{
  "schema_version": 1,
  "kind": "condition",
  "id": "diarrhoeal-disease",
  "name": "Diarrhoeal Disease",
  "category": "acute",
  "sources": "Egyptian National Drug Formulary - antimicrobial-2023.pdf, Metronidazole monograph (chapter PDF p307) · Nemeth V, Pfleghaar N. Diarrhea. [Updated 2022 Nov 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Bookshelf ID NBK448082.",
  "review_status": "reviewed",
  "verified_against": "Egyptian National Drug Formulary - antimicrobial-2023.pdf, Metronidazole monograph (chapter PDF p307) · Nemeth V, Pfleghaar N. Diarrhea. [Updated 2022 Nov 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Bookshelf ID NBK448082.",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 589,
      "generic": "Metronidazole",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": null,
      "adult_dose": "500 to 750 mg every 8 hours",
      "adult_duration": "7 to 10 days",
      "dose_source": "Egyptian National Drug Formulary - antimicrobial-2023.pdf, Metronidazole monograph (chapter PDF p307)",
      "rationale": "Covers amoebic dysentery, one of the parasitic causes of diarrhoea a GP should consider treating when rehydration/symptomatic measures alone are not enough; this excerpt does not include a separate Giardia-specific dose.",
      "cautions": [
        "This dose is specifically for amoebic dysentery; this excerpt does not include a separate Giardia-specific dose, so if giardiasis rather than amoebiasis is suspected, confirm the correct dose from a source that covers it before prescribing.",
        "Seek urgent care for dehydration, blood in the stool, high fever, symptoms lasting more than two weeks, or in an infant, elderly, or immunocompromised patient with poor oral intake.",
        "Strictly avoid alcohol and propylene glycol-containing products during treatment and for 3 days (72 hours) after the last dose - Egyptian National Drug Formulary, Antimicrobial 2023."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "General susceptible-infection dosing: 15 to 50 mg/kg/day in divided doses 3 times daily, maximum 2,250 mg/day (this is the general oral dose given; it is not separately labelled for amoebiasis in the paediatric section).",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "TRICHOGYL 250 MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EL NASR",
          "price_egp": 4.35,
          "pack_count": 20,
          "unit_price": 0.22,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DUMOZOL 500MG 20 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MINA PHARM > ALPHARMA-DENMARK",
          "price_egp": 7.0,
          "pack_count": 20,
          "unit_price": 0.35,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "FLAGICURE 250MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA",
          "price_egp": 7.0,
          "pack_count": 20,
          "unit_price": 0.35,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "METRONIDAZOLE-MUP 250 MG 20 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MUP",
          "price_egp": 11.0,
          "pack_count": 20,
          "unit_price": 0.55,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "METROZOLE 250MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEMPHIS",
          "price_egp": 20.0,
          "pack_count": 20,
          "unit_price": 1.0,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "TRICHOGYL 500MG 12 F.C.TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EL NASR",
          "price_egp": 15.0,
          "pack_count": 12,
          "unit_price": 1.25,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "GEDAZOLE 500MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JEDCO INT. CO. FOR PHARMACEUTICALS",
          "price_egp": 34.0,
          "pack_count": 20,
          "unit_price": 1.7,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "METROGYPTON 500 MG 20 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "GYPTO PHARMA",
          "price_egp": 34.0,
          "pack_count": 20,
          "unit_price": 1.7,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DUMOZOL 125MG/5ML SUSP. 125ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MINA PHARM > ALPHARMA-DENMARK",
          "price_egp": 5.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 125.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "METROZOLE 125MG/5ML SUSP. 120 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEMPHIS",
          "price_egp": 19.5,
          "pack_count": null,
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          "strength_mg": 125.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "diarrhoeal-disease"
    }
  ]
}