Enterol (Furazolidone)

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Enterol (Furazolidone)

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Method of action: Antidiarrheal, Antiprotozoal

Treatment option: Diarrhea, Dysentery, Enteritis

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Overview of Enterol (Furazolidone)

Quick Facts: Identity of Furazolidone

Property Description
Active Ingredient Furazolidone
Form Tablets, Oral Suspension
Pharmacological Class Nitrofuran Antibacterial, Antiprotozoal Agent
Common Use Countering gastrointestinal microbial infections
Origin Synthetic derivative

What Type of Medicine is Furazolidone (Enterol)?

Furazolidone is a synthetic antimicrobial agent classified as a Nitrofuran Antibacterial and Antiprotozoal Agent. This medication is chemically recognized as a Nitrofuran derivative, positioning it within the broad class of anti-infective compounds. The primary purpose of Furazolidone is to address infections caused by susceptible pathogens, specifically targeting certain types of bacteria and single-celled protozoa that cause distress within the digestive system. Its dual pharmacological classification highlights its ability to counter both major forms of microbial threats that affect the gut, distinguishing it from agents with a narrower spectrum. Nitrofuran derivatives have historically been recognized for managing diarrheal diseases associated with specific microbial agents.


Composition and Presentation: Tablets, Suspension, and Chemical Origin

Furazolidone is typically a single-ingredient drug supplied for oral use, most commonly as tablets or a liquid oral suspension. The core of the product is the active ingredient, Furazolidone (C8H7N3O5), which is a synthetic substance derived from nitrofuran, not a natural compound. The formulation as tablets or an aqueous suspension dictates the oral route of administration, ensuring the compound is delivered directly to the gastrointestinal tract, the primary site where it must exert its effect. As a single-entity drug, its therapeutic contribution is based solely on the efficacy of this nitrofuran compound.


General Purpose of Nitrofuran Anti-infectives

The general purpose of Furazolidone is to help restore the healthy balance of the intestine by directly eliminating harmful microbicidal bacteria and protozoa. This compound achieves its therapeutic contribution by actively interfering with the core biological processes of these pathogens, effectively stopping their ability to survive and replicate. The mechanism of action is distinctly microbicidal, meaning it is designed to kill the organisms rather than simply preventing their growth. This approach provides a definitive strategy for managing infections caused by susceptible organisms in the gastrointestinal system.

Regulatory References

  1. (WHO Essential Medicines)
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What side effects are possible with Enterol (Furazolidone)?

Possible Side Effects and Safety Information

The official safety profile for Furazolidone is organized by regulatory bodies to detail documented adverse reactions and specific usage constraints. The effects are categorized by frequency and the body system affected, strictly following regulatory standards.


Documented Adverse Reactions

The product information classifies common adverse effects primarily within the gastrointestinal and nervous systems:

  • Less Common Reactions: These include abdominal or stomach pain, diarrhea, nausea, vomiting, and headache.
  • Rare Reactions: These include systemic reactions such as fever, joint pain, itching, skin rash or redness, and sore throat.
  • Expected Effect: A common, non-clinically significant effect is the brown discoloration of the urine.

Serious Safety Concerns and Specific Constraints

The regulatory profile highlights serious safety risks, particularly in certain populations or when combined with specific substances:

Safety Concern Description Official Constraint
Hemolytic Anemia Destruction of red blood cells; a documented risk, especially in patients with Glucose-6-phosphate dehydrogenase (G6PD) deficiency. Contraindicated for Infants under one month of age.
Hypertensive Crisis Risk of severe blood pressure elevation due to the drug’s properties. Avoidance of Tyramine-containing foods and alcohol-containing preparations is required.
Exposure Pattern The safety risk associated with blood pressure elevation may persist for up to 4 days after discontinuing the medication. Risk window noted in professional information.

Regulatory documents note that chronic, high-dose administration of Furazolidone has been associated with tumorigenic findings in specific animal studies (rodents). The classification of these effects structures the official safety understanding of the medicine.

