Another possibility of such discharge is the concomitant use of Metronidazole with birth control pills. The metronidazole immediate-release tablet and extended-release tablet are prescription drugs. After the 2nd day of using Metro gel for BV I started to have brown discharge sometimes white clumpy discharge too. Metronidazole: Might have developed a yeast infection. Learn how we can help. A 2013 meta-analysis showed that oral or topical antibiotic treatment of bacterial vaginosis in pregnancy does not prevent preterm birth, even in women with a history of preterm labor in previous pregnancies. Click here for an email preview. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. (2016, July 12), Mayo Clinic Staff. Metronidazole topical cream, lotion, and gel treat inflammation caused by rosacea. Overview of Flagyl (Metronidazole) Common Side Effects Check with your healthcare provider if any of the following side effects continue or are bothersome: 3 diarrhea dizziness or light-headedness headache loss of appetite nausea or vomiting stomach pain or cramps unpleasant or sharp metallic taste Check With Your Healthcare Provider forms. Might have developed a yeast infection. This condition causes the skin of your face to redden and form small bumps. Read our, Using Metronidazole to Treat Bacterial Vaginosis, J-Pouch Surgery: Everything You Need to Know, How to Prevent C. Diff Infection From Recurring, FDA Approves the First Fecal Transplant Therapy, Review article: the pathogenesis of pouchitis, FLAGYL- metronidazole tablet, film coated, any vaginal irritation, discharge, or dryness not present before use of this medicine, Pain, tenderness, redness, or swelling over the vein in which the medicine is given. We comply with the HONcode standard for trustworthy health information. Understanding the Relationship Between Antibiotics and Bacteria, Antibiotic Use Midlife May Lead to Cognitive Decline in Women, immediate-release oral tablets and capsules, a lack of muscle control for voluntary movements, such as walking or picking up objects, slurred or slow speech that can be hard to understand, flu-like symptoms, such as fever and tiredness, a painful red rash that spreads and blisters. Metronidazole vaginal is used to treat women with vaginal infections (eg, bacterial vaginosis). It is available in oral, rectal, topical, vaginal and intravenous (I.V.) Newer laboratory tests that detect Gardnerella vaginalis DNA or vaginal fluid sialidase activity have similar sensitivity and specificity to Gram stain. If your discharge is heavy, you should talk to your healthcare provider. 3. Do not drink alcohol or use any products that contain alcohol while using metronidazole. Try searching for what you seek or ask your own question. A second dose did not have significant effects for recurrent vulvovaginal candidiasis.57, For recurrent vulvovaginal candidiasis caused by Candida albicans, initial intensive therapy with fluconazole for seven to 14 days (i.e., fluconazole, 150 mg, every three days for three doses) followed by weekly treatment with 150-mg fluconazole for six months has been shown to achieve symptomatic relief at one year for most patients.58, If severe or recurrent vulvovaginal candidiasis does not respond to initial treatment, culture may guide therapy when nonalbicans species are identified. A clumpy (cottage cheese- like), white, non- odorous discharge associated w Not a concern, just finish your treatment course. And though that might . Amber J. Tresca is a freelance writer and speaker who covers digestive conditions, including IBD. How long during treatment of bv does it take for discharge to go away odor gone but still some discharge? This is a bacterial infection in the vagina. However, studies have shown that, regardless of whether they have a history of vulvovaginal candidiasis, women are not able to accurately self-diagnose the condition, often using these products for causes of vaginitis other than candidal infections.54, Vulvovaginal Candidiasis in Pregnancy. Patient information: See related handout on vaginitis, written by the authors of this article. A speculum is not required for collecting vaginal fluid samples for these tests.17 Several studies have demonstrated a strong correlation between samples from patient self-collected swabs and those collected by clinicians for the diagnosis of bacterial vaginosis, with sensitivities of 70% to 100% and specificities of 97% to 100%.1822 It is reasonable to conclude that samples for office-based microscopy and laboratory testing for other causes of vaginitis can be collected by patients as well. You can learn more about how we ensure our content is accurate and current by reading our. thank you! Brown Discharge After Period Causes, and When to See a Doctor - Healthline Get a followip