Bacterial Vaginosis

The usual dose is one applicator full (approx 5 grams), which should be placed into the vagina each night at bedtime for seven consecutive nights.

Always wash your hands before using the cream.

Insertion:

Remove the cap from the tube.

Screw one of the disposable plastic applicators supplied on to the tube where the cap has been removed.

Holding the tube from the bottom, squeeze gently and force the cream into the applicator.

When the plunger stops moving, the applicator is full.

Unscrew the applicator and replace the cap on the tube.

Lie on your back, firmly grasp the applicator barrel, and insert gently into the vagina as far as possible without causing discomfort.

Still holding the barrel, slowly push the plunger until it stops and all the cream has been expelled.

Carefully withdraw the applicator and dispose of it.

It is preferable to wrap it in paper before disposal in a waste container.

Do not try to flush it down the toilet.

Wash your hands well after applying the cream.

• If you are allergic to clindamycin, lincomycin or any of the other ingredients of this medicine

• If you suffer with a history of inflammatory bowel disease or antibiotic-associated colitis.

Very common side effects (affecting more than 1 in every 10 patients):

• Vaginal thrush (a yeast infection that causes soreness and itching around the vulva and vagina)

Common side effects (affecting less than 1 in every 10 patients):

• Fungal infection (candida), can cause red, itchy rashes

• Headache, dizziness

• Change to sense of taste

• Cough, cold, sore throat

• Stomach-ache

• Difficulty or delay emptying bowels

• Diarrhoea

• Feeling sick (nausea)

• Vomiting

• Itchy skin

• Rash .

• Back pain

• Urinary tract infection: bacterial infection of the urinary system, symptoms may include pain or burning while passing urine, needing to pass urine suddenly or more urgently than usual, needing to pass urine more often than usual during the night, urine looking cloudy, has a strong smell or blood in urine, lower tummy pain, back pain or pain under ribs

• Increased levels of sugar and protein in the urine, signs may include urinary infections, foamy or frothy appearance of urine

• Abnormal labour

• Vaginal pain and swelling

• Abnormal bleeding, pain, or stress during your period (menstrual disorder)

• Vaginal discharge

Uncommon (affecting less than 1 in every 100 patients):

• Bacterial infection

• Over-reaction of immune system (hypersensitivity)

• A sensation of whirling and loss of balance

• Nosebleed

• Upset stomach

• Bad breath

• Passing wind

• Reddening of the skin

• A nettle-like rash, hives

• Painful urination

• Vaginal infection 

• Pelvic pain

• Abnormal laboratory test results

Frequency not known, but may also occur:

• White discharge or patches usually within folds of skin with itching, irritation and sometimes soreness (Fungal infection (‘candida’) of skin)

• Overactive thyroid gland which can cause increased appetite, weight loss or sweating

• Bowel disorders

• Inflammation of the lining of the large intestine causing severe diarrhoea with blood in stools (pseudomembranous colitis)

• Indigestion • Rash with red spots • Pain in women’s lower tummy or back, usually worse during a period (endometriosis)

• Body pain

• Swelling

Metronidazole Tablets

Metronidazole Vaginal Cream 

https://www.medicines.org.uk/emc/files/pil.1080.pdf