Metronidazole |
![]() Last updated: 06/09/2025 |
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(Also known as: metronidazol ; MTZ) |
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An imadazole veterinary drug active against both gram-positive and gram-negative bacteria and protozoa | |
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Often used to treat diarrhea and other intestinal problem. Effective against Giardia; Trichomonas; Balantidium coli | |
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Cattle; Dogs; Cats; Horses; Donkeys; Birds; Reptiles |
Approval status |
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Approved - usually available as a prescription only medicine to be authorised by a veterinarian (POM-V) | |
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Approved |
Chemical structure |
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Metronidazole exhibits tautomeric isomerism. The molecule is based on a 5-nitroimidazole ring, which is a planar, aromatic heterocycle. The tautomerism arises from the proton shift within the imidazole ring, allowing for interconversion between different hydrogen positions on the nitrogen atoms. | |
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C₆H₉N₃O₃ | |
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CC1=NC=C(N1CCO)[N+](=O)[O-] | |
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No data | |
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VAOCPAMSLUNLGC-UHFFFAOYSA-N | |
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InChI=1S/C6H9N3O3/c1-5-7-4-6(9(11)12)8(5)2-3-10/h4,10H,2-3H2,1H3 | |
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Yes |
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Common Name | Relationship | Link |
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metronidazole | - | ![]() |
General status |
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Antibiotic, Antibacterial, Antiprotozoal | |
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Imidazole | |
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Synthetic | |
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Systemic. Metronidazole is reduced as it enters the target cell where it interacts with bacterial or protozoal DNA causing a loss of helical structure and strand breakage in the DNA leading to eventual death of the cell | |
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[DNA, Binder], [Oxygen-insensitive NADPH nitroreductase, potentiator], [Periplasmic (Fe) hydrogenase 1, Antagonist] | |
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443-48-1 | |
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207-136-1 | |
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120401 | |
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Antiinfectants for systemic use: Antibacterials for systemic use | |
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QJ01RA04 | |
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No | |
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Prohibited | |
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171.15 | |
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2-(2-methyl-5-nitro-1H-imidazol-1-yl)ethanol | |
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1-(β-hydroxyethyl)-2-methyl-5- nitroimidazole | |
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Evidence of use in third world countries | |
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White to pale yellow crystalline solid |
Commercial |
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Current | |||
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1957, introduced | |||
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Usually supplied as oral suspensions or tablets | |||
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Metronidazole is synthesised through a multi-step chemical process beginning with nitration of 2-methylimidazole to produce 2-methyl-5-nitroimidazole, the key intermediate. This nitration typically uses a mixture of nitric and sulphuric acids under controlled temperature conditions. The nitroimidazole intermediate is then reacted with ethylene oxide or 2-chloroethanol to introduce the hydroxyethyl side chain, forming the final metronidazole molecule. The reaction is carried out in an acidic medium to facilitate the alkylation. After completion, the reaction mixture is neutralised, extracted using solvents like ethyl acetate, and purified through crystallisation or distillation. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. |
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9500 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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5000 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Ethanol3 = Unverified data of known source |
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500 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Ether3 = Unverified data of known source |
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500 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Chloroform3 = Unverified data of known source |
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158 | L3 L = Pesticide manuals and hard copy reference books / other sources 3 = Unverified data of known source |
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9.55 X 10-01 | Calculated | - | |||||||
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-0.02 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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2.38 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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Strong acid | |||||||||||
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0.04 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
Low volatility | ||||||||
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No absorption >290 nm | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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Degradation |
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16.1 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) soil-manure slurry mix Slightly persistent DT₅₀ range 9.7–26.8 days,3 = Unverified data of known source |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Soil adsorption and mobility |
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- | R4 R = Peer reviewed scientific publications 4 = Verified data |
Mobile | |||||||
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47 | ||||||||||
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General literature states Kd range 0.54-0.67 mL g⁻¹, Koc range 39-56 mL g⁻¹, soils=4 | ||||||||||
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0.77 | R4 R = Peer reviewed scientific publications 4 = Verified data |
Mobile | |||||||
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56.1 | ||||||||||
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1.35 | ||||||||||
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General literature Kf range 0.74-0.80 mL g⁻¹, Kfoc range 50.0-71.8 mL g⁻¹, 1.n range 1.27-1.43, soils=4 | ||||||||||
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Fate indices |
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Known soil and groundwater metabolites |
None
Other known metabolites |
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2-hydroxy metronidazole | - | Humans/Animals (Liver) | - | ||||
1-acetic acid-2-methyl-5-nitroimidazole | - | - | - | ||||
1-(2-hydroxyethyl)-2-carboxylic acid-5-nitroimidazole salt | - | - | - |
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Terrestrial ecotoxicology |
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> 500 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Rat4 = Verified data |
Moderate | ||||||||
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> 5000 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Anas platyrhynchos3 = Unverified data of known source |
Low | ||||||||
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Aquatic ecotoxicology |
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> 100 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Oncorhynchus mykiss4 = Verified data |
Low | ||||||||
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> 1000 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Daphnia magna3 = Unverified data of known source |
Low | ||||||||
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182 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Americamysis bahia3 = Unverified data of known source |
Low | ||||||||
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40.4 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Raphidocelis subcapitata3 = Unverified data of known source |
Low | ||||||||
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General |
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High (class III) | - | - | ||||||||
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> 500 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Rat4 = Verified data |
Moderate | ||||||||
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Subcutaneous LD₅₀ = 3640 mg kg⁻¹ | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Mouse3 = Unverified data of known source |
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Intraperitoneal LD₅₀ = 870 mg kg⁻¹ | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Mouse3 = Unverified data of known source |
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Eliminated with some hepatic metabolism mainly in the faeces but some also lost with urine | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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Health issues |
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May cause headaches, nausea and diarrhoea Associated with the development of leukopenia, neutropenia and increased risk of peripheral neuropathy Published studies suggest substance is potentially carcinogenic; WHO & IARC - possible carcinogen; CLP data - inadequate epidemiological evidence so substance is not considered as a risk factor for cancer in humans; US NTP - suspected carcinogen; OSHA - Anticipated human carcinogen |
Handling issues |
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No information available | |||
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Not listed (Not listed) | |||
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metronidazole | ||
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metronidazol | ||
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Record last updated: | 06/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |