Efficacy of Metronitazole in Micro Dose


              It is a common knowledge  among physicians that metronitazole ( in conventional doses)  which is quite effective against anaerobic bacteria and some protozoa, is curative in ameobilolitis, trichomaniasis,giadiasis and anaerobic infection of mouth (ulcerative gingivitis and dental infection); also norfloxacin in ususal dose is active against gram negative bacteria, and is used in GI infection and UTI.
The efficacy of these medicines in micro doses in the treatment of similar diseases is a little known practice. Micro dose preparation of these medicines were used on trial basis to observe clinical effects in other gut- related problems
Microdose Preparation:  1G of metronidazole (in powder form) was mixed with 100 ml of rectified spirit ; the mixture was shaken well , to get a uniform suspension. The strength of the preparation was equivalent to 1X solution. One ml of prepared suspension was again  mixed with 100 ml of rectified spirit , and was shaked again; in this way a  suspension of strength 2X was prepared .
Next the potentised forms of metronidazole ( i.e. 1X and 2X suspensions) were soaked in sugar  globules and air dried.
Similar procedure were followed to prepare norfloxacin 1X and 2X . Trial application of  metrodinazole and norfloxacin in micro doses (about 8 to10 globules three times daily) were administered in  previously studied cases. Amlaki Q (10-15 drops) along with Terminelia Q (5-10 drops) were administered twice daily simultaneously with above medicines  as supplementary therapy.
It has been observed that combination of metronidazole and norfloxacin in micro doses (as detailed above) have been  efficacious in the treatment of disorders  in distal parts of gut, like pills, fissures and fistula. There were no adverse side effects  related to such application.
                                         The action of the drug may be visualized as follows;  Oral administering of the medicine in micro dose allows the molecules to be absorbed through oral membrane, and trigger pharmacological action, bypassing  metabolism in the liver.
     Further , the metronidazole 1X has been found to benefit patients with  recurrent aphthous ulcers and hyper pigmentation of malar (chick) region and forehead;  prolonged use of3-4 weeks of the medicine ( three time-a day), has yielded encouraging results among the patients; In the case of hyperpigmentation , simultaneous use of Atista-Radix Q (15-20drops twice daily) has produced spectacular improvement.

(The study was carried out jointly by Dr.S.Chakraborty and Late Dr.Mihir Kumar Chatterjee)