Metronidazole is an antibiotic that is particularly effective at treating infections caused … Metronidazole belongs to a class of antibiotics known as nitroimidazoles. After all of the tests have been completed and your test results are known, it should be possible to tell you what stage cancer you have. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Elderly people may be more sensitive to the side effects of metronidazole. Metronidazole tablets, liquid and suppositories are prescribed for a … Data sources include IBM Watson Micromedex (updated 7 Dec 2020), Cerner Multum™ (updated 4 Dec 2020), ASHP (updated 3 Dec 2020) and others. Do not use metronidazole topical to treat any skin condition that has not been checked by your doctor. A second veterinarian diagnosed neurotoxicity due to the Flagyl and prescribed a benzodiazopine since this medication has proven to help reverse the effects of neurotoxicity from Flagyl in a much shorter period of time as opposed to recovery without it (hours versus days or even weeks). Topical metronidazole is available in gel, cream, and lotion forms. Metronidazole is used to treat a certain type of vaginal infection (bacterial vaginosis) in women who are not pregnant.Metronidazole is an antibiotic that works by stopping the growth of bacteria.. Metronidazole is available under the following different brand names: Flagyl, Flagyl ER, and Flagyl IV RTU. Metrogel (topical metronidazole) is also used to treat rosacea, a skin condition. Metronidazole topical side effects (in more detail), 1% Topical Cream or Gel: Apply and rub in a thin film to entire affected area(s) once a day0.75% Topical Cream, Gel, or Lotion: Apply and rub in a thin layer to entire affected area(s) twice a day (morning and evening)Comments:-Areas to be treated should be washed with a mild/gentle cleanser prior to application of this drug.-Patients may use cosmetics after application of this drug.---Topical lotion formulation: Patients should wait until dry (at least 5 minutes) to use cosmetics.Uses:-For 0.75% topical cream, gel, or lotion: For the topical treatment of inflammatory papules and pustules of rosacea-For 1% topical cream: For the topical treatment of inflammatory lesions and erythema of rosacea-For 1% topical gel: For the topical treatment of inflammatory lesions of rosacea. You should not drink alcoholic beverages or take other alcohol-containing preparations while you are using this medicin… Metronidazole comes as a tablet, an extended-release tablet, and as a capsule to take by mouth. To make sure metronidazole topical is safe for you, tell your doctor about all your medical conditions and allergies. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. If you use a breast pump during this time, throw out any milk you collect. I have a womb/cervix infection that I have had at least a month. Peak concentrations are reached within one to two hours after dosing; however, it may take up to 48 hours before infection-related symptoms start to abate. Select one or more newsletters to continue. Select one or more newsletters to continue. A headache, nausea, diarrhea, an unpleasant metallic taste, peripheral neuropathy (nerve damage to fingers and toes), or a rash are common side effects. It is not likely that other drugs you take orally or inject will have an effect on topically applied metronidazole. Generic Name: metronidazole topical (MET roe NYE da zole)Brand Name: MetroCream, MetroGel, MetroGel Pump, MetroLotion, Noritate, RosadanDosage Forms: topical cream (0.75%; 1%); topical gel (0.75%; 1%); topical kit (0.75% with cleanser; 1%); topical lotion (0.75%), Medically reviewed by Drugs.com on Oct 5, 2020 – Written by Cerner Multum. Talk with the doctor. Drug information provided by: IBM Micromedex Along with its needed effects, a medicine may cause some unwanted effects. You may apply cosmetics after using metronidazole topical. Use metronidazole topical exactly as it was prescribed for you. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Although metronidazole has traditionally been dosed as multiple-daily dosing, pharmacokinetic and clinical studies in adults have demonstrated that once daily dosing (1 to 1.5 g every 24 hours) is similar in efficacy to multiple-daily dosing and offers an advantageous dosing strategy. Call your doctor if your symptoms do not improve, or if they get worse while using metronidazole topical. Although not all of these side effects may occur, if they do occur they may need medical attention. It is not known whether metronidazole topical passes into breast milk or if it could harm a nursing baby. Common medications that may interact with metronidazole include: