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Povidone Iodine+metronidazole

About

Metronidazole+povidone Iodine belongs to the class of dermatological preparation called 'antibiotics' combined with 'antiseptic' primarily used to treat the skin's burns and wounds. It also helps to treat wound infections after surgery. Metronidazole+povidone Iodine is abroad spectrum antibiotics which help in early wound healing. Metronidazole+povidone Iodine also prevents skin infection spread by harmful bacteria due to cuts, wounds and burns. 

Metronidazole+povidone Iodine contains a combination of two medicines: Povidone-iodine and Metronidazole. Povidone Iodine can easily penetrate microorganisms and oxidise essential natural substances, leading to cell death. Metronidazole is an antibiotic which kills bacteria and other harmful organisms by damaging their DNA. Metronidazole+povidone Iodine has broad-spectrum activity and is effective against many microbes, including gram-positive and gram-negative bacteria, fungi and protozoa. Metronidazole+povidone Iodine is used in degerming (physical removal of microbes), stasis ulcers (wound on the leg or ankle due to damaged veins), decubitus ulcers (bed sores) and the umbilical area.

Metronidazole+povidone Iodine is for external use only. Your doctor will decide the dose depending on the medical condition. Contact of Metronidazole+povidone Iodine with eye should be avoided; if you accidentally touch eyes while applying Metronidazole+povidone Iodine, please wash it immediately. Metronidazole+povidone Iodine has common side effects, as every medicine does. These include local swelling, itchiness, redness, small blisters and irritation at the application site. These side effects gradually resolve during the treatment and do not require medical attention.

Brief your medical history to the doctor if you are allergic to Metronidazole+povidone Iodine. Please consult your doctor if you are pregnant or planning to conceive before using Metronidazole+povidone Iodine since it can affect the unborn baby. Using Metronidazole+povidone Iodine during breastfeeding may increase the iodine levels in the breastmilk, which can cause hypothyroidism in breastfed infants. Let your doctor know if you have an overactive thyroid gland (hyperthyroidism), thyroid disease, or liver and kidney problems. Please tell your doctor if you are undergoing lithium therapy or radioactive iodine treatment. Metronidazole+povidone Iodine should not be used before or after radioiodine scintigraphy or radioiodine treatment of thyroid carcinoma.

Uses of Povidone Iodine+metronidazole

Burns, Wound infection.

Medicinal Benefits

Metronidazole+povidone Iodine is a combination medication containing Povidone-iodine (antiseptic) and Metronidazole (antibiotic) primarily used to treat and prevent skin infections in minor burns, lacerations (deep cut in the skin), cuts, and abrasions (the first layer of skin is scraped off). It is also used to treat postoperative wound infections. Povidone-iodine is an antiseptic applied on skin infected or likely to get infected. It slowly releases iodine which kills or prevents the growth of these microorganisms. Metronidazole, being bactericidal in nature, kills the bacteria by damaging its genetic material (DNA) and preventing its growth, hence relieving the symptoms. Together, Metronidazole+povidone Iodine prevents the growth of the microorganisms and promotes early wound healing.

Directions for Use

Cream/Ointment: Take the advised amount of cream/ointment with clean and dry hands on the skin's affected areas. Cover the open wounds with a sterile dressing or bandage after applying the Metronidazole+povidone Iodine. Wash your hands before and after using Metronidazole+povidone Iodine.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Povidone Iodine+metronidazole

  • Local swelling
  • Dry skin
  • Irritation
  • Redness
  • Itchiness

In-Depth Precautions and Warning

Drug Warnings

Do not use Metronidazole+povidone Iodine if you are allergic to povidone-iodine and metronidazole. Use Metronidazole+povidone Iodine for the full recommended length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of another disease resistant to antibiotics. Avoid contact with your eyes, nose, or mouth. Rinse it off with water if you accidentally get the cream in these areas. Let your doctor know if you have an overactive thyroid gland (hyperthyroidism), any other thyroid diseases, or liver and kidney problems since the usage of Metronidazole+povidone Iodine can cause iodine absorption into the body. This iodine absorption may lead to a rapid heartbeat (tachycardia) and restlessness, imbalance of electrolytes, abnormal blood concentration (osmolarity), and abnormal kidney function (renal impairment). Please tell your doctor if you are undergoing lithium therapy or radioactive iodine treatment. Metronidazole+povidone Iodine should not be used before or after radioiodine scintigraphy or radioiodine treatment of thyroid carcinoma. Please consult your doctor if you are pregnant or planning to conceive before using the Metronidazole+povidone Iodine since it can affect the unborn baby. Using Metronidazole+povidone Iodine during breastfeeding may increase the iodine levels in the breastmilk, which can cause hypothyroidism in breastfed infants.

Drug Interactions

Drug-Drug Interactions: Metronidazole+povidone Iodine may interact with other antiseptics and products containing enzymatic components, alkali, mercury, silver, hydrogen peroxide, tannic acid, and taurolidine, psychiatric medication (lithium), antiviral (amprenavir, ritonavir, tipranavir), a medicine used to treat chronic alcoholism (disulfiram), blood thinner (warfarin).

Drug-Food Interactions: No interaction found/established.

