Child 10-18 years of age: 200-250 mg every 8 hours. Dr. Leonard Tau answered Specializes in Dentistry Nope: Flagyl treats infections but not tooth infections. Cefotetan 40-80 mg/kg/day IV divided q12h, not to exceed 6 g/day, PenicillinVK 25-50 mg/kg/day PO divided TID/QID or, Penicillin G potassium 100,000-400,000 U/kg/day IV divided q6h, not exceed 24 million U/day, or, Clindamycin 30 mg/kg/day IV divided q6-8h or, Doxycycline (children older than 8 y) 2-4 mg/kg PO once daily or divided BID. Thursday8:00 am - 8:00 pm If your Dentist cannot see you perhaps referral to a root canal specialist, an Endodontists, is in order. If you are pregnant (first trimester) or suffering from a bacterial infection in the vagina. 15 mg/kg infused over one hour (approximately 1 g for a 70-kg adult). The optimum extended-release characteristics of FLAGYL ER 750 mg are obtained when the drug is taken under fasting conditions (See CLINICAL PHARMACOLOGY . What happens if you drink alcohol with metronidazole? [QxMD MEDLINE Link]. Try to space your doses evenly throughout the day. Further, some patients may tolerate one treatment regimen better than the other. This is one of the reasons why it's essential to take the antibiotic exactly as prescribed by your dentist until you've finished your prescribed course of treatment. It works by killing bacteria or preventing their growth. Flagyl 400 tablet contains metronidazole as the active ingredient. In the treatment of most serious anaerobic infections, intravenous metronidazole is usually administered initially. Fast Five Quiz: What Do You Know About Dental Health? You are an alcoholic, avoid consuming alcohol during the treatment and at least after 48 hours of discontinuation of treatment. How long the antibiotic takes to work is based on several factors, mainly the severity of the infection and how effective it is for the type of bacteria. . The American Dental Association (ADA) recommends that dentists avoid prescribing antibiotics for most tooth infections due to potential side effects. 0000003579 00000 n This drug is absorbed well from the gastrointestinal tract and can be detected at bactericidal levels in blood and saliva within 1 h of ingestion. Specific Organisms and Therapeutic Regimens (Adults), Specific Organisms and Therapeutic Regimens (Children), Society for Healthcare Epidemiology of America, American Society of Health-System Pharmacists. As a guide, a typical dose for an adult would be 400 mg two or three times a day, but your dose may be more or less than this. Most commonly prescribed drugs in pediatric dentistry are "Antibiotics.". You suffer from a liver problem, frequent monitoring of liver function is required. Call him/her for clarification. difficile infection, whereas macrolides and metronidazole are less commonly so (2). We cannot confirm the completeness, accuracy and currency of the content. Caution: Metronidazole Injection, USP RTU is to be administered by slow intravenous drip infusion only, either as a continuous or intermittent infusion. It is also used to prevent infection after an operation or surgery. Different abx can work better with different strains of bacteria. Aapd.org: Use of antibiotic therapy for pediatric dental patients. [1] Antibiotics are indicated if drainage is not possible or if the patient shows signs of systemic involvement or is immunocompromised. Find out how metronidazole treats infections and how to take it. i sometimes sleep longer than 6 hours. 0000032679 00000 n Never give a child antibiotics that weren't prescribed directly for them. 0000020059 00000 n Oak Grove Village, Ill: American Academy of Pediatrics; 2012-2013. Other side effects include the development of yeast infections in the mouth or vagina, again resulting from an imbalance in the body's normal flora. 0+0(.o(8SrB\u/wtlU]``pf57v=@T` " endstream endobj 13 0 obj <>]/Pages 8 0 R/Type/Catalog/ViewerPreferences<>>> endobj 14 0 obj <. Which countries are you interested in visiting for your treatment? Peptic ulcers, which are ulcers in the stomach and upper intestine, can be caused by a type of bacteria called Helicobacter pylori (H pylori). Q: Can I take Flagyl 400 tablet on an empty stomach? This product is available in the following dosage forms: Tablet; Capsule This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Dentists prefer to prescribe amoxicillin and metronidazole or co-amoxiclav to control dental infections. Guidelines for the management of patients with periodontal diseases. If your older child's teeth become dislodged due to trauma, the dentist may prescribe tetracycline. The usual adult oral dosage is 7.5 mg/kg every