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Overdose and Emergency Response

Overdose and When to Seek Help — Official Regulatory Information for Enterol (Furazolidone)


Overdose Scope

Category Official Regulatory Statement
Documented Overdose Presentations Manifestations of neurotoxicity, including convulsions, tremors, and peripheral neuritis, have been observed. Systemic reactions may involve flushing, dyspnea (difficult breathing), slight temperature elevation, and a sense of constriction within the chest
Physiological Systems Affected Central Nervous System, Peripheral Nervous System, and Cardiovascular System.
Dose-related or Exposure-related Factors The risk of severe outcomes, such as a hypertensive crisis, is associated with doses larger than recommended or prolonged exposure due to the drug’s monoamine oxidase inhibitor (MAOI) properties.
Population-specific Overdose Notes Infants up to 1 month of age are documented to have an increased risk of developing hemolytic anemia following exposure, which is a critical consideration in overdosage scenarios.
Emergency-response Statements Management requires symptomatic and supportive treatment. No specific antidote is known to regulatory authorities.
When immediate medical help is required Seeking immediate medical attention and contacting a poison control center or emergency room immediately is the mandated action upon suspected overdose.

Overdose Classifications (High-Level)

Category Official Regulatory Statement
Severity Classification Overdose can lead to severe and potentially life-threatening outcomes, specifically mentioning the risk of hypertensive crisis and severe anemia.
Regulatory Basis Regulatory information is based on drug prescribing information and toxicological profiles documented by national health authorities.
Overdose-Context Constraints The lack of a specific antidote means management is constrained to supportive and symptom-directed treatment, often requiring observation.

Connection to the Overall Overdose Profile

Regulatory documents define the overdose profile for Furazolidone by listing severe toxicological manifestations, including neurotoxicity and the risk of cardiovascular instability. This severity directly dictates the need to seek immediate medical attention, a mandatory action stated in official labeling. The official instructions further constrain the management protocol by confirming the absence of a specific reversal agent, thereby mandating symptomatic and supportive treatment and the need for hospital monitoring.

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Therapeutic Uses of Enterol (Furazolidone)

Targeted Treatment and Relief for Acute Gastrointestinal Symptoms

This medication is commonly used to help with conditions characterized by periods of heightened symptoms, such as enteritis or giardiasis, when linked to susceptible bacteria or protozoa. It is applied in addressing specific infectious manifestations, including diarrhea, abdominal cramping, and general stomach distress. It is utilized in managing diarrhea or enteritis caused by these infections.

The core benefit assists with maintaining functional stability during symptomatic phases. This is commonly used in clinical settings that involve acute or unstable symptom patterns.

“It provides support that helps ease the overall symptom burden in situations involving certain distressing symptoms linked to infections.”


Quick Fact: Managing Symptoms of Infectious Diarrhea The use of this medication supports general well-being during symptomatic phases and contributes to easing the overall symptom load, helping patients cope more steadily.

Regulatory References

  1. National Cancer Institute Drug Dictionary
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Eligibility and Restrictions for Use

Who Can and Cannot Use Enterol (Furazolidone)?

The eligibility for using Furazolidone is strictly defined by regulatory authorities based on age, known allergies, and specific underlying metabolic conditions. The medicine is approved for use in adults and children 1 month of age and over for labeled indications.


Absolute Contraindications

Use of this medicine is prohibited for the following populations:

  • Infants under 1 month of age due to the high risk of hemolytic anemia associated with immature enzyme systems.
  • Patients with documented hypersensitivity or known allergy to Furazolidone or any other drug in the Nitrofuran class.

Conditional Use and Restrictions

Official labeling specifies conditions that restrict or require caution during use:

  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency: Patients with this condition must use the medicine with caution due to the risk of developing mild, reversible anemia.
  • Pregnancy Status: The drug is categorized as Pregnancy Category C, meaning its safety in humans has not been established.
  • Lactation: Use is not recommended during the breastfeeding of infants under one month old.
  • Older Adults: No specific information is available comparing the drug's effects in geriatric patients to other age groups.
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What should I know about interactions with other medicines?

