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Bv reviews. Metronidazole for Bacterial Vaginosis: Effectiveness, Side Effects, and Patient Reviews

What is bacterial vaginosis and how is it treated with metronidazole. How effective is metronidazole for BV based on patient reviews. What are the common side effects of taking metronidazole for bacterial vaginosis. How long does metronidazole take to work for BV symptoms.

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Understanding Bacterial Vaginosis and Its Treatment with Metronidazole

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance in the normal bacteria found in the vagina. It occurs when there is an overgrowth of certain bacteria, particularly anaerobic bacteria, which leads to a shift in the vaginal ecosystem. Metronidazole is one of the primary antibiotics used to treat BV.

Metronidazole, sold under brand names like Flagyl, Metro, and Flagyl IV, is an antibiotic that works by killing susceptible bacteria. For the treatment of bacterial vaginosis, it has an average rating of 6.7 out of 10 based on 795 user reviews. This indicates that many patients find it effective, though experiences can vary.

How does metronidazole work against BV?

Metronidazole targets the anaerobic bacteria that have overgrown in BV. It disrupts the DNA of these bacteria, ultimately leading to their death. By eliminating the excess harmful bacteria, metronidazole helps restore the normal balance of vaginal flora.

Patient Experiences with Metronidazole for BV Treatment

According to the review data, 53% of users reported a positive experience with metronidazole for treating bacterial vaginosis, while 21% reported a negative experience. This suggests that the majority of patients find relief from their BV symptoms when using this medication.

What do positive reviews typically mention?

  • Quick relief from symptoms like odor and discharge
  • Effectiveness in clearing the infection
  • Manageable side effects
  • Convenience of oral medication compared to topical treatments

What are common complaints in negative reviews?

  • Gastrointestinal side effects like nausea and stomach pain
  • Metallic taste in the mouth
  • Recurrence of BV after treatment
  • Interactions with alcohol consumption

Side Effects and Precautions When Taking Metronidazole

While metronidazole is generally well-tolerated, it’s important to be aware of potential side effects and necessary precautions when taking this medication for bacterial vaginosis.

Can metronidazole cause a yeast infection?

Yes, some women may experience a yeast infection after taking metronidazole. This is because the antibiotic can disrupt the balance of bacteria and yeast in the vagina, potentially leading to an overgrowth of Candida. If you notice symptoms of a yeast infection after BV treatment, consult your healthcare provider.

Is it safe to drink alcohol while taking metronidazole?

No, it is not safe to consume alcohol while taking metronidazole. Combining alcohol with this medication can lead to severe side effects, including:

  1. Nausea and vomiting
  2. Headaches
  3. Flushing
  4. Rapid heart rate
  5. Shortness of breath

It’s recommended to avoid alcohol during treatment and for at least 48 hours after completing the course of metronidazole.

Effectiveness and Duration of Metronidazole Treatment for BV

Understanding how long it takes for metronidazole to work and how long it stays in your system can help manage expectations during treatment.

How long does it take for metronidazole to work for BV?

Most patients begin to see improvement in their symptoms within 2-3 days of starting metronidazole treatment. However, it’s crucial to complete the entire prescribed course of antibiotics, which typically lasts 5-7 days. This ensures that the infection is fully cleared and reduces the risk of recurrence.

How long does metronidazole stay in your system?

Metronidazole has a half-life of about 8 hours, meaning it takes approximately 8 hours for half of the drug to be eliminated from your body. Generally, it takes about 5 half-lives for a drug to be considered fully cleared from your system. Therefore, metronidazole typically leaves your system within 40-48 hours after the last dose.

Managing Common Side Effects of Metronidazole

While metronidazole is effective for treating BV, some patients may experience side effects. Understanding how to manage these can improve your treatment experience.

How can I alleviate the metallic taste caused by metronidazole?

A metallic taste in the mouth is a common side effect of metronidazole. To help manage this:

  • Try sucking on sugar-free hard candies or mints
  • Brush your teeth and tongue regularly
  • Stay hydrated by drinking plenty of water
  • Avoid strongly flavored foods during treatment

Does Flagyl (metronidazole) cause diarrhea?

