Amcidal Suspension: Complete Medicine Guide
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
- Seizures or confusion
- Numbness or tingling in hands or feet
- Yellowing of skin or eyes
- Difficulty breathing or swelling of face
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is metromed suspension used for?
This medicine is a combination of furazolidone and metronidazole used to treat certain intestinal infections like giardiasis and amoebiasis. It works by killing the parasites and bacteria causing the infection. It should be taken exactly as prescribed and alcohol must be avoided.
- Generic Name: Furazolidone (50mg) + Metronidazole (100mg)
- Manufacturer: Indamed Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 metromed suspension के बारे में (Hindi Summary)
उपयोग: यह दवा फ्यूराज़ोलिडोन और मेट्रोनिडाज़ोल का संयोजन है, जिसका उपयोग पेट और आंतों के कुछ संक्रमणों जैसे जियार्डिया और अमीबियासिस के इलाज के लिए किया जाता है। यह कीटाणुओं और परजीवियों को मारकर काम करती है। इसे डॉक्टर के निर्देशानुसार ही लें और शराब का सेवन बिल्कुल न करें।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, दस्त, सिरदर्द और मुंह में धातु जैसा स्वाद शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें तंत्रिका संबंधी समस्याएं, दौरे और एलर्जी प्रतिक्रियाएं हो सकती हैं। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। उपचार के दौरान और अंतिम खुराक के 48 घंटे बाद तक शराब न पिएं। यदि आपको लीवर या किडनी की समस्या है या आप खून पतला करने वाली दवाएं ले रहे हैं तो डॉक्टर को बताएं। बिना सलाह के दवा न रोकें।
💊 metromed suspension Uses & Benefits
[{"condition":"Giardiasis","description":"Treatment of diarrhea and intestinal infection caused by Giardia lamblia.","evidence":"Well-established"},{"condition":"Amoebiasis","description":"Treatment of intestinal amoebiasis caused by Entamoeba histolytica.","evidence":"Well-established"},{"condition":"Bacterial diarrhea","description":"May be used for certain bacterial causes of diarrhea, but only when prescribed.","evidence":"Limited"}]
Off-label uses: [{"condition":"Helicobacter pylori eradication","description":"Sometimes included in combination regimens, but not a standard first-line option.","evidence":"Limited"}]
Primary treatment for: Giardiasis
Also treats: Amoebiasis, Bacterial diarrhea
📋 Drug Information
| Generic Name(s) | Furazolidone (50mg) + Metronidazole (100mg) |
| Brand Name | metromed suspension |
| Manufacturer | Indamed Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. Do not refrigerate unless specified. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms. Furazolidone is reduced by bacterial and protozoal enzymes to reactive intermediates that damage DNA and other cellular components. Metronidazole enters susceptible organisms and is reduced to nitro radical anions that cause DNA strand breakage and inhibit nucleic acid synthesis. The combination disrupts essential microbial functions, leading to cell death.
Mechanism Steps
💡 How to Take metromed suspension
Strength: Each 5 mL of suspension contains furazolidone 50 mg and metronidazole 100 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is determined by the prescribing doctor based on the specific infection being treated. It is typically taken orally, often in divided doses. The exact dose and duration must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult a doctor. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult a doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be required in patients with hepatic impairment. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | Not established from the available information. The maximum daily dose must be determined by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of metromed suspension
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Alcohol | Major | |
| Lithium | Major | |
| Phenytoin | Moderate | |
| Cimetidine | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Alcohol
- Warfarin
- Lithium
⚡ Moderate Interactions
- Phenytoin
- Cimetidine
🍷 Alcohol Interaction
Alcohol must be strictly avoided during treatment with this medicine and for at least 48 hours after the last dose. Combining alcohol with metronidazole can cause a disulfiram-like reaction characterized by severe nausea, vomiting, flushing, headache, and rapid heartbeat. Furazolidone may also interact with alcohol and tyramine-rich foods due to its weak monoamine oxidase inhibiting properties.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to furazolidone, metronidazole, or other nitroimidazoles","Pregnancy","Breastfeeding","Children under 1 year of age","Severe liver disease","Severe kidney disease","Alcohol consumption during treatment"]
⚠️ Warnings & Precautions
["Avoid alcohol during and for 48 hours after treatment.","May cause peripheral neuropathy with prolonged use.","Use with caution in patients with liver or kidney impairment.","May interact with blood thinners; monitor INR.","Do not use for longer than prescribed without medical supervision.","May cause dark urine, which is harmless.","Furazolidone is a weak MAO inhibitor; avoid tyramine-rich foods."]
🤱 Lactation Safety
Not recommended. Metronidazole is excreted in breast milk and may affect the infant. Consult your doctor for alternatives.
💊 Overdose Management
Overdose may cause nausea, vomiting, dizziness, and potentially seizures. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ 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 double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not share it with others. Avoid alcohol completely during treatment and for at least 48 hours after the last dose, as it can cause a disulfiram-like reaction with metronidazole. Inform your doctor if you have liver or kidney problems, or if you are taking blood thinners. Do not use this medicine for longer than recommended without medical supervision. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects such as dizziness and peripheral neuropathy. Use with caution and monitor closely.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated in pregnancy. If you are planning pregnancy, consult your doctor for alternative treatments.
🏥 Post-Surgery Considerations
Consult your surgeon before taking this medicine after surgery, as it may interact with other medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with certain anesthetics or antibiotics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you are feeling weak or dehydrated due to diarrhea. Gradually resume activities as you recover.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue. Avoid driving or operating heavy machinery until you know how it affects you. Take time off if you feel unwell.
🛑 When to Stop This Medicine
Do not stop this medicine before completing the full course, even if you feel better. Stopping early may lead to treatment failure or resistance. Consult your doctor if you experience severe side effects.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of peripheral neuropathy and blood disorders. It should only be used for the prescribed duration. Regular monitoring may be required if prolonged therapy is necessary.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Essential for managing dehydration from diarrhea.
Evidence: Well-establishedMay help restore gut flora, but evidence is limited.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. Consult your doctor for routine vaccinations.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines. Always keep it in your hand luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Symptomatic improvement may begin within 24 to 48 hours, but the full course must be completed as prescribed.
A: Yes, taking it with food helps reduce stomach upset.
A: Take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule.
🤔 Common Patient Concerns
🔄 Substitutes for metromed suspension
View AllAlternative brands with exact same active ingredient:
-
prozyl f syrupAcron Pharmaceuticals ₹15.00 24% COSTLIER
-
amcidal syrupOyster Labs Ltd ₹18.50 52.9% COSTLIER
-
amcidal suspensionOyster Labs Ltd ₹60.00 395.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any diarrhea.
Fact: It is only effective for specific infections and should not be used for viral or non-infectious diarrhea. - Myth: It is safe to drink alcohol while taking this medicine.
Fact: Alcohol can cause a serious reaction and must be avoided.
🔄 Alternative Options
Generic Alternatives
- Furazolidone + Metronidazole suspension