How many times can you take metronidazole 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. The gel is inserted into the vagina at bedtime for five days. Both treatments work equally well.

How often can you take metronidazole for BV?

For bacterial vaginosis: Adults—750 milligrams (mg) once a day for 7 days. Children—Use and dose must be determined by your doctor.

Can you take 2 courses of metronidazole?

Taking an extra dose of metronidazole tablets, liquid or suppositories is unlikely to harm you or your child. Speak to your pharmacist or doctor if you're worried or you take more than 1 extra dose.

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.

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.

No Alcohol with Flagyl |How to safely take metronidazole| Taking Flagyl for infections |No more BV

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.

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.

What happens if my BV won't go away?

If you have persistent BV (ie it does not settle down with the first treatment you try) then your doctor may want to take further vaginal swabs to check whether there is another cause of the discharge. They will usually suggest that you use the seven-day course of metronidazole if you have not had this before.

Why won't my BV go away after 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.

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.

How far apart should I take metronidazole?

Typical dosing for metronidazole (Flagyl)

Bacterial (anaerobic) infections: The typical adult dose is 500 mg by mouth every 6 hours for 7 to 10 days. Don't take more than 4 grams in a 24-hour period. Some infections might require longer treatment.

Can you overuse metronidazole?

In cases of severe overdoses, it can cause some cardiac arrhythmias among other life-threatening complications. A common culprit of these cardiac complications is the co-ingestion of metronidazole with another medication that can cause these complications when present in excess.

What STD does metronidazole treat?

Trichomoniasis is treated with oral metronidazole (Flagyl).

How many times can you treat BV?

Recurring bacterial vaginosis

If it comes back, you'll usually be given more antibiotics to treat it. If you keep getting it (you get it more than 4 times in a year), you may be given an antibiotic gel that you put in your vagina. You may need to use this for a few months to help stop bacterial vaginosis coming back.

Does metronidazole always cure BV?

BV is treated with antibiotics, of which oral and vaginal formulations of metronidazole or clindamycin are most commonly used. Although short-term BV cure rates of multiday oral and vaginal metronidazole regimens are 65%–90%,^{11, 12} recurrence rates are high.

Is there a permanent cure for BV?

Yes, BV is usually curable with prescription antibiotics that can help readjust the balance of bacteria in the vagina. Although some over-the-counter vaginal medications are sold, these are not effective for curing BV. Currently, only prescribed antibiotics are effective.

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

It may be that BV-associated bacteria from some men's microbiomes can directly impact the onset of BV in women when they're transmitted to the vagina during intercourse or that the penile bacteria may disrupt the natural balance of vaginal bacteria in ways that could induce BV over time.

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.

What happens if you have BV for too long?

Most often, BV does not cause other health problems. However, if left untreated, BV may increase your risk for: Sexually transmitted diseases (STDs) like herpes, chlamydia, gonorrhea, and HIV. Pelvic inflammatory disease where BV bacteria infect the uterus or fallopian tubes.

Is it normal to get BV every month?

Some women suffer from chronic (recurring) bacterial vaginosis. Medicine can clear up the infection, but it returns again after a few weeks. Some women report that bacterial vaginosis returns after their period each month. Or it can return after they have sex.

Will my recurring BV ever go away?

Frequently Asked Questions. How long does it take for BV to go away on its own? In some cases, bacterial vaginosis may go away on its own within a few days. However, it often requires treatment to clear the infection, and untreated BV can lead to health complications.

When should I retest for BV?

After a few weeks of therapy for BV, ask your health care professional to retest you for the infection. If you develop BV three or more times in a year, talk to your health care professional about alternating medications or using intravaginal metronidazole as a prophylactic for three to six months.

What is the best way to treat recurrent BV?

Recommended treatment for recurrent BV consists of an extended course of metronidazole treatment (500 mg twice daily for 10-14 days); if ineffective, metronidazole vaginal gel 0.75% for 10 days, followed by two times per week for 3-6 months, is an alternate treatment regimen.

What do you do if metronidazole doesn't work?

Metronidazole doesn't work for everyone. Tinidazole, Solosec, Cleocin, Vancocin, and Alinia are some metronidazole alternatives. Get the full list here. Metronidazole (brand name Flagyl) is an antibiotic that is used to treat a variety of bacterial and parasitic infections.