metronidazole, miconazole 507
metronidazole (Flagyl, Methoprotostat, Metro, Metroxyn, Satric) CAUTION
Metronidazole is used for vaginal infections caused by yeast and trichomonas. It is also effective against
some bacteria and amebic dysentery (see Where There Is No Doctor).
In what forms
does this
medicine
come?
Tablets: 200, 250, 400, or 500 mg
Inserts: 375, 500 mg
For injection into vein: 500 mg
in 100 ml
How much and
when to take
For PID: Take 400 to 500 mg
by mouth 3 times a day for
14 days (take in combination
with other drugs, see page 275).
For infection after childbirth: Take 400 to 500
mg by mouth 3 times a day for 10 days (take in
combination with other drugs, see page 97).
For mild vaginal infections: Put one 500 mg insert in
the vagina 2 times a day for 5 days.
For trichomonas or bacterial vaginosis: Take 2 grams
by mouth 1 time only, but not if you are pregnant.
If you are pregnant: Take 400 to 500 mg by mouth
2 times a day for 7 days (to treat abnormal
discharge with or without an STI, see drug
combinations on pages 266 and 268).
For serious infection after abortion or childbirth: Give
500 mg by mouth 3 times a day or inject 400 to
500 mg into a vein 3 times a day (see treatment
combinations recommended on pages 256 and 257
for abortion and page 97 for childbirth).
For bloody diarrhea without fever: 500 mg
3 times a day for 7 days.
For tetanus: 7.5 mg/kg 4 times a day for 10 days.
For fever during childbirth: Take 400 to 500 mg by
mouth 3 times a day. Also take ampicillin.
Who should
not take this
medicine?
Side
effects
Warning
People with liver problems
like jaundice (yellow eyes).
Metallic taste in mouth,
dark urine, upset stomach
or nausea, headache.
Stop taking it if you feel numb.
If you are in the first 3 months
of pregnancy, try not to use
this medicine. If you must, do
not take the one large dose
during pregnancy. But if you are
breastfeeding, the one large dose
is the safest way to take it.
Information you
should know
Your sexual par tner should
also be treated. Do not
drink alcohol, not even 1 beer,
while you are taking
metronidazole. It will make
you feel very nauseous.
Other
medicines
that may
work
for bacterial vaginosis and
trichomonas: clindamycin,
tinidazole
miconazole (Daktarin, Fungtopic, Micatin, Monistat)
CAUTION
Miconazole is an anti-fungus medicine used to treat vaginal yeast and other fungus infections.
In what
forms does
this medicine
come?
How much and
when to take
Who should
not take this
medicine?
Cream: 2%, 4%
Inserts: 100 mg,
200 mg, and 1200 mg
Side
effects
For yeast infections:
Cream: put 5 g in the vagina
every night for 7 days.
100 mg inserts: put 1 in the
vagina every night for 7 days.
200 mg inserts: put 1 in the
vagina every night for 3 days.
Women in the first
3 months of pregnancy.
Warning
Other medicines
that may work
Irritation
If miconazole irritates you,
stop using it. Avoid having
sex for 3-4 days so you do
not pass it to your par tner.
Keep it out of your eyes.
for yeast infections: nystatin,
clotrimazole, fluconazole,
gentian violet or ketoconazole
Where Women Have No Doctor 2012