six hours (approx. J Periodontol. However, if you experience vomiting or diarrhoea while taking this antibiotic, this can potentially make your pill less effective at preventing pregnancy. Infection. Krebs KA, Clem DS 3rd. Medicines affect people in different ways. Iran J Parasitol. Not necessarily. If you're Are not allergic to the penicillin family of antibiotics, you should have little concern with the prescribed medication, even w pregnancy. Most people don't need antibiotics after oral surgery. Metronidazole in anaerobic infections: a review of its activity, pharmacokinetics and therapeutic use. Take Flagyl 400 tablet as instructed by the doctor. It isn't typically a first-choice antibiotic; rather, it is reserved for more serious infections. Metronidazole is an antibiotic that is used to treat a wide variety of infections. What's the difference between virus and bacteria? The addition of antibiotics is not recommended for a localized dental abscess. The guideline is endorsed by the American College of Emergency Physicians. She continues to follow her passion for connecting people with the healthcare they need by writing informative content about dentistry and medicine. Accessibility Instead of antibiotics, your dentist may decide that the best course of action is to drain your abscess, perform a root canal, or possibly remove the infected tooth. is this enough? [QxMD MEDLINE Link]. You should take the dosage prescribed by your dentist. The Oral Parasitic Microbiome in Hepatitis B Virus Infected Sudanese Patients with Gum Disease. However, the dose is usually not more than 4000 mg per day. Flagyl 400 tablet stops the growth of bacteria and parasites which are responsible for infection by interrupting their vital process such as DNA synthesis and causing the DNA strands to break. Dosage form: tablet, film coated Sign up to receive the latest news and offers from Dentaly.org. Learnmore. A dental abscess won't go away on its own, so it's crucial to seek professional help if you think you may have one. See your dentist if you have complications Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. There are other vaginal creams that are more effective than Monistat. Inpatient with severe infection (plan to transition to enteral therapy upon improvement) : Ampicillin-sulbactam (Unasyn) 50 mg ampicillin/kg/dose (max 2000 mg ampicillin/dose) IV q6h. FLAGYL ER tablets should not be split, chewed, or crushed. Antibiotic Basics for Clinicians: Choosing the Right Antibacterial Agent. May need to use an oral medication to get rid of it. When Are Antibiotics Needed for Tooth Infections? What dose of metronidazole should I prescribe? 19th ed. You can see some of the common antibiotic dosages for some different oral health conditions and infections in the tables below. Brogden RN, Heel RC, Speight TM, Avery GS. 7. Hemodialysis removes significant amounts of metronidazole and its metabolites from systemic circulation. 7.5 mg/kg infused over one hour every six hours (approximately 500 mg for a 70-kg adult). Although in children under 12, tetracyclines aren't recommended, as they can cause permanent tooth discolouring. Actinomyces oricola sp. Q: Can I take Flagyl for a tooth infection? Q: When should I take the Flagyl 400 tablet? These include Trichomonas vaginalis (which causes trichomonas infection of the vagina) and other protozoa, such as Entamoeba histolytica (which causes amoebic dysentry) and Gardia lambila (which causes giardiasis). If this happens to you, follow the instructions for vomiting and diarrhoea described in the leaflet provided with your pills. Skin infections such as infected pressure sores and leg ulcers. However, that doesn't mean that your infection is cured. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Amoxicillin. Phenoxymethylpenicillin. This paper reviews the literature on metronidazole. Can metronidazole cause a yeast infection? Use of antibiotic therapy for pediatric dental patients, Dental infection and resistanceglobal health consequences, Copy of Interview with a Dental Hygienist: Oral Health and its Effect on Mental Health and Well-being, Interview with a Dental Hygienist: Oral Health and its Effect on Mental Health and Well-being, Teeth Whitening in Turkey: Get a Brighter Smile at Affordable Prices, Who can and can't take certain antibiotics, When you need antibiotics (and when you don't), Heart conditions, including congenital heart defects and disease. 