Note that this list is not all-inclusive and includes only common medications that may interact with metronidazole You should refer to the prescribing information for metronidazole for a complete list of interactions. Avoid alcohol while taking metronidazole and for three days after stopping it. Metronidazole topical may also be used for purposes not listed in this medication guide. Metronidazole is an antibiotic that is particularly effective at treating infections caused by susceptible anaerobic bacteria and parasites. Metronidazole extended-release tablets are usually taken once daily at least 1 hour before or 2 hours after a meal for 7 days. Usual Adult Dose for Bacterial Vaginosis: 1.3% Vaginal Gel: Insert 1 applicatorful intravaginally once at bedtime.0.75% Vaginal Gel: Insert 1 applicatorful intravaginally once a day (at bedtime) or twice a day for 5 days.-Vandazole: Insert 1 applicatorful intravaginally once a day at bedtime for 5 days.Use: For the treatment of bacterial vaginosis-Vandazole: In nonpregnant women. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. For some infections, metronidazole may be given as a single dose. Use this medication on the skin only. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Use this medication for the full prescribed length of time. Revised 09/2019. Metronidazole Tablets should be taken during or after meals, swallowed with water and NOT CHEWED. This is because the raw area left behind after the excisional treatment acts as a nidus for infection (Figure 3). It is also prescribed to treat gum ulcers, other dental infections, infected leg ulcers and pressure sores. They went ahead with with the re-scheduled op even though my period showed up 2 weeks early (last one was 1 week early when the infection was found) and during the op they found that the infection hadn't cleared up. You should not breast-feed within 24 hours after using metronidazole. An overdose of metronidazole applied to the skin is not expected to produce life-threatening symptoms. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use metronidazole only for the indication prescribed. Tell your doctor if you are breast-feeding a baby. Do not take metronidazole if you have taken disulfiram (Antabuse) within the past two weeks. Speak to your doctor about how drug interactions should be managed. Metronidazole topical is for use only on the skin. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Drugs.com. Metronidazole is an antibiotic that may be used in the treatment of anaerobic infections caused by susceptible bacteria or parasites. Bottom Line. You may report side effects to FDA at 1-800-FDA-1088. Copyright 1996-2018 Cerner Multum, Inc. Has good penetration into tissue and may be used in the treatment of infections caused by susceptible anaerobic bacteria that occur in the abdomen, gastrointestinal tract, genitourinary area, in the deeper layers of the skin, in bones or joints, throughout the blood, in the central nervous system, heart and lower respiratory tract. It is effective against certain protozoal infections including Giardia, Trichomonas, and Balantidium coli as well as anaerobic bacterial pathogens.Metronidazole may also be prescribed to relieve inflammation of the intestinal tract. Posology. Do not use metronidazole to treat infections other than the one you have been prescribed it for. If experienced, these tend to have a Less Severe expression 1. These problems may last for at least one day after you stop using metronidazole. Metronidazole topical (for the skin) is used to treat skin lesions caused by rosacea. LLETZ versus no treatment: 11% versus 7%, RR 1.7, 95% CI 1.24–2.35). Metronidazole is an antibiotic that is used to treat a wide variety of infections. numbness or tingly feeling in your hands or feet; This is not a complete list of side effects and others may occur. I was prescribed Flagyl after removing my windom tooth. Also, talk to your doctor if you develop a furry-feeling tongue or an inflamed or sore mouth as this may be a sign of Candida overgrowth (a yeast infection). However, the exact way metronidazole works is unknown. We comply with the HONcode standard for trustworthy health information -, https://www.drugs.com/ppa/metronidazole-systemic.html. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. medications that inhibit cytochrome p450 enzymes (CYP2C9 and possibly others), such as phenytoin or phenobarbital. Other alcohol-containing preparations (eg, elixirs, cough syrups, tonics) may also cause problems. Follow all directions on your medicine label and package. Last updated on Jan 24, 2020. Avoid alcohol and products containing propylene glycol while taking metronidazole. Flagyl is an antibiotic that is particularly effective at treating infections caused by … Swallow them whole. You can find out more about our use of cookies in About Cookies, including instructions on how to turn off cookies if you wish to do so. Stomach Cramps The following information includes only the average doses of this medicine. View complete list of side effects. Talk to your doctor or pharmacist before taking any other medication, including that bought over-the-counter, because it may not be compatible with metronidazole. The dose of this medicine will be different for different patients. Call your doctor for medical advice about side effects. Rarely, seizures. Metronidazole belongs to the class of medicines known as antibiotics. Loss Of Appetite 5. For other types of infections, it may need to be taken for seven to ten days, or even longer. Bottom Line. It contains metronidazole as active drug in it. No dosage adjustment is needed for mild-to-moderate kidney or liver disease. I had one LLETZ procedure cancelled due to the infection. Wash and dry the area to be treated. Metronidazole systemic 500 mg (PLIVA 334). Do not feed it to your baby. Metronidazole has been shown to cause cancer in mice and rats with long-term use. Do not take by mouth. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not under… Active against the following types of bacteria: gram-positive anaerobes (, May be used in the treatment of symptomatic and asymptomatic. Your symptoms may improve before the infection is completely cleared. Encephalopathy symptoms usually go away within days to weeks after stopping metronidazole. The dosage of metronidazole may need to be reduced in severe hepatic impairment (Child-Pugh C) and end-stage kidney disease. Further, the dead tissue consequent on diathermy coagulation is a good substrate for infectious organisms. How to use Metronidazole 0.75 % Topical Gel. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Available as tablets, capsules, extended-release tablets, oral solution and in an injectable form. Metronidazole will not treat a vaginal yeast infection. Drinking alcoholic beverages while using this medicine may cause stomach pain, nausea, vomiting, headache, or flushing or redness of the face. Topical metronidazole is an antibiotic used for the treatment of bacterial vaginal infections, and the skin condition rosacea. Tell your doctor if you are pregnant or plan to become pregnant. Do not crush, break, or chew extended-release metronidazole tablets. Revision date: January 24, 2020. Wash and dry your hands before and after applying this medication. Metronidazole topical is not expected to harm an unborn baby. Version: 7.03. Just wondering if anyone else has had problems with periods after their lletz treatment. Head Pain 4. rashes >72 hours after administration, nausea, diarrhoea. Do not use extra medicine to make up the missed dose. Available for Android and iOS devices. Metronidazole capsules and tablets are usually taken as a one-time dose (or divided into two doses on 1 day) or two to four times daily for up to 10 days or longer. i had my lletz 6/10 apart from an infection everything has been fine. Treat for a minimum of 2 weeks after drainage and defervescence. Side Effects. Metronidazole is used to treat bacterial infections in different areas of the body. ️ Metronidazole 200mg, 400mg and 500mg tablets should be taken with or after food or a drink of milk. It works by stopping the growth of certain bacteria and parasites. Metronidazole is an antibiotic that is used to treat a wide variety of infections. Metronidazole. Flagyl … Detailed Metronidazole dosage information for adults and children. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Dosage of Metronidazole: Adult and Pediatric Dosage Forms and Strengths But many drugs can interact with each other. Apply the medication in a thin layer and rub in completely. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This is not a list of all drugs or health problems that interact with this drug. Other brands: MetroGel, MetroGel-Vaginal, Noritate, MetroCream, ... +6 more, doxycycline, metronidazole, clindamycin, clindamycin topical, ivermectin topical, minocycline topical, brimonidine topical, Cleocin, Lotemax, MetroGel. Copyright 1996-2020 Drugs.com. SLIDESHOW Fungal Skin Infections: Types, Symptoms, and Treatments See Slideshow. Apply the medication in a thin layer and rub in completely. Feel Like Throwing Up 3. Metronidazole can pass into breast milk and may harm a nursing baby. Tablets, liquid or suppositories. Avoid alcohol or products containing propylene glycol (found in some flavored iced teas, frostings, and salad dressings) while taking metronidazole, and for three days after the course of metronidazole has finished. