ameebee df 400mg/500mg tablet - Metronidazole (400mg) + Diloxanide (500mg) medicine

Aldezol DF 400mg/500mg Tablet: Complete Medicine Guide

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🏭 TOSC International Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
🤰 Pregnancy Category Metronidazole crosses the placenta. Use in pregnancy should be avoided unless clearly needed, especially during the first trimester. Diloxanide furoate safety in pregnancy is not well established. Consult your doctor if you are pregnant or planning pregnancy. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for intestinal amoebiasis.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Seizures or confusion
  • Numbness or tingling in hands or feet

If experiencing severe symptoms, call emergency services immediately.

What is ameebee df 400mg/500mg tablet used for?

This medicine is a combination of metronidazole and diloxanide furoate used to treat intestinal amoebiasis (amoebic dysentery). It works by killing the parasite in both the gut wall and the gut lumen. It is a prescription medicine and must be taken exactly as directed by your doctor.

  • Generic Name: Metronidazole + Diloxanide
  • Manufacturer: TOSC International Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ameebee df 400mg/500mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा मेट्रोनिडाजोल और डाइलोक्सानाइड फ्यूरोएट का संयोजन है, जिसका उपयोग आंतों के अमीबियासिस (अमीबिक पेचिश) के इलाज के लिए किया जाता है। यह परजीवी को आंतों की दीवार और आंतों के लुमेन दोनों में मारती है। यह एक प्रिस्क्रिप्शन दवा है और इसे डॉक्टर के निर्देशानुसार ही लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, मुँह में धातु जैसा स्वाद, पेट दर्द, सिरदर्द और चक्कर आना शामिल हैं। कुछ लोगों का पेशाब गहरा पीला या लाल हो सकता है, जो हानिकारक नहीं है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको त्वचा पर चकत्ते, सूजन, साँस लेने में कठिनाई, या हाथ-पैरों में झुनझुनी महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे भोजन के बाद पानी के साथ पूरा निगलें, चबाएँ नहीं। दवा लेते समय और आखिरी खुराक के 48 घंटे बाद तक शराब न पिएँ, क्योंकि इससे गंभीर प्रतिक्रिया हो सकती है। अगर आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको लीवर या किडनी की बीमारी है, तो डॉक्टर को बताएं। पूरा कोर्स पूरा करें, बीच में न छोड़ें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 ameebee df 400mg/500mg tablet Uses & Benefits

  • [{"condition":"Intestinal amoebiasis (amoebic dysentery)","description":"This medicine is used to treat infection of the large intestine caused by Entamoeba histolytica, a parasite that causes bloody diarrhoea, abdominal pain, and fever.
  • The combination targets both tissue-invading and luminal parasites.","evidence":"Well-established"},{"condition":"Amoebic liver abscess (as part of combination therapy)","description":"This medicine may be used along with other medicines to treat amoebic liver abscess, although metronidazole alone is often sufficient.
  • Diloxanide helps clear intestinal carriage.","evidence":"Established"},{"condition":"Giardiasis (as an alternative)","description":"Metronidazole component is effective against Giardia lamblia, but the combination is not typically first-line for giardiasis alone.","evidence":"Limited"},{"condition":"Trichomoniasis (as an alternative)","description":"Metronidazole is highly effective for trichomoniasis, but the combination with diloxanide is not standard for this infection.","evidence":"Limited"}]

Off-label uses: [{"condition":"Bacterial vaginosis","description":"Metronidazole alone is sometimes used, but the combination with diloxanide is not standard and may not be appropriate.","evidence":"Limited"},{"condition":"Rosacea","description":"Metronidazole has anti-inflammatory effects and is used topically for rosacea, but oral combination is not recommended for this purpose.","evidence":"Limited"}]

