What is better for BV clindamycin or metronidazole?

There was no statistically significant difference between the two results. Side effects for both regimens were comparable. We conclude that 2% clindamycin vaginal cream offers similar efficacy and safety to standard oral metronidazole therapy for bacterial vaginosis.

What is the strongest antibiotic for BV?

Metronidazole (Flagyl, Metrogel-Vaginal, others).

This medicine may be taken as a pill by mouth (orally). Metronidazole is also available as a topical gel that you insert into your vagina.

How effective is clindamycin for bacterial vaginosis?

Another trial demonstrated a cure rate of 85% by using Gram-stain criteria after treatment with oral clindamycin 300 mg 2 times/day for 7 days (1040–1043).

Which is better Flagyl or clindamycin?

Cleocin (clindamycin) is proven to be effective at treating acne when combined with another acne medicine and is available in a variety of formulations. Flagyl (metronidazole) is good at killing a variety of bacteria. Unlike many other antibiotics, Flagyl (metronidazole) is less likely to make bacteria resistant to it.

Can I use clindamycin and metronidazole together?

fragilis infections. For selected B. fragilis infections, the combination of clindamycin and metronidazole may be useful.

How long does it take for metronidazole to clear BV?

The three best treatments for Bacterial Vaginosis include: Metronidazole 0.75% vaginal gel once a day for 5 days. Metronidazole (Flagyl) 500 mg pills twice a day for 7 days.

Why is metronidazole not working for BV?

Second, the bacteria that either cause BV or cause the anaerobic overgrowth may have become relatively more resistant to metronidazole (the most common treating agent) or to clindamycin (the other common treating agent).

What if metronidazole doesn't work for BV?

Alternative antibiotic treatments

Tinidazole tablets may be offered if you know you are intolerant of metronidazole. Tinidazole is a similar antibiotic and you need to take 2 g once a day for two days, or 1 g once a day for five days.

Can clindamycin 300 mg treat BV?

Vaginal clindamycin is used to treat bacterial vaginosis (an infection caused by an overgrowth of harmful bacteria in the vagina). Clindamycin is in a class of medications called lincomycin antibiotics.

What if BV doesnt go away after antibiotics?

Around a third of women who take antibiotic treatment for bacterial vaginosis (BV) find that the problem recurs within the next two to three months. Some strains of BV organisms may have resistance to some antibiotics. You should return to your healthcare provider and describe the problems you are having.

Does BV ever fully go away?

Bacterial vaginosis often clears up on its own. But in some women it doesn't go away on its own. And for many women it comes back after it has cleared up. Antibiotic treatment works for some women but not others.

How do you treat chronic BV?

Bacterial vaginosis (BV) is a common but treatable condition, with a number of effective available treatments, including oral and intravaginal metronidazole and clindamycin and oral tinidazole. However, as many as 50% of women with BV experience recurrence within 1 year of treatment for incident disease.

How long does it take clindamycin to work for bacterial infection?

While dependent on dosage and severity of the infection, patients can expect their symptoms to improve within 48 hours of taking their first dose of clindamycin.

Can I take metronidazole 5 days instead of 7?

Most people are prescribed an antibiotic called metronidazole which is very effective if taken correctly. You'll usually have to take metronidazole twice a day, for 5 to 7 days. Sometimes this antibiotic can be prescribed in a single, larger dose.

Why does my BV keep coming back?

When vaginal pH is too high—that is, too basic or alkaline—it may encourage the growth of bacteria associated with BV. As a result, maintaining a vaginal pH that's slightly acidic may help prevent reinfection. One way to prevent your vaginal pH from becoming too alkaline is by using gels that contain lactic acid.

How do you know if clindamycin is working?

How soon will it start working? Once you start taking clindamycin, you'll likely notice an improvement in your symptoms after a day or two. If your symptoms aren't improving at all or seem to be getting worse after taking clindamycin for a few days, follow up with your healthcare provider.

How can I stop getting BV so much?

Steps that might lower your risk of BV include:

1. Keeping your vaginal bacteria balanced. Use warm water only to clean the outside of your vagina. ...
2. Not douching. Douching upsets the balance of good and harmful bacteria in your vagina. ...
3. Not having sex. ...
4. Limiting your number of sex partners.

Why do I get BV every month?

BV is very common and results from a change in the bacterial flora in the vagina. It is sometimes hard to treat, as 30% of women who get better after treatment will get BV again within three months, and more than 50% of women will have BV again within 12 months.

How long does it take for apple cider vinegar to cure BV?

A prescription treatment will likely clear up your symptoms in 2 to 3 days. If you're pregnant or undergoing any medical procedures, it's especially important to have your BV taken care of sooner rather than later. Your doctor may prescribe an oral or vaginal antibiotic, like clindamycin, metronidazole, or tinidazole.

Does peroxide help with BV?

Two small studies suggest using hydrogen peroxide as a vaginal wash may help clear up vaginal odor, improve discharge, and restore vaginal pH in patients with BV.

What vitamins help BV?

To help with BV prevention, 250 mg vitamin C should be used once daily vaginally for six days after your period. While silicone-coated vitamin C is not available in the US, enteric-coated vitamin C is available in the US and can be used in the same way.

Can I have BV for months?

It's common for BV to come back, usually within 3 months. You'll need to take treatment for longer (up to 6 months) if you keep getting BV (you get it more than twice in 6 months). A GP or sexual health clinic will recommend how long you need to treat it.

Why can't you lay down after taking clindamycin?

Official Answer. You should avoid lying down after taking the antibiotic clindamycin because it may prolong the time it takes for the medication to move through your esophagus into your stomach, potentially irritating your esophagus.

Is clindamycin a powerful antibiotic?

Is Clindamycin a powerful antibiotic? Yes, Clindamycin is a strong broad-based antibiotic doctors prescribe to treat severe infections, including the fatal MRSA infection. It has a positive effect on various bacterial infections, including those which survive without air.