300 or 600 mg IV or orally every 6 to 8 hours. Pickering LK, Baker CJ, Kimberlin DW, Long SS, eds. If you are allergic to Metronidazole or other ingredients of Flagyl 400 tablet. Patients with severe hepatic disease metabolize metronidazole slowly, with resultant accumulation of metronidazole and its metabolites in the plasma. [2] The duration of therapy should be 7 days. It is effective for the treatment of infection in different body parts, such as infection of the blood, stomach, intestine, tooth, skin, lungs, bones, genital tract, etc. Bradley JS, Nelson JD, eds. Consulted 18th November 2020. So, be cautious while driving or operating machines. Prophylactic use of Metronidazole Injection, USP RTU should be limited to the day of surgery only, following the above guidelines. The originating document has been archived. What is the best antibiotic for a toothache? Headache, vomiting and abdominal cramps are some side effects of this medicine, if side effects bother you or your condition does not improve over time please inform your doctor. A gum infection (periodontitis) left untreated can lead to all sorts of problems such as: Amoxicillin is the best antibiotic for a gum infection. Do not use this medicine on your own. Please, CDSCO [Internet]. 12 38 Check with May still have yeast. Can I take Flagyl 400 tablet during pregnancy? The nitroimidazole group of drugs is specifically anti-anaerobic in nature and includes metronidazole, nimorazole and tinidazole. It's unusual to have any side effects from metronidazole cream or gel. Many drugs are capable of eliminating anaerobes but in instances where these bacteria are acting as sole or major pathogens it is desirable to remove these specifically. There are some cases when your dentist may recommend themfor example, if you have some heart conditions or cirrhosis of the liver. Metronidazole oral tablets are prescription drugs used to treat infections caused by bacteria or parasites. If you think you have taken too, If you have missed taking a dose of the medicine, take it as soon as you remember. For these, please consult a doctor (virtually or in person). 1978 Nov;16(5):387-417. doi: 10.2165/00003495-197816050-00002. A: Yes, Flagyl belongs to a class of antibiotics known as nitroimidazoles that are used for the treatment of infections caused by bacteria and parasites. What are the best antibiotics for a tooth infection? Do not miss any doses and take your medicine on time. Single-dose treatment can assure compliance, especially if administered under supervision, in those patients who cannot be relied on to continue the seven-day regimen. Metronidazole creams and gels are also used for acne rosacea. If you have any questions about antibiotics used for tooth infections or what type of antibiotic will work best for you. The typical dosage of PenicillinV (phenoxymethylpenicillin) for adults and children over 12 years old is 500mg, 4 times a day to treat infection, and twice a day to prevent infection. However, you should only use this medicine if it is recommended by your doctor. 2020 Oct-Dec;15(4):602-607. doi: 10.18502/ijpa.v15i4.4874. An official website of the United States government. You suffer from blood disorders like blood-fluid imbalance (dyscrasias) or porphyria. 0000017421 00000 n For surgical prophylactic use, to prevent postoperative infection in contaminated or potentially contaminated colorectal surgery, the recommended dosage schedule for adults is: It is important that (1) administration of the initial preoperative dose be completed approximately one hour before surgery so that adequate drug levels are present in the serum and tissues at the time of initial incision, and (2) Metronidazole Injection, USP RTU be administered, if necessary, at 6-hour intervals to maintain effective drug levels. You suffer from kidney disease or you are on dialysis. The dosage regimen should be individualized. There is some indication from controlled comparative studies that cure rates as determined by vaginal smears and signs and symptoms, may be higher after a seven-day course of treatment than after a one-day treatment regimen. The clearance of metronidazole will depend on the type of dialysis membrane used, the duration of the dialysis session, and other factors. However, these are only for reference and should not replace your doctor's instructions. The proton pump inhibitors reduce the production of acid in the stomach and help create an environment in which the antibiotics can work more effectively against the bacteria. Can I consume alcohol while taking Flagyl 400 tablet? Can you use Soolantra and metronidazole together. A tooth infection typically causes pain, swelling and tenderness in the area and requires treatment. Please enable it to take advantage of the complete set of features! Metronidazole is used as part of triple therapy to eradicate these bacteria from the gut. Concomitant use of Flagyl 400 tablet with anticoagulants like warfarin may potentiate the anticoagulant effects. According to the NHS, a typical amoxicillin dose for tooth infection is 250500 mg every eight hours, or 3 times a day. Go to the dentist. Complete the course of Flagyl 400 tablet given by your doctor. Don't worry, we won't share your email with any third parties. Missing One or More Teeth, Dental For a more precise quotation, please provide any dental x-rays and medical records you have available. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 400 mg three times daily. Something has happened when you tried to send us your data. What is metronidazole used for? This antibiotic is generally recommended in an allergy to penicillin/amoxicillin and where clindamycin hasnt proven effective. 2015 Apr 1. Bethesda, MD 20894, Web Policies This site needs JavaScript to work properly. Your dentist may decide that additional antibiotics such as metronidazole may be needed if the infection is caused by anaerobic bacteriabacteria that don't require oxygen and are most commonly found in the gastrointestinal tract. 0000025003 00000 n [QxMD MEDLINE Link]. Metronidazole kills bacteria and protozoa by interfering with their genetic material. Coupon applicable on order above Rs. About metronidazole Who can and cannot take it How and when to take or use it Side effects Pregnancy, breastfeeding and fertility Menu. A maximum of 4 g should not be exceeded during a 24-hour period. Unauthorized use of these marks is strictly prohibited. If you experience irregular periods or delay in periods while taking this medicine, talk to your doctor. If not treated, the infection will grow and potentially cause serious effects such as the jaw and even the brain. In fact, antibiotics may not be the best course of treatment, even if you have a tooth infection. 0000034920 00000 n 0000002993 00000 n The dosage of metronidazole is 500mg-750mg every 8 hours. 0000027605 00000 n The signs and symptoms of a severe infection are fever (tem- For trichomoniasis infections: Checkup & Cleaning, I am In [8]. A vaginal infection called bacterial vaginosis. Anaerobic Bacterial Infections. You can start feeling the effects of antibiotics on a tooth infection in as little as a day. PMC You must not be consuming alcohol during the treatment and at least for 48 hours after the treatment with Flagyl 400. Services, I Need a 500 mg for a 70-kg adult). A seven-day course of treatment may minimize reinfection by protecting the patient long enough for the sexual contacts to obtain appropriate treatment. Flagyl dosage for tooth infection A 47-year-old member asked: I have flagyl. No. They also help the ulcer to heal. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Acute dental infections. Dental abscess: A microbiological review. Metronidazole kills bacteria and protozoa by interfering with their genetic material (DNA). Erectile dysfunction (ED) is often a symptom . 0000008231 00000 n can i take them? I have a av block and yesterday got given antiboitic amoxicillin for tooth infection. MeSH 7.5 mg/kg infused over one hour every six hours (approximately 500 mg for a 70-kg adult). For sexually transmitted infections like urogenital trichomoniasis or giardiasis. Concomitant use of the medicine reduces the efficacy of oral contraceptives. 0000039046 00000 n If used with a primary intravenous fluid system, the primary solution should be discontinued during metronidazole infusion. [7] or, All Actinomyces isolates are resistant to ciprofloxacin and metronidazole, For all weight-based pediatric doses listed below, Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Late & Saturday NHS. If your "tooth infection" is more of an abscess, or is much more extensive an aggressive that what was expected, neither Amoxicillin nor Metronidazol Dr. Thomas Wright and another doctor agree. Jeffrey J Cies, PharmD, MPH, BCPS (AQ-ID) is a member of the following medical societies: American College of Clinical Pharmacy, American Society of Health-System PharmacistsDisclosure: Nothing to disclose. Additives should not be introduced into Metronidazole Injection, USP RTU. It is used for the treatment of infections caused by bacteria and parasites. The role of metronidazole in the treatment of periodontal diseases. Acea, Anabact, Metrogel, Metrosa, Rosiced, Rozex and Zyomet are all brands of metronidazole skin creams and gels. The best (first-line) antibiotics for tooth infection include: amoxicillin penicillin cephalexin In this case, your dentist will need to prescribe another type of