ioditune plus ointment - Metronidazole (1% w/w) + Sucralfate (7% w/w) medicine

Burcut Ointment: A Complete Guide to Uses, Side Effects, and Safety

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🏭 Fortune Labs 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for infected wounds and malodorous ulcers; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Sep 26, 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

  • Sudden swelling of the face, lips, or throat, or difficulty breathing.
  • Severe blistering, peeling, or widespread rash at the application site.
  • Signs of systemic infection such as high fever, chills, or increasing pain and redness.
  • No improvement or worsening of the wound after 7 days of use.
  • Unusual tiredness, yellowing of eyes or skin, or dark urine.
  • Severe nausea, vomiting, or headache after applying to large areas.

If experiencing severe symptoms, call emergency services immediately.

What is ioditune plus ointment used for?

This medicine is a topical ointment combining metronidazole (1% w/w) and sucralfate (7% w/w). It is used to treat infected wounds, skin ulcers, and malodorous wounds. Metronidazole fights bacteria, while sucralfate protects and heals damaged skin. Apply a thin layer to the affected area as directed by your doctor.

  • Generic Name: Metronidazole (1% w/w) + Sucralfate (7% w/w)
  • Manufacturer: Fortune Labs
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ioditune plus ointment के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल ऑइंटमेंट है जिसमें मेट्रोनिडाजोल (1% w/w) और सुक्राल्फेट (7% w/w) होते हैं। इसका उपयोग संक्रमित घावों, त्वचा के अल्सर और बदबूदार घावों के इलाज के लिए किया जाता है। मेट्रोनिडाजोल बैक्टीरिया को मारता है और सुक्राल्फेट घाव को ठीक होने में मदद करता है। इसे डॉक्टर के निर्देशानुसार प्रभावित हिस्से पर पतली परत में लगाएं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में लगाने की जगह पर हल्की जलन, खुजली, लालिमा या सूखापन शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। कभी-कभी एलर्जी हो सकती है जिसमें चकत्ते, सूजन या तेज खुजली हो सकती है। अगर कोई गंभीर लक्षण जैसे सांस लेने में कठिनाई, चेहरे या गले में सूजन हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को केवल त्वचा पर लगाएं, आंखों, नाक, मुंह या योनि में न लगाएं। लगाने से पहले और बाद में हाथ धोएं। प्रभावित हिस्से को पानी से साफ करके सुखाएं, फिर पतली परत में दवा लगाएं। बिना डॉक्टर की सलाह के इसे एयरटाइट पट्टी से न ढकें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 ioditune plus ointment Uses & Benefits

[{"condition":"Infected wounds and skin ulcers","description":"This medicine helps treat bacterial infection in wounds and ulcers while sucralfate protects the damaged tissue and promotes healing.","evidence":"Well-established"},{"condition":"Malodorous wounds (e.g., pressure ulcers, diabetic foot ulcers)","description":"Metronidazole reduces the bacteria that cause foul odor, and sucralfate helps soothe and protect the wound bed.","evidence":"Well-established"},{"condition":"Bacterial skin infections","description":"Used for certain skin infections caused by susceptible bacteria, especially when combined with other treatments.","evidence":"Moderate"},{"condition":"Inflammatory skin conditions with secondary infection","description":"May be prescribed for conditions like eczema or dermatitis when a secondary bacterial infection is present.","evidence":"Limited"}]

Off-label uses: [{"condition":"Rosacea","description":"Topical metronidazole is sometimes used off-label for rosacea, but the combination with sucralfate is not standard.","evidence":"Limited"},{"condition":"Anal fissures","description":"Sucralfate may help heal anal fissures, but this combination is not routinely recommended.","evidence":"Limited"}]

Primary treatment for: Infected wounds and skin ulcers

Also treats: Malodorous wounds, Bacterial skin infections, Inflammatory skin conditions with secondary infection

