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Bacterial Vaginosis (BV) Treatment

Metronidazole Tablets 400mg
Pack Size: 14 tablets
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Keep out of the reach and sight of children. Do not use if you are allergic to any of the ingredients. Talk to your doctor before taking if you are allergic to any of the ingredients, pregnant, planning to become pregnant or breast feeding. Do not take if you have an intolerance to some sugars as it contains a sugar called Lactose.

Metronidazole tablets belong to a group of medicines called anti-infective agents. They may be used to treat: infections, caused by bacteria of the blood, brain, bone, lung, stomach lining and pelvic area, following childbirth or in a wound following an operation urinary or genital infections caused by a parasite, Trichomonas, genital infection in women caused by bacteria, the parasitic diseases amoebiasis, the disease giardiasis, gum and teeth infections, infected leg ulcers or pressure sores, stomach ulcers caused by Helicobacter pylori or prevent infections occurring after operations.

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Rare: More than 1 in 10,000 people who take Metronidazole

  • anaphylactic reactions

Very rare: Fewer than 1 in 10,000 people who take Metronidazole

  • abnormal laboratory test results
  • blood and bone marrow problems - these may be fatal
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  • psychotic problems including confusion and hallucinations
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Keep out of the reach and sight of children. Do not use if you are allergic to any of the ingredients. Talk to your doctor before taking if you are allergic to any of the ingredients, pregnant, planning to become pregnant or breast feeding. Do not take if you have an intolerance to some sugars as it contains a sugar called Lactose.

About Bacterial Vaginosis

Bacterial Vaginosis Background

THE Medical Online Doctor service allows patients who have bacterial vaginosis to have a private consultation with a doctor and receive the treatment they require in a safe and discreet manner.

Bacterial Vaginosis (BV) is a common condition where the normal balance of bacteria inside the vagina becomes disrupted. In most cases BV does not cause any pain or itching. The most common symptom is an unusual vaginal discharge. A sufferer of bacterial vaginosis may present with vaginal discharge that:

  • Has a strong fishy smell that is particularly strong after sexual intercourse.
  • Is white or grey in colour.
  • Is thin and watery.

Bacterial vaginosis does not pose a serious threat to health for the majority of sufferers. Around half of those affected with BV do not present with any symptoms at all. BV should only be treated as a concern should the condition develop during pregnancy and there is a history of pregnancy-related complications.

The vagina is naturally a slightly acidic environment. This is due to a bacteria called lactobacilli. Lactobacilli produce lactic acid and the resulting acidity prevents other bacteria from growing inside the vagina. Women presenting with bacterial vaginosis tend to lack sufficient numbers of lactobacilli, which means the vagina isn’t acidic enough to prevent other bacteria from growing. It’s this imbalance of bacteria that causes BV.

It is not clear what exactly causes the imbalance that results in bacteria vaginosis, although certain factors are known to increase the chances of developing the condition. These include:

  • Being sexually active. Especially if you have a new or multiple sexual partners.
  • Using an intrauterine device such as a contraceptive that fits inside the womb.
  • Using scented soaps, bubble baths or antiseptic bath liquids.
  • Using vaginal deodorants.
  • Using a strong detergent to wash your underwear.

Generally, bacterial vaginosis isn’t considered a sexually transmitted infection as the condition can sometimes occur in women who aren’t sexually active. Also, the rates of BV are significantly varied within different ethnic groups, which cannot be explained by sexual activity alone. However, it is apparent that occurrences of bacterial vaginosis are much higher in women who are sexually active, especially in those with multiple partners. In contrast, the rates of BV are lower in women who practice safe sex. From this it is safe to conclude that sexual activity can play a role in developing bacterial vaginosis, although other unrelated factors are also probably responsible for the condition. 

Bacterial Vaginosis Symptoms

Bacterial vaginosis will usually present as an unusual discharge from the vagina. This discharged may be thin and watery and appear white or grey in colour. It may also develop a strong, fishy odour, particularly after sex. BV does not usually present with any itching or soreness of the vagina.

Bacterial Vaginosis Diagnosis

A GP or healthcare professional will be able to diagnose bacterial vaginosis from a description of the symptoms coupled with a visual examination of the vagina, if necessary. In the examination they will be looking for a thin, greyish discharged as well as an unpleasant smell. In most cases this will be enough to confirm a diagnosis. However, further testing may be necessary if you are sexually active. This is because the symptoms of BV can resemble the symptoms of some sexually transmitted infections (STIs), such as gonorrhoea and trichomoniasis. Further testing will usually involve a sample of cells being taken from the vaginal wall. This will be done using a plastic loop or swab. This sample is then examined in a laboratory to look for signs of bacterial vaginosis.

Another method of diagnosing BV may include performing a pH (acidity) test of the vagina. A swab will be used to take a sample from inside the vagina. This sample will then be wiped over a piece of specially treated paper. The paper will change colour depending on the pH level of the sample. If the paper indicates a pH higher than 4.5 then this will be a strong indication that bacterial vaginosis is the cause.

Bacterial Vaginosis Treatment

Bacterial vaginosis can be successfully treated using antibiotics. The antibiotic of choice for BV treatment is Metronidazole. The most effective form of treatment using metronidazole is a seven day course, taking one 400mg tablet twice a day. Occasionally a different antibiotic may be more suitable if the patient is allergic or has had a bad reaction to metronidazole in the past. Clindamycin Cream is usually used as an alternative treatment if this is the case.

When taking Metronidazole 400mg tablets for BV it is very important to complete the course, even if the symptoms have subsided. Finishing the course will help reduce the risk of the symptoms persisting or returning. When taking Metronidazole 400mg Tablets it is very important not to drink any alcohol during the course, and for at least 48 hours after completing the course as this can cause serious nausea and sickness.

Some women may require an additional course of Metronidazole should the initial course be unsuccessful. This is quite normal. The prescriber may need to check that the medicine was taken correctly as a further course or an alternative treatment will be required.

If the bacterial vaginosis is believed to be the result of an intrauterine device, such as a contraceptive diaphragm, then it may be advised to have it removed and an alternative means of contraception should be used instead.

There are treatments available known as vaginal pH correction treatments. These topical gels are available over-the-counter and are designed to rebalance the pH levels inside the vagina. It is generally acknowledged that treating bacterial vaginosis with Metronidazole is more effective than using a pH balancing gel.

Bacterial Vaginosis Prevention

Not fully understanding the causes of bacterial vaginosis means it is very difficult to completely prevent it. However, there are self-help techniques that can reduce your risk of developing the condition. These include:

  • Avoid using scented or perfumed soaps, antiseptics or bubble baths.
  • Avoid using vaginal deodorants.
  • Avoid washing your underwear in strong detergents.
  • Avoid vaginal douching.

By following the recommendations above you will be less likely to disturb the natural bacterial balance inside the vagina. This will reduce the chances of developing bacterial vaginosis.

*RRP is based on the highest price found for a comparable online service found on 04/09/14.

THE Medical Online Doctor service is owned and operated by Total Health Ethos Limited (Company Reg. 6170784). All orders are fulfilled by our pharmacy partners, BSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products. For more information see our policies and terms and conditions at the bottom of every page. © 2017 Total Health Ethos Limited. All rights reserved.
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