Interactions with other medicines and products

Furazolidone's official interaction profile is defined by its property as a Monoamine Oxidase (MAO) Inhibitor, dictating several mandatory restrictions documented in regulatory labeling.


Contraindicated Combinations

Co-administration with the following substances is formally prohibited due to the risk of severe reactions like hypertensive crisis or serotonin syndrome:

  • Other Monoamine Oxidase Inhibitors (MAOIs): Co-administration is contraindicated.
  • Indirectly-Acting Sympathomimetic Amines: Agents such as ephedrine or phenylephrine are contraindicated.

Pharmacodynamic and Food Interactions

The consumption of certain foods and products is restricted because of two key pharmacodynamic risks:

  • Alcohol (Ethanol): Ingestion of alcohol is prohibited during therapy and for at least four days after the final dose due to the risk of a severe disulfiram-like reaction.
  • Tyramine-Containing Foods: Foods and beverages with high tyramine content, such as aged cheeses or fermented sausages, are prohibited due to the risk of precipitating a hypertensive crisis.
  • CNS-Acting Medications: Caution is advised when co-administered with sedatives, antihistamines, or narcotics due to the potential for additive Central Nervous System (CNS) depressant effects.

Population-Specific Cautions

Furazolidone is officially contraindicated in infants under one month of age. Caution is also advised in patients with Glucose-6-Phosphate Dehydrogenase (G-6-PD) deficiency due to documented hemolytic risk.

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Mechanism of Action

How Enterol (Furazolidone) Works: Mechanism of Action

The mechanism of Furazolidone is defined by its action as a prodrug that requires enzymatic activation exclusively within susceptible pathogenic microorganisms. Once the molecule enters the target cell (bacteria or protozoa), microbial nitroreductase enzymes reduce its nitro group to generate highly reactive intermediate free radicals.

This molecular cascade initiates a destructive sequence: the reactive intermediates immediately bind covalently to the pathogen's DNA, causing irreparable genetic damage and cross-linking. Simultaneously, these toxic compounds non-selectively attack and inhibit essential microbial ribosomes and core metabolic enzymes, including oxidoreductases. By blocking both protein synthesis and energy production pathways, the drug induces rapid and profound metabolic collapse. This combined genetic and metabolic assault establishes a definitive microbicidal effect against the microbial population.

Separately, a major metabolite of Furazolidone, 3-amino-2-oxazolidone (AOZ), acts as an irreversible inhibitor of the host enzyme Monoamine Oxidase (MAO). This secondary mechanism modulates catecholamine metabolism in systemic pathways, which is a key pharmacological constraint.

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Dosage and Administration Information

How to Use Furazolidone

Administration Scope

The usage of Furazolidone is determined by standardized administration guidelines, primarily based on the oral route. The medication is typically supplied as 100 mg tablets or an oral suspension. The dose may be taken with food as noted in prescribing information, a method intended to lessen potential gastrointestinal discomfort during intake.


Official Dosing and Scheduling

The standard adult dosing regimen is 100 mg per dose, administered four times a day (QID). For children over one month of age, the dose is calculated based on body weight (mg/kg) per dose. Treatment is defined by a specific, short-term duration, typically lasting 5 to 10 days depending on the specific infection being addressed. It is officially instructed that the full prescribed course of treatment must be completed, even if symptoms show improvement earlier.


Procedural Rules and Restrictions

When using the oral suspension, the bottle must be shaken vigorously before measurement, and a specially marked device must be used for accurate dosing. The pediatric administration guidelines state that the use of Furazolidone is not recommended for infants under one month of age. In the event of a missed dose, the medication should be taken as soon as it is remembered unless the time for the next scheduled dose is near; doses must not be doubled to compensate for the skipped amount. These instructions collectively define the standardized use protocol.

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Recent Clinical Evidence

Enterol (Furazolidone): Clinical Evidence Overview

Furazolidone is an antimicrobial agent classified as a nitrofuran. It has historically been investigated for its effectiveness against a broad spectrum of bacteria and certain protozoa that cause infections primarily in the gastrointestinal tract.

