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pharmachologic effect
Metronidazole is a synthetic antimicrobial and antiprotozoal agent of a broad spectrum of action from the group of imidazoles. It is active against anaerobes (Bacteroides spp., Fusobacterium spp., Mobiluncus spp., Peptococcus spp., Peptostreptococcus spp., Clostridium spp., Eubacterium spp., Bacteroides fragilis, Prevotella spp.) And protozoa (Trichomonas vaginalis, Giardia intestinalis, Entamoeba histolytica).
With topical application has anti-acne action, the mechanism of which is not known precisely (it is not related to the effect on Demodex folliculorum mite, found in hair follicles and the secretion of sebaceous glands, and any influence on the production of this secret).
Metronidazole for external use may have antioxidant activity. It is established that it significantly reduces the production of active oxygen, hydroxyl radicals and hydrogen peroxide by neutrophils, which are potential oxidants capable of causing tissue damage at the site of inflammation. Metronidazole for external use is not effective against telangiectasias seen in rosacea.
Indications
- rosacea (including post-steroids);
- vulgar acne;
- oily seborrhea, seborrheic dermatitis;
- trophic ulcers of the lower extremities (against the background of varicose veins, diabetes mellitus);
- poorly healing wounds;
- pressure sores;
- hemorrhoids, fissures of the anus.