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Metronidazole 400mg Tablets

Metronidazole 400mg Tablets

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Metronidazole 400mg tablets are antibiotics. Bacterial vaginosis is known to cause a change in the natural balance of bacteria living in the vagina. Metronidazole kills some of the extra bacteria that occur in BV and returns the balance of bacteria to normal. Metronidazole tablets may still be used for treating recurring bacterial vaginosis since it's not uncommon for BV to recur within three months after treatment.

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Metronidazole 400mg tablets are an antibiotic used to treat bacterial vaginosis (BV) and some other infections.

  • Short oral course
  • Treats bacterial vaginosis
  • Reviewed by UK-registered clinicians
  • Discreet, tracked delivery

What is Metronidazole 400mg Tablets?

What is Metronidazole 400mg?

Metronidazole is an antibiotic used to treat bacterial vaginosis (BV), a common vaginal infection caused by an imbalance of the bacteria that normally live in the vagina. BV can cause a thin grey or white discharge with a strong, fishy smell, which is often more noticeable after sex. Metronidazole is also used for some other bacterial and parasitic infections.

How does Metronidazole work?

Metronidazole works by damaging the DNA of the anaerobic bacteria that overgrow in BV, stopping them from multiplying. This allows the normal balance of vaginal bacteria to return and the symptoms to clear.

How to use Metronidazole 400mg Tablets

Always take Metronidazole exactly as your prescriber has instructed and read the patient information leaflet before use.

  • The usual course for BV is one 400mg tablet twice a day for 5 to 7 days.
  • Swallow the tablets whole with water, during or just after a meal.
  • Finish the full course, even if your symptoms clear sooner.
  • Do not drink alcohol during the course and for at least 48 hours after your last dose.
Possible side effects

Like all medicines, Metronidazole can cause side effects, although not everybody gets them. Common side effects include:

  • Feeling sick (nausea) or being sick
  • A metallic taste in the mouth
  • Diarrhoea or stomach discomfort
  • Darker urine

Stop taking the tablets and seek urgent medical help if you develop signs of a serious allergic reaction, such as swelling of the face or throat, difficulty breathing or a widespread rash.

Warnings and precautions

Tell your prescriber before taking Metronidazole if you:

  • Are pregnant, trying to get pregnant or breastfeeding
  • Have liver disease or a blood disorder
  • Have epilepsy or a nervous system condition
  • Take warfarin, lithium or other regular medicines

Drinking alcohol while taking Metronidazole can cause flushing, a fast heartbeat, nausea and vomiting.

What are the ingredients in Metronidazole 400mg Tablets?

Each tablet contains 400mg of the active ingredient metronidazole. For the full list of inactive ingredients, which can vary by manufacturer, please see the patient information leaflet supplied with your medicine.

Frequently asked questions

Everything you need to know about Metronidazole 400mg Tablets before you start.

How quickly does Metronidazole work for BV?

Many people notice their symptoms improve within 2 to 3 days. It is important to finish the whole course so the infection clears fully.

Can I drink alcohol while taking Metronidazole?

No. Avoid alcohol during the course and for at least 48 hours afterwards, as it can cause an unpleasant reaction including sickness and flushing.

Does my partner need treatment?

BV is not considered a sexually transmitted infection, so male partners do not usually need treatment. Female partners may sometimes be affected and should speak to a healthcare professional if they have symptoms.

What if my BV keeps coming back?

BV can recur. If you have it more than twice in six months, speak to our clinical team or your GP, as you may need a different treatment plan or further tests.

What if I miss a dose?

Take it as soon as you remember, unless it is nearly time for your next dose. Never take two doses at once to make up for a missed one.

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How it works

Throughout your treatment, the SwiftDoctor clinical team is available to support you, answer questions, and review your progress.

  • Step 1

    Complete your health questionnaire online in less than five minutes

    Takes less than five minutes. Answer a few straightforward questions about your health history, lifestyle, and goals — all from the comfort of your home, with no GP appointment needed. Add your desired medication to your basket and make payment.

  • Step 2

    A UK-registered clinician reviews your responses

    A UK-registered clinician personally evaluates your submission to ensure Mounjaro is safe and appropriate for you. Your health is never treated as a formality.

  • Step 3

    If eligible, your prescription is issued

    If you meet the clinical criteria, your prescription is approved and prepared without delay. No waiting rooms. No repeat visits. Just a clear, straightforward process.

  • Step 4

    Your medication is dispatched in discreet, temperature-controlled packaging directly to your address

    Your medication is dispatched in plain, temperature-controlled packaging — protecting both its integrity and your privacy. Straight to your address, on your schedule.

  • Dr S. Bano

    Dr Bano is a co-founder of SwiftDoctor. She is an experienced General Practitioner with a special interest in obesity management, medical education, and digital health. She qualified as a doctor from the University of Nottingham in 2011 and has since built a diverse and impactful career in both clinical and educational settings.

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  • Nasir Ali

    Mr Nasir Ali is a co-founder and the Superintendent Pharmacist at SwiftDoctor. He is a highly experienced Advanced Clinical Practitioner. With extensive experience in primary care, he has worked across GP surgeries and digital health clinics, bringing a deep understanding of both face-to-face and virtual models of care.

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  • Jane Eastwood

    I am a Registered Nurse with 23 years’ experience – I have worked extensively in New Zealand and in the UK and I currently work as an Advanced Clinical Practitioner in the General Practice setting and I have special interests in menopause, diabetes, general practice and the older adult.

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