BI MISSILOR (FLAGYL ER) INDICATIONS
Bi Missilor is used for treating certain bacterial infections of the vagina (bacterial vaginosis). Bi Missilor 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.
BI MISSILOR (FLAGYL ER) INSTRUCTIONS
Use Bi Missilor as directed by your doctor.
- Take Bi Missilor by mouth on an empty stomach at least 1 hour before or 2 hours after eating.
- Swallow Bi Missilor whole. Do not break, crush, or chew before swallowing.
- To clear up your infection completely, take Bi Missilor for the full course of treatment. Keep taking it even if you feel better in a few days.
- If you miss a dose of Bi Missilor, take 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 take 2 doses at once.
Ask your health care provider any questions you may have about how to use Bi Missilor.
BI MISSILOR (FLAGYL ER) STORAGE
Store Bi Missilor at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Bi Missilor out of the reach of children and away from pets.
BI MISSILOR (FLAGYL ER) MORE INFO:
Active Ingredient: Metronidazole.
Do NOT use Bi Missilor if:
- you are allergic to any ingredient in Bi Missilor or to another nitroimidazole (eg, tinidazole)
- you are in the first trimestr 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.
Some medical conditions may interact with Bi Missilor. 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 or seizures.
Some medicines may interact with Bi Missilor. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Disulfiram because side effects, such as mental or mood changes, may occur
- Amiodarone because the risk of irregular heartbeat may be increased
- Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Bi Missilor's effectiveness
- Anticoagulants (eg, warfarin), busulfan, cyclosporine, 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 Bi Missilor.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Bi Missilor 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.
Important safety information:
- Bi Missilor may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Bi Missilor 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 taking Bi Missilor and for at least 3 days 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.
- Bi Missilor only works against bacteria; it does not treat viral infections (eg, the common cold).
- Be sure to use Bi Missilor 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 Bi Missilor 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.
- Bi Missilor may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Bi Missilor.
- Lab tests, including liver function and white blood cell counts, may be performed while you use Bi Missilor. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Bi Missilor with caution in the elderly; they may be more sensitive to its effects.
- Bi Missilor 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 Bi Missilor while you are pregnant. Do not use Bi Missilor in the first 3 months of pregnancy. Bi Missilor is found in breast milk. Do not breastfeed while taking Bi Missilor.
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; stomach upset; vomiting.
Seek medical attention right away if any of these severe side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; decreased coordination; increased or decreased urination; numbness, tingling, or burning of the arms, hands, legs, or feet; red, swollen, blistered, or peeling skin; seizures; severe diarrhea; severe or persistent dizziness or headache; sore throat, chills, or fever; speech problems; stiff neck; stomach pain or cramps; vaginal itching, odor, or discharge; vision loss or other vision changes; 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.