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Metronidazole is an imidazole antibiotic that is used in the first trimester of pregnancy. Flagyl is known to cause cancer in laboratory animals and this drug should only be taken if absolutely necessary. Metronidazole should not be used in the first trimester of pregnancy. Metronidazole antibiotic is marketed by Pfizer under the trade name Flagyl, and also by various generic manufacturers, who sell it at a cheaper price. Metronidazole selectively blocks some of the functions within the bacterial cells and the parasites resulting in their death. Flagyl possesses a wide spectrum of action in the attitude to anaerobic microorganisms. The effectiveness of oral contraceptives, so alternate birth control should be utilized while taking this medication may cause stomach pain. Metronidazole comes as a tablet to take by mouth.