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Gramex Tablet: Uses, Dosage & Side Effects in Pakistan

Gramex Tablet (Metronidazole) ke quick uses, dose guide, side effects, warnings, aur buying price range.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated:

Review on recordReview recorded by Marwa Elahi, House Officer, Shifa College of Dentistry | Editor-in-Chief, The Dental Talk · Review recorded:

Review scope follows the reviewer’s stated professional background.

The latest editorial changes have not received a new named clinical review.

Prescription

Form

TABLET

Strength

400mg

Manufacturer

Platinum Pharmaceuticals (Pvt.) Ltd.

Estimated price

Price not listed

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What is Gramex Tablet used for?

  • Infections caused by susceptible anaerobic bacteria, including selected dental and abdominal infections
  • Bacterial vaginosis and trichomoniasis when diagnosed
  • Amoebiasis or giardiasis when an antiparasitic regimen is prescribed
Read full Uses guide →

How to take Gramex Tablet?

Adult dose: Metronidazole dose, interval and duration vary substantially between dental infection, bacterial vaginosis, trichomoniasis and intestinal parasites. Follow the diagnosis-specific prescription; there is no single dose for all stomach upset.

Child dose: A clinician must select an age-appropriate Metronidazole formulation and dose for the indication. This page does not provide a home paediatric calculation.

Read full Dosage guide →

Important warnings

  • Avoid using Gramex Tablet if you have blood disorders
  • Are pregnant or breastfeeding (unless advised by a doctor)
  • If allergic to metronidazole or similar medicines

Gramex Tablet Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

FieldDetails
ProductGramex Tablet
IngredientMetronidazole
Strength400mg
FormTABLET
Supply adviceConfirm the local pack and prescription requirements with a pharmacist
Current priceNot verified for a specific local pack

2. What is Gramex Tablet? (Gramex Tablet kya hai)

Gramex tablets contain metronidazole, an antibiotic used for treating specific anaerobic bacterial and protozoal infections. It is not a general therapy for all types of diarrhoea.

3. Uses (Fayde / Kis kaam aati hai)

  • Infections caused by susceptible anaerobic bacteria, including selected dental and abdominal infections
  • Bacterial vaginosis and trichomoniasis when diagnosed
  • Amoebiasis or giardiasis when an antiparasitic regimen is prescribed
  • Helicobacter pylori eradication only as part of a combination regimen

4. Who May Use It (Kis ko leni chahiye)

A healthcare professional should confirm that the indication, age and exact formulation match the patient’s needs. An ingredient match alone does not make another brand or formulation interchangeable.

5. When Not to Use (Kab nahi leni chahiye)

  • Avoid using Gramex Tablet if you have blood disorders
  • Are pregnant or breastfeeding (unless advised by a doctor)
  • If allergic to metronidazole or similar medicines
  • Do NOT drink alcohol while taking this medicine or for at least 48 hours after your last dose. The combination causes severe flushing, vomiting, headache and a racing heartbeat.
  • This is a prescription antibiotic. Do not take it, or share it, without a doctor deciding you need it. Never take an antibiotic without a doctor prescribing it.

6. Dosage (Kitni leni hai)

Adult guidance

Metronidazole dose, interval and duration vary substantially between dental infection, bacterial vaginosis, trichomoniasis and intestinal parasites. Follow the diagnosis-specific prescription; there is no single dose for all stomach upset.

Child guidance

A clinician must select an age-appropriate Metronidazole formulation and dose for the indication. This page does not provide a home paediatric calculation.

Dose limits

Use the limit specified for your exact product and individual prescription. A strength printed on a pack is not automatically a recommended dose.

7. How to Use (Kaise leni hai)

Check the medicine name, strength and instructions before each course. Do not share a prescription or change its dose, duration or formulation without professional advice.

8. Timing (Kab leni chahiye)

Check the local leaflet or ask a pharmacist about food timing for this exact formulation; do not infer it from another medicine.

9. Missed Dose (Dose chhoot jaye)

Follow the exact leaflet or contact a pharmacist for missed-dose instructions. Do not double a dose or change a tapering or monitored treatment plan yourself.

10. Warnings (Ihtiyat)

  • Avoid using Gramex Tablet if you have blood disorders
  • Are pregnant or breastfeeding (unless advised by a doctor)
  • If allergic to metronidazole or similar medicines
  • Do NOT drink alcohol while taking this medicine or for at least 48 hours after your last dose. The combination causes severe flushing, vomiting, headache and a racing heartbeat.
  • This is a prescription antibiotic. Do not take it, or share it, without a doctor deciding you need it. Never take an antibiotic without a doctor prescribing it.