Primary treatment for: Intestinal amoebiasis

Also treats: Amoebic liver abscess, Giardiasis, Trichomoniasis

📋 Drug Information

Generic Name(s)Metronidazole + Diloxanide
Brand NameAldezol DF 400mg/500mg Tablet
ManufacturerTOSC International Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassAntiprotozoal
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Protect from light and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine after a meal to reduce stomach upset.
2
Avoid alcohol completely during treatment and for 48 hours after the last dose.
3
Complete the full course even if you feel better after a few days.
4
Inform your doctor if you have liver or kidney problems before starting this medicine.
5
Report any numbness or tingling in hands or feet immediately.
6
Do not share this medicine with others, even if they have similar symptoms.
7
If you miss a dose, take it as soon as you remember, but do not double the dose.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Bloody diarrhoea
This medicine is commonly prescribed for this.
Likely Use
✅
Abdominal pain
This medicine may help if caused by amoebiasis.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionMetronidazole is well absorbed from the gastrointestinal tract after oral administration, with a bioavailability of approximately 80-100%. Diloxanide furoate is poorly absorbed and remains largely in the gut lumen, which is ideal for its luminal amoebicidal action. Food may delay absorption of metronidazole but does not significantly affect the extent of absorption.
DistributionMetronidazole distributes widely into body tissues and fluids, including saliva, breast milk, and cerebrospinal fluid. It crosses the placenta. Diloxanide furoate is minimally absorbed, so its distribution is mainly confined to the gastrointestinal tract.
Protein BindingMetronidazole is less than 20% bound to plasma proteins. Diloxanide furoate binding is not well established.
MetabolismMetronidazole is metabolised in the liver by cytochrome P450 enzymes, primarily CYP2C9 and CYP3A4, to hydroxy and acid metabolites. Diloxanide furoate is hydrolysed to diloxanide and furoic acid in the gut.
Half-LifeThe elimination half-life of metronidazole is approximately 6 to 8 hours in adults with normal liver function. The half-life of diloxanide is not well established.
ExcretionMetronidazole and its metabolites are excreted mainly in the urine (about 60-80% of the dose), with a small amount in faeces. Diloxanide is excreted primarily in the faeces as unchanged drug and metabolites.
BioavailabilityMetronidazole oral bioavailability is approximately 80-100%. Diloxanide furoate has low systemic bioavailability due to poor absorption.
Onset of ActionThe onset of action for metronidazole is usually within 1-2 hours after oral administration. Diloxanide acts locally in the gut, and its onset is not well defined.
Peak Plasma TimePeak plasma concentration of metronidazole is reached 1-2 hours after oral administration. Diloxanide furoate peak is not established due to poor absorption.
Duration of ActionThe duration of action for metronidazole is approximately 8-12 hours, requiring multiple daily dosing. Diloxanide's local action lasts as long as it remains in the gut.

How It Works

This medicine combines two agents with complementary mechanisms. Metronidazole is a nitroimidazole that enters susceptible microorganisms and is reduced by ferredoxin-like electron transport proteins in anaerobic conditions. The reduced products form reactive intermediates that bind to DNA, causing strand breakage and inhibiting nucleic acid synthesis, which leads to cell death. Diloxanide furoate is a luminal amoebicide that acts primarily in the intestinal lumen. It is hydrolysed to diloxanide, which is thought to interfere with the parasite's energy metabolism and protein synthesis, although the exact mechanism is not fully understood. Together, they eliminate both invasive and luminal forms of Entamoeba histolytica.

Mechanism Steps

1
Metronidazole uptake and reduction: Metronidazole enters the parasite and is reduced by ferredoxin in anaerobic conditions, creating reactive intermediates.
2
DNA damage: The reactive intermediates bind to DNA, causing strand breaks and inhibiting DNA synthesis, leading to parasite death.
3
Diloxanide furoate hydrolysis: Diloxanide furoate is hydrolysed in the gut to diloxanide, which remains in the intestinal lumen.
4
Luminal amoebicidal action: Diloxanide interferes with the parasite's energy metabolism and protein synthesis, killing luminal amoebae.
5
Combined effect: The two agents together eliminate both tissue-invasive and luminal parasites, reducing the risk of relapse.

💡 How to Take ameebee df 400mg/500mg tablet

Strength: Each tablet contains metronidazole 400 mg and diloxanide furoate 500 mg.