Investigated Indications

Clinical studies have focused on the use of furazolidone for specific infectious diseases, including:

  • Bacterial Diarrhea and Enteritis: Research has explored the use of furazolidone against susceptible organisms like Escherichia coli and Shigella species.
  • Giardiasis: Furazolidone has been a subject of study in the management of giardiasis, a protozoal infection caused by Giardia lamblia.
  • Cholera: The compound has been evaluated as a treatment component for cholera, an infection caused by Vibrio cholerae.

Pharmacologic Properties and Research

The antimicrobial activity of furazolidone is believed to involve interference with bacterial enzyme systems and disruption of DNA and protein synthesis within the microbial cell. This mechanism of action has been documented to potentially limit the development of drug-resistant organisms compared to some other antimicrobial classes.

In recent years, limited data has been published regarding its efficacy and resistance patterns compared to newer antimicrobial agents. However, studies have also investigated furazolidone-based regimens in managing resistant Helicobacter pylori infections, particularly in cases where standard therapies have been unsuccessful. This application represents an area of continued exploration.

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Frequently Asked Questions (FAQ)

Common questions about Enterol (Furazolidone) (FAQ)

Q: Is Furazolidone a type of antibiotic?

A: Official drug classifications describe Furazolidone as a nitrofuran derivative. It is known to possess properties that target both bacteria (antibacterial) and certain single-celled organisms (antiprotozoal).


Q: What specific infections is Furazolidone used to treat?

A: According to official product information, Furazolidone is indicated for treating diarrhea and enteritis that are caused by specific susceptible bacteria and protozoa. This includes infections such as giardiasis and those caused by Vibrio cholerae.


Q: How does Furazolidone work to stop the infection?

A: The mechanism is defined by the drug interfering with the essential enzyme systems of the infectious microbes. Official information states that it causes damage to the microbe's DNA and disrupts the processes needed for protein synthesis.


Q: Why is Furazolidone sometimes prescribed when other antibiotics didn't work?

A: Research has investigated Furazolidone-based treatments, particularly for certain resistant infections, such as specific H. pylori cases. This application represents an area of continued exploration where standard therapies have been unsuccessful.


Q: Do the side effects from Furazolidone go away after treatment stops?

A: While common side effects like nausea or headache may be minimized by stopping the medication, one specific constraint is noted in official information. The MAO-inhibiting property of the drug is noted to carry a risk of related reactions, like hypertensive crisis, that may persist for up to four days after the final dose.


Q: Can Furazolidone make you feel dizzy or lightheaded?

A: Official safety documents list dizziness as a possible side effect of the drug.


Q: Does Furazolidone interact with cold or flu medicines?

A: Co-administration with certain cold or flu ingredients is formally prohibited due to the risk of severe reactions. Official documents specifically warn against taking the drug with indirectly-acting sympathomimetic amines, which include agents like ephedrine or phenylephrine commonly found in some over-the-counter preparations.


Q: Is Furazolidone safe for children to take?

A: The regulatory product information describes specific constraints, stating that the use of Furazolidone is not recommended for infants under one month of age. For children over one month, the appropriate dose must be carefully determined based on body weight.


Q: Is there an age limit for children taking Furazolidone?

A: Official prescribing information states that the drug is not recommended for infants up to one month of age.


Q: Is it safe to use Furazolidone during pregnancy?

A: Official regulatory documents indicate that the use of Furazolidone during pregnancy should be avoided if safer treatment options are available. Prescribing information notes that females of reproductive potential are instructed to discuss pregnancy prevention and planning with a healthcare provider.


Q: What are the official recommendations about breastfeeding while taking Furazolidone?

A: Official information notes that studies specifically focused on determining the risk to an infant during breastfeeding are not available. Any potential benefit must be weighed against any potential risks.


Q: What is the earliest a person might feel better after starting Furazolidone?

A: Prescribing information notes that for common cases of diarrhea treated with Furazolidone, a positive clinical response is typically observed within two to five days of starting therapy.


Q: Does Furazolidone start working immediately or does it take a few days?