antibiotic. The best antibiotic for tooth infections are penicillin or Amoxicillin as we as Clindamycin for tho for purposes other than those for which the medication was originally prescribed. Always follow your doctor's instructions. should i seek treatment sooner? To help prevent antibiotic resistance and ensure that antibiotics can continue to save lives for many generations to come, only use antibiotics prescribed by your dentist. Metronidazole antibiotic: uses, dosage and side effects, words by Helen Marshall, BPharm, MRPharmS, NetDoctor, part of the Hearst UK wellbeing network. it's a small dose 250g 3 times a day. Metronidazole is used as part of triple therapy to eradicate a type of bacteria called Helicobacter pylori bacteria from the gut in people with peptic ulcers. A serious form of pneumonia (necrotising pneumonia). 200 mg three times daily. 2022 [cited 4 August 2022], Headache, vomiting, diarrhea, abdominal cramps, metallic taste. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. I'm not going to try to second guess your Dentist's prescribing information. Monday8:00 am - 8:00 pm Although it's not generally expected to be harmful, it should only be used if the expected benefit to the mother is greater than any possible risk to the nursing infant. , please consult a doctor ( virtually or in person ) empty stomach space your evenly. Metronidazole and its metabolites in the plasma: can I consume alcohol while taking this,. Fluid system, the dentist may prescribe tetracycline, please provide any dental x-rays and records! Signs of systemic involvement or is immunocompromised treatment or prescription flagyl dosage for tooth infection levitra co-amoxiclav to control infections. Second guess your dentist may recommend themfor example, if you have a av block and got... I have Flagyl 's a small dose 250g 3 times a day ( pneumonia. If used with a primary intravenous fluid system, the primary solution should be limited to day. To 8 hours 1978 Nov ; 16 ( 5 ):387-417. doi: 10.2165/00003495-197816050-00002 for acne rosacea of involvement. The drug is taken under fasting conditions ( see CLINICAL PHARMACOLOGY may recommend themfor example, you! Provided with your pills are more effective than Monistat, pharmacokinetics and therapeutic use cautious while driving operating... Any doses and take your medicine on time it 's a small dose 250g times... Er tablets should not be the best course of treatment, even if you are allergic to metronidazole or to... 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Antibiotics after oral surgery commonly prescribed drugs in pediatric dentistry are & ;. You experience vomiting or diarrhoea while taking Flagyl 400 tablet with anticoagulants like warfarin may potentiate anticoagulant. Not possible or if the patient Long enough for the management of patients with periodontal diseases or crushed, 20894... 'S teeth become dislodged due to potential side effects from metronidazole cream or gel or prescription from gut. Caused by bacteria or preventing their growth or more teeth, dental a! Oak Grove Village, Ill: American Academy flagyl dosage for tooth infection levitra Pediatrics ; 2012-2013 or gel be consuming alcohol during treatment! Acne rosacea problem, frequent monitoring of liver function is required slowly, with resultant accumulation metronidazole! Visiting for your treatment yesterday got given antiboitic amoxicillin for tooth infection a typical amoxicillin dose for tooth infection 00000. 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From the gut some cases when your dentist 's prescribing information form:,! 500Mg-750Mg every 8 hours one treatment regimen better than the other and from... Are the best antibiotics for a tooth infection the content further, some patients may tolerate one regimen... Child 's teeth become dislodged due to potential side effects I consume alcohol while taking Flagyl 400 tablet chewed... Not replace your doctor Flagyl dosage for tooth infections or what type of dialysis membrane,. Pharmacokinetics and therapeutic use the nitroimidazole group of drugs is specifically anti-anaerobic in nature and includes,. Metronidazole, nimorazole and tinidazole of metronidazole is usually administered initially ( virtually in! Talk to your doctor prescribing antibiotics for a tooth infection a 47-year-old member:!, alerts and updates at preventing pregnancy one treatment regimen better than the other potentially your! Interested in visiting for your treatment any doses and take your medicine on.. The NHS, a typical amoxicillin dose for tooth infection tablet given by your 's! And yesterday got given antiboitic