--- title: Buy Metronidazole 200mg 400mg Pills Online description: Metronidazole Pills treat bacterial and parasitic infections including bacterial vaginosis and amoebiasis. Order 200mg or 400mg doses from our pharmacy. type: product language: en url: https://liabilis.com/order-metronidazole-online-en.html availability: in_stock shipping: - type: Standard Airmail price: 10.00 currency: USD area: Worldwide time: 14-21 days - type: Tracked Express price: 30.00 currency: USD area: Worldwide tracking: true time: 5-9 days price_min: 35.14 price_max: 129.99 currency: USD offers: - name: 200mg x 30 pills price: 35.14 - name: 200mg x 60 pills price: 41.79 - name: 200mg x 90 pills price: 49.99 - name: 200mg x 120 pills price: 49.39 - name: 200mg x 180 pills price: 66.49 - name: 200mg x 360 pills price: 129.99 - name: 400mg x 30 pills price: 38.94 - name: 400mg x 60 pills price: 46.54 - name: 400mg x 90 pills price: 53.99 - name: 400mg x 120 pills price: 57.94 --- # Buy Metronidazole 200mg 400mg Pills Online Metronidazole is an antibiotic and antiprotozoal medication used to treat a variety of infections caused by anaerobic bacteria and certain parasites. It is commonly prescribed for bacterial vaginosis, pelvic inflammatory disease, amoebiasis, giardiasis, and certain dental infections. This medication works by disrupting the DNA of microorganisms, effectively eliminating the infection. Our pharmacy offers metronidazole in 200mg and 400mg pill strengths for comprehensive infection treatment. ## Pricing and Options | Dosage | Pack Size | Price (USD) | Price Per Pill | Status | | :--- | :--- | :--- | :--- | :--- | | **200mg** | 30 pills | **$35.14** | $1.17 | In Stock | | **200mg** | 60 pills | **$41.79** | $0.69 | In Stock | | **200mg** | 90 pills | **$49.99** | $0.56 | In Stock | | **200mg** | 120 pills | **$49.39** | $0.41 | In Stock | | **200mg** | 180 pills | **$66.49** | $0.37 | In Stock | | **200mg** | 360 pills | **$129.99** | $0.36 | In Stock | | **400mg** | 30 pills | **$38.94** | $1.30 | In Stock | | **400mg** | 60 pills | **$46.54** | $0.78 | In Stock | | **400mg** | 90 pills | **$53.99** | $0.60 | In Stock | | **400mg** | 120 pills | **$57.94** | $0.48 | In Stock | [Buy Now](https://liabilis.com/order-metronidazole-online-en.html) ## Introduction Metronidazole is a synthetic nitroimidazole antimicrobial used to treat a range of infections caused by anaerobic bacteria and certain parasites. The generic medication contains the active ingredient Metronidazole and is supplied as oral tablets in 200 mg and 400 mg strengths. It belongs to the therapeutic class of antiprotozoal and antibacterial agents. In addition to its primary indications for bacterial vaginosis, trichomoniasis, and intra-abdominal infections, Metronidazole is also employed for other approved anaerobic infections. ## Quick Reference Facts ``` **Active Ingredient** : Metronidazole **Form** : pill 200 mg | 400 mg **Primary Uses** : bacterial vaginosis, trichomoniasis, anaerobic intra-abdominal infections, pelvic inflammatory disease, skin and soft-tissue infections, certain dental infections ``` ## What is Metronidazole? Metronidazole is the generic version of medications that contain the active compound Metronidazole. It is marketed worldwide under several brand names, most notably **Flagyl** and **Metrogel** (topical). The drug is produced by multiple manufacturers and is classified as an antiprotozoal and antibacterial agent. As a generic product, it is bioequivalent to the branded formulations, offering the same therapeutic effect at a lower cost. The molecule was first synthesized in the 195s and received regulatory approval for anaerobic infections in the early 196s. ## How Metronidazole Works Metronidazole exerts its antimicrobial activity through a selective, intracellular reduction process that occurs only in anaerobic organisms or protozoa possessing nitroreductase enzymes. After entering the microbial cell, the nitro group is reduced, generating reactive nitro-radical anions that bind to DNA and other macromolecules, causing strand breakage and loss of protein synthesis. This mechanism results in bacterial cell death (bactericidal) and protozoal inhibition. Because the reduction step requires low-oxygen conditions, human cells- which have higher oxygen concentrations-are largely spared from toxicity. The drug is well absorbed orally, reaches peak plasma concentrations within one hour, and is primarily metabolized in the liver to inactive metabolites that are excreted in urine. The half-life in healthy adults is approximately 8 hours, allowing twice-daily dosing for most infections. ## Conditions Treated with Metronidazole - **Bacterial Vaginosis** Metronidazole disrupts the growth of *Gardnerella vaginalis* and other anaerobes, restoring normal vaginal flora. A typical regimen is 500 mg orally twice daily for 7 days. - **Trichomoniasis** The drug eliminates *Trichomonas vaginalis* by damaging protozoal DNA. A single 2 g dose is standard, but divided tablets (e.g., 400 mg + 400 mg + 400 mg + 400 mg) achieve the same exposure. - **Anaerobic Intra-Abdominal Infections** Conditions such as diverticulitis, perforated appendicitis, and postoperative intra-abdominal sepsis often involve mixed aerobic-anaerobic