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Metronidazole
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Metronidazole is a potent nitroimidazole antibiotic featuring the active ingredient metronidazole, used primarily to treat bacterial vaginosis (BV), dental abscesses and pelvic inflammatory disease by eliminating anaerobic bacteria and certain parasites.
- Targeted treatment for internal infections, including BV and gum disease
- Available in 400mg tablets for 5 to 7-day courses or high-strength single doses where appropriate
- Most patients notice a significant reduction in symptoms like odour or pain within 48 hours
- Prescribed by UK clinicians and dispensed from our registered pharmacy.
More information
Metronidazole is an antibiotic used for tackling anaerobic infections. It is most commonly prescribed for bacterial vaginosis (BV), trichomoniasis and acute dental infections such as abscesses or infected gums. It is highly effective at restoring the natural bacterial balance, though it is critical that patients finish the entire course and strictly avoid alcohol for at least 48 hours after their final dose to prevent a severe reaction.
— Rachael Clarke MRCPharm MFRPSI FRSPH (GPHC Number: 2061366)You can buy Metronidazole through our convenient online consultation process, which involves a short medical questionnaire reviewed by a registered UK prescriber. Once your consultation is approved, your medication is dispensed and shipped directly from our registered pharmacy (GPHC Number: 9011560) in discreet, plain packaging to ensure your privacy.
Metronidazole pricing is competitive and includes the cost of your clinical review and private prescription. For those with a valid NHS prescription, standard UK prescription charges apply through our NHS fulfillment service.
We offer various delivery options to suit your needs, including tracked next-day delivery for urgent treatments like dental abscