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STD BACTERIAL VAGINOSIS: THE MEDICATION CHOSE AND SIDE EFFECTS
Which medication is chosen depends on the woman and her situation. She and her health care provider should discuss the treatment options, including a thorough discussion of the risks and benefits of each choice. Women who are pregnant are usually treated with lower dosages than nonpregnant women.
All medications have potential side effects. Topical creams generally have fewer side effects than oral medications. Metronidazole pills, for example, should not be taken with alcohol, since the combination can cause severe nausea and vomiting. If a woman will be consuming alcohol during her treatment, then topical treatment with either metronidazole gel or clindamycin cream is the preferred course. Metronidazole pills can also cause stomach upset and a metallic taste in the mouth. Clindamycin pills rarely cause a severe form of diarrhea called pseudomembranous colitis. In addition, clindamycin cream may weaken condoms and diaphragms made of latex.
Even with treatment of BV and the relief of symptoms, recurrences can occur, and treatment with an alternative medication is usually recommended if this happens. Women who have had BV once tend to have recurrences, and relapses way to help answer this question.
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