What is the strongest antibiotic for BV?

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 antibiotics can clear up BV?

What happens if BV doesn't go away with antibiotics?

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.

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.

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

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.

Why are antibiotics not helping my BV?

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 is my BV not healing?

Around a third of women who take antibiotic treatment for bacterial vaginosis (BV) find that the problem recurs within the next two to three months. Some strains of BV organisms may have resistance to some antibiotics. You should return to your healthcare provider and describe the problems you are having.

How do I get rid of BV that won't go away?

Treatment for bacterial vaginosis includes antibiotic medicine. Depending on the medicine prescribed, these may be taken either by mouth or in the vagina. Antibiotics kill the "bad" bacteria that cause symptoms. But symptoms often come back after antibiotic 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 long till BV goes away with antibiotics?

While the infection may go away on its own, most doctors use antibiotics to treat it. You may have been prescribed pills or vaginal cream. With treatment, bacterial vaginosis usually clears up in 5 to 7 days. Follow-up care is a key part of your treatment and safety.

Can BV be completely cured?

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.

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.

What happens 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.

Can you get permanent BV?

Recurrent bacterial vaginosis is an imbalance of the vaginal bacteria normally present in the vagina. 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 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.

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 fast does metronidazole get rid of BV?

Official answer. 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 is a course of metronidazole for BV?

Adults—500 or 750 milligrams (mg) 3 times a day for 5 to 10 days. Children—Dose is based on body weight and must be determined by your doctor. The dose is usually 35 to 50 milligrams (mg) per kilogram (kg) of body weight per day, divided into 3 doses, for 10 days.

What STD does metronidazole treat?

Trichomoniasis is usually treated quickly and easily with antibiotics. 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. Sometimes this antibiotic can be prescribed in a single, larger dose.

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.

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.

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.