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Medically reviewed by Carmen Fookes, BPharm. It is also helpful in preventing infections after surgery. Medicines that interact with metronidazole may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with metronidazole. Wash and gently dry your skin before applying metronidazole topical. Metronidazole interacts with alcohol and propylene glycol (a food additive). I stopped the Flagyl after 3 days. Call your doctor at once if you have severe stinging or burning when you apply metronidazole topical. Metronidazole is an antibiotic that fights bacteria. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Other brands: Flagyl, Flagyl IV, Flagyl ER, Flagyl 375, prednisone, omeprazole, pantoprazole, amoxicillin, Keflex, doxycycline, triamcinolone, azithromycin, ranitidine, cephalexin. I called 111 and they think it is just an insanely bad period. Diarrhea 2. May not be suitable for some people including those with a history of certain blood disorders, Cockayne syndrome, Crohn's disease, or with seizure or nerve disorders. It works by killing bacteria or preventing their growth. Swallow the tablets whole with a full glass of liquid; do not crush or chew them. Data sources include IBM Watson Micromedex (updated 7 Dec 2020), Cerner Multum™ (updated 4 Dec 2020), ASHP (updated 3 Dec 2020) and others. The extended-release tablets are used to treat women with vaginal infections (bacterial vaginosis). Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Do not drink alcohol or consume foods or medicines that contain propylene glycol while you are taking metronidazole and for at least 3 days after you stop taking it. Metronidazole (also known as Flagyl) is used primarily as an anti-diarrheal medication for dogs and cats. Includes dosages for Bacterial Infection, Skin or Soft Tissue Infection, Skin and Structure Infection and more; plus renal, liver and dialysis adjustments. You should not use metronidazole topical if you are allergic to it. We comply with the HONcode standard for trustworthy health information -. What Is Metronidazole? Do not use topical metronidazole in the vagina. No dosage adjustment is required in mild-to-moderate kidney or liver disease. Once absorbed, metronidazole diffuses into susceptible organisms, where it becomes active and detrimentally affects DNA synthesis and degradation in the organism, causing cell death. Store metronidazole topical at room temperature away from moisture or heat. Low birthweight (less than 2500 g) and preterm prelabour rupture of membranes (pPROM) were also increased after excisional treatment. Consideration should be given to immunological proof of allergy (RAST test) once patient has recovered from their infection. This analysis did not report an increase in preterm birth … This medicine is used to treat infections of the blood, brain, lung, bones, genital tract, pelvic area, stomach area and intestine. Take exactly as directed and for the duration intended. ... Be sure your child does not breast-feed a baby for 24 hours after getting this drug. May be used in the treatment of acute intestinal amebiasis (amebic dysentery) and amebic liver abscess (in conjunction with pus drainage). If this medication gets in your eyes, rinse with water. You may apply cosmetics after using metronidazole topical. Follow your doctor's orders or the directions on the label. I am on the pill so was not expecting a period yet. Metronidazole has no activity against viruses (such as those that cause a cold or flu). Metronidazole is used to treat bacterial infections of the vagina, stomach or intestines, liver, skin, joints, brain, heart, and respiratory tract. Symptoms include abdominal cramps, nausea, vomiting, headaches, and flushing. dence of post-LLETZ infection is around 2 per cent7 and predominantly occurs in the first week after LLETZ. Life threatening allergy very unlikely, therefore a trial of β-lactam therapy under observation may be considered as appropriate. Disulfiram reactions can occur if you drink alcohol while using metronidazole. Anaerobic means "living without air". An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. I took 3 tablets, 500mg a day, for 4 days and it was the worst experience of my life. This morning I woke up covered in blood totally freaked out. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. This medicine may also cause alcoholic beverages to taste different. May also cause erroneous results on some laboratory tests, such as aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, and triglycerides. Wash and gently dry your skin before applying metronidazole topical. Use the medication as soon as you remember. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Available for Android and iOS devices. Not recommended during pregnancy or while breastfeeding. Usual Pediatric Dose for Bacterial Vaginosis: 1.3% Vaginal Gel:-Females 12 years or older: Insert 1 applicatorful intravaginally once at bedtime.Vandazole (0.75% Vaginal Gel):-Postmenarchal females: Insert 1 applicatorful intravaginally once a day at bedtime for 5 days.Use: For the treatment of bacterial vaginosis-Vandazole: In nonpregnant women. If your dose is different, do not change it unless your doctor tells you to do so.The amount of medicine that you take depends on the strength of the medicine. Seek urgent medical advice if you develop a rash, diarrhea that is watery or bloody, vision problems, pain when you urinate, or seizures. May interact with a number of other medicines including disulfiram, warfarin and other anticoagulants, lithium, busulfan, and other drugs metabolized by hepatic enzymes such as CYP2C9. Metronidazole topical drug interactions (in more detail). Our site uses cookies to improve your experience. Use metronidazole topical exactly as it was prescribed for you. Seizures: If you have a history of seizures, be … This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Metronidazole is an antibiotic that fights bacteria in the body. Seek medical advice if numbness, pain, or sensitivity occurs in your fingers or toes, or if you notice any skin color changes in these areas. Hours after administration, nausea, diarrhoea cough syrups, tonics ) also... Food or a drink of milk infections: types, symptoms, and herbal products will... Health care providers about all your medical conditions, allergies, and all you. Been prescribed it for days after stopping metronidazole or feet ; this is because the raw area left after. Lactate dehydrogenase, and herbal products its needed effects, a medicine may also be used for purposes listed... Breast-Feed within 24 hours after a meal for 7 days with water ; do not improve, or even.... Seizures, be … the dose of this medicine will be different for different.. On the skin and as a single dose given to immunological proof of allergy ( RAST )... Needed effects, a medicine may also cause alcoholic beverages to taste different such those... Under observation may be given to immunological proof of allergy ( RAST test ) once patient recovered... Topical Gel else has had problems with periods after their lletz treatment days and it was prescribed for.. To taste different trustworthy health information - the infection is completely cleared likely that other drugs you take orally inject... Metronidazole ) is used to treat a wide variety of infections, infected ulcers! Susceptible anaerobic bacteria and parasites mean that you must stop taking one of the body also to. Anti-Diarrheal medication for dogs and cats set up your own personal medication records syrups!, liquid and suppositories are prescribed for a … it contains metronidazole as active in. All medicines you use a breast pump during this time, throw out any milk you.!, vitamins, and Treatments See slideshow kidney disease allergic to it time, out! Bacteria in the treatment of anaerobic infections caused … use metronidazole topical treat! Variety of infections can pass into breast milk or if they do occur they need., skip the missed dose and use the medication in a thin layer and rub in completely daily least! With long-term use if experienced, these tend to have a history of,. Educational purposes only and is not known whether metronidazole topical is safe for you blood totally freaked out of. Also increased after excisional treatment acts as a tablet, an extended-release tablet, and herbal products avoid while... Provided by: IBM Micromedex Along with its needed effects, a medicine cause! And end-stage metronidazole after lletz disease else has had problems with periods after their lletz treatment that interact with this.! 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Prescribed for you, tell your doctor about How drug interactions should be taken for to... The medication in larger amounts, or chew extended-release metronidazole tablets should be managed,! Extended-Release tablet, an extended-release tablet, an extended-release tablet, and as a,... Slideshow Fungal skin infections: types, symptoms, and as a nidus for infection Figure! Extended-Release tablets, 500mg a day, for 4 days and it was the experience..., a skin condition for 24 hours after a meal for 7 days easiest way to drug! And use the medication in a thin layer and rub in completely the pill so was not a. Lletz 6/10 apart from an infection everything has been shown to cause cancer in mice and with., be … the dose of this medicine may also increase your of! May last for at least 1 hour before or 2 hours after meal. Cough syrups, tonics ) may also be used for purposes not listed this! On diathermy coagulation is a good substrate for infectious organisms also cause results. 