📋 Drug Information

Generic Name(s)Metronidazole (1% w/w) + Sucralfate (7% w/w)
Brand Nameioditune plus ointment
ManufacturerFortune Labs
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the tube tightly closed when not in use.
Shelf LifeRefer to the expiry date on the pack. Typically 24 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 clean the wound gently before applying this medicine to ensure proper contact and effectiveness.
2
Apply a thin layer only; using too much can increase the risk of side effects without improving results.
3
Avoid using airtight dressings over the ointment unless specifically instructed by your doctor.
4
If you are using this medicine on a large wound, watch for systemic side effects like nausea or metallic taste.
5
Do not use this medicine for more than the prescribed duration without consulting your doctor.
6
Keep the tube tightly closed and store it at room temperature away from direct sunlight.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Infected wound with pus
This medicine is commonly prescribed for infected wounds.
Likely Use
✅
Foul-smelling ulcer
Metronidazole reduces odor-causing bacteria.
Likely Use
❌
Dry skin without infection
This medicine is not a moisturizer and is not for uninfected dry skin.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionMetronidazole can be absorbed through broken skin, but systemic absorption is generally low when applied to intact skin. Sucralfate is minimally absorbed from the skin or mucous membranes. Not established from the available information for specific absorption rates of this combination.
DistributionNot established from the available information for the topical combination. Metronidazole, if absorbed, distributes widely into body tissues and fluids. Sucralfate acts locally and is not expected to distribute systemically to a significant extent.
Protein BindingMetronidazole is less than 20% bound to plasma proteins. Sucralfate is not significantly bound to plasma proteins as it acts locally. Not established from the available information for the combination.
MetabolismMetronidazole is metabolized in the liver by oxidation and glucuronidation. Sucralfate is not metabolized systemically as it acts locally. Not established from the available information for the topical combination.
Half-LifeThe elimination half-life of metronidazole is approximately 8 hours. Sucralfate is eliminated primarily in the feces as unchanged drug. Not established from the available information for the topical combination.
ExcretionMetronidazole and its metabolites are excreted mainly in the urine. Sucralfate is excreted in the feces. Not established from the available information for the topical combination.
BioavailabilityNot established from the available information for the topical combination. Systemic bioavailability of metronidazole after topical application is low but may increase with application to large areas of broken skin.
Onset of ActionThe onset of action for this medicine is not immediate. Symptom improvement may be noticed within a few days of regular use, but full therapeutic effect may take longer depending on the condition being treated.
Peak Plasma TimeNot established from the available information for the topical combination.
Duration of ActionThe duration of action depends on the application frequency and the condition being treated. Typically, the ointment is applied once or twice daily, providing continuous local effect between applications.

How It Works

This medicine works through two complementary mechanisms. Metronidazole enters susceptible bacterial and protozoal cells and interacts with DNA, causing strand breakage and inhibiting nucleic acid synthesis, which leads to cell death. Sucralfate, on the other hand, forms a viscous paste when it comes into contact with moisture, creating a physical barrier over the damaged skin or mucosal surface. This barrier protects the area from further irritation, reduces pain, and allows the underlying tissue to heal. Additionally, sucralfate may bind to proteins at the wound site and stimulate the production of prostaglandins, which promote blood flow and tissue repair. Together, these actions help eradicate infection and support the healing process.

Mechanism Steps

1
Metronidazole uptake: Metronidazole diffuses into susceptible bacterial and protozoal cells, where it is activated by reductive processes.
2
DNA disruption: The activated metronidazole binds to DNA, causing strand breakage and inhibiting nucleic acid synthesis, which leads to cell death.
3
Sucralfate barrier formation: Sucralfate reacts with moisture on the skin or mucosa to form a thick, protective paste that adheres to the damaged area.
4
Protection and healing: The sucralfate barrier shields the wound from irritants, reduces pain, and creates an environment conducive to tissue repair.

💡 How to Take ioditune plus ointment

Strength: Ointment containing metronidazole 1% w/w and sucralfate 7% w/w.

