Metronidazole is currently the first-line drug of choice for the treatment of G. vaginalis and its related infections because of its effectiveness not just against G. vaginalis but also against anaerobes. It can be administered orally, parenterally and intravaginally as gel or sponge.
What is the best treatment for Gardnerella?
Metronidazole and clindamycin are the preferred medications used to treat Gardnerella infections.Jan 28, 2022
What is first-line treatment for bacterial vaginosis?
Metronidazole monotherapy – For patients with recurrent BV, we first prescribe metronidazole gel 0.75% or an oral nitroimidazole for 7 to 10 days followed by twice-weekly dosing of metronidazole gel for more than three months (we treat for four to six months) [4].Jan 12, 2022
What is the most effective treatment for BV?
Metronidazole — Metronidazole vaginal gel is one of the most effective treatments; it is applied inside the vagina at bedtime for five days. Metronidazole can also be taken in pill form, 500 mg twice daily for seven days. The choice of pill versus vaginal gel depends upon the woman's preference.Mar 31, 2021
Does Gardnerella require treatment?
Asymptomatic Gardnerella colonization does not need to be treated as nearly 30% of cases resolve spontaneously. All symptomatic patients need treatment but despite treatment, recurrences are common. These patients need to be followed by the nurse practitioner until all symptoms have disappeared.Aug 7, 2021
What does Megasphaera 1 mean?
LP140228-0 Megasphaera sp type 1. Bacterial vaginosis (BV) is the most common vaginal infection, occurring when there is an overgrowth of anaerobic bacteria in the vagina.
What is metronidazole used for?
Metronidazole capsules and tablets are used to treat infections of the reproductive system, gastrointestinal (GI) tract, skin, heart, bone, joint, lung, blood, nervous system, and other areas of the body. Metronidazole capsules and tablets are also used to treat sexually transmitted diseases (STDs).Dec 15, 2017
What antibiotics treat BV?
To treat bacterial vaginosis, your doctor may prescribe one of the following medications:
- Metronidazole (Flagyl, Metrogel-Vaginal, others). This medicine may be taken as a pill by mouth (orally). ...
- Clindamycin (Cleocin, Clindesse, others). ...
- Tinidazole (Tindamax). ...
- Secnidazole (Solosec).
Jul 21, 2021
How do you treat BV with metronidazole?
Metronidazole — Metronidazole vaginal gel is one of the most effective treatments; it is applied inside the vagina at bedtime for five days. Metronidazole can also be taken in pill form, 500 mg twice daily for seven days. The choice of pill versus vaginal gel depends upon the woman's preference.Mar 31, 2021
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.
Should BV be treated in first trimester?
Treatment with antibiotics for BV is safe for your baby during pregnancy, and it may help reduce your risk for STIs. If you have BV: Take all your medicine exactly as your provider tells you to. Take all of it even if you have no signs or symptoms.
What antibiotics treat BV while pregnant?
What are the treatment options for bacterial vaginosis during pregnancy? Antibiotics such as metronidazole (aka Flagyl), clindamycin, and tinidazole are often prescribed and will destroy some of the bacteria that cause symptoms of bacterial vaginosis.
How is Gardnerella treated in men?
Gardnerella vaginalis is a rare cause of symptomatic urethritis and prostatitis in sexually active men. There are limited cases in the literature and few treatment recommendations. Treatment with metronidazole or clindamycin of both sexual partners may provide resolution of symptoms in these men.