Doctor insights on:
Does Metronidazole Cure Bv
Not both: Metronidazole will often cure BV (bacterial vaginosis). It is ineffective against chlamydia. For this you will need a different antibiotic, such as azithromycin, doxycycline, eryhromycin, or uncommonly Levofloxacin and ofloxacin. See your clinician for an appropriate prescription. ...Read more
Is 250mg 2x a day for 7 days of metronidazole enough to cure BV? I took it did not work followed it with 500 2x a day didn't work either, resistance?
Flagyl: I notice you are jaundiced, has a protozoan infection been ruled out, such as Entameba hidtolytica. This protozoan can cause liver abscesses which in turn can cause jaundice. As such you might want to consult a liver specialist. This could be a reason that the drug is not working. On rare occasions Flagyl can cause jaundice ...Read more
Depends...: Data on cure rates vary (42-84%). The "pro" of the gel is that it's topical. The "con" of the gel is that it's topical. So, it's case-by-case. Is a patient more comfortable swallowing a one-time, single-dose pill, or does she prefer (& will be reliable & successful) w/ repeated vaginal applications? I personally prefer blasting systemically w/ oral med: http://www. Aafp. Org/afp/1998/0315/p1285.html ...Read more
I have strong BV and am resistant to metronidazole would combining metro and clindamycin cure bv. If so how much mg of each pill should I take?
I had sex on day 1 (before metronidazole gel) and day 2 before gel. I have 5 day treatment. I stopped until I complete. Will BV cure or did I mess up?
To really get the problem under control you and your partner need to be treated SIMULTANEOUSLY since you can give the infection to him/her and keep it going back and forth. Males need the ORAL medication (See Precautions re: alcohol consumption. and the female COMPLETE a COURSE of the gel......Hope this helps!
Dr Z ...Read more
Bv not going away with clindamycin and metronidazole. Tried oral and vaginal. Stopped having sex. Is there a cure?!
Recurrent BV: This is a pretty common problem, very frustrating to affected women (and often for their doctors). Make extra sure there's not an underlying problem, like a foreign body in the vagina (e.g. forgotten tampon). Vaginal boric acid capsules work for some women. Ask for consultation with a gyn who subspecializes in infectious diseases (available in many urban areas and/or academic medical centers). ...Read more
Dr. Doc gave me metronidazole to cure vag BV, just completed 5 days 250mg course still no change in yellow-green discharge with no smell.19 week preg?
Another infection?: BV symptoms should have improved by now, and it is unusual to have BV without odor. (In fact, odor is usually the main symtpom of BV, not discharge.) And yellow color suggests the possibility of other kinds of infection, including STDs. So my guess is you didn't have BV, or had BV plus something else. Return to your doctor for further evaluation. STD check may be necessary. Good luck! ...Read more
Unlikely.: Metronidazole usually works well for routine bacterial vaginosis at that dose for 7 days. If you are not responding after a few days of treatment, you may need to be evaluated for another cause of your symptoms. If you initially get better and then your symptoms return, it could be due to reinfection from your partner. Condom use will help prevent this or consider having your partner treated. ...Read more
Probably not...: Other antibiotics sometimes are effective (e.g. clindamycin), but metronidazole (or tinidazole) is generally the most effective. No home remedies are likely to help very much. Despite claims, there is no evidence that dairy products (e.g. yogurt) or probiotics help very much. The most effective home "remedy" might be to abstain sexually or use condoms consistently for several weeks. ...Read more
Is a single 2g dose of metronidazole effective in curing bv, if previous 500 2 a day course was not finished?
If I took metronidazole for BV and did not finish course, could I take another course a few weeks later, would it work?
It should: Please make sure you finish the course this time. Unfinished antibiotic courses lead to development of resistant bacteria, and at some point the antibiotics won't work anymore. Explain to your doc you didn't complete all of the medicine, and if it was because of some side effect, let them know that too to see if a different medication would be better. ...Read more