Ever dealt with stubborn infections that just won’t go away? That’s where Riam Tablet 400mg comes in. Riam is an antibacterial and antiprotozoal medication, commonly used to treat infections caused by bacteria and parasites especially in the stomach, intestines, vagina, and gums. It works by stopping the growth of harmful organisms, helping your body recover faster.
Riam 400mg contains the active ingredient Metronidazole, a powerful antibiotic trusted by doctors for decades. Whether it’s a vaginal infection, amoebiasis, giardiasis, or gum disease, Riam helps clear up the infection efficiently.
Feature | Details |
---|---|
Medicine Name | Riam Tablet |
Strength | 400mg |
Active Ingredient | Metronidazole |
Common Uses | Bacterial & parasitic infections |
Form | Oral tablet |
Route of Administration | By mouth (with or without food) |
Availability | Usually by prescription |
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Riam Tablet Uses – Riam Tablet Used For Diarrhea

Table Of Contents
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Riam Tablet Formula
If you’re wondering what’s inside Riam that makes it so effective, let’s break it down for you.
Active Ingredient
The main powerhouse in Riam Tablet is:
- Metronidazole – 400mg
This ingredient is what does the heavy lifting, fighting off the harmful bacteria and parasites that cause infections in your body.
Metronidazole works by disrupting the DNA of the infectious organisms, which kills them off and stops the infection from spreading further.
Drug Classification
Riam falls into two important drug categories:
Category | Role & Function |
---|---|
Antibacterial | Destroys harmful bacteria that cause infections like dental abscesses or pelvic infections |
Antiprotozoal | Targets parasites such as Giardia or Entamoeba, commonly found in contaminated food or water |
Available Forms
Riam is available in different forms to suit various needs:
Form | Description | Ideal For |
---|---|---|
Tablet (400mg) | Most common form, taken orally with water | Adults and teens |
Oral Suspension | Liquid form for easier swallowing | Children or those with difficulty swallowing pills |
Riam Tablet Formula
Component | Amount | Function |
---|---|---|
Metronidazole | 400 mg | Active ingredient (antibacterial/antiprotozoal) |
Excipients (inactive) | Varies | Helps in forming the tablet, improving stability and absorption |
Excipients usually include ingredients like cellulose, starch, or magnesium stearate—these don’t treat the infection but make the medicine easier to produce and absorb.
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What is the Riam Tablet Used For?
Riam Tablet isn’t just your regular antibiotic—it’s a versatile medicine used to tackle a wide range of infections. Let’s walk through its most common and important uses.
Riam Tablet Uses
Riam 400mg (Metronidazole) is generally prescribed for:
- Treating infections caused by anaerobic bacteria and protozoa
- Managing digestive, gynecological, oral, and intestinal infections
- Used both alone or in combination with other antibiotics, depending on the condition
Riam Tablet Uses For Stomach
Condition | Is Riam Helpful? | Explanation |
---|---|---|
Stomach Infections | Yes | Fights harmful bacteria in the stomach, especially caused by contaminated food or water |
Diarrhea | Sometimes | Effective if diarrhea is caused by parasitic infections like giardiasis |
Food Poisoning | Yes (in some cases) | If bacteria or parasites are involved, Riam helps eliminate them |
Note: Riam is not recommended for viral diarrhea or food poisoning caused by viruses. Always consult your doctor for the correct diagnosis.
Riam Tablet Uses In Pregnancy

Condition | Riam’s Role |
---|---|
Vaginal Infections (Trichomoniasis) | ✅ First-line treatment. Metronidazole directly targets the parasite. |
Bacterial Vaginosis (BV) | ✅ Yes. Clears out overgrowth of harmful bacteria in the vagina. |
Is Riam Safe During Pregnancy?
- Riam is considered relatively safe during pregnancy, especially in the second and third trimesters.
- However, it should be used only under a doctor’s supervision.
- Always inform your gynecologist if you’re pregnant or breastfeeding before taking Riam.
Riam Tablet Uses For Teeth
Use Case | Is Riam Useful? | Notes |
---|---|---|
Tooth Infections | Yes | Prescribed by dentists for dental abscesses or gum infections |
Tooth Pain (Dant Dard) | Indirectly helpful | If the pain is due to an infection, Riam may relieve it |
Intestinal & Parasitic Infections
Infection | Riam’s Effectiveness |
---|---|
Amoebiasis | ✅ Highly effective—used to kill Entamoeba histolytica |
Giardiasis | ✅ First-choice treatment—clears Giardia infections |
Other Uses
Condition | Is Riam Prescribed? | How It Helps |
---|---|---|
Bad Breath (Halitosis) | ☑️ Sometimes | If caused by oral infections or gum disease |
Inflammatory Bowel Disease | ☑️ Off-label use | Occasionally used to manage infections in IBD (consult gastroenterologist) |
How Does Riam Tablet Work?
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Mechanism of Action of Metronidazole (Riam’s Main Ingredient)
Riam Tablet contains Metronidazole, which is a special type of medicine that kills harmful bacteria and parasites inside the body.
Here’s how it works:
- Targets the Germs
It finds the bacteria or parasites that are causing the infection. - Enter Their Cells
Once inside, it breaks their DNA, which is like their control center. - Stops Them from Growing
By damaging their DNA, Riam prevents the germs from multiplying. - Kills the Infection
This stops the infection from spreading and helps your body heal faster.
How It Treats Infections
Riam is powerful against infections such as:
- Stomach infections
- Vaginal infections
- Dental and gum infections
- Parasite-related diarrhea
- Liver or intestinal infections like amoebiasis
How Fast Does Riam Work?
- Initial relief: Many people start to feel better within 1 to 3 days.
- Full course: It’s important to complete the full course (usually 5 to 10 days) even if you feel fine early.
⚠️ Stopping too soon can allow the infection to come back stronger!
Riam 400mg Dosage Information
Riam Tablet | Details |
---|---|
Recommended Adult Dosage | – 1 tablet (400mg), 2–3 times daily – Adjusted based on type/severity of infection – Always follow doctor’s instructions |
Daily Dosage Limit | – Usual: 800–1200mg/day (2–3 tablets) – Serious infections: Up to 2000mg/day (5 tablets) – Maximum: Never exceed 4000mg/day |
– 1 tablet (400mg), 2–3 times daily – Adjusted based on type/severity of infection – Always follow the doctor’s instructions | Avoid Alcohol |
How to Take the Riam Tablet | – With/after meals to avoid stomach upset – Safe with milk and eggs – Do not crush or chew – Take with a full glass of water |
Dosage by Condition | Condition |
Full Course Reminder | Can cause nausea, vomiting, and headache |
Dosage for Children | Always complete the full course even if symptoms improve early |
Missed Dose | – Prescribed by doctor only – 5–10mg/kg, 3 times/day – Available as syrup/suspension – Don’t use without a doctor’s advice |
Riam Tablet Uses in Pregnancy
- Is Riam Safe During Pregnancy?
- First Trimester
- Use with caution.
- Only if absolutely necessary and prescribed by a doctor.
- Second & Third Trimester
- Generally considered safe when prescribed by a doctor.
- First Trimester
- Why is Riam Used in Pregnancy?
- Treats infections like bacterial vaginosis or trichomoniasis, which can harm both mother and baby if left untreated.
- Metronidazole (Riam’s active ingredient) can cross the placenta, so it’s avoided in early pregnancy unless needed.
- Important Reminder
- Never self-medicate during pregnancy. Always consult your gynecologist before taking Riam or any medication.
Riam Tablet Use During Breastfeeding
- Is Riam Safe While Breastfeeding?
- Yes, usually safe for short-term use and under medical supervision.
- It passes into breast milk in small amounts.
- Precautions for Breastfeeding Mothers
- Some doctors advise pumping and discarding breast milk for 12–24 hours after taking a dose, especially in higher doses, to reduce the baby’s exposure.
Alternatives to Riam in Pregnancy
- If Riam Is Not Recommended, Doctors May Prescribe:
- Clindamycin – For bacterial vaginosis or dental infections
- Erythromycin – For stomach or throat infections
- Penicillin-type antibiotics – Broad range and pregnancy-safe
Doctor’s Advice for Pregnant Women
- Key Recommendations:
- Use Riam only when clearly needed, especially in the first trimester
- Always inform your doctor if you are pregnant, planning to conceive, or breastfeeding
- Follow the prescribed dose and schedule strictly
- Never skip or double the dose
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Benefits of Riam Tablet (Metronidazole 400mg)

- Effective Against Bacterial & Protozoal Infections
- Kills harmful bacteria and protozoa (parasites)
- Treats infections that other antibiotics may not work on
- Useful for:
- Trichomoniasis
- Amoebiasis
- Giardiasis
- Bacterial vaginosis
- Ideal for both stomach and vaginal infections
- Fast Relief in Stomach & Intestinal Infections
- Relief starts in 24–48 hours after taking the tablet
- Works quickly for:
- Amoebic dysentery
- Giardiasis
- Food poisoning
- Infectious diarrhea or stomach cramps
- Helps reduce symptoms fast, so you feel better sooner
- Versatile Use (Dental, Stomach, Reproductive)
- Treats a wide range of infections in different body parts
- Common uses include: Area of UseInfections TreatedStomach/IntestinesDiarrhea, amoebiasis, food poisoningTeeth & GumsTooth abscess, gum infectionsReproductive SystemVaginal infections like trichomoniasis, BV
- One tablet works for multiple infection types
- Cost-Effective Compared to Other Antibiotics
- Affordable price, available in tablet & syrup form
- Delivers the same results as costly antibiotics
- Great for those needing budget-friendly treatment
- Effective treatment without spending a lot
Side Effects of Riam Tablet
- Common Side Effects:
- Nausea
- Metallic taste in the mouth
- Dizziness
- Headache
- Constipation
- Diarrhea
- Dark-colored urine
- Loss of appetite
- Nasal congestion
- Stomach ache
- Skin rash
- Bleeding gums
- Heartburn
- Serious Side Effects (Rare but Risky):
- Seizures
- Numbness or tingling in hands/feet
- Liver damage
- Fast or irregular heartbeat
- Riam Side Effects During Pregnancy:
- Mild nausea or vomiting
- Dizziness or tiredness
- Risk of allergic reaction (rare)
- Must be used only when prescribed by a doctor
- Allergic Reactions – Watch Out For:
- Swelling of the face, lips, or throat
- Severe itching or rash
- Breathing difficulty
- Hives or redness
- What to Do in Case of Severe Side Effects?
- Stop taking the medicine immediately
- Seek emergency medical help
- Inform your doctor about all symptoms and medicines you’re using
Precautions & Warnings for Riam Tablet
Before using Riam (Metronidazole 400mg), it’s important to know who should avoid it and what safety steps to follow.
Who Should NOT Use the Riam Tablet?
- People allergic to Metronidazole or any similar medicines
- Pregnant women (especially in the first trimester) — unless advised by a doctor
- Breastfeeding mothers — Riam can pass into breast milk
- Patients with liver disease
- Those with a history of epilepsy or seizures
- Anyone who has had blood disorders or nerve problems
Drug Interactions – Be Careful!
Riam can react with many medicines. Always tell your doctor about what you’re taking.
Avoid combining Riam with:
- Other antibiotics like Flagyl (may increase side effects)
- Painkillers like Voren (diclofenac) or other NSAIDs
- Blood thinners (like warfarin) — risk of bleeding
- Epilepsy medicines (e.g., phenytoin, carbamazepine)
- Lithium (used in mental health treatment)
Alcohol Warning – Very Important!
Never drink alcohol while taking Riam!
Why?
Because it can cause a severe reaction known as the “Antabuse effect”, which includes:
- Nausea & vomiting
- Stomach cramps
- Flushing (redness in face)
- Headache
- Fast heartbeat
Is Riam a Painkiller?
No. Riam is not a painkiller.
- It’s an antibiotic and antiprotozoal drug.
- It treats the cause of infection, not the pain directly.
- However, once the infection clears, pain usually reduces on its own.
Riam Tablet vs Flagyl: What’s the Difference?
You might have heard both Riam and Flagyl being mentioned for infections. So, are they the same? Let’s clear that up!
Are Riam and Flagyl the Same?
- Both contain the same active ingredient: Metronidazole
- Both are used to treat similar bacterial and protozoal infections
- Manufactured by different companies but work in nearly the same way
Key Similarities
Feature | Riam | Flagyl |
---|---|---|
Active Ingredient | Metronidazole 400mg | Metronidazole 400mg |
Drug Class | Antibiotic, Antiprotozoal | Antibiotic, Antiprotozoal |
Uses | Stomach, dental, vaginal infections | Same |
Prescription | Yes | Yes |
Key Differences
- Price: Riam is usually more affordable than Flagyl
- Availability: Flagyl might be more common internationally; Riam is widely available in Pakistan
- Brand Reputation: Flagyl is a well-known global brand; Riam is popular locally
Which Is Better for Tooth Infection?
- Both are equally effective for treating tooth infections caused by bacteria.
- Choice depends on price and availability.
Which Is Better for Stomach Infection?
- Both treat stomach infections like amoebiasis and giardiasis well.
- Riam is often preferred for its cost-effectiveness.
Which Is Better for Vaginal Infection?
- Both treat infections like trichomoniasis and bacterial vaginosis effectively.
- Doctors may choose based on patient history or brand preference.
Price Comparison
Medicine | Approximate Price |
---|---|
Riam | Lower cost |
Flagyl | Slightly higher cost |
Side Effects Comparison
- Both have similar side effects because they share the same active ingredient.
- Common side effects: nausea, metallic taste, dizziness.
- Serious side effects are rare but can happen with both.
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FAQs
What is the function of the Riam Tablet?
Riam Tablet fights infections caused by bacteria and parasites. It helps stop the growth of germs and treats infections in the stomach, intestines, mouth, and vagina.
What infections does Riam treat?
It treats stomach infections like diarrhea, food poisoning, dental infections, vaginal infections like bacterial vaginosis, and parasitic infections such as amoebiasis.
Can I take Riam Tablet for diarrhea?
Yes, Riam is commonly prescribed to treat diarrhea caused by bacterial or protozoal infections.
Is Riam the same as Metronidazole?
Yes, Riam contains Metronidazole as the active ingredient. They are essentially the same medicine but may be sold under different brand names.
What happens if you take Riam with alcohol?
Drinking alcohol while taking Riam can cause serious side effects like nausea, vomiting, headache, stomach pain, and a fast heartbeat. It’s very important to avoid alcohol during treatment.
Can I take eggs or dairy with Riam?
Yes, you can eat eggs and dairy products while taking Riam. There is no known interaction between these foods and the medicine.
What is the difference between Riam and other stomach tablets?
Riam is an antibiotic specifically for infections caused by bacteria and parasites. Other stomach tablets may relieve symptoms like acidity or gas, but do not treat infections.
What is the main use of Metronidazole Tablet?
Metronidazole is mainly used to treat infections caused by bacteria and protozoa in different parts of the body.
What is Flagyl used for?
Flagyl is also Metronidazole, used to treat bacterial and parasitic infections similar to Riam.
What should I do if I miss a dose of Riam?
Take the missed dose as soon as you remember. If it’s near the time for your next dose, skip the missed one. Do not double-dose.
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Conclusion
To wrap it up, Riam Tablet (Metronidazole 400mg) is a reliable and effective medicine used to treat a wide range of infections — from stomach and intestinal issues to dental and vaginal infections. Its fast action against bacteria and protozoa makes it a popular choice for quick relief.
Key Benefits
- Works well for many infections
- Provides fast relief, especially in stomach and intestinal problems
- Versatile use for dental, gynecological, and parasitic infections
- Affordable compared to some other antibiotics
Who Should Use Riam?
- Adults and children (only if prescribed) with bacterial or protozoal infections
- People looking for an effective treatment for stomach, vaginal, or dental infections
Who Should Avoid Riam?
- Pregnant or breastfeeding women without doctor approval
- Patients with liver disease or epilepsy
- Those allergic to Metronidazole or similar medicines
Doctor’s Final Advice
Always consult a healthcare professional before starting Riam. Use it exactly as prescribed and complete the full course to avoid resistance or incomplete treatment.
When to Consider Alternatives
- If you experience severe side effects or allergic reactions
- If you are pregnant or breastfeeding, and your doctor suggests a safer option
- When you have conditions like liver disease or epilepsy that make Riam unsafe
- If Riam is unavailable or you want a medicine with fewer side effects
Disclaimer
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The information provided on Doseway is for educational purposes only. Your health and wellness are unique to you, and the products and services we review may not be suitable for your circumstances. We do not offer personal medical advice, diagnosis, or treatment plans. For specific advice, please consult with a healthcare professional. Doseway adheres to strict editorial integrity standards. To the best of our knowledge, all content is accurate as of the date posted, though offers and information may change. The opinions expressed are the author’s own and have not been influenced, approved, or endorsed by our partners.
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