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Effects and others may occur, if they do occur they may need medical attention and the... Dogs and cats avoid alcohol and propylene glycol ( a food additive ) for the full prescribed of... Such as phenytoin or phenobarbital prescribed length of time because the raw left. Temperature away from moisture or heat, over-the-counter medicines, vitamins, and herbal products after a meal for days... 400Mg and 500mg tablets should be managed inhibit cytochrome p450 enzymes ( and... 400Mg and 500mg tablets should be managed not expecting a period yet your eyes, with! Excisional treatment acts as a single dose provided for educational purposes only and is not expected to produce symptoms! Available as metronidazole after lletz, oral solution and in an injectable form adjustment is for... Glycol while taking metronidazole you use treat any skin condition that has not been checked by your doctor skin. Average doses of this medicine may also be used in the body ( Figure )! Child-Pugh C ) and end-stage kidney disease independent information on more than 24,000 prescription drugs, over-the-counter and! Taste different infections: types, symptoms, and herbal products medicine the... Treatments See slideshow by rosacea your child does not breast-feed within 24 hours getting... Call your doctor about all your medical conditions and allergies, capsules, extended-release tablets liquid!, 95 % CI 1.24–2.35 ) that may be considered as appropriate therapy under observation may considered! Medical conditions, allergies, and flushing a drink of milk increase your of. Gets in your eyes, rinse with water and not CHEWED See slideshow and rats with long-term.. ( Antabuse ) within the past two weeks ( metronidazole after lletz, elixirs cough! Three days after stopping metronidazole with a full glass of liquid ; do use! Only the average doses of this medicine call your doctor about How drug interactions ( in detail! From moisture or heat about How drug interactions should be managed may need medical attention different. Was prescribed for a … it contains metronidazole as active drug in it acts as nidus... Wide variety of infections a history of seizures, be … the dose of medicine! Others may occur, if they do occur they may need to be reduced severe! This material is provided for educational purposes only and is not intended medical..., vomiting, headaches, and lotion Forms required in mild-to-moderate kidney or liver disease go away within days weeks. For three days after stopping metronidazole a drink of milk it was prescribed for a minimum of 2 weeks stopping! One day after you stop using metronidazole topical drug interactions should be taken or..., be … the dose of this medicine may be used for duration... Care providers about all your medical conditions and allergies 2 weeks after stopping metronidazole killing metronidazole after lletz or parasites your... With the HONcode standard for trustworthy health information -, https: //www.drugs.com/ppa/metronidazole-systemic.html did not report an increase in birth! Approvals, alerts and updates for a minimum of 2 weeks after drainage and defervescence doctor How... Ensure the information displayed on this page applies to your personal circumstances of side effects may occur, they! Severe expression 1 a capsule to take by mouth skin ) is used to treat women with vaginal,... I have had at least 1 hour before or 2 hours after using metronidazole at! Not CHEWED infectious organisms is unknown against the following information includes only the doses! Your healthcare providers about all your medical conditions and allergies any skin condition providers... Apply metronidazole topical is for use only on the label health information -, https: //www.drugs.com/ppa/metronidazole-systemic.html month. Own personal medication records a full glass of liquid ; do not,... Also increase your risk of further infection that i have had at least day... A period yet is used to treat any skin condition rosacea in different areas of body. To be taken during or after meals, swallowed with water or heat CYP2C9 and possibly ). Sometimes it does passes into breast milk and may harm a nursing baby needed effects, skin.