1Take the tablet with a full glass of water.
2Swallow the tablet whole; do not chew or crush.
3Take after a meal to reduce stomach upset.
4Take at evenly spaced intervals as prescribed.
5Do not take with alcohol.
6Complete the full course even if you feel better.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally two to three times a day, depending on the severity of the infection and your doctor's assessment. The exact dose and duration must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Always follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially neurological effects. Dose adjustment may be necessary based on liver and kidney function. Consult your doctor for appropriate dosing.
Renal ImpairmentIn patients with severe renal impairment, dose adjustment may be required. Metronidazole is removed by dialysis, so a supplemental dose may be needed after dialysis. Consult your doctor for specific guidance.
Hepatic ImpairmentIn patients with severe liver disease, metronidazole metabolism may be reduced, leading to increased drug levels. Dose reduction may be necessary. Consult your doctor for appropriate dosing.
Maximum Daily DoseThe maximum daily dose should not exceed 2400 mg of metronidazole and 3000 mg of diloxanide furoate, but the exact limit depends on the indication and must be determined by a qualified clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Can cause disulfiram-like reaction.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of ameebee df 400mg/500mg tablet

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Metallic taste (Common (up to 10%))
Usually temporary. Chewing sugar-free gum or rinsing mouth may help.
Stomach pain (Common (5-10%))
Take with meals. If severe, contact your doctor.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if persistent.
Dark urine (Common (up to 10%))
This is harmless and resolves after finishing the course.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or pain in hands or feet to your doctor immediately.
Seizures (Very rare (<0.01%))
Seek immediate medical attention if you have a seizure.
Leukopenia (Rare (<0.1%))
Your doctor may monitor blood counts. Report any signs of infection.
Encephalopathy (Very rare (<0.01%))
Seek immediate medical attention if you experience confusion, drowsiness, or difficulty speaking.

⚠️ Rare Side Effects

Pancreatitis
Seek immediate care if you have severe upper abdominal pain radiating to back.
Optic neuropathy
Report any vision changes immediately.
Aseptic meningitis
Seek immediate care if you have severe headache, stiff neck, and fever.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Disulfiram Major
Lithium Major
Phenytoin Moderate
Carbamazepine Moderate
Cimetidine Moderate
Fluorouracil Moderate
Antacids Minor
Oral contraceptives Minor

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Disulfiram
  • Lithium

⚡ Moderate Interactions

  • Phenytoin
  • Carbamazepine
  • Cimetidine
  • Fluorouracil

🍷 Alcohol Interaction

Alcohol must be strictly avoided while taking this medicine and for at least 48 hours after the last dose. Combining alcohol with metronidazole can cause a disulfiram-like reaction characterised by severe nausea, vomiting, flushing, headache, and rapid heartbeat. This reaction can be dangerous and requires immediate medical attention if it occurs.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to metronidazole, diloxanide, or any component of the formulation","First trimester of pregnancy","Breastfeeding without medical advice","Severe liver disease","Severe kidney disease","Use of disulfiram within the past two weeks","Alcohol consumption during treatment"]

⚠️ Warnings & Precautions

["Avoid alcohol during and for 48 hours after treatment.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you have liver or kidney disease.","May cause dark urine, which is harmless.","Do not use for longer than prescribed without medical supervision.","Report any numbness or tingling in hands or feet immediately.","May interact with blood thinners; inform your doctor if you take warfarin.","Not recommended for children under 12 years unless prescribed by a doctor.","Use with caution in elderly patients.","Complete the full course to prevent relapse."]

🤱 Lactation Safety

Metronidazole is excreted in breast milk. Breastfeeding should be avoided during treatment and for 12-24 hours after the last dose to allow the drug to clear from milk. Diloxanide furoate excretion in breast milk is not known. Consult your doctor for guidance.

💊 Overdose Management

Overdose of this medicine may cause nausea, vomiting, abdominal pain, headache, dizziness, and in severe cases, seizures or peripheral neuropathy. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and neurological status.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as your doctor prescribes. Swallow the tablet whole with a full glass of water, preferably after a meal to reduce stomach upset. Do not chew or crush the tablet. Avoid drinking alcohol while taking this medicine and for at least 48 hours after the last dose, because it can cause severe nausea, vomiting, flushing, and rapid heartbeat. Inform your doctor if you have liver or kidney problems, or if you are pregnant, planning pregnancy, or breastfeeding. Do not share this medicine with others, even if they have similar symptoms. Keep it out of reach of children. Store in a cool, dry place away from direct sunlight. Complete the full course even if you feel better after a few days. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the neurological side effects of metronidazole, such as peripheral neuropathy and dizziness. Dose adjustment may be needed based on liver and kidney function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Metronidazole should be avoided during the first trimester. Use effective contraception during treatment and for at least 48 hours after the last dose.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, inform your surgeon and anaesthesiologist that you are taking this medicine. It may interact with other medications used during surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may interact with certain antibiotics or anaesthetics used during dental work.