1Wash your hands thoroughly before and after applying the ointment.
2Clean the affected area gently with water and pat it dry.
3Apply a thin layer of the ointment to the affected area.
4Rub it in gently until it is evenly spread.
5Do not cover the area with a bandage unless instructed by your doctor.
6Use as directed by your doctor, usually once or twice daily.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected area once or twice daily, or as directed by your doctor. The exact frequency and duration depend on the condition being treated. Clean the area gently before application. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients can generally use this medicine as directed. However, they may be more susceptible to skin irritation. Consult a doctor for personalized advice.
Renal ImpairmentNo dose adjustment is typically needed for topical use. However, if applied to large areas of broken skin, systemic absorption may occur, and caution is advised in severe renal impairment.
Hepatic ImpairmentNo dose adjustment is typically needed for topical use. However, if applied to large areas of broken skin, systemic absorption may occur, and caution is advised in severe hepatic impairment.
Maximum Daily DoseNot established from the available information. Use only as prescribed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

Alcohol
Avoid
May cause disulfiram-like reaction if metronidazole is absorbed.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply 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 apply a double dose to catch up.

⚠️ Side Effects of ioditune plus ointment

✅ Common Side Effects

Application site burning or stinging (Common (5-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Itching at the application site (Common (5-10%))
Avoid scratching. Consult your doctor if itching is bothersome.
Redness or rash (Uncommon (1-5%))
Stop using the medicine and consult your doctor if redness or rash develops.
Dryness or peeling of skin (Uncommon (1-5%))
Apply a gentle moisturizer if needed. Consult your doctor if it persists.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of the face, lips, throat, difficulty breathing, or widespread rash.
Severe skin reaction (e.g., blistering, peeling) (Rare (<0.1%))
Stop using the medicine and seek immediate medical attention.
Systemic effects from metronidazole absorption (e.g., nausea, headache, metallic taste) (Rare (<0.1%))
Consult your doctor if you experience these symptoms, especially if applied to large areas.

⚠️ Rare Side Effects

Contact dermatitis
Stop using and consult a doctor.
Photosensitivity reaction
Avoid sun exposure and consult a doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Lithium Moderate
Phenytoin Moderate

🚨 Major Interactions

  • Warfarin
  • Alcohol

⚡ Moderate Interactions

  • Lithium
  • Phenytoin

🍷 Alcohol Interaction

Avoid alcohol while using this medicine, especially if applying to large areas of broken skin, because metronidazole can cause a disulfiram-like reaction with symptoms such as nausea, vomiting, flushing, and rapid heartbeat.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to metronidazole, sucralfate, or any component of the formulation.","Do not use on eyes or mucous membranes unless directed by a doctor.","Not for internal use."]

⚠️ Warnings & Precautions

["For external use only. Avoid contact with eyes, lips, and mucous membranes.","Do not apply to large areas of broken skin without medical advice.","Avoid alcohol during treatment due to potential disulfiram-like reaction.","Consult a doctor if symptoms persist or worsen after a few days of use.","Keep out of reach of children.","If you are pregnant or breastfeeding, consult your doctor before use."]

🤱 Lactation Safety

It is not known whether metronidazole or sucralfate passes into breast milk in significant amounts after topical application. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose from topical application is unlikely. If accidental ingestion occurs, seek immediate medical attention. Symptoms of metronidazole overdose may include nausea, vomiting, dizziness, headache, and dark urine. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, apply 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 apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Use this medicine only on the skin and do not apply it to the eyes, inside the nose, mouth, or vagina unless specifically instructed by a doctor. Wash your hands thoroughly before and after applying the ointment. Clean the affected area gently with water and pat it dry before application. Apply a thin layer to the affected area and rub it in gently as directed. Do not cover the area with airtight dressings unless your doctor tells you to, as this can increase absorption and side effects. Avoid contact with broken skin near the eyes or mucous membranes. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for a condition for which it was not prescribed. Keep it out of reach of children. If you accidentally swallow this medicine, seek medical help immediately. Do not use this medicine after the expiry date printed on the pack.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have thinner skin and are more prone to irritation. Use gently and monitor for any adverse reactions.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Topical metronidazole is generally considered low risk, but medical advice is recommended.

🏥 Post-Surgery Considerations

This medicine may be prescribed after surgery to prevent or treat wound infections. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

This medicine is not typically used for dental procedures. Consult your dentist if you have a dental wound infection.

