Metronidazole 0.75% Vaginal Gel Prescribed Online

Metronidazole vaginal gel is an antimicrobial prescribed to treat vaginal infections, including bacterial vaginosis.¹

Metronidazole comes as a gel to be used in the vagina. Metronidazole is usually used as a single dose at bedtime or once daily for five consecutive days at bedtime. Metronidazole is also used twice daily for five days. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use metronidazole exactly as directed. Do not use more or less of it, or use it more often than prescribed by your doctor.

Be careful not to get metronidazole gel in your eyes, mouth or on your skin. If you do get it in your eyes, wash them with cool water and contact your doctor.

Do not have vaginal intercourse or use other vaginal products (such as tampons or douches) during your treatment with the vaginal gel.

Metronidazole gel for the vagina comes with a special applicator. Read the instructions provided with it and follow these steps:

• Fill the special applicator that comes with the gel to the level indicated.

• Lie on your back with your knees drawn upward and spread apart.

• Gently insert the applicator into your vagina and push the plunger to release all the medication.

• Withdraw the applicator and dispose of it properly. If you are instructed to reuse the applicator, wash it with soap and warm water.

• Wash your hands promptly to avoid spreading the infection.

Metronidazole vaginal gel must be taken for the full prescribed course of treatment to ensure the best outcome. Symptoms may improve after a few days, but keep taking the medication until you have completed the full course.²

Always follow the instructions of your prescriber. Most commonly, metronidazole vaginal gel is applied once at bedtime.³

Metronidazole vaginal gel is available by prescription only. It is not available over the counter.⁴ You can buy metronidazole vaginal gel online through RedBox Rx if prescribed. Start a low-cost $39 online consult for bacterial vaginosis to see if metronidazole vaginal gel is right for you.

Metronidazole 0.75% vaginal gel is available for $35 per treatment (one 70 g tube with applicator) through RedBox Rx. No insurance required. Start a low-cost $39 online consult for bacterial vaginosis to see if metronidazole vaginal gel is right for you.

• Tell your doctor and pharmacist if you are allergic to metronidazole, secnidazole (Solosec), tinidazole (Tindamax), any other medications, parabens or any of the ingredients in metronidazole topical preparations. Ask your pharmacist for a list of the ingredients.

• Tell your doctor if you are taking or have taken disulfiram (Antabuse). Your doctor may tell you not to use metronidazole if you are taking disulfiram or have taken it within the past two weeks.

• Tell your doctor and pharmacist what prescription, nonprescription medications, vitamins, nutritional supplements and herbal products you are taking or plan to take. Be sure to mention any of the following: anticoagulants (blood thinners) such as warfarin (Coumadin, Jantoven) and lithium (Lithobid).

• Tell your doctor if you have or have ever had a central nervous system condition (diseases of the spinal cord or brain) or a blood disease.

• Tell your doctor if you are pregnant, plan to become pregnant or are breastfeeding. If you become pregnant while using metronidazole, call your doctor.

• Do not drink alcoholic beverages. or take products with alcohol or propylene glycol while using this medication and for at least three days after your final dose. Alcohol and propylene glycol may cause nausea, vomiting, stomach cramps, headache, sweating and flushing (redness of the face) when taken with metronidazole.

It is not advised to have sexual intercourse while using metronidazole vaginal gel. Wait until you have finished the full course of prescribed treatment and are symptom free.⁵

If you miss a dose of metronidazole vaginal gel, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double dose.⁶

Side effects of metronidazole vaginal gel include:

• Stomach discomfort.

• Unusual taste.

• Headache.

• Nausea.

• Diarrhea.

• Vomiting.

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Do not freeze or refrigerate it.

It is important to keep all medication out of sight and reach of children, as many containers (such as weekly pill minders and those for eye drops, creams, patches and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away, and out of their sight and reach.

Unneeded medications should be disposed of in special ways to ensure that pets, children and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community.

If you think you have overdosed on metronidazole vaginal gel, call 911 or Poison Control immediately.⁷

Keep all appointments with your doctor.

Before having any laboratory test, tell your doctor and the laboratory personnel that you are using metronidazole vaginal gel.

Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription. If you still have symptoms of infection after you finish the metronidazole, call your doctor.

It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Brand names for metronidazole vaginal gel include:

• MetroGel® Vaginal

• Nuvessa®

• Vandazole®

• Metronidazole tablet

1. National Library of Medicine

2. Mayo Clinic

3. National Library of Medicine

4. Mayo Clinic

5. National Library of Medicine

6. Mayo Clinic

7. Cleveland Clinic