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Metronidazole (Flagyl) Without PrescriptionMetronidazole is an antiprotozoal and antibacterial medication used in the treatment of infections caused by anaerobic bacteria and protozoa, including amebiasis, trichomoniasis, bacterial vaginosis, antibiotic-associated pseudomembranous colitis.
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Metronidazole is one of the most cost-effective treatments for bacterial vaginosis1. It is the standard prescription for trichomoniasis, a common sexually transmitted disease. Metronidazole is also a cost-effective antianaerobic component in the treatment of intra-abdominal and gynecologic infections. Since its introduction in the late 1980s, topical metronidazole (Metrocream, Metrogel, Metrolotion) has been considered a mainstay of rosacea treatment. It reduces the redness and the number of inflammatory lesions. Topical formulation is also effective alternative for seborrheic dermatitis. How to use
Precautions & Contraindications In women with trichomoniasis, Metronidazole is contraindicated during the first trimester of pregnancy. Avoid alcoholic beverages while taking this medication and for at least one day afterward, because severe stomach upset, nausea, vomiting, headache and flushing may occur. Do not take metronidazole if you have taken disulfiram within the last two weeks. Dosage Bacterial Vaginosis is a polymicrobial vaginal condition characterized by replacement of the normal vaginal flora with a Gardnerella vaginalis, anaerobes, and other bacteria. The standard oral dosage is 500 mg twice daily for 5 to 7 days. A 5-day regimen of intravaginal 0.75% gel MetroGel is also effective. Trichomoniasis in women causes unpleasant vaginal odor and heavy yellow-green discharge accompanied by vulvar irritation. Most infected men have no symptoms. Cure rates of 2 g single dose or 500 mg twice daily for 7 days regimens in trichomoniasis are about 90–95% of cases. The test-of-cure is not necessary if you do not have symptoms after the treatment or if you had no symptoms before. When a repeat prescription is required, a lapse of 4 to 6 weeks between courses is recommended. Metronidazole provides relief of symptoms, cures the infection, reduces transmission, and prevents reinfection. To achieve these goals, both sexual partners should be treated. It also is used for the treatment of trichomoniasis in children and adolescents. Amebiasis (acute intestinal amebiasis and amebic liver abscess): 750 mg 3 times daily for 10 days. References
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