These are not all the side effects of metronidazole tablets, cream, gel, suppositories or vaginal gel. For a full list see the leaflet inside your medicines packet.
It's generally safe to use metronidazole while you're pregnant or breastfeeding. If you're breastfeeding, take care when applying metronidazole cream or gel.
Make sure you do not accidentally get it on your breasts. If this happens, wash off any cream or gel from your breasts before feeding your baby. Metronidazole cream or gel is not known to cause any problems with other medicines. However, there are some medicines that don't mix well with the tablets, suppositories, liquid or vaginal gel.
Tell your doctor before you start taking metronidazole tablets, suppositories, liquid or vaginal gel if you're taking these medicines :. There are no known problems with taking herbal remedies and supplements alongside metronidazole. However, some remedies and supplements that come as liquids that you drink may also contain alcohol. Check the list of ingredients or ask the supplier or manufacturer. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements.
Metronidazole is an antibiotic. It works by stopping the growth of the bacteria or parasites causing the infection. 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. For some of the infections that metronidazole is used for, you may only begin to notice an improvement after a week.
When using the cream or gel to treat rosacea, you may have to wait a few weeks before you see any improvement. It's very important that you keep taking metronidazole until the course is finished.
Do this even if you feel better. It will help stop the infection coming back. Tell your doctor if you still do not feel better 2 or 3 days after finishing your course of metronidazole.
Also tell them if, at any time, you start to feel worse. Metronidazole does not stop any type of contraception from working, including the combined pill and emergency contraception. However, if metronidazole makes you vomit or have severe diarrhoea, your contraceptive pills may not protect you from pregnancy. If this happens, follow the instructions in the leaflet that comes with your contraceptive pills. Read more about what to do if you're on the pill and you're being sick or have diarrhoea.
Some people get a fungal infection called thrush after taking a course of antibiotics like metronidazole. This is more common if you're using the vaginal gel. It happens because antibiotics kill the normal harmless bacteria that help to protect you against thrush.
There's no clear evidence to suggest that taking metronidazole will reduce fertility in either men or women. However, speak to a pharmacist or doctor before taking it if you're trying to get pregnant. However, very rarely, some people suffer from drowsiness or blurred vision.
Do not drive or ride a bike until you stop feeling drowsy and your vision is clear. Do not drink alcohol while you're taking metronidazole, including for 2 days afterwards. This gives the medicine time to leave your body. This is important because metronidazole can react with alcohol to cause a number of side effects. These include feeling and being sick, stomach pain, hot flushes, a pounding heartbeat palpitations and a headache. You must not have any alcohol in either your food or drink while taking metronidazole - and for 2 days afterwards.
This is to confirm that it is BV causing your symptoms. BV may return if you did not complete your course of antibiotics. However, even if you have completed a full course of antibiotics, BV returns within three months in many women. If it does come back, a repeat course of antibiotics will usually be successful. A small number of women have repeated episodes of BV and need repeated courses of antibiotics.
If you have a copper coil for contraception - an IUCD - and have recurrent BV, your doctor or nurse may suggest that they remove your IUCD to see if this helps to improve your symptoms. You will need to consider alternative contraception measures.
If you have a same-sex partner then, even if she has no symptoms, treating both of you at the same time may reduce recurrence.
You should also take particular notice of the advice not to use douches, bath additives and vaginal deodorants. Long-term use of metronidazole gel is sometimes advised. Specialist guidelines in the USA recommend using twice-weekly for up to six months. UK specialist guidelines are less certain on the frequency and duration of preventative treatment, and your doctor may want to talk with a specialist for advice on this. I have been to this website several times to find a cure for BV and I want to share how I finally fixed mine.
I had been suffering from Bacterial Vaginosis or BV for almost last three years Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
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Do I need a test to find out if my bacterial vaginosis is cured? What is the treatment for persisting bacterial vaginosis? Eschenbach, Dept. Pacific Street, Seattle, WA eschen u. Oxford Academic. Cite Cite David A. Select Format Select format.
Permissions Icon Permissions. Google Scholar PubMed. Characterization of vaginal flora and bacterial vaginosis in women who have sex with women. Google Scholar Crossref. Search ADS. Bacterial vaginosis: review of treatment options and potential clinical indications for therapy. A randomized trial of length of therapy with metronidazole plus or minus azithromycin for treatment of symptomatic bacterial vaginosis.
A dose duration study of metronidazole for the treatment of non-specific vaginosis. Intravaginal metronidazole gel versus metronidazole plus nystatin ovules for bacterial vaginosis: a randomized controlled trial. Issue Section:. Download all slides. Comments 0. Add comment Close comment form modal. I agree to the terms and conditions. You must accept the terms and conditions. Add comment Cancel. Submit a comment.
This medicine is to be used only in the vagina. Use it at bedtime, unless your doctor tells you otherwise. Do not get it into your eyes, nose, mouth, or skin. If this medicine does get into your eyes, wash them out right away with large amounts of cool tap water. If your eyes still burn or are painful, check with your doctor. This medicine comes with a patient information leaflet and patient instructions. Read and follow the instructions carefully. Ask your doctor if you have any questions.
The applicator is open at one end where you will insert the plunger and has a pink cap on the other end where the medicine will come out. You will use an applicator to put the gel into your vagina. The applicator has a plastic tube called a barrel that is open at one end and has a plunger another piece of plastic that can move inside the barrel at the other end. To help clear up your infection completely, it is very important that you keep using this medicine for the full time of treatment, even if your symptoms begin to clear up after a few days.
If you stop using this medicine too soon, your symptoms may return. Do not miss any doses. Also, continue using this medicine even if your menstrual period starts during the time of treatment.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Keep from freezing. It is important that your doctor check your progress after you finish using this medicine to make sure that the infection is cleared up. If your symptoms do not improve within a few days after you start this medicine or if they become worse, check with your doctor.
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