Bacterial vaginosis is one of the common diseases in women which is caused by too many bacteria that imbalance the beneficial bacteria in the vagina. It is not sexually transmitted disease (STD) but can cause the expose to a sexually transmitted infection or be harmful to your immune system. This kind of infection leads to some persistent symptoms, vaginal odor, often with a fishy smell.
Sometimes bacterial vaginosis disappears without treatment, but the treatment with antibiotics in the early stages of the disease is going to help you prevent getting a serious infection afterward or chronic inflammation. Metronidazole and clindamycin in cream are commonly used to deal with this condition.
Treatment of choice to cure bacterial vaginosis:
Metronidazole 0,75% cream, one full applicator 5g intravaginally twice daily for 5 -7 days.
•It works by killing the problem bacteria causing bacterial vaginosis symptoms
•Do not use metronidazole to pregnant women before the 4th month of pregnancy.
•Side effects: redness, dryness, burning, itching, or tingling sensation. Contact the doctor immediately if you have any of the following symptoms: abdominal pain, fever, foul-smelling vaginal discharge.
•Drug interactions: Anticoagulants (ex: warfarin) may enhance the risk of side effects when combining with metronidazole.
•Do not drink while using the vaginal cream. Alcohol can cause abdominal pain, vomiting, abdominal pain, headache, sweating, blushing.
•In case of allergy or intolerance to any ingredient in metronidazole, clindamycin cream is preferred.
Clindamycin (Dalacin) cream is another choice for destroying the vaginal bacteria by inserting into the vagina.
•Clindamycin 2% vaginal cream, one applicatorful (5g) at bedtime for 3-7 days.
•The most common adverse effect is itching or irritation.
•Up to now, there is no evidence show that this medicine hazard to the fetus, but it is recommended not to use it for pregnant. Some doctors only use oral medication instead of vaginal administration.
What to do before using vaginal cream?
•Have a clear diagnosis of the doctors about your disease condition as well as their prescriptions. Let them know if you are pregnant, breast-feeding or planning to get pregnant. Other co morbidities or current medications are also important to doctor’s decision making.
•Get the notification about the allergic reaction, side-effects or some kinds of problems from your doctors. There always have a manufacturer’s printed information leaflet from inside the pack that can help you get more information about the medicine and the way to utilize it, so you should read it carefully before getting down to treatment.
•After all, do exactly as what your doctor told you like the dose or route of administration. If you forget to use the cream, use it as soon as possible. If you forget until the following day, use the cream as normal for your next dose.
How to use vaginal cream?
•Applying vaginal cream is simple and easy. Six main steps are listed below.
•Cleanse your vagina. Wash your hands first then wash your vaginal area before applying the cream. Use cotton to dry it.
•Prepare the cream. Gently squeeze the tube to fill the applicator with the correct dosage. Do not screw the tube too tight after taking the proper number of cream because it will be harder to open it next time.
•Position your body. Stand up while putting one foot up on a platform. Make yourself comfort with your vaginal opening.
•Insert the applicator. Use one hand to separate the lips of your vulva while the another hand places the applicator into your vaginal opening. Then insert it gradually by pressing slowly the plunger completely.
•Dispose of the applicator. Remove and dispose it. If it is reusable applicator, you should wash and dry it.
How to store?
Keep medications in a sealed box, out of reach and sight of children.
Store at room temperature, dry place, avoid direct heat and light.
Notice: Keep your vaginal area clean and dry and practice safety sex is recommended to reduce the infected risk.