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At a glance

Secnidazole is an antibiotic and antiparasitic drug used for the treatment of intestinal amoebiasis, hepatic amoebiasis, trichomoniasis, and giardiasis. It eliminates infections by damaging the DNA of microorganisms.

Indications
  • Intestinal amoebiasis
  • Hepatic amoebiasis
  • Urethritis and vaginitis due to Trichomonas vaginalis
  • Giardiasis
Pharmacology

Secnidazole diffuses into microorganisms and is reduced by ferredoxin to produce active intermediate compounds that damage DNA, inhibiting cell division and causing microorganism death.

Dosage

Adult Dose (Oral):

  • Trichomoniasis/Amoebiasis/Giardiasis: 2 g single dose
  • Severe invasive amoebiasis: 1.5 g/day (single or divided) for 5 days

Pediatric Dose (Oral):

  • Trichomoniasis/Amoebiasis/Giardiasis: 30 mg/kg single dose
  • Severe invasive amoebiasis: 30 mg/kg/day for 5 days
Side effects

Common Side Effects:

  • GI disturbances (nausea, epigastric pain)
  • Metallic taste, glossitis, stomatitis
  • Headache

Occasional:

  • Urticaria, moderate leukopenia (reversible on discontinuation)

Rare:

  • Vertigo, ataxia, paresthesia, peripheral neuropathy
Use in pregnancy

Use in Pregnancy: May be used after the first trimester; unsafe in the first trimester; consult your doctor.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not use in the first trimester of pregnancy or during lactation
  • Avoid alcohol (Antabuse effect)
  • Avoid in history of blood dyscrasia
  • Dose adjustment may be needed in liver disease
Overdose effects

Limited overdose information; excessive doses may increase side effects; consult your doctor.

Storage conditions

Store in a cool and dry place, protected from heat; keep out of reach of children.

Secnidazole — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.