How much metronidazole should i take for bv

Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. There is a problem with information submitted for this request. Sign up for free, and stay up-to-date on research advancements, health tips and current health topics, like COVID, plus expert advice on managing your health. Error Email field is required. Error Include a valid email address.

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Our Housecall e-newsletter will keep you up-to-date on the latest health information. Metronidazole is secreted in breast milk.

With maternal oral therapy, breastfed infants receive metronidazole in doses that are less than those used to treat infections among infants, although the active metabolite adds to the total infant exposure. Although multiple reported case series identified no evidence of metronidazole-associated adverse effects for breastfed infants, certain clinicians recommend deferring breastfeeding for 12—24 hours after maternal treatment with a single 2-g dose of metronidazole Lower doses produce a lower concentration in breast milk and are considered compatible with breastfeeding , BV appears to recur with higher frequency among women who have HIV infection Skip directly to site content Skip directly to page options Skip directly to A-Z link.

Sexually Transmitted Infections Treatment Guidelines, Section Navigation. Facebook Twitter LinkedIn Syndicate. Bacterial Vaginosis Minus Related Pages. Diagnostic Considerations BV can be diagnosed by using clinical criteria i. Clinical diagnosis of BV by Amsel criteria requires at least three of the following four symptoms or signs: Homogeneous, thin discharge milklike consistency that smoothly coats the vaginal walls Clue cells e.

Treatment Treatment for BV is recommended for women with symptoms. Recommended Regimens for Bacterial Vaginosis. Alternative Regimens. Follow-Up Follow-up visits are unnecessary if symptoms resolve. Special Considerations Drug Allergy, Intolerance, or Adverse Reactions Intravaginal clindamycin cream is preferred in case of allergy or intolerance to metronidazole or tinidazole. Pregnancy BV treatment is recommended for all symptomatic pregnant women because symptomatic BV has been associated with adverse pregnancy outcomes, including premature rupture of membranes, preterm birth, intra-amniotic infection, and postpartum endometritis , , Top of Page.

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No good way has been found yet of preventing this from happening. If you keep getting BV symptoms, your doctor will do some tests to be absolutely sure you have got BV and not any other infection.

If it turns out to be definitely BV, a different antibiotic to the one you have taken previously may be tried. Occasionally regular preventative use of an antibiotic vaginal gel may be advised. If you are using an intrauterine contraceptive device IUCD for contraception, it may be advised that you consider having this removed.

If your symptoms come back and you did not have a test using a sample a swab of your vaginal discharge taken initially, your doctor or nurse may suggest that they take swab tests now.

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 BV free for about 6 months having 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. For details see our conditions.

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Bacterial vaginosis in virginal and sexually active adolescent females: evidence against exclusive sexual transmission. Should male consorts of women with bacterial vaginosis be treated?