flora. Metronidazole (500 mg every 8 hours) provides targeted anaerobic coverage. - **Pelvic Inflammatory Disease (PID)** When combined with a broad-spectrum cephalosporin, Metronidazole treats the anaerobic component of PID, reducing complications. - **Dental and Oral Infections** Acute necrotizing ulcerative gingivitis and other anaerobic oral infections respond to Metronidazole because it penetrates gingival tissues and saliva well. - **Skin and Soft-Tissue Infections** Infections such as erysipelas caused by *Clostridium* species require Metronidazole for its rapid bactericidal effect on anaerobes. ## Is Metronidazole the Right Medication for You? Metronidazole is appropriate for adult patients who have confirmed or strongly suspected infections with susceptible anaerobic bacteria or protozoa. It is especially useful when: - The infection site is known to be low-oxygen (e.g., deep abscesses, vaginal mucosa). - A rapid bactericidal effect is desired. - The patient cannot tolerate macrolides or penicillins due to allergy. Contraindications include: - Documented hypersensitivity to Metronidazole or any nitroimidazole. - First-trimester pregnancy, where potential teratogenicity warrants avoidance. - Severe hepatic impairment, because metabolism is impaired. - Concurrent alcohol consumption, due to the risk of a disulfiram-like reaction. Patients with a history of seizures, peripheral neuropathy, or alcohol dependence should use Metronidazole only under close medical supervision. Renal insufficiency does not generally preclude use, but dose adjustments may be needed for very low creatinine clearance. ## Buying Metronidazole from [our online pharmacy](https://liabilis.com/order-metronidazole-online-en.html) ### Why Choose Our Service? Accessing Metronidazole at an affordable price can be challenging in some regions. Our platform provides a convenient, cost-effective way to obtain the generic medication, helping patients avoid high mark-ups associated with brand-name products. ### Quality & Safety Assurance We partner with licensed international pharmacies to ensure quality and authenticity. Every batch of Metronidazole is verified against official pharmacopeial standards before shipment. ### Pricing & Access Because we source the generic formulation directly from certified manufacturers, the price is close to wholesale cost. This approach makes Metronidazole accessible to patients who might otherwise face shortages or prohibitive expenses. ### Discreet Delivery Orders are packaged in plain, unbranded mailers and dispatched with express options that typically arrive within 7 days, or via standard airmail in approximately 3 weeks. Privacy and confidentiality are central to our service model. ## Use: Dosing, Missed Dose, Overdose - **Standard Dosing (Adults)** - *Bacterial Vaginosis*: 500 mg orally twice daily for 7 days. - *Trichomoniasis*: Single 2 g oral dose (e.g., four 500 mg tablets). - *Anaerobic Intra-Abdominal Infection*: 500 mg orally every 8 hours for 7-10 days. Adjust the dose if using 200 mg or 400 mg tablets; splitting tablets may be required to achieve the prescribed strength. - **Missed Dose** If a dose is missed and the scheduled time is less than 6 hours away, take it as soon as remembered. If more than 6 hours have passed, skip the missed dose and resume the regular schedule. Do **not** double-dose. - **Overdose** Symptoms may include nausea, vomiting, abdominal cramps, dizziness, or severe neurologic changes. Seek immediate medical attention or contact a poison-control center. No specific antidote exists; treatment is supportive and may involve activated charcoal if presentation is early. - **Practical Precautions** - Take with food or a full glass of water to minimize gastrointestinal irritation. - Avoid alcohol during treatment and for at least 48 hours after the last dose. - Do not operate heavy machinery or drive until you know how the medication affects you, as dizziness can occur. ## Safety Information ### ⚠️ Who Should Not Take Metronidazole - Individuals with a proven allergy to Metronidazole or any nitroimidazole derivative. - Pregnant women in the first trimester; discuss risks with a healthcare professional. - Patients with severe hepatic disease (e.g., Child-Pugh C). - Those currently consuming alcohol or who have a history of alcohol dependence, due to the risk of a severe disulfiram-like reaction. ### Common Side Effects - Nausea, metallic taste, and mild abdominal discomfort (occur in up to 20 of users). - Headache or dizziness; generally transient. - Minor skin rash or itching; usually resolves without intervention. ### Serious Side Effects (Seek Immediate Medical Help) - **Seizures** - rare but reported, especially with high plasma concentrations. - **Peripheral Neuropathy** - numbness or tingling in extremities after prolonged therapy (> 4 weeks). - **Stevens-Johnson Syndrome / Toxic Epidermal Necrolysis** - severe skin blistering and mucosal involvement. - **Anaphylaxis** - rapid onset of swelling, wheezing, or hypotension. ### Drug & Food Interactions - **Alcohol** - causes flushing, tachycardia, nausea, and vomiting. - **Warfarin** - Metronidazole may potentiate anticoagulant effect; monitor INR closely. - **Lithium** - increased lithium levels; dose adjustment