Drug-Disease Interactions: Before taking Metronidazole+povidone Iodine, let your doctor know if have any allergic reactions to iodine or povidone, overactive thyroid gland (hyperthyroidism), or any other thyroid diseases, liver, and kidney problems.

Drug-Drug Interactions Checker List:

  • SILVER NITRATE
  • LITHIUM
  • AMPRENAVIR
  • RITONAVIR
  • DISULFIRAM
  • WARFARIN
  • TAUROLIDINE
  • TIPRANAVIR
  • HYDROGEN PEROXIDE
  • TANNIC ACID
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      You are recommended not to consume alcohol while using medicines.

    • Safety Warning

      Pregnancy

      caution

      Using Metronidazole+povidone Iodine during pregnancy may affect the unborn baby. Please consult your doctor before taking Metronidazole+povidone Iodine if you are pregnant or planning to conceive.

    • Safety Warning

      Breast Feeding

      caution

      Metronidazole+povidone Iodine is not recommended during breastfeeding. When a breastfeeding mother uses Metronidazole+povidone Iodine, it may increase the iodine levels in the breastmilk causing hypothyroidism in breastfed infants. Please consult your doctor before taking the Metronidazole+povidone Iodine if you are breastfeeding.

    • Safety Warning

      Driving

      not applicable

      Metronidazole+povidone Iodine is generally safe to use before driving. However, if you notice any side effects like dizziness or burning sensation in the affected areas, avoid driving and operating machinery until you feel better.

    • Safety Warning

      Liver

      not applicable

      Metronidazole+povidone Iodine can be given in case of any liver impairment or problem.

    • Safety Warning

      Kidney

      caution

      Let your doctor know if you have any history of kidney diseases before taking Metronidazole+povidone Iodine, since it may lead to abnormal kidney function (renal impairment) and an imbalance of electrolytes.

    • Safety Warning

      Children

      consult your doctor

      Your doctor will recommend Metronidazole+povidone Iodine depending on your child's severity of infection or wounds.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Use mild soap while taking baths and prefer warm baths.
    • Avoid harsh products on your skin.
    • Do not scratch or pick your skin to avoid infecting the affected area.
    • Manage stress, eat healthily, drink plenty of water, exercise regularly, and get plenty of sleep.
    • Do not walk barefoot at places like gym showers to prevent bacterial infections.

    Special Advise

    • Thyroid function monitoring (thyroid function tests like T3, T4, and TSH levels) is recommended in patients to check on overactive thyroid gland function, possibly due to iodine absorption into the body. 
    • Regular monitoring of electrolytes is necessary since iodine is possibly absorbed into the body and causes an imbalance of electrolytes.
    • It is better to take an electrocardiograph (ECG) if you notice rapid heartbeat (tachycardia).
    • Taking a blood osmolarity test is advised since Metronidazole+povidone Iodine may cause iodine absorption leading to abnormal blood concentration. 
    • Kidney function monitoring is advised in patients since Metronidazole+povidone Iodine may affect kidney disease patients with renal impairment.

    Patients Concern

    Disease/Condition Glossary

    Skin infection: Skin infection occurs when the skin is broken, cut or wounded. This skin infection allows pathogenic microorganisms to enter and invade the tissues surrounding the wound.

    Burns: It is a type of cell injury and other skin tissues due to heat, overexposure to the sun, fire, chemical or electric contact. Skin burns can cause sepsis, increasing the chance of skin infections caused by bacteria, viruses, fungi or protozoa. Burns are of three types: first-degree, second degree and third-degree.

    FAQs

    Metronidazole+povidone Iodine is a combination of antiseptic and antibiotics medicines that help treat skin infections of wounds, burns and cuts. Metronidazole+povidone Iodine works by inhibiting the growth of infection-causing microbes. As a small molecule, Iodine in Metronidazole+povidone Iodine can easily penetrate microorganisms and oxidizes essential proteins, nucleotides, and fatty acids, leading to cell death.

    Please consult your doctor if you use other topical medicines before starting Metronidazole+povidone Iodine. However, products containing enzymatic components, alkali, mercury, silver, hydrogen peroxide, tannic acid and taurolidine may interact with Metronidazole+povidone Iodine and should not be used simultaneously.

    Metronidazole+povidone Iodine should be used with proper caution and doctor consultation if you have any liver disease, kidney disease, goitre (abnormal enlargement of the thyroid gland), thyroid nodules or other non-acute thyroid diseases. Please tell your doctor if you are undergoing any lithium therapy or radioactive iodine treatment.

    Metronidazole+povidone Iodine is not recommended for use if you are undergoing lithium therapy or radioactive iodine treatment. Metronidazole+povidone Iodine should not be used before or after radioiodine scintigraphy or radioiodine treatment of thyroid carcinoma. In such conditions, please consult your doctor before using Metronidazole+povidone Iodine.

    Metronidazole+povidone Iodine may interfere with thyroid function tests due to iodine absorption. Please ask your doctor before starting Metronidazole+povidone Iodine if you have any history of thyroid problems. A Metronidazole+povidone Iodine can also show false-positive lab results, such as tests with toluidine or gum guaiac, to determine haemoglobin or glucose in the stool or the urine.

    Available Medicines for

    Povidone Iodine+metronidazole

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