11. Precautions (Ahm ehtiyaat)

Check allergies, pregnancy or breastfeeding, kidney and liver conditions, and all other medicines with the prescriber or pharmacist. Store according to the local pack and keep out of reach of children. Below 30°C

12. Side Effects (Nuksanat)

Reported effects

  • - Nausea
  • - Metallic taste
  • - Local irritation
  • - Itching

Serious effects and warning symptoms

  • Breathing issue
  • Fainting
  • Severe swelling

These lists do not establish the frequency of an effect or prove that a new symptom is caused by this medicine. Persistent or worsening symptoms need assessment.

13. Interactions (Dawaon ke sath reaction)

Avoid alcohol during treatment and for 48 hours after the last dose. Warfarin, lithium, disulfiram and some anti-seizure medicines require a pharmacist or prescriber check.

14. When to Get Help (Kab doctor se milein)

Seek emergency help for difficulty breathing, swelling of the face or throat, collapse, severe bleeding or suspected overdose. For the medicine-specific warning symptoms above, contact a clinician promptly. Bring the pack and a list of medicines.

15. Alternatives (Dusri dawaein)

Ask a pharmacist to compare the exact ingredients, strength, route and release type. A generic name alone does not prove dose equivalence. Do not substitute a combination product for a single-ingredient treatment.

16. Price in Pakistan (Price kitni hai)

A current price matched to the local strength and pack size has not been verified. Confirm the printed price, pack and expiry with a licensed pharmacy.

17. FAQs (Aksar poochay jane walay sawalat)

Q: Gramex Tablet kis kaam aati hai?

A: Gramex Tablet contains Metronidazole. Infections caused by susceptible anaerobic bacteria, including selected dental and abdominal infections; Bacterial vaginosis and trichomoniasis when diagnosed. The diagnosis and exact product determine suitability.

Q: Dose kaise confirm karein?

A: Metronidazole dose, interval and duration vary substantially between dental infection, bacterial vaginosis, trichomoniasis and intestinal parasites. Follow the diagnosis-specific prescription; there is no single dose for all stomach upset.

Q: Bachon ke liye dose kya hai?

A: A clinician must select an age-appropriate Metronidazole formulation and dose for the indication. This page does not provide a home paediatric calculation.

Q: Pakistan mein price kitni hai?

A: A current price matched to the local strength and pack size has not been verified. Confirm the printed price, pack and expiry with a licensed pharmacy.

Q: Nuksanat hon to kya karein?

A: Reported effects include - Nausea; - Metallic taste; - Local irritation. Seek medical help for Breathing issue; Fainting. A symptom list does not predict how often an effect occurs.

18. Editorial Information (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-10-15

This correction adds ingredient-specific sources and separates verified facts from unverified local pack details. The recorded medical-review date is unchanged; this editorial correction is not a new clinician review. Foreign labels inform ingredient safety and do not establish Pakistani registration or every local pack’s instructions.

19. Disclaimer (Zaroori tanbeeh)

Educational information only. Confirm the diagnosis, local leaflet and individual prescription with a qualified clinician or pharmacist before starting, stopping or changing treatment.

Explore entries related to Gramex Tablet by ingredient, class and listed uses. These links are not recommendations to switch treatment.

Frequently Asked Questions

Gramex Tablet kis kaam aati hai?

Gramex Tablet contains Metronidazole. Infections caused by susceptible anaerobic bacteria, including selected dental and abdominal infections; Bacterial vaginosis and trichomoniasis when diagnosed. The diagnosis and exact product determine suitability.

Dose kaise confirm karein?

Metronidazole dose, interval and duration vary substantially between dental infection, bacterial vaginosis, trichomoniasis and intestinal parasites. Follow the diagnosis-specific prescription; there is no single dose for all stomach upset.

Bachon ke liye dose kya hai?

A clinician must select an age-appropriate Metronidazole formulation and dose for the indication. This page does not provide a home paediatric calculation.

Pakistan mein price kitni hai?

A current price matched to the local strength and pack size has not been verified. Confirm the printed price, pack and expiry with a licensed pharmacy.

Nuksanat hon to kya karein?

Reported effects include - Nausea; - Metallic taste; - Local irritation. Seek medical help for Breathing issue; Fainting. A symptom list does not predict how often an effect occurs.

Sources

  1. Metronidazole — NHS
  2. DRAP Registered Product Data (Public Registry) — Drug Regulatory Authority of Pakistan
  3. WHO Model List of Essential Medicines, 23rd ed. (2023) — World Health Organization
  4. British National Formulary (BNF) — BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.