A: While the drug's mechanism of action begins upon intake, the clinical response to the therapy is generally observed within two to five days of beginning treatment.


Q: Is there any concern about Furazolidone causing long-term nerve issues?

A: Official safety documentation notes a risk of peripheral neuritis (nerve damage) associated with the nitrofuran class of drugs. This is an effect that has been noted to occur with use.


Q: Has the safety of Furazolidone for long-term use been studied?

A: Regulatory documents include nonclinical toxicology findings. These documents note that the drug has shown evidence of tumorigenic (tumor-forming) activity in specific animal studies involving chronic, high-dose oral administration to rodents.


Q: Can Furazolidone cause problems if I have liver or kidney issues?

A: Some reports have noted signs of liver effects in animal studies of the drug's metabolite. Standard drug administration guidance often advises caution in patients with pre-existing kidney or liver conditions, as these organs are key to drug elimination.


Q: Does taking Furazolidone affect the natural bacteria in my gut?

A: As an antibacterial agent, official information indicates that Furazolidone, like other similar drugs, may alter the normal flora of the colon. This alteration can potentially lead to a condition known as Clostridioides difficile-associated diarrhea (CDAD).


Q: Are there any specific blood tests required while taking Furazolidone?

A: Due to the known risk of hemolytic anemia (red blood cell destruction), particularly for individuals with G6PD deficiency, official information instructs that these patients must be observed closely. This typically involves the observation or monitoring of the patient for signs of red blood cell destruction.


Q: Is it true that Furazolidone works against both bacteria and parasites?

A: Yes. Official clinical evidence describes Furazolidone as having activity against a broad spectrum of susceptible Gram-positive and Gram-negative bacteria, as well as certain protozoa, which are a type of parasite.


Q: How should I take the oral suspension form of Furazolidone accurately?

A: Official labeling details the method for administration. When preparing to take the oral suspension, the bottle must be shaken vigorously before measurement. Additionally, a specially marked device must be used to ensure the accuracy of the dose.


Q: Can Furazolidone affect my ability to drive or operate machinery?

A: Official documents note that the drug may cause dizziness. Additionally, there is potential for additive Central Nervous System (CNS) depressant effects when taken alongside other medicines like sedatives or antihistamines, which could affect motor functions.


Q: What are the signs that Furazolidone may be causing an issue with red blood cells?

A: The prescribing information highlights the risk of hemolytic anemia (red blood cell destruction). Patients at risk are instructed to be monitored, and the drug must be discontinued if there is any indication of hemolysis.


Q: Is Furazolidone effective for diarrhea not caused by bacteria or protozoa?

A: The official indications for Furazolidone limit its use to treating diarrhea and enteritis caused by susceptible bacteria or protozoa. This suggests it is not intended for use against causes of diarrhea that are non-infectious.


Q: Why are sympathomimetic amines contraindicated?

A: Sympathomimetic amines are formally prohibited because Furazolidone acts as a Monoamine Oxidase (MAO) Inhibitor. This property creates a risk of precipitating a severe elevation in blood pressure known as a hypertensive crisis if the two substances are combined.

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How should Enterol (Furazolidone) be stored and disposed of?

Official Storage and Disposal Profile for Enterol (Furazolidone)

Requirement Category Official Regulatory Statement
Storage Conditions Store in a cool place or at room temperature, ensuring the product is kept dry and away from direct light, heat, and moisture.
Handling & Packaging Keep the container tightly closed and store the medication out of the reach of children. Avoid the formation of dust and aerosols when handling.
Prohibited Environments Keep from freezing. Store away from incompatible materials such as strong bases and oxidizing agents.
Disposal Instructions The preferred method is a drug take-back program or mail-back system. If unavailable, mix the medicine with an unappealing substance (like dirt or coffee grounds), place in a sealed bag, and discard in the household trash. Do not let the product enter drains or the environment.

These official regulatory requirements define how the product must be protected from environmental factors to maintain stability and ensure safety. Storage conditions emphasize protection from heat, light, and moisture, while disposal protocols prioritize non-environmental discharge methods.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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