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Bin card · Anti-infective ยท alcohol hold

FLAGYL stays closed with disulfiram and with alcohol

3 min read · Reviewed

Metronidazole tablets beside a crossed-out glass marking the alcohol rule

01Alcohol and disulfiram

FLAGYL stays closed with disulfiram. Psychotic reactions were reported in alcoholic patients who used both at the same time. Do not give metronidazole to anyone who has taken disulfiram in the last two weeks. Oral metronidazole is also tied to a disulfiram-like reaction to alcohol, including abdominal cramps, nausea, vomiting, headaches, and flushing. Stop alcohol and products that contain propylene glycol during therapy and for at least three days after the last dose.

02First trimester in trichomoniasis

In people with trichomoniasis, FLAGYL is contraindicated during the first trimester of pregnancy. Later in pregnancy, when other treatment has already failed, the one-day course is not used, because it produces higher serum levels that can reach the fetal circulation.

Generic metronidazole 500 mg, a fourteen-tablet course - the strength sold as Flagyl 500 mg, checked October 2026. GoodRx Flagyl page lists the common version as low as $9.66. We do not invent a retail figure for a fourteen-count pack. The alcohol warning still applies. Kaelis Med does not dispense.

Before you start, stop, or change any medicine, speak with your prescriber or pharmacist. They hold your chart. This bin card does not. Open the bin disclaimer.

Sources

  1. FDA / Pfizer Flagyl (metronidazole) prescribing information

Checked against the current label and reviewed by Dr. Priya Natarajan. See Pick → Check → Tag → Bin.

Metronidazole 4.5 / 5 from 5042 reader ratings