may be required. - **Cimetidine & Other H2-Blockers** - can raise Metronidazole plasma concentrations. - **Isoniazid** - combined use may increase neurotoxicity risk. - **Phenytoin** - may reduce Metronidazole efficacy; monitor therapeutic response. ## Off-Label and Investigational Uses of Metronidazole - **Helicobacter pylori Eradication** - Often combined with a proton-pump inhibitor and amoxicillin as part of triple therapy; clinical trials demonstrate eradication rates of 70-80 % when susceptibility is confirmed. - **Rosacea (Papulopustular Form)** - Topical or oral Metronidazole has shown benefit in reducing inflammatory lesions; guidelines note it as an alternative to tetracyclines. - **Inflammatory Bowel Disease (Crohn’s Disease)** - Small studies suggest adjunctive Metronidazole can reduce fistula output, but evidence remains limited. - **Bacterial Endocarditis (Prosthetic Valve)** - Occasionally added to regimens targeting anaerobic components of polymicrobial infections. These applications are **not approved** by the FDA or EMA for the listed indications. Use should occur only under direct supervision of a qualified clinician, with informed consent about the uncertain benefit-risk profile. ## Storage & Handling - Store tablets at **20 °C-25 °C** (68 °F-77 °F). - Protect from excess heat, moisture, and direct sunlight. - Keep the container tightly closed and out reach of children. - Do **not** use the medication after the printed expiration date. - Dispose of unused tablets according to local hazardous-waste guidelines or return them to a pharmacy-based take-back program. ## Frequently Asked Questions **Practical Use & Lifestyle** - **Can I travel internationally with Metronidazole tablets?** Yes, but keep them in their original packaging with a copy of the prescription (if required) and declare them at customs when asked. - **Should I avoid dairy products while taking Metronidazole?** Dairy does not interfere with absorption, so normal consumption of milk, cheese, or yogurt is permissible. - **What is the best time of day to take Metronidazole?** Taking the dose with food can reduce stomach upset; however, maintain consistent intervals (e.g., every 12 hours) to sustain therapeutic levels. **Product & Formulation Details** - **What do Metronidazole tablets look like?** Generic tablets are typically round, bicolored (white and blue for 200 mg, white and orange for 400 mg), and imprint the strength and manufacturer code. Appearance may vary by producer. - **Can the tablets be split or crushed?** The 200 mg tablets are scored and can be split evenly. The 400 mg tablets are not scored; crushing is acceptable if swallowing is difficult, but avoid chewing to reduce taste irritation. **Regulatory & Safety Nuances** - **Will Metronidazole show up on a standard drug test?** Metronidazole is not routinely screened in employment or sports drug tests because it is not a performance-enhancing substance. - **Is it safe for older adults?** Elderly patients may experience heightened central nervous system effects and should be monitored for confusion or gait instability, especially with prolonged therapy. - **Can Metronidazole be used during lactation?** Small amounts pass into breast milk; most guidelines advise caution and recommend weighing the benefit to the mother against potential infant exposure. **Scientific & Clinical Curiosity** - **Why does Metidazole target anaerobes preferentially?** The nitro group reduction requires low-oxygen conditions, a biochemical environment uniquely present in anaerobic organisms. - **What was the original indication that led to its approval?** Metronidazole was first approved for the treatment of trichiasis and bacterial vaginosis in the early 196s. - **How does resistance to Metronidazole develop?** Resistance can arise from reduced nitroreductase activity, increased efflux pump expression, or mutations in DNA repair pathways of the pathogen. ## Glossary **Nitroimidazole** : A class of synthetic antimicrobial agents that contain a nitro group attached to an imidazole ring, effective primarily against anaerobic organisms. **Bactericidal** : Describes a drug that kills bacteria outright, rather than merely inhibiting their growth. **Disulfiram-like Reaction** : An adverse effect characterized by flushing, nausea, vomiting, and tachycardia that occurs when alcohol is consumed concurrently with certain medications, such as Metronidazole. **Bioequivalence** : A regulatory term indicating that two drug products release the same amount of active ingredient into the bloodstream at the same rate and extent. ## Disclaimer The information provided about **Metronidazole** is intended for general education only and does not replace personalized medical counsel. All therapeutic choices, including any off-label applications, should be made under the guidance of a qualified healthcare professional. Readers are presumed to be responsible adults capable of making informed health decisions. Our pharmacy service offers access to Metronidazole for individuals who may encounter limited availability through conventional channels or who seek a cost-effective generic alternative. Always discuss with a physician before initiating, modifying, or discontinuing any medication.