Yes, diarrhea can be a side effect of taking metronidazole. If you experience severe or persistent diarrhea, especially if it’s accompanied by fever or blood in the stool, contact your healthcare provider immediately. To help manage mild diarrhea:

  • Stay hydrated by drinking plenty of fluids
  • Eat small, frequent meals
  • Avoid spicy, fatty, or high-fiber foods
  • Consider taking a probiotic supplement (after consulting with your doctor)

Comparing Metronidazole to Other BV Treatments

While metronidazole is a common first-line treatment for bacterial vaginosis, it’s not the only option available. Understanding how it compares to other treatments can help you make informed decisions with your healthcare provider.

How does metronidazole compare to clindamycin for BV treatment?

Clindamycin is another antibiotic commonly used to treat bacterial vaginosis. Both medications are considered equally effective for BV treatment. The choice between the two often depends on:

  • Patient preference (oral vs. topical application)
  • Potential side effects
  • Cost and insurance coverage
  • Individual patient factors (such as allergies or other medical conditions)

Metronidazole is typically available in both oral and topical forms, while clindamycin is more commonly prescribed as a vaginal cream for BV.

Are there any natural alternatives to metronidazole for BV?

While antibiotics like metronidazole are the most effective and scientifically proven treatments for BV, some women explore natural remedies. These may include:

  • Probiotics (both oral and vaginal)
  • Boric acid suppositories
  • Tea tree oil
  • Apple cider vinegar
  • Garlic

It’s important to note that while some women report success with these methods, they are not as well-studied or proven effective as antibiotics. Always consult with a healthcare provider before trying alternative treatments.

Long-term Management and Prevention of Bacterial Vaginosis

While metronidazole is effective for treating acute episodes of BV, many women struggle with recurrent infections. Understanding long-term management strategies can help reduce the frequency of BV occurrences.

How can I prevent BV recurrence after metronidazole treatment?

To help prevent BV from returning after successful treatment with metronidazole:

  1. Practice good hygiene, but avoid douching or using scented products in the vaginal area
  2. Use condoms during sexual activity
  3. Consider taking probiotic supplements or eating probiotic-rich foods
  4. Wear breathable, cotton underwear
  5. Avoid sitting in wet clothing for extended periods
  6. Wipe from front to back after using the bathroom

Is long-term suppressive therapy with metronidazole an option for recurrent BV?

For women who experience frequent recurrences of BV, long-term suppressive therapy with metronidazole may be considered. This typically involves taking a lower dose of the medication for an extended period, often several months. The goal is to prevent the overgrowth of harmful bacteria and maintain a healthy vaginal flora balance.

However, this approach is not suitable for everyone and should only be undertaken under close medical supervision due to the potential risks of long-term antibiotic use, including antibiotic resistance and side effects.

Metronidazole Use During Pregnancy and Breastfeeding

Bacterial vaginosis can occur during pregnancy and may increase the risk of certain complications. Understanding the safety and efficacy of metronidazole during pregnancy and breastfeeding is crucial for expectant and new mothers.

Is it safe to take metronidazole for BV during pregnancy?

Metronidazole is generally considered safe for use during pregnancy, particularly in the second and third trimesters. Treatment of BV during pregnancy is important as it can help reduce the risk of:

  • Preterm labor
  • Premature rupture of membranes
  • Low birth weight
  • Postpartum endometritis

However, the decision to use metronidazole during pregnancy should always be made in consultation with a healthcare provider, weighing the potential benefits against any risks.

Can I breastfeed while taking metronidazole for BV?

Metronidazole does pass into breast milk in small amounts. While it’s generally considered compatible with breastfeeding, some precautions may be advised:

  • Consider pumping and discarding milk for 12-24 hours after the last dose
  • Monitor the infant for potential side effects like diarrhea or thrush
  • Consult with a lactation specialist or pediatrician for personalized advice

As always, discuss any concerns about medication use while breastfeeding with your healthcare provider.

