Antiamoebic Drugs: Classification, Mechanism, Uses, Adverse Effects, Dosage, Contraindications & Drug Interactions

 ANTIAMOEBIC DRUGS

1. Definition

  • Drugs used to treat Amoebiasis caused by Entamoeba histolytica.

2. Classification

A. Tissue Amebicides: Metronidazole, Tinidazole, Secnidazole
B. Luminal Amebicides: Diloxanide furoate
C. Mixed: Metronidazole + Diloxanide

3. Major Drugs

a. Metronidazole / Tinidazole / Secnidazole

  • MOA: Forms toxic free radicals → damages DNA.
  • Use: Amoebiasis, Giardiasis, Trichomoniasis.
  • Adverse: Metallic taste, nausea, disulfiram-like reaction with alcohol.
  • Dose: 400–800 mg TDS × 7–10 days.
  • Contraindication: Pregnancy (1st trimester).
  • Interaction: Alcohol, warfarin.

b. Diloxanide Furoate

  • MOA: Acts locally in intestine.
  • Use: Chronic intestinal amoebiasis.
  • Adverse: Flatulence, nausea.
  • Dose: 500 mg TDS × 10 days.
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