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Recommended treatment for Bacterial Vaginosis
Used for
Treats bacterial vaginosis, restoring balance in vaginal flora.
How to use it*
Apply one full applicator of cream once daily, typically at bedtime, for 5 days.
How long to work
Symptoms usually improve within 1–2 days, with full resolution in 5–7 days.
Common side effects*
Vaginal irritation, itching, burning, and stomach upset.
Who should not take it*
Avoid if pregnant, breastfeeding, or have allergies to Metronidazole or other nitroimidazole antibiotics.
Interactions*
May interact with alcohol (causing a reaction), warfarin, and other antibiotics. Avoid using other vaginal treatments.
Generic/branded
Generic: Metronidazole.
Brand: MetroGel.
*Always consult the patient leaflet for comprehensive information.
Metronidazole is an antibiotic used to treat a number of bacterial infections, namely bacterial vaginosis (BV). When taken twice daily for 7 days, it kills bacteria cells and negates symptoms of the common bacterial infection.
Metronidazole gel works by directly entering bacterial cells and damaging their DNA. This stops the growth of harmful bacteria in the vagina, easing symptoms and treating your infection within 5 days.
Please note: Metronidazole gel does not work for fungal or yeast infections.
There are many benefits of using Metronidazole gel to treat BV:
Targeted treatment
Metronidazole vaginal gel is applied directly to the vagina to treat bacterial infections directly at the source.
Fewer side effects
Since it is applied locally, Metronidazole gel carries a lower risk of side effects than tablets. It also means it is less likely to disrupt your gut bacteria compared to oral antibiotics.
Convenient
Metronidazole gel is usually applied once daily at bedtime, making it easy to fit into your schedule.
Short treatment course
Metronidazole gel is usually only prescribed for a 5-day course; perfect for women who value their time.
Metronidazole gel is a highly effective treatment for bacterial vaginosis, completely clearing the infection within 5 days.
One clinical study found that 87% of women using Metronidazole gel were cured within 5 days, compared to just 17% of women using a placebo.
You should notice the effects of Metronidazole within a few days of using it. During this time, symptoms should reduce and you should start feeling better. Complete resolution of symptoms is usually felt after 5 days of consistent use. If your infection worsens or symptoms don't resolve, seek medical attention.
Apply Metronidazole gel directly to your vagina once per day in the evening for 5 consecutive days.
Follow these instructions when using Metronidazole gel:
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Metronidazole gel should be used for a course of 5 days to completely clear your infection.
Making some simple lifestyle changes can ensure treatment is effective:
Limit sexual activity
Avoid sexual activity during treatment to prevent irritation and ensure treatment success.
Maintain good hygiene
Keep the vaginal area clean and dry, but avoid douching or using scented products, as these can irritate the area and worsen symptoms.
Wear loose, breathable underwear
Wear loose-fitting cotton underwear to reduce moisture buildup and prevent irritation.
Stay hydrated
Drink plenty of water to reduce the risk of side effects like headaches and improve vaginal health.
Store this medicine in the original packaging between 68°F to 77°F. Ensure the medicine is kept out of reach of children and pets and away from direct sunlight.
To be prescribed Metronidazole gel from SpeedyHealth, you must be a woman over 18 experiencing bacterial vaginosis.
Do not use Metronidazole if you:
Additionally, speak with your doctor before taking this medication if you have:
Also, stay away from harsh sunlight and avoid exposure to ultra-violet light while using Metronidazole gel, as this may irritate the skin.
Using Metronidazole can cause some side effects, although not everyone will get them.
The most common Metronidazole gel side effects are:
This is not an exhaustive list. For a full list of side effects, consult the package insert sent with your order.
Some medicines may interact with the effectiveness of Metronidazole ot increase the risk of side effects. Tell your doctor about all medications you take, especially any of the following:
Alcohol is unlikely to cause the same issues as it does with oral Metronidazole, but you should still avoid it to ensure safety during treatment. Alcohol can make side effects like headache, dizziness, and vomiting worse.
No, you cannot buy this medicine over the counter. You need a doctor’s prescription to purchase this medicine. This is because a doctor must first check to see if it is suitable for you based on your symptoms and medical history.
If you need a prescription, you can fill our consultation form, it is a quick and easy process. If one of our doctors approves of your prescription, you will receive it electronically.
Choosing a trusted healthcare provider like SpeedyHealth ensures safety during treatment and the ability to manage your medicines easily.
Here's how we do things differently at SpeedyHealth:
At SpeedyHealth, this medicine starts at $54.99
Our pricing is transparent, with no hidden fees. Order today and benefit from our complete, all-inclusive service.
Medically reviewed by Dr. Adrian Rawlinson
Written by our editorial team | Last reviewed December 18, 2025
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