Bacterial Vaginosis
Antimicrobial prescribing: NHS Forth Valley
Oral metronidazole (MTZ) is as effective as topical treatment but is cheaper.
Less relapse with 7 day than 2g stat at 4 weeks.
Pregnant/breastfeeding: avoid 2g stat.
Treating partners does not reduce relapse.
Drug details
Oral metronidazole
400mg BD
7 days
OR 2g stat
ormetronidazole 0.75% vag gel
5g applicator at night
5 nights
or clindamycin 2% crm
5g applicator at night
7 nights