Metro

Metro is used for:

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Treating infections caused by certain bacteria and preventing infection before, during, and after certain surgeries. It may also be used for other conditions as determined by your doctor.

Metro is an oral antiprotozoal and antibacterial. It is thought to work by entering the bacterial cell, acting on some components of the cell and destroying the bacteria.

Do NOT use Metro if:

• you are allergic to any ingredient in Metro or to other nitroimidazoles (eg, tinidazole)
• you are in the first 3 months of pregnancy
• you are taking busulfan, an ergot alkaloid (eg, ergotamine), or you have taken disulfiram within the past 2 weeks
• you are taking an HIV protease inhibitor that contains alcohol (eg, amprenavir solution); check with your pharmacist if you are unsure if the medicine contains alcohol
• you drink alcohol

Contact your doctor or health care provider right away if any of these apply to you.

Before using Metro :

Some medical conditions may interact with Metro . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have nerve, brain, or blood problems; Crohn disease; or a history of liver problems
• if you have heart problems (eg, congestive heart failure) or a history of swelling of the hands, legs, or feet

Some MEDICINES MAY INTERACT with Metro . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Metro 's effectiveness
• Anticoagulants (eg, warfarin), busulfan, ergot alkaloids (eg, ergotamine), HIV protease inhibitors containing alcohol (eg, amprenavir solution), lithium, or macrolide immunosuppressants (eg, tacrolimus) because the risk of their side effects may be increased by Metro
• Disulfiram because side effects, such as mental or mood changes, may occur
• Oral contraceptives (eg, birth control pills) because their effectiveness may be decreased by Metro
• Corticosteroids (eg, prednisone) because risk of side effects may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Metro may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Metro :

Use Metro as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Metro is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Metro at home, a health care provider will teach you how to use it. Be sure you understand how to use Metro . Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Do not use Metro if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
• To clear up your infection completely, use Metro for the full course of treatment. Keep using it even if you feel better in a few days.
• If you miss a dose of Metro , use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Metro .

Important safety information:

• Metro may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Metro with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol while you are using Metro and for at least 1 day after the last dose.
• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Metro only works against bacteria; it does not treat viral infections (eg, the common cold).
• Be sure to use Metro for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Long-term or repeated use of Metro may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Hormonal birth control (eg, birth control pills) may not work as well while you are using Metro . To prevent pregnancy, use an extra form of birth control (eg, condoms).
• Metro may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Metro .
• Lab tests, including liver function and white blood cell counts, may be performed while you use Metro . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Metro with caution in the ELDERLY; they may be more sensitive to its effects.
• Metro should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Metro while you are pregnant. Do not use Metro in the first 3 months of pregnancy. Metro is found in breast milk. Do not breast-feed while taking Metro .

Possible side effects of Metro :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Appetite loss; constipation; diarrhea; dizziness; headache; metallic taste; nausea; pain, swelling, or redness at the injection site; stomach upset; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; increased or decreased urination; numbness, tingling, or burning of your arms, hands, legs, or feet; seizures; severe diarrhea; sore throat, chills, or fever; stomach pain or cramps; vaginal itching, odor, or discharge; white patches in the mouth.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include nausea; seizures; vomiting.

Metro is usually handled and stored by a health care provider. If you are using Metro at home, store Metro as directed by your pharmacist or health care provider.

General information:

• If you have any questions about Metro , please talk with your doctor, pharmacist, or other health care provider.
• Metro is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Metro . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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