💚 Lifestyle Tips for Better Results

🏃
Keep the wound clean and dry to promote healing.
🥗
Eat a balanced diet rich in protein and vitamins to support tissue repair.
😴
Avoid smoking as it impairs wound healing.
💧
Control underlying conditions like diabetes to improve outcomes.
🧘
Follow your doctor's instructions for wound care and follow-up visits.

🏋️ Exercise Considerations

Avoid strenuous exercise that may irritate the affected area. Gentle movement is fine, but protect the wound from friction or trauma.

🥗 Diet Recommendations

Include protein-rich foods like eggs, lean meat, and legumes.
Eat fruits and vegetables rich in vitamin C and zinc.
Stay well hydrated.
Limit sugary and processed foods that can impair healing.

💼 Impact on Daily Work & Life

This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, if you experience any dizziness or unusual symptoms, avoid these activities until you feel better.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if you experience severe allergic reactions, worsening of the wound, or no improvement after the prescribed duration. Do not stop abruptly without consulting your doctor if you are using it for an ongoing infection.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use may lead to skin irritation or allergic reactions. If used on large areas for extended periods, systemic absorption of metronidazole could occur, potentially causing side effects like nausea or headache. Regular follow-up with your doctor is recommended to monitor healing and adjust treatment as needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Good wound care

Regular cleaning, debridement, and appropriate dressings can complement medicine.

Evidence: Well-established
Antibacterial dressings

Silver-impregnated dressings can help control infection in some wounds.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. Ensure your tetanus vaccination is up to date for wound management.

📦 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 traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from direct sunlight and extreme heat. If you are flying, keep it in your carry-on luggage if you need it during the flight. Check customs regulations for topical medications in your destination country. Continue your regular application schedule as prescribed, adjusting for time zone changes if necessary.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 60-year-old man with a diabetic foot ulcer that had a foul odor.
He was prescribed this medicine to apply twice daily. After a week, the odor significantly reduced, and the wound started to look cleaner. He made sure to clean the wound gently before each application and kept his blood sugar under control. The ulcer gradually healed over a month.
💡 Lesson: Consistent application and good wound care can lead to noticeable improvement in infected ulcers.
👤 A 45-year-old woman with a minor infected cut on her leg.
She applied this medicine as directed and noticed less redness and pain within three days. She experienced mild stinging initially, which went away after a few applications. She completed the full course as prescribed and the cut healed without complications.
💡 Lesson: Mild stinging is common and usually temporary; completing the full course helps ensure proper healing.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start noticing improvement within a few days, but complete healing depends on the condition and may take weeks.

Q: Can I use this medicine on my face?

A: Only if prescribed by your doctor. Avoid contact with eyes, lips, and mucous membranes.

Q: Is it safe to use during pregnancy?

A: Consult your doctor before using this medicine during pregnancy or breastfeeding.

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

A: Apply it as soon as you remember, but if it's almost time for your 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 use this medicine on my face?
  • How long should I use this medicine?
  • Is it safe to use during pregnancy?
  • Can I drink alcohol while using this medicine?
  • What if I miss a dose?
  • Does it interact with other medicines?

🔄 Substitutes for ioditune plus ointment

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 be used for any skin infection.
    Fact: It is specifically for infected wounds and ulcers; not all skin infections respond to it.
  • Myth: More ointment means faster healing.
    Fact: Apply only a thin layer as directed; using more can increase side effects without added benefit.
  • Myth: It is safe to use on the eyes.
    Fact: This medicine is for external skin use only and should not be applied to the eyes.

🔄 Alternative Options

Generic Alternatives

  • Metronidazole 1% w/w + Sucralfate 7% w/w ointment (various manufacturers)

Brand Alternatives

  • BURCUT Ointment

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Metronidazole 1% + Sucralfate 7%","primary_use":"Infected wounds, malodorous ulcers","route":"Topical"},{"medicine":"Metronidazole gel","active_ingredients":"Metronidazole 0.75% or 1%","primary_use":"Rosacea, bacterial vaginosis (vaginal gel)","route":"Topical"},{"medicine":"Silver sulfadiazine cream","active_ingredients":"Silver sulfadiazine 1%","primary_use":"Burn wounds, infected ulcers","route":"Topical"}]

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