Neo-Penotran/Neo-Penotran Forte/Neo-Penotran Forte-L

Neo-Penotran/Neo-Penotran Forte/Neo-Penotran Forte-L Special Precautions




Full Prescribing Info
Special Precautions
Patients should be warned not to take alcohol during the therapy and for at least 2 days after the end of a course of treatment because of the possibility of disulfiram-like reactions.
High doses and long-term systemic use may cause peripheral neuropathy and convulsion.
The base contained in the vaginal suppository formulation may interact with certain rubber or latex products eg, those used in vaginal contraceptive diaphragms or condoms, therefore concurrent use is not recommended.
Sexual partners of patients with Trichomonas vaginalis should be treated at the same time.
Metronidazole dose must be reduced in renal failure.
In serious liver function failures, metronidazole clearance may be impaired. Metronidazole may increase encephalopathy symptoms due to increased plasma levels and therefore should be used carefully in hepatic encephalopathy patients. The daily dose of metronidazole must be reduced to ⅓ in patients with hepatic encephalopathy. The t½ of lidocaine may be prolonged ≥2-folds in patients with impaired liver function. Impaired renal function does not affect the pharmacokinetics of lidocaine but may increase accumulation of metabolites.
Neo-Penotran/Neo-Penotran Forte/Neo-Penotran Forte L is not recommended for use in virgins.
Use in pregnancy & lactation: Pregnancy Category B for metronidazole and lidocaine and pregnancy category C for miconazole. After the 1st trimester of pregnancy, Neo-Penotran/Neo-Penotran Forte/Neo-Penotran Forte-L may be used in cases considered essential by a physician, but should be used under control.
Breastfeeding should be discontinued since metronidazole appears in the milk. It can be started again 24-48 hrs after the end of treatment. It is not known whether lidocaine is excreted in human milk; therefore, caution should be observed when Neo-Penotran Forte L is administered to a nursing woman.
Use in children: Neo-Penotran/Neo-Penotran Forte/Neo-Penotran Forte-L is not recommended for children.
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