Topmetro Gel

Topmetro Gel is a medicine that has antibiotic and antiparasitic properties. It is given to children for the treatment of a wide range of bacterial and parasitic infections. It may also be given in combination therapy for the treatment of peptic ulcer disease.

Give Topmetro Gel to your child orally, with food, preferably at a fixed time. Giving it with food helps prevent the risk of developing a stomach upset. The usually prescribed frequency is three times a day, once each in the morning, afternoon, and at bedtime, keeping a gap of 6 hours between two doses. Always give the dose as prescribed by the doctor since they depend on the severity and type of infection, body weight, and age of your child. If your child vomits within 30 minutes of intake, repeat the same dose but never double up the dose if it is time for the next dose.

Some children may develop minor and temporary side effects after taking this medicine. These include nausea, vomiting, metallic taste, headache, loss of appetite, abdominal cramps, red-brown urine, and mild skin rash. These side effects usually go away once your child's body adapts to the medicine. However, in case they persist for long or start bothering your child, you must consult your child's doctor without any delay.

Your child's doctor must be aware if your child has ever had any previous episode of allergy, heart problem, blood disorder, liver impairment, and kidney malfunction. This will guide the doctor in planning your child's overall treatment.

• Treatment of Peptic ulcer disease
• Treatment of Bacterial infections
• Treatment of Parasitic infections

Treatment of Peptic ulcer disease
Topmetro Gel helps eradicate H. Pylori bacteria which is responsible for causing peptic ulcers in children. For peptic ulcers, it is generally given in combination with other medicines for around 10-14 days. Keep giving Topmetro Gel to your child as prescribed for it to be effective, even if the symptoms seem to disappear.

Treatment of Bacterial infections
Topmetro Gel is a versatile antibiotic medicine that can be used to treat many different infections caused by bacteria. These include infections of the blood, brain, lungs, bones, joints, urinary tract, stomach, and intestines. It can also be used to treat gum ulcers and other dental infections (abscesses), leg ulcers, and pressure sores. It works by stopping the growth of the bacteria causing the infection.

This medicine usually makes you feel better quite quickly. However, you should continue taking it as long as it is prescribed even when you feel better, to make sure that all bacteria are killed and do not become resistant. This medicine is generally safe to use while pregnant or breastfeeding, but you should ask your doctor.

Treatment of Parasitic infections
Topmetro Gel is an antibiotic medicine that helps treat many parasitic infections such as amoebic dysentery. It works by stopping the growth of parasites causing the infection. This medicine usually makes you feel better quite quickly. However, you should continue taking it as long as it is prescribed even when you feel better, to make sure that all parasites are killed and do not become resistant. This medicine is generally safe to use while pregnant or breastfeeding, but you should ask your doctor.

Topmetro Gel does not pose serious side effects and is well-tolerated by children. In case the side effects do occur, they’re likely to subside once the body adapts to the medicine. Consult your child’s doctor if these side effects persist or bother your child. The most common side effects include-

Common side effects of Avimet

• Weight loss
• Constipation
• Dizziness
• Urine discoloration
• Headache
• Dryness in mouth
• Nausea
• Metallic taste

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Topmetro Gel is to be taken with food.

Topmetro Gel is an antibiotic, having metronidazole as its active ingredient. It kills the bacteria and other microorganisms that cause infections by damaging their DNA.

• If your child develops diarrhea as a side effect, encourage them to drink plenty of water.
• Topmetro Gel may cause an altered taste. Eating citrus fruit or sipping plenty of water or fruit juice may help.
• Your child must complete the entire course of antibiotics. Stopping too soon may cause the bacteria to multiply again, become resistant, or cause another infection.
• Discontinue Topmetro Gel and inform the doctor immediately if your child develops a rash, itchy skin, swelling of face and mouth, or has difficulty in breathing.
• Never save the medicine for future illnesses since its effectiveness in future infections cannot be guaranteed.

Phillips MA, Stanley SL Jr. Chemotherapy of Protozoal Infections: Amebiasis, Giardiasis, Trichomoniasis, Trypanosomiasis, Leishmaniasis, and Other Protozoal Infections. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 1428-30.

Chambers HF, Deck DH. Miscellaneous Antimicrobial Agents; Disingectants, Antiseptics, & Sterilants. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 877.

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