Flagyl for bacterial vaginosis

Bacterial vaginosis is an imbalance of vaginal bacteria. It may cause a change in discharge or odour, though some people have few symptoms. Flagyl usually refers to metronidazole, which can be prescribed as tablets or a vaginal preparation. The correct form and course depend on your assessment. Discharge and itching can also have other causes, so symptoms alone do not confirm bacterial vaginosis.

Follow the label and finish the prescribed course unless the prescriber tells you to stop. Do not share leftover antibiotics or use someone else’s medicine. Ask a pharmacist to check your other medicines, allergies, pregnancy or breastfeeding status, and any liver condition. If you develop troublesome nausea, diarrhoea, rash, numbness, tingling, or other unexpected effects, contact a clinician. Avoid douching, which can further disturb the vaginal environment.

Contact the prescriber if symptoms do not improve after treatment, return repeatedly, or become more painful. Arrange prompt assessment for fever, lower abdominal or pelvic pain, vomiting, pain during sex, or bleeding outside your expected period. These features can need evaluation for another infection or pelvic condition; antibiotic treatment for pelvic infection is different from treatment for uncomplicated bacterial vaginosis.

Was bacterial vaginosis confirmed, and could another cause explain my symptoms? Which form of Flagyl should I use? What should I do if I miss a dose or symptoms return?