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Lactofiltrum + metronidazole is a combination of two agents used in clinical practice. Metronidazole is a nitroimidazole-class antibiotic and antiprotozoal agent that works by inhibiting nucleic acid synthesis in susceptible organisms through the formation of nitroso radicals that disrupt microbial DNA. It is primarily indicated for the treatment of anaerobic bacterial infections and certain protozoal infections such as trichomoniasis and amebiasis[1][2][3][6][7]. Lactofiltrum is an over-the-counter enterosorbent containing lignin hydrolyzed and lactulose; it acts as an intestinal adsorbent to bind toxins and metabolites in the gut but does not have direct antimicrobial activity. The combination may be used off-label to manage gastrointestinal disorders where both infection (treated by metronidazole) and toxin adsorption (by lactofiltrum) are desired.
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