Metronidazole User Reviews for Bacterial Vaginosis

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Brand names:
Flagyl,
Metro,
Flagyl IV,
Metro IV
Flagyl 375

Metronidazole
has an average rating of 6.7 out of 10 from a total of 795 reviews
for the
treatment of Bacterial Vaginosis.
53% of reviewers reported a positive experience, while 21% reported a negative experience.

Filter by condition
All conditionsAmebiasis (15)Aspiration PneumoniaBacteremia (1)Bacterial Infection (625)Bacterial Vaginosis (872)Balantidium coliBone infection (11)Clostridioides difficile Infection (50)Crohn’s Disease, Acute (8)Crohn’s Disease, Maintenance (5)Deep Neck Infection (1)Dental Abscess (196)Dientamoeba fragilis (4)Diverticulitis (257)DracunculiasisEndocarditisGastrointestinal Perforation (3)Giardiasis (40)Helicobacter Pylori Infection (55)Intraabdominal Infection (6)Joint Infection (1)Lemierre’s SyndromeMeningitisNongonococcal UrethritisPelvic Inflammatory Disease (35)Peritonitis (9)Pneumonia (1)PouchitisPseudomembranous Colitis (5)Skin or Soft Tissue Infection (11)STD Prophylaxis (1)Surgical Prophylaxis (6)Trichomoniasis (175)

Metronidazole rating summary

6. 7/10 average rating

795 ratings from 872 user reviews.

Compare all 30 medications used in the treatment of Bacterial Vaginosis.

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Frequently asked questions

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Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest are not published. This information is not intended to endorse any particular medication. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals.

Learn more about Bacterial Vaginosis

  • Why Don’t Antibiotics Kill Viruses?
Care guides
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  • Bacterial Vaginosis (Gardnerella Vaginitis)
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Bacterial vaginosis: a review – PubMed

Review

. 1998 Jul;2(4):212-7.

A D Winefield 
1
, S A Murphy

Affiliations

Affiliation

  • 1 Rivier College, Nashua, New Hampshire, USA.
  • PMID:

    10455564

Review

A D Winefield et al.

Clin Excell Nurse Pract.

1998 Jul.

. 1998 Jul;2(4):212-7.

Authors

A D Winefield 
1
, S A Murphy

Affiliation

  • 1 Rivier College, Nashua, New Hampshire, USA.
  • PMID:

    10455564

Abstract

Bacterial vaginosis (BV) is a clinically definable condition that is frequently diagnosed in the primary care setting. Changes in the nomenclature, causative microorganisms, as well as treatment have caused confusion over the last century. BV is currently viewed as a shift in the normal vaginal ecosystem from a predominance of aerobic bacteria to anaerobic bacteria (Soper, 1993), resulting in a malodorous discharge. However, more than one half of clinically diagnosed patients are asymptomatic. Recent evidence indicates that the anaerobes identified as components of BV have been implicated in obstetric complications, postoperative pelvic infections, and pelvic inflammatory disease. Practice issues resulting from this research include the appropriate treatment of asymptomatic women, especially in pregnancy. This article reviews BV from a historical perspective, provides a summary of recent research findings identifying BV as a possible risk factor in various serious medical conditions and their sequelae, and discusses related practice concerns resulting from the implications of these findings.

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BV Resortel 3* (Thailand/South Region/Phuket Island/Patong Beach).

Hotel reviews. Rating of hotels and hotels of the world

BV Resortel
3*

Thailand

Patong Beach

Hotel rating and recommendations

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  • 4.57
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  • 3. 29
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Recent reviews of BV Resortel 3*

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Now on October 16, 2016 we are resting in this hotel, it is now …

Now on October 16, 2016 we are resting in this hotel, it is now called …

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Traveled with my wife from 11 to 18 January 2012 in Phuket…

Traveled with my wife from 11 to 18 January 2012 in Phuket (as in Thailand…

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Recently returned from there) We were very pleased with the hotel!
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