Can I use boric acid and metronidazole together?

Options for maintenance therapy include: Inserting metronidazole gel in the vagina twice a week for four to six months. Starting intravaginal boric acid (inserted into the vagina) at the same time as the antibiotic and continuing it for 21 to 30 days.

Can you use metronidazole gel and boric acid at the same time?

For patients who developed BV symptoms while on suppressive therapy with metronidazole gel, we typically add vaginal boric acid in combination with antibiotic treatment.

Does boric acid work better than metronidazole?

Based on preliminary data, the success rate for the boric acid treatment group is predicted to be approximately 77–88 % [25, 32] in treating BV. Metronidazole would be expected to be 70–80 % [11, 12, 15–18] effective in treating BV, as compared with a 30 % success rate of a placebo group [11, 12].

How long does it take to get rid of BV with boric acid?

To treat BV, the boric acid capsules can be inserted into the vagina at night for about 1-2 weeks. If you have a recurrent BV infection, your doctor may recommend you use it 1-2 times a week for about 3 months.

How long does it take for BV to clear up with metronidazole?

With treatment, bacterial vaginosis usually clears up in 5 to 7 days. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems.

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What if BV doesn't go away with metronidazole?

BV that does not resolve after one course of treatment may be cured by a second course with the same agent. Another option is to switch to another agent (ie, metronidazole to clindamycin, or clindamycin to metronidazole) as other concomitant organisms may respond better to an alternate medication.

Does metronidazole flush out BV?

A full course of metronidazole tablets is the common treatment. Metronidazole is an antibiotic. This clears BV in most cases.

Can boric acid cure BV in one day?

How Soon Do Boric Acid Suppositories Work? Boric Acid Balance Suppositories dissolve in the vagina within a few minutes and typically improve vaginal irritation within 24-48 hours. For best results, and to avoid a recurring BV infection, health experts recommend finishing a complete course of boric acid.

Can you use boric acid twice a day for BV?

Boric acid is usually dispensed in 600mg suppositories for use 1-2 times per day for 2-4 weeks. No more than one suppository should be used at a time. The suppositories are inserted vaginally, often at bedtime if used once per day.

Is boric acid good for BV after smell?

The answer is a definitive no. Medical experts say there isn't any evidence that using boric acid suppositories will help with many of the symptoms or conditions the TikTok videos claim to improve. Beyond that, they could worsen the health of your vagina.

Can I use boric acid suppositories while on antibiotics?

Boric acid suppositories are considered safe. Sometimes they're used to treat recurrent BV when combined with antibiotics.

What is the strongest antibiotic for BV?

The three best treatments for Bacterial Vaginosis include: Metronidazole 0.75% vaginal gel once a day for 5 days. Metronidazole (Flagyl) 500 mg pills twice a day for 7 days. 2% clindamycin vaginal cream once a day for 5 days.

What is the strongest treatment for BV?

Metronidazole — Metronidazole, taken over multiple days, is one of the most effective treatments for BV. Metronidazole is available as an oral pill or vaginal gel; the choice of pill or gel is based on the person's preferences. The oral pill is taken twice daily for seven days.

What should you not mix with metronidazole?

How do I know if metronidazole is working for BV?

It is important that your doctor check your progress at regular visits to make sure that the infection is cleared up. Blood tests may be needed to check for unwanted effects. If your symptoms do not improve within a few days after you start this medicine or if they become worse, check with your doctor.

How many metronidazole does it take to cure BV?

For bacterial vaginosis: Adults—750 milligrams (mg) once a day for 7 days.

Why am I getting BV all the time?

BV is a result of an imbalance of “good” and “harmful” bacteria in a vagina. Douching, not using condoms, and having new or multiple sex partners can upset the normal balance of vaginal bacteria, increasing your risk for getting BV. We also do not know how sex causes BV.

What are the dangers of boric acid suppositories?

Side effects that you should report to your doctor or health care professional as soon as possible: allergic reactions like skin rash, itching or hives. vaginal irritation, redness, or burning.

How long should you wait in between boric acid suppositories?

We recommend inserting one suppository at night. For extreme odor you can insert one boric acid capsule every 12 hours. We recommend wearing a panty liner, especially when using during the day as there may be watery leakage. Use the suppositories until you are odor free.

How long does it take boric acid to balance pH?

For occasional use, AZO Boric Acid vaginal suppositories can be used when you notice odor or are starting to feel off. Take as needed for 7-14 days to help take control and promote vaginal balance by maintaining your vaginal pH in the normal, acidic range.

Does boric acid cure chronic BV?

An initial regimen of nitroimidazole and simultaneous but prolonged vaginal boric acid achieved a satisfactory response (BV cure ≤2 Amsel criteria) in 92 of 93 available patients. Thereafter, a maintenance metronidazole gel prevented symptomatic BV recurrence in 69.6% of compliant patients at 6-month follow-up.

Can BV come back after metronidazole?

Using oral or vaginal preparations of metronidazole and clindamycin, 80–90% of women will have an initial response to treatment but 15–30% will get a recurrence within 3 months. In women with recurrent BV the initial response rate appears to be lower.

Why do I get BV every time I sleep with my boyfriend?

Not using condoms or having new or multiple sex partners can sometimes increase a person's risk for developing BV. "Sex sometimes leads to BV if your partner's natural genital 'chemistry' changes the balance of bacteria in your vagina and causes the bacteria associated with BV to grow,” Dean explains.

Does metronidazole make your discharge clumpy?

Does metronidazole vaginal gel cause white clumpy discharge? Depending on the brand, vaginal discharge can be a possible side effect of metronidazole vaginal gel. It should go away soon after completing a full course of treatment. If it doesn't, let your provider know.