appt. Why do I have strange white & brown thick vaginal discharge after using Do not take more or less of it or take it more often than prescribed by your doctor. Leftover blood should be in small quantities, like spots. as well, it often looks brownish in color. Complicated Vulvovaginal Candidiasis. See a primary care physician or OB/GYN BV often has few symptoms besides a fishy odor. But it may take a couple of days before you start to feel better or notice an improvement in your symptoms. Discharge after bv treatment, 4tablets by mouth once, no itching but could it be yeast? Metronidazole tablets work by killing the bacteria or other organisms that are causing the infection. Metronidazole is a prescription drug used to treat infections caused by bacteria or other parasites in different parts of your body. Using condoms can also reduce the risk of contracting an STI or passing the infection on to someone else. Side Effects of Flagyl (Metronidazole) - Verywell Health Im having thick white goopy discharge with a light yellow tint after taking metronidazole gel. By using our website, you consent to our use of cookies. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Thank you, {{form.email}}, for signing up. Brown discharge could also indicate infection or other conditions, such as breakthrough bleeding with your birth control method, a retained tampon or piece of condom, polyps and fibroids, and very rarely cervix or uterine cancer. no itch/burn. For potential or actual medical emergencies, immediately call 911 or your local emergency service. I have used all the metro gel as prescribed I have stopped taking the metro gel since last Tuesday. 2023 Dotdash Media, Inc. All rights reserved. Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. The immediate-release forms of metronidazole are used to treat bacterial infections that affect many parts of the body as well as parasitic infections in the intestines, liver, and reproductive tract. Hope this helps. Obstetrics and Gynecology 39 years experience. To learn more, please visit our. Surgery to remove the fibroids. Sometimes a discharge is not apparent. The CDC recommends that only topical azole therapies, applied for seven days, be used in pregnant women with vulvovaginal candidiasis.9 Although more data are needed, oral therapy may be associated with increased risk of miscarriage or fetal malformations, particularly at high doses.55,56. Metronidazole (Oral Route) Side Effects - Mayo Clinic a few days ago it seemed like the symptoms were clearing but now it hurts when i go to the toilet and it hurts down below too? When I check my CM, it's either white or yellow . Question posted by sydneyburns on 9 Nov 2014, Last updated on 21 December 2014 by SHEsevEN4. This content does not have an Arabic version. See additional information. Is Brown Discharge After Taking Metronidazole Normal? It's a normal part of the menstrual cycle to have a thick, white discharge. I finished taking metronidazole (pill form) last Friday.Why do I now have a brownish/red discharge? In nonpregnant women, oral and vaginal treatment options for uncomplicated vulvovaginal candidiasis have similar clinical cure rates. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Data are insufficient on the safety of secnidazole use in pregnancy, and use is not recommended with breastfeeding.43, Bacterial Vaginosis in Pregnancy. Review article: the pathogenesis of pouchitis. Bacterial vaginosis is traditionally diagnosed with Amsel criteria, although Gram stain is the diagnostic standard. Im on flagyl for bv but having some red brown discharge. This is especially true if you see it at the beginning or end of your menstrual period. Bacterial vaginosis is treated with oral metronidazole, intravaginal metronidazole, or intravaginal clindamycin. If you are having persistent vaginal discharge it must be seen and examined before a diagnosis can be made. (2013, October 17), Side effects of topical cream, gel, and lotion, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a2883ca1-5a9a-4259-9d80-46ab67274384, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b39cc0e4-57ad-4d70-a105-44ebccf201f8, mayoclinic.org/diseases-conditions/stevens-johnson-syndrome/basics/definition/con-20029623?p=1, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=43d5e570-f359-564d-9bb4-51784ad97b6f, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ab3a8a2d-714a-4beb-af8a-99bc3ac3ebbe, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c4e07c26-245d-3e51-6a47-fccde22334d2, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2ede12d7-421c-4580-93ad-289a5c616297, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=520c3783-b0fa-407b-8c4a-3830af32b8fa, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=706b09da-6cf9-421d-8e91-f3999474d322, labeling.pfizer.com/showlabeling.aspx?id=572, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d71471-8f89-4a1e-8c55-020a58961454, Bad Buzz: Metronidazole (Flagyl) and Alcohol. If you are sexually active, it's important to get tested for STIs often so you can receive proper treatment if you have an STI and don't realize it. Some sexually transmitted infections, like chlamydia and gonorrhea, can cause vaginal bleeding and brown discharge, says Mel Davis-Hall, GP, medical director at The Lowdown, a contraception prescription platform. She was diagnosed with ulcerative colitis at age 16. Why You Have UTI Symptoms After Taking Antibiotics - Verywell Health Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. I take birth control, missed 2 days, brown discharge started yesterday. The risk of meningitis typically goes away after treatment with metronidazole is stopped. started during yeast cream? Patients with complicated vulvovaginal candidiasis require more aggressive therapy. Systemic estrogen therapies are also available for patients with vasomotor symptoms.67 First-line nonhormonal treatment recommendations include vaginal lubricants and moisturizers; continued sexual activity should be encouraged.68, More research is needed to better characterize the cause and treatment of inflammatory vaginitis. We avoid using tertiary references. Select one or more newsletters to continue. Brown discharge could be a result of hormonal action. Call your doctor for medical advice about side effects. Metronidazole is an antibiotic that works by stopping the growth of bacteria. She explains. Generic drugs usually cost less than the brand-name version. Does Metronidazole Gel Cause Clumpy Discharge? - Problem Solver X Researchers say a high percentage of children are prescribed antibiotics they don't need. Metronidazole capsules and tablets are usually taken as a one-time dose (or divided into two doses on 1 day) or two to four times daily for up to 10 days or longer. And call your doctor right away if you have a seizure while taking metronidazole. Vaginitis: Diagnosis and Treatment | AAFP It can become and to become reinfected with the same vaginitis infection. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. This is the most serious warning from the Food and Drug Administration (FDA). DailyMed. Uterine fibroids are noncancerous growths in your uterus that can cause brown discharge and abnormal bleeding, Davis-Hall says. Often this breakthrough bleeding is old blood that is dark red/brown or even blackish looking. Vaginitis is characterized by vaginal symptoms, including discharge, odor, itching, irritation, or burning. Brown discharge after taking Metronidazole could be normal, although it is not listed as a common side effect. Metronidazole 0.75% gel, intravaginally twice weekly for four to six months, Topical azole therapy for seven to 14 days, Fluconazole, 150 mg orally every third day for three doses, Oral fluconazole (100 mg, 150 mg, or 200 mg) weekly for six months; consider topical treatment if oral is not feasible, Trial of metronidazole, 500 mg twice daily for seven days, Trial of metronidazole, 2 g daily for seven days, Consider susceptibility testing (contact Centers for Disease Control and Prevention), Trichomoniasis is a sexually transmitted infection that should be considered in women at risk who present with vaginitis symptoms (Table 29,14,16 ). (2012, June 1), Metrolotion- metronidazole lotion. Metronidazole Side Effects: Capsules, Gel, Alcohol, and More - Healthline This information is meant only as a guidelinealways consult a healthcare provider or pharmacist for complete information about prescription medications. All rights reserved. If you have trouble breathing, call 911. Spotting or brown discharge can also be a side effect of some types of hormonal birth control. National Library of Medicine. Brown discharge can happen at the beginning and end of your period because the blood oxidizes. still have bad odor? Ive had recurring yeast infection. cramps in your abdomen. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Each form has different side effects. Itching and/or burning can indicate a yeast infection.Jun 8, 2017 How long does the brown discharge last? HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If your Dr. prescribed metro gel to treat your BV, Brown discharge is VERY common while you're using it. How long does the white clumpy discharge last after using metronidazole?? Or it might be because the UTI is caused by a bacterial strain that's resistant to the . Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Is brown discharge after taking Metronidazole normal? Check with your healthcare provider if any of the following side effects continue or are bothersome: Check with your healthcare provider if you have any of the following side effects, which may be caused by hypersensitivity to the medication: Its not common, but some people experience a tingling in their hands and feet when taking Flagyl. These are all rare, however. Author disclosure: No relevant financial affiliations. (2014, April 22). Studies have shown a negative effect on quality of life in women with vaginitis, with some women expressing anxiety, shame, and concerns about hygiene, particularly in those with recurrent symptoms.38. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Meningitis: Meningitis is an inflammation of the membranes covering your brain and spinal cord. Metronidazole has been sold under brand names such as Flagyl, Metrogel Metrolotion or Noritate. Why am I having brown discharge after taking metronidazole? Our website services, content, and products are for informational purposes only. Symptoms can appear in this order: Stevens-Johnson syndrome is a medical emergency. thick, white vaginal discharge with no odor or with a mild odor Less common Burning on urination or need to urinate more often burning or irritation of the penis of the sexual partner feeling of vaginal pressure itching, pain, stinging, or redness of the genital area Some side effects may occur that usually do not need medical attention. To get you started, try asking these questions: Together, you and your doctor can help you treat your infection as safely as possible. Go back and see your gynecologist. finishing flagyl tonight. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Portions of this document last updated: April 01, 2023. This article was medically reviewed by Lauren Demosthenes, MD, OB-GYN, senior medical director at. These side effects may go away during treatment as your body adjusts to the medicine. Yeast can present with clumpy, white vaginal discharge to a watery, white discharge. (Sources: U.S. Centers for Medicare Services, FDA) Results are sorted by Date added. It is nothing to worry about. Extended-release drugs are released into the body slowly over time. It can be diagnosed when motile, flagellated protozoa are observed on saline microscopy (Figure 314 ). Now: I have been having a very thick white and brown slimy discharge. On the other hand, white thick discharge is also considered common and it should go away when your treatment stops. loss of appetite. Can bacterial vaginosis cause brown discharge? The generic name for this antibiotic is metronidazole, and it also may be sold under names such as Metrogel, Metrolotion, Noritate, Nuvessa, and Vandazole. Theyre both taken by mouth. The presence of brown discharge can indicate either cervical or endometrial cancer, Kimble says. But sometimes brown discharge can be a sign of an illness or infection that requires medical attention. other information we have about you. They may go away within a few days. Metronidazole is an antibiotic that works by stopping the growth of bacteria. This relieves the infection. By using our website, you consent to our use of cookies. The dosage of metronidazole (vaginal) is One 500 milligram (mg) tablet, inserted high into the vagina, once a day in the evening for 10 or 20 days. If theyre more severe or dont go away, talk to your doctor or pharmacist. Ive just started this bv meditation and just noticed my discharge is brown..ive never had brown discharge is this normal? Copyright AskYourPharm 2023| All Rights Reserved. They include some of the same side effects that the tablets and capsules can cause, such as cancer, peripheral neuropathy, and seizures. FLAGYL- metronidazole tablet, film coated [drug label]. Early miscarriage could also cause these symptoms. Some parts are stringy and some are just gross cottage cheesy (I see people say that on the internet). Last medically reviewed on October 11, 2016. The most common causes of vaginitis are bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Treatment of bacterial vaginosis is recommended for resolving symptoms, as well as reducing the risk of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, human immunodeficiency virus (HIV), and herpes simplex virus type 2 infections.37 Shifts in vaginal flora have been associated with increased risk of these infections, leading researchers to conclude that treatment of bacterial vaginosis may decrease susceptibility to these infections.38,39, First-line therapy includes seven-day courses of oral metronidazole (Flagyl), intravaginal metronidazole (Metrogel), or intravaginal clindamycin.9 No significant difference in effectiveness has been demonstrated among these regimens.40 Patient preference should be considered when choosing an agent. Atrophic vaginitis is treated with hormonal and nonhormonal therapies. These tests have a higher sensitivity than saline microscopy (95% to 100% vs. 51% to 65%9) and can be performed on endocervical, vaginal, or urine specimens, or on liquid-based Pap test samples. Check with your doctor to undergo thorough evaluation and find the real cause. They can include: Call your doctor right away if you have any of these symptoms. A red or brown color is usually a sign of blood in your discharge, and it can even range all the way to an almost-black hue. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Metronidazole (Uses, Dosage, Side Effects) - Drugs.com Am I at higher risk for certain side effects from metronidazole? Suzanne Fisher, RD, LDN, is a board-certified registered dietitian and licensed nutritionist. Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years experience in consumer-oriented health and wellness content. This is more likely with birth control methods that contain little to no estrogen as a lack of estrogen can cause the lining of the uterus to shed a little at a time. Metronidazole may cause side effects. It's been 5 days and I am still having the discharge. FLAGYL ER- metronidazole tablet, film coated, extended release. Missing an "active" bcp (not a placebo) will start withdrawal bleeding from the lowered estrogen level effect on the lining of the uterus. And you can decrease your risk of endometrial cancer by maintaining a healthy lifestyle of regular exercise and a nutritional diet. All information contained within this site including text, graphics, info graph, videos and any other material is to be used for educational purposes only and should NOT be substituted for professional medical advice. Will metronidazole pills make u have a white discharge? You'll need to g to brownish discharge or if you are discharging a little. She primarily covers stories related to healthcare policy, maternal mental health, parenting, and personal finance. Is Yellow Discharge After Taking AZO Urinary Pain Relief Normal? No studies were found on the cost-effectiveness of these newer tests compared with office-based testing. Complicated vulvovaginal candidiasis is defined as recurrent (four or more episodes in one year) or severe infections, or infections that occur in a patient who is immunocompromised, such as someone with AIDS or poorly controlled diabetes mellitus. Other signs of endometrial cancer include: Brown discharge is a less prevalent sign of cervical cancer but can occur, Kimble says. Might have a yeast: infection which may need to be treated.Yeast can present with clumpy, white vaginal discharge to a watery, white discharge. In general. Some birth control methods like IUDs or implants that release progestin can cause spotting, irregular menstruation, and brown discharge. All Rights Reserved. Severe allergic reaction: If youre allergic to metronidazole, you may have symptoms such as: Sometimes, allergic reactions can be serious and require medical attention. In the case of Metronidazole gel, the brown discharge could mean the same thing. Metronidazole (Flagyl) - MotherToBaby Less common: Numbness, tingling, pain, or weakness in hands or feet. Vaginal discharge is fluid secreted from tiny glands in the vagina and cervix. Flagyl may be used to treat infections occurring in the skin, reproductive organs, and the digestive tract. Nitroimidazole antimicrobials treat infections caused by bacteria and other organisms called protozoa. DZ DzooBaby 16 May 2014 This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. But if the spotting continues and bothers you, talk with your doctor about your options for switching to a birth control method without this side effect. Flagyl is also used to treat an infection in the digestive tract with a bacteria called Clostridioides difficile(formerly called Clostridium difficile, commonly called C. diff). They may prescribe a different drug for you instead. How to treat it: Both chlamydia and gonorrhea are treated with antibiotics, which can clear the infection within a couple weeks. Call your doctor if you have any unusual problems while taking this medication. FLAGYL- metronidazole capsule. information is beneficial, we may combine your email and website usage information with Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. std free. Brown discharge could be a result of hormonal action. In some cases, you may not experience any symptoms with these infections. Stevens-Johnson syndrome, Metrocream - metronidazole cream. These drugs are often used to treat similar conditions. It can also be diagnosed using antigen or DNA probe testing, with sensitivities of 77% to 97% and specificities of 77% to 99%, compared with culture as the diagnostic standard.3032 Women with vulvovaginal candidiasis have a normal acidic vaginal pH. however 3 weeks later symptoms are showing again. Type: Rx Drug METROGEL-VAGINAL (METRONIDAZOLE): This medication is used to treat certain types of bacterial infections in the vagina. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Metronidazole is a common antibiotic sold under the brand name Flagyl. All rights reserved. Menopause-related changes. Common treatment options include: The presence of brown discharge can indicate either cervical or endometrial cancer, Kimble says. Seizures: If you have a history of seizures, be sure to tell your doctor before starting metronidazole tablets or capsules. information highlighted below and resubmit the form. Learn how we can help 2.6k views Reviewed >2 years ago Thank Dr. Katharine Cox agrees 3 thanks A 26-year-old female asked: If you have a painful rash that spreads and blisters or shedding of the top layer of your skin, call 911 or go to the nearest emergency room immediately. No pain or itching around the vagina. Metronidazole extended-release tablets are usually taken once daily at least 1 hour before or 2 hours after a meal for 7 days. Vulvovaginal candidiasis is common during pregnancy. I was taking metronidazole for 5 days now i have a thick dark brown clumpy discharge i was also told i might have hpv is this normal or should i be? It's normal to have discharge every day. Tell your doctor if any of these symptoms are severe or do not go away: sharp, unpleasant metallic taste, furry tongue; mouth or tongue irritation. Mayo Clinic does not endorse companies or products. Often presents with white, gray, or yellowish cloudy discharge with a fishy odor. Pouchitis tends to occur more often in people who had the surgery to treat ulcerative colitis than in people who had the surgery to treat another condition in the colon, such as familial adenomatous polyposis (FAP). Typically, the symptoms occur in your hands and feet. Unfortunately, BV is not as well behaved when treated as other vaginal infections. Fishy odor; thin, homogenous discharge that may worsen after intercourse; pelvic discomfort may be present, Increased risk of HIV, gonorrhea, chlamydia, and herpes infections, White, thick, cheesy, or curdy discharge; vulvar itching or burning; no odor, Green or yellow, frothy discharge; foul odor; vaginal pain or soreness, Thin, clear discharge; vaginal dryness; dyspareunia; itching, Inflammation; thin, friable vaginal mucosa, Purulent vaginal discharge, burning, dyspareunia, Low socioeconomic status, vaginal douching, smoking, new or multiple sex partners, unprotected intercourse, women who have sex with women, Recent antibiotic use, pregnancy, uncontrolled diabetes mellitus, AIDS, corticosteroid use, other immunosuppression, Low socioeconomic status, multiple sex partners, other sexually transmitted infections, unprotected intercourse, drug use, smoking, Menopause, lactation, oophorectomy, radiation therapy, chemotherapy, immunologic disorders, premature ovarian failure, endocrine disorders, antiestrogen medications, Soaps, tampons, contraceptive devices such as condoms or diaphragms, sex toys, pessaries, topical products, douching, fastidious cleansing, medications, clothing, Sperm, douching, latex condoms or diaphragms, tampons, topical products, medications, clothing, atopic history, Positive whiff test (i.e., the amine odor produced by mixing 10% potassium hydroxide solution with vaginal discharge sample), Metronidazole (Flagyl), 500 mg orally twice daily for seven days, Tinidazole (Tindamax), 2 g orally once daily for two days, Metronidazole, 500 mg orally twice daily for seven days, Routine treatment of sex partners is not recommended, Topical azole therapy applied intravaginally for seven days, Routine treatment of sex partners is not recommended unless the partner is symptomatic, Metronidazole, 2 g orally, single or divided dose on the same day, Metronidazole, 2 g orally, single dose in any stage of pregnancy, Differentiate persistent or recurrent infection from reinfection, Concurrent treatment of sex partners is recommended, Clotrimazole 1% cream, 5 g intravaginally daily for seven to 14 days, Clotrimazole 2% cream, 5 g intravaginally daily for three days, Miconazole 2% cream, 5 g intravaginally daily for seven days, Miconazole 4% cream, 5 g intravaginally daily for three days, Miconazole 100-mg vaginal suppository, one suppository daily for seven days, Miconazole 200-mg vaginal suppository, one suppository daily for three days, Miconazole 1,200-mg vaginal suppository, one suppository for one day, Tioconazole 6.5% ointment, 5 g intravaginally in a single application, Butoconazole 2% cream (Gynazole-1, single-dose bioadhesive product), 5 g intravaginally in a single application, Terconazole 0.4% cream, 5 g intravaginally daily for seven days, Terconazole 0.8% cream, 5 g intravaginally daily for three days, Terconazole 80-mg vaginal suppository, one suppository daily for three days.
