METROGEKS

Active material: Chlorhexidine, Metronidazol
When ATH: A01AB11
CCF: Antimicrobial drug for local use in dentistry
When CSF: 07.01.03
Manufacturer: DR. REDDY`S LABORATORIES LTD. (India)

Pharmaceutical form, composition and packaging

Dental Gel white or nearly white, uniform, with a pleasant smell.

1 g
metronidazole benzoate16 mg,
that corresponds to the content of metronidazole10 mg
hlorgeksidina gluconate (in shape 20% solution)500 g

[Ring] ʙutilgidroksianizol, butylhydroksytoluen, sodium saccharin, polysorbate 60, menthol, trolamin, karʙomer-934, metilparagidroksiʙenzoat, propilparagidroksibenzoat, propylene glycol, water.

10 g – aluminum tuba (1) – packs cardboard.

 

Farmakodinamika

Combined antimicrobial.

Metronidazol nitroimidazole derivative, possesses antiprotozoal and antibacterial action against anaerobic protozoa and anaerobic bacteria, causing periodontitis: Porphyromonas gingivalis, Prevotella intermedia, Prevotella denticola, Fusobacterium fusiform, Wolinella straight, Treponema spp., Eikenella corrodens, Borrelia winning, Bacteroides melaninogenicus, Selenomonas spp. Activity against aerobic bacteria.

The mechanism of action consists in biochemical restoration of 5-nitro group of metronidazole by intracellular transport proteins of anaerobic microorganisms and protozoa. The recovered 5-nitro group of metronidazole interacts with cells of microorganism DNA, inhibiting the synthesis of nucleic acids, that leads to the death of the bacteria.

Chlorhexidine - Disinfectant, active against a broad spectrum of gram-negative vegetative forms of micro-organisms and Gram-positive, yeast, dermatophytes and lipophilic viruses. At the bacteria spores acts only at elevated temperature. The bactericidal effect is caused by the binding of cations (It results in dissociation of the salt of chlorhexidine physiological medium) with the negatively charged bacterial cell walls and complexes ekstramikrobnyh. At low concentrations, disrupting the osmotic balance of the bacterial cells and leaving the potassium ions and phosphorus, It has a bacteriostatic effect; at high concentrations of cytoplasmic contents of a bacterial cell deposited, which leads eventually to the death of the bacteria.

Indications: – Acute gingivitis
– Sharp nekrotičeskij gingival-stomatitis Vincent
– chronic catarrhal and hypertrophic gingivitis
– acute and chronic periodontitis
– periodontal abscess
– stomatitis
– alveolitis
– the trauma of the oral mucosa.
Dosing and Administration: Only for dental use!
Locally, after a thorough cleaning of the teeth, rinse your mouth with a solution of soda and rub the gums with a dry cotton ball. Squeeze a small amount of gel on the toothbrush and apply the gel on the gums with a toothbrush and interdental spaces. After application of the gel for 30 minutes, rinse your mouth and you can not eat. Apply to the area of ​​the gums 2 once a day. Duration of treatment averages 7 – 10 days.
For the prevention of infection small amount of gel, the size of a pea, added to toothpaste.
Preventive courses of treatment for periodontal diseases take place within 1 – 2 weeks 1 – 2 per year.
Side effects: – “metal” taste in the mouth
– headache
– skin rash, itch, hives.
Contraindications: – hypersensitivity to any component of the drug
– pregnancy, lactation.
Drug interactions: It enhances the anticoagulant effect of warfarin (an increase in time of formation of prothrombin). Simultaneous use with disulfiram increases the toxicity of drugs, that can lead to the development of neurological symptoms. Antimicrobial activity of metronidazole decreased while the use of phenobarbital and phenytoin due to accelerated metabolism of metronidazole. Cimetidine inhibits the metabolism of metronidazole, which may lead to increased concentrations of metronidazole in serum.
Cautions: When applied topically, the concentration of metronidazole is significantly higher gingival area, than oral metronidazole inside, Therefore, the appointment on the background metrogeksa oral metronidazole to reduce the dose, and, thereby, to minimize the risk of side effects.
Avoid contact with the eyes. During the period of metrogeksa should not drink alcohol, tk. Metronidazole has the ability to cause the reaction disulfiramopodobnye.


Effects on ability to drive vehicles and management mechanisms


Topical administration of the drug in the form of a gel does not influence the ability to drive and to control mechanisms.

Overdose

Not identified

Product form

Gel in tubes laminated in 10 g. 1 tube is placed in a cardboard box with instructions for use.

Storage conditions

Store in a dark place, at temperatures up to 25 ° C.
Do not freeze!
Keep out of the reach of children!

Shelf life

18 months
The expiration date does not apply.

Conditions of supply of pharmacies

Without a prescription

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