What can be prescribed instead of metronidazole?

For the treatment of trichomoniasis, alternatives include fura- zolidone, clotrimazole, nonoxynol-9 or paromomycin. Alternatives for bacterial vaginosis include clindamycin topically or systemically. For giardiasis, alternative options include paromomycin, nitazoxanide or the antihelminthic benzimidazoles.

Is there an alternative to metronidazole for BV?

Alternative regimens include secnidazole oral granules (1012–1014), multiple oral tinidazole regimens (1015), or clindamycin (oral or intravaginal) (1016).

What drug can be substituted for Flagyl?

What happens if metronidazole doesn't work for BV?

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.

What cures BV besides antibiotics?

Some studies show that eating yogurt or probiotic supplements may treat bacterial vaginosis, and is quite safe. Another promising remedy is boric acid, a white powder with antifungal and antiviral properties.

How and When to use Metronidazole (Flagyl, Metrogel) - Doctor Explains

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.

What to do if metronidazole doesn t work?

Metronidazole doesn't work for everyone. Tinidazole, Solosec, Cleocin, Vancocin, and Alinia are some metronidazole alternatives.

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.

Which probiotic is best for BV?

Which probiotics are best for BV? Lactobacilli-based probiotics such as Lacticasebacillus rhamnosus, Lactobacillus acidophilus, Lactobacillus fermentum, and Lactobacillus reuteri are best for treating BV.

Is there a 1 day treatment for BV?

Other vaginal treatment options include a one-day vaginal clindamycin cream or gel and three-day vaginal suppository. Clindamycin cream should not be used with latex condoms due to the risk of condom breakage. Clindamycin can also be taken by mouth, 300 mg twice daily, for seven days.

What kills the bacteria in BV?

The antibiotics clindamycin and metronidazole are both effective treatments for bacterial vaginosis.

What can help with constant BV?

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

Bacterial vaginosis isn't technically a sexually transmitted infection, but rates of this infection are higher in people who have sexual intercourse. If you are experiencing repeated infections with the same partner, talk to your healthcare provider and partner about STI testing and safe sex options.

Does chronic BV ever go away?

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.

What can I use for BV at CVS?

CVS Health Miconazole 7 Day Vaginal Treatment Cream, 1.59 OZ (Generic Monistat 7)

Can you self medicate BV?

It is not usually possible to treat BV with over-the-counter (OTC) medication. The Centers for Disease Control and Prevention (CDC) recommend antibiotics to treat BV.

Can you clear BV without medication?

Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy.

Does cranberry help BV?

Anecdotal evidence suggests that cranberry juice may help remedy symptoms. Complete prevention of BV is not possible, however, there are a number of factors to be considered when attempting to reduce the risk of BV.

Can BV go away with just probiotics?

A meta-analysis published in 2019 [44] showed that probiotics alone were more effective in treating BV in both short and long term, whereas probiotics after antibiotic treatment was only effective in the short term.

How long does bacterial vaginosis last?

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.

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.

How do I know my BV is cured?

A sample (a swab) of the discharge in your vagina is taken. This is tested to check you no longer have BV.

Can boric acid cure BV in one day?

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.