Does metronidazole always cure BV?

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

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.

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.

Why won't my BV go away with antibiotics?

Within a month, antibiotics clear up to 85% of bacterial vaginosis cases, yet for over half of these patients, BV will return within 6 months. This is thought to be in part because the antibiotics don't fully eradicate the pathogenic microbes, leaving BV-associated bacteria to regrow in the vagina following treatment.

Can BV become resistant to metronidazole?

Second, the bacteria that either cause BV or cause the anaerobic overgrowth may have become relatively more resistant to metronidazole (the most common treating agent) or to clindamycin (the other common treating agent). Third, this infection may be reintroduced back into the vagina as a result of reinfection.

Understanding Bacterial Vaginosis

Does metronidazole sometimes not work?

Metronidazole belongs to the class of medicines known as antibiotics. It works by killing bacteria or preventing their growth. However, this medicine will not work for colds, flu, or other virus infections.

Is it possible for metronidazole to not work?

Metronidazole belongs to the class of medicines known as antibiotics. It works by killing the bacteria or preventing their growth. However, this medicine will not work for vaginal fungus or yeast infections.

Is it normal for BV not to go away?

Bacterial vaginosis often clears up on its own. But in some women it doesn't go away on its own. And for many women it comes back after it has cleared up. Antibiotic treatment works for some women but not others.

How do I know if metronidazole is working?

For most infections, you should feel better within a few days. With serious swelling, including dental infections, the medicine will start working within a few days but it may take longer before your symptoms start to get better.

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.

Can you still have BV after treatment?

Bacterial vaginosis is a common condition and treatment is available; however, in some women the condition may recur or even become chronic, requiring multiple and sometimes long-term treatments.

Why does metronidazole take so long to work?

by Drugs.com

Metronidazole starts to work 1 to 2 hours after you take it, because it is quickly absorbed, and it reaches its maximum concentration after 20 minutes to 3 hours. But it may take a couple of days before you start to feel better or notice an improvement in your symptoms.

Is 6 days of metronidazole enough for BV?

Oral pills – We suggest oral metronidazole 500 mg twice daily for seven days [1]. Treatment with a single oral dose of 2 grams of metronidazole has lower efficacy [10] and thus is not recommended for treatment of BV.

How do I get rid of BV permanently?

Bacterial vaginosis is a common infection, and there's no way to completely stop all infections. Still, you may be able to lower your risk of developing BV with good hygiene and taking care of your overall health. Be sure to talk with your healthcare provider if you're experiencing any of the symptoms of BV.

What comes out when using metronidazole?

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.

How many metronidazole does it take to cure BV?

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

When do you start feeling better after taking metronidazole?

You should feel better after using metronidazole for a few days, but this will depend on the type of infection you have. Let your doctor know if you don't improve two to three days after you finish your treatment or if you feel worse while taking this medicine.

How long should it take for BV to clear up?

Once you start treatment with a simple course of antibiotics, the symptoms of bacterial vaginosis (BV) usually go away within two to three days. While in some cases it can resolve on its own without treatment, it can take longer to clear up and it can come back.

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.

Why does my BV keep coming back after antibiotics?

The first course of antibiotics isn't always enough to cure this infection. Talk to your healthcare provider if your symptoms don't clear up. The answer may be a combination of additional medication, lifestyle changes, and new hygiene practices.

Is 5 days of metronidazole enough?

Most people are prescribed an antibiotic called metronidazole, which is very effective if taken correctly. You'll usually have to take metronidazole twice a day, for 5 to 7 days.

What foods should I avoid while taking metronidazole?

Alcohol, avocados, bananas, chocolate, salami

Do not mix these items with drugs such as metronidazole (Flagyl) and linezolid (Zyvox), used to treat bacterial infections.

What happens after you finish taking metronidazole?

Finishing your course of tablets, liquid or suppositories

Carry on taking metronidazole tablets, liquid or suppositories until you have finished the course, even if you feel better. If you stop your treatment early, the infection could come back.

Can BV linger after antibiotics?

Symptoms may linger even after you are done with your antibiotics—it may take 2 weeks for symptoms to completely go away. If the BV comes back, you will need to take another course of antibiotics. If you get a BV infection several times a year, you may need to take a long-term course of antibiotics.

What is the new cure for BV?

Solosec® (secnidazole) is a next-generation antibiotic indicated for the treatment of bacterial vaginosis and trichomoniasis.