia dentocariosa are some of the bacterias which cause dental and gum problems.