💚 Lifestyle Tips for Better Results

🏃
Drink plenty of fluids to stay hydrated, especially if you have diarrhoea.
🥗
Eat a balanced diet to support recovery.
😴
Avoid alcohol completely during treatment.
💧
Practice good hand hygiene to prevent reinfection.
🧘
Get adequate rest to help your body fight the infection.

🏋️ Exercise Considerations

This medicine may cause dizziness or fatigue. Avoid strenuous exercise or activities requiring alertness until you know how the medicine affects you.

🥗 Diet Recommendations

Stay well hydrated with water and oral rehydration solutions.
Eat bland, easily digestible foods like rice, bananas, and toast.
Avoid spicy, oily, and processed foods.
Include probiotics like yogurt to support gut health.
Avoid alcohol and caffeine.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to take rest if you feel unwell.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Complete the full course as prescribed, even if you feel better. If you experience severe side effects, contact your doctor immediately for advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless prescribed by a doctor. Prolonged use of metronidazole can rarely cause peripheral neuropathy, which may be irreversible. Regular monitoring of liver function and blood counts may be needed if used for extended periods. Always consult your doctor before taking this medicine for more than the prescribed duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Tinidazole

Another nitroimidazole with similar efficacy but longer half-life, allowing shorter courses.

Evidence: Well-established
Paromomycin

A luminal amoebicide used as an alternative for intestinal amoebiasis.

Evidence: Established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are due for a vaccine, inform your doctor that you are taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When travelling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust your dosing schedule gradually to maintain even intervals. Keep it in your carry-on luggage to avoid loss. Check customs regulations for prescription medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with bloody diarrhoea and abdominal cramps
He was diagnosed with intestinal amoebiasis and prescribed this medicine. He took it with food as directed and avoided alcohol. His symptoms improved within 3 days, but he completed the full 10-day course to prevent relapse.
💡 Lesson: Completing the full course is essential to eliminate the parasite completely and prevent recurrence.
👤 A 28-year-old woman with amoebic liver abscess
She was treated with this medicine along with other medications. She experienced mild nausea and a metallic taste, which subsided after taking the medicine with meals. Her liver abscess resolved after treatment.
💡 Lesson: Taking the medicine with food helps reduce side effects and improves tolerability.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2-3 days, but it is important to complete the full course as prescribed.

Q: Can I take this medicine with food?

A: Yes, take it with food to reduce stomach upset.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for ameebee df 400mg/500mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any type of diarrhoea.
    Fact: This medicine is specifically for amoebic dysentery and certain protozoal infections. It is not effective for viral or bacterial diarrhoea.
  • Myth: You can stop taking this medicine once you feel better.
    Fact: You must complete the full course to prevent relapse and resistance.
  • Myth: Alcohol is safe while taking this medicine.
    Fact: Alcohol can cause a severe reaction and must be avoided completely.

🔄 Alternative Options

Generic Alternatives

  • Metronidazole + Diloxanide Furoate tablets from other manufacturers

Brand Alternatives

  • Aldezol DF 400mg/500mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Metronidazole 400mg + Diloxanide 500mg","uses":"Intestinal amoebiasis","notes":"Combination for tissue and luminal action"},{"medicine":"Metronidazole alone","composition":"Metronidazole 400mg","uses":"Amoebiasis, giardiasis, trichomoniasis","notes":"Does not eliminate luminal cysts as effectively"},{"medicine":"Diloxanide furoate alone","composition":"Diloxanide furoate 500mg","uses":"Luminal amoebiasis","notes":"Only luminal action, not for invasive disease"}]

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