So, is your dog—normally happy and energetic?—Suddenly looks uncomfortable, maybe lethargic, and the poop is loose. You worry, “What’s wrong?” In many cases, one of the most common prescriptions a vet might write is metronidazole for dogs.

Also known by the human brand name Flagyl, this antibiotic-antiprotozoal has been a trusted choice for decades in treating digestive upsets, infections, and parasites like Giardia. Let’s walk through everything you need to know: what it treats, how to give it, and whether it’s safe for your pup.
What Is Metronidazole for Dogs—and When Is It Used?
Veterinarians prescribe metronidazole for dogs primarily to tackle:
- Acute or chronic diarrhea
- Bacterial infections in the gut
- Protozoal parasites, including Giardia
- Inflammatory bowel disease (IBD)
- Dental or gum infections caused by anaerobic bacteria
In some cases of unexplained diarrhea, vets use it as a diagnostic-and-treatment tool because it has anti-inflammatory effects on the intestines too.
How to Give It: Dosage & Duration
Here’s the heart of the matter: metronidazole for dogs dosage must be precise—and always vet prescribed. The most common dosage for routine GI issues is:
- 10–15 mg per kg of body weight, given twice a day (every 12 hours) for 5–10 days depending on the condition like diarrhea or IBD

For Giardia infections, vets may increase it to 25 mg/kg every 12 hours for 5 days
That dosage chart is essential—never guess. And yes, there are handy metronidazole for dogs dosage charts available online, but your vet’s advice always takes priority.
Also Read: Why Is My Dog Pooping Blood: 5 Signs & Warnings
Flagyl for Dogs vs. Metronidazole for Cats?
Metronidazole for dogs is often the same active drug as for cats, but note: formulations differ. Cats may need adjusted doses or flavorings. The side effect profile is similar, but cats tend to be more sensitive. Always confirm a separate dosage for feline patients—metronidazole for cats is used but with greater caution.
Side Effects to Watch For

Most dogs tolerate treatment well. Still, it’s important to know the possible dog frontline side effects*—sorry, wrong topic.
Here’s what to watch for with metronidazole for dogs side effects:
- Upset stomach: vomiting, drooling, decreased appetite
- Lethargy or fatigue
- Discolored or dark urine
- Neurologic signs in rare cases (tremors, stumbling, seizures, lack of coordination) especially if overdosed or used long-term
If you notice anything unusual—especially neurologic signs—stop the medication immediately and call your vet.
Metronidazole for Dogs Dosage Chart (Quick Reference)
Here’s a typical dosage guide (asked to show example):
Condition | Dosage (mg/kg) | Frequency | Duration |
Acute diarrhea / IBD | 10–15 mg/kg | Every 12 hours | 5–10 days |
Giardia | ~25 mg/kg | Every 12 hours | ~5 days |
Always follow your vet’s instructions—this chart is a general reference only.
How It Works & What to Expect
Metronidazole targets anaerobic bacteria and protozoa by disrupting their DNA, preventing growth. It also reduces inflammation in the gut lining. You may notice improvement within 24–48 hours, but always complete the full course—even if symptoms resolve early; skipping treatment can cause relapse and resistance.
A Treat For Our Pet Parents: Sensitive Stomach Dog Food: What to Look for in 2025
Is It Safe?
While generally effective, metronidazole for dogs is prescribed off-label (except for the FDA-approved Ayradia suspension for Giardia). That means it’s a common veterinary tool, but always used with care.
Avoid in:
- Pregnant or nursing dogs
- Pets with liver disease
- Dogs taking certain other medications (e.g. phenobarbital, warfarin, cimetidine) due to interactions.
What About Diarrhea Meds for Dogs Alternatives?

Yes, there are other diarrhea meds for dogs. Vets might prescribe:
- Fenbendazole for Giardia
- Tylosin or sulfasalazine for chronic IBD
- Probiotics, dietary changes, or fiber supplements
Metronidazole is effective when infection or inflammation is suspected but may be paired with other treatments.
Final Thoughts
If your dog hits a rough patch with GI upset, metronidazole for dogs can be a powerful tool in your vet’s toolkit—fast-acting, effective, and life-improving when used correctly. But like all medications, the key is correct dosage, monitoring for side effects, and always finishing the full course.
Your vet’s guidance is your best guide—this article is designed to help you understand what’s happening and feel confident asking the right questions. Here’s to happy tummies and wagging tails!
FAQs
A: Improvement often happens within 1–2 days, but full course required for effectiveness.
A: No—always finish the prescription to prevent relapse.
A: Contact your vet. They may reduce dose or space the timing with food.
A: Rarely, but some gastrointestinal upset is possible.
A: Yes, but only under vet supervision and accurate weight-based dosing.