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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Metronidazole Cause Liver Problems?

Hi. About 3 months ago I was on a trip to the Americas, and after I came back I started feeling irritation on the foreskin and top of the penis. It was reddish, itching and the skin started to peel. I first thought it s yeast infection so treated with canesten, and Flucanazol capsule. There was no result. Then went for a full screening of all kinds of sexual diseases. All came back negative and the doctor said it s dry skin and gave me Aqueous cream. The peeling is better, but still itching, and if i stop the cream it s peeling again, and some burning sensation too, but no discharge. I went for another test at the GP. And today they gave me a prescription for Metronidazole 400mg tablet, 3 times a day for 7 days. They didnt say anything, for what it is or what might have caused it. I am just wondering what could be the problem and is there any danger to the liver from this tablet. Can bacteria cause these symptoms, if yes which ones, and how can you get them. Thanks
Sat, 22 Apr 2023
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General & Family Physician 's  Response
Hi,

Metronidazole is an antibiotic medication that is commonly used to treat bacterial and parasitic infections. It is not known to cause liver problems in most people, but it can cause liver damage in some rare cases. The risk of liver damage is increased in people who have a history of liver disease or who drink alcohol regularly.

It is important to follow the dosage and duration of treatment as prescribed by your doctor. Taking more than the recommended dosage or taking the medication for a longer period than prescribed can increase the risk of side effects, including liver damage.

The symptoms you are experiencing may be caused by a bacterial or fungal infection. It is possible that the initial treatment with Canesten and Fluconazole did not work because the infection was not caused by yeast. It is also possible that the infection is caused by a bacterial strain that is resistant to the antibiotics used in the screening.

It is important to complete the full course of treatment with Metronidazole as prescribed by your doctor, even if the symptoms improve or disappear. If the symptoms persist or worsen after completing the course of treatment, you should follow up with your doctor for further evaluation.

To prevent future infections, practicing good hygiene, using protection during sexual activity, and avoiding sharing personal items such as towels or clothing can reduce the risk of transmission.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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Can Metronidazole Cause Liver Problems?

Hi, Metronidazole is an antibiotic medication that is commonly used to treat bacterial and parasitic infections. It is not known to cause liver problems in most people, but it can cause liver damage in some rare cases. The risk of liver damage is increased in people who have a history of liver disease or who drink alcohol regularly. It is important to follow the dosage and duration of treatment as prescribed by your doctor. Taking more than the recommended dosage or taking the medication for a longer period than prescribed can increase the risk of side effects, including liver damage. The symptoms you are experiencing may be caused by a bacterial or fungal infection. It is possible that the initial treatment with Canesten and Fluconazole did not work because the infection was not caused by yeast. It is also possible that the infection is caused by a bacterial strain that is resistant to the antibiotics used in the screening. It is important to complete the full course of treatment with Metronidazole as prescribed by your doctor, even if the symptoms improve or disappear. If the symptoms persist or worsen after completing the course of treatment, you should follow up with your doctor for further evaluation. To prevent future infections, practicing good hygiene, using protection during sexual activity, and avoiding sharing personal items such as towels or clothing can reduce the risk of transmission. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician