is miconazole good for bv?
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Metronidazole and miconazole are both used to treat different types of vaginal infections. Metronidazole is used to treat bacterial vaginosis and trichomonas vaginal infections, and miconazole is used to treat vaginal yeast infections.
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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). Metronidazole is also available as a topical gel that you insert into your vagina.
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This case demonstrates that treatment with boric acid administered intravaginally twice daily for 60 days can successfully eradicate infection with T. vaginalis.
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Yeast infections. Yeast infections usually are treated with an over-the-counter antifungal cream or suppository, such as miconazole (Monistat 1), clotrimazole, butoconazole or tioconazole (Vagistat-1). Yeast infections may also be treated with a prescription oral antifungal medication, such as fluconazole (Diflucan).
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A Drugs.com comparison gives tioconazole the upper hand. On a scale from 1 to 10, miconazole has an average rating of 2.8 out of over 3,000 user reviews. Tioconazole fairs a little better, its rating averaging at 4.2 based on over 1,500 reviews. It is generally more expensive than miconazole.
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Therefore, you should wait a total of 14 days (or two weeks) after you begin BV treatment to have sex.
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Antimicrobial treatments for bacterial vaginosis are effective, but taking lactobacillus tablets alongside metronidazole antibiotic therapy increases effectiveness over taking this antibiotic alone, according to a new review.
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Yes, BV is usually curable with prescription antibiotics that can help readjust the balance of bacteria in the vagina. Although some over-the-counter vaginal medications are sold, these are not effective for curing BV. Currently, only prescribed antibiotics are effective.
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Vaginal miconazole is available without a prescription (over the counter). If this is the first time you have had vaginal itching and discomfort, talk to a doctor before using miconazole.
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['Clotrimazole (Mycelex, Lotrimin AF)', 'Miconazole (Monistat 3)', 'Terconazole.']
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Boric acid is inexpensive, accessible, and has shown to be an effective treatment for other infections, such as vaginal candidiasis. To date, there has been no clinical trial evaluation of boric acid effectiveness to treat bacterial vaginosis.
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This medication is used to treat a certain type of vaginal infection (bacterial vaginosis). Secnidazole is an antibiotic that works by stopping the growth of bacteria.
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['Long-course vaginal therapy. Your doctor might prescribe an antifungal medication taken daily for up to two weeks, followed by once a week for six months.', 'Multidose oral medication. ... ', 'Azole resistant therapy.']
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For recurrent BV, I treat with standard metronidazole 500 mg orally twice daily for 7 days, then immediately start boric acid suppositories for 3 days in a row followed by 1 weekly for 6 weeks, and that usually takes care of it.
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Azole resistant therapy. Your doctor might recommend boric acid, a capsule inserted into your vagina. This medication may be fatal if taken orally and is used only to treat candida fungus that is resistant to the usual antifungal agents.
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['14-day cream, ointment, tablet, or suppository vaginal treatment.', 'two or three doses of fluconazole (Diflucan)', 'long-term prescription of fluconazole taken once a week for 6 weeks or long-term use of a topical antifungal medication.']
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Lotrimin (Clotrimazole) Compared to oral medications used to treat vaginal yeast infections, Monistat (miconazole) has less harmful interactions and side effects. This medication has many cheaper generic forms. Treatment with Monistat (miconazole) can be completed quickly in as little as 3 days.