What else can treat BV Besides metronidazole?

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

What can I take instead of metronidazole for BV?

Secnidazole — Secnidazole is a nitroimidazole antibiotic with a longer half-life than metronidazole (approximately 17 to 19 hours versus 7 to 8 hours) that is considered an alternative regimen for BV [1,49].

What is a good substitute for metronidazole?

In cases where metronidazole is unable to be used due to drug-drug interactions, tinidazole may be a safe alternative.

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 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.

Doctor explains HOW TO TREAT AND PREVENT BACTERIAL VAGINOSIS (BV)

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.

What antibiotics can clear up 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.

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.

Does amoxicillin treat BV?

Amoxicillin can treat a variety of conditions, but it's not effective against BV.

Is metronidazole gel or pill better for BV?

Conclusion: The most cost-effective treatment for bacterial vaginosis was generic metronidazole. While the use of the more expensive Metrogel Vaginal may be reasonable for patients experiencing side effects of oral metronidazole, most patients should be treated with the less expensive generic metronidazole.

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 can I use for BV at CVS?

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

Can BV be 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.

What is better for BV clindamycin or metronidazole?

We conclude that clindamycin may be a safe and effective alternative to metronidazole for treating women with bacterial vaginosis.

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.

How long is too long for metronidazole?

If you need to take metronidazole for longer than ten days, your doctor may want you to have some tests. Make sure you keep any appointments that your doctor gives to you.

How do you know if metronidazole is not working?

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 days does it take for metronidazole to work for BV?

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.

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

You may have been prescribed pills or vaginal cream. With treatment, bacterial vaginosis usually clears up in 5 to 7 days.

How many times a day should I take metronidazole for BV?

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

Can you use Monistat for BV?

Unfortunately, there are no over-the-counter products like Monistat that will do the trick. (Monistat is a treatment for yeast infections—it won't do anything to stop the itching and clear up your condition if what you really have is BV.)

Are antibiotics the only 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.

Which probiotics 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.