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Author: Admin | 2025-04-28
Bacterial vaginosis (BV) is a common bacterial vaginal infection affecting roughly 30% of women ages 14 to 49 in the United States. This infection occurs when bad bacteria outweigh good bacteria in the vagina. 84% of women with BV do not have symptoms. When symptoms are present, the most common is a strong “fishy” vaginal odor and an increase in vaginal discharge. Metronidazole (such as the brand Flagyl) is an antibiotic used to treat bacterial vaginosis. This article reviews the basics of metronidazole, dosage, side effects, effectiveness, other medications for BV, and more. PixelsEffect / Getty Images Metronidazole for Bacterial Vaginosis Metronidazole is considered the first line of treatment for BV. This means it’s one of the preferred antibiotics used to treat BV. Metronidazole is the generic version. Brand names include: FlagylNoritateVandazoleNuvessa Metronidazole comes in capsules, tablets (pills), creams, gels, and intravenous (IV) forms. It can be given orally (by mouth), vaginally, or intravenously. Prescriptions to treat BV are typically for oral or vaginal administration. Is Metronidazole Safe If You're Pregnant or Breastfeeding?Both oral and vaginal metronidazole are safe to take while pregnant and breastfeeding. However, healthcare providers often prefer vaginal cream since the medication does not distribute throughout the body as much as it does with oral medication. Dosage The following are typical dosages for metronidazole when treating BV: Oral dose: 500 milligrams (mg) twice daily for seven daysIntravaginal dose: 0.75% gel, one applicator intravaginally for five nights Sometimes, healthcare providers will prescribe oral and vaginal medications for you
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