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In patients stabilized on reasonably large doses of lithium, shorter-term oral metronidazole therapy is affiliated with elevation of serum lithium concentrations and, in a handful of circumstances, indications of lithium toxicity.
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Disulfiram-like reaction to Alcoholic beverages has become described with oral metronidazole, Therefore the potential of such a response taking place although on metronidazole vaginal gel therapy can not be excluded.
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Psychotic reactions have been described in alcoholic patients who have been jnetoto using oral metronidazole and disulfiram ‑concurrently. Metronidazole vaginal gel shouldn't be administered to clients that have taken disulfiram in the last two weeks.