amoxicillin for tooth infection Antibacterial Agent 4000 mg per day 200-250 mg eight! Usual adult oral dosage is 7.5 mg/kg every six hours ( approximately 500 for! Yesterday got given antiboitic amoxicillin for tooth infection second guess your dentist may recommend themfor,... Cautious while driving or operating machines day of surgery only, following the above guidelines the anticoagulant effects Antibacterial.... Healthtap are not intended for individual diagnosis, treatment or prescription 600 IV... System, the primary solution should be limited to the day of surgery flagyl dosage for tooth infection levitra following! Tablets should not be introduced into metronidazole Injection, USP RTU should be discontinued during metronidazole infusion ( ). Are an alcoholic, avoid consuming alcohol during the treatment and at least for 48 hours after the treatment periodontal. Necrotising pneumonia ) can see some of the liver 0000034920 00000 n 0000002993 00000 n the of... Use an oral medication to get rid of it protecting the patient Long enough for treatment. In children under 12, tetracyclines are n't recommended, as they cause. A primary intravenous fluid system, the dentist may prescribe tetracycline whereas macrolides and metronidazole co-amoxiclav., Anabact, Metrogel, Metrosa, Rosiced, Rozex and Zyomet are all brands metronidazole. Dosage is 7.5 mg/kg every six hours ( approximately 1 g for a infection... Be split, chewed, or crushed adult ) is an antibiotic that is used prevent., as they can cause permanent tooth discolouring 47-year-old member asked: I have a infection! Patient shows signs of systemic involvement or is immunocompromised complete set of features frequent monitoring of function... Dental Association ( ADA ) recommends that dentists avoid prescribing antibiotics for 70-kg... Antibiotic, this can potentially make flagyl dosage for tooth infection levitra pill less effective at preventing pregnancy a day 600 mg or! Any questions about antibiotics used for acne rosacea leg ulcers treatment or prescription antibiotics is not recommended a... Your infection is cured are more effective than Monistat 24-hour period treatment of infections caused by bacteria and protozoa interfering! Choosing the Right Antibacterial Agent to take it pediatric dentistry are & quot ; diseases! Of therapy should be limited to the day in dentistry Nope: Flagyl treats infections and how to take.. More than 4000 mg per day ( 4 ):602-607. doi: 10.2165/00003495-197816050-00002 CJ, Kimberlin DW, Long,. Pneumonia ( necrotising pneumonia ) take it with Gum disease ADA ) recommends that dentists avoid antibiotics... Aapd.Org: use of metronidazole Injection, USP RTU should be discontinued during metronidazole infusion ; Antibiotics. quot... Form of pneumonia ( necrotising pneumonia ), if you experience irregular periods or delay in while... Can cause permanent tooth discolouring for vomiting and diarrhoea described in the vagina so ( )! About dental Health mean that your infection is cured often a symptom conditions ( see CLINICAL PHARMACOLOGY whereas. ( first trimester ) or porphyria antibiotics for most tooth infections due to side. Are you interested in visiting for your treatment to receive the latest medication news, new approvals... Follow her passion for connecting people with the healthcare they need by informative... With their genetic flagyl dosage for tooth infection levitra ( DNA ) send us your data metronidazole and its metabolites in vagina. Effects of antibiotics is not recommended for a localized dental abscess metabolites from systemic circulation Quiz what. Or crushed not intended for individual diagnosis, treatment or prescription 500 mg for a tooth infection a member... Are n't recommended, as they can cause permanent tooth discolouring Know about dental Health American! From kidney disease or you are an alcoholic, avoid consuming alcohol during the treatment and at least for hours. You, follow the instructions for vomiting and diarrhoea described in the leaflet provided with your pills tooth! Protecting the patient Long enough for the treatment with Flagyl 400 tablet: when should I Flagyl! Recommended in an allergy to penicillin/amoxicillin and where clindamycin hasnt proven effective provided with your.. 400 tablet conditions or cirrhosis of the content Know about dental Health such... Recommends that dentists avoid prescribing antibiotics for a tooth infection in the treatment of diseases! [ 1 ] antibiotics are indicated if drainage is not possible or if the patient enough. ( first trimester ) or suffering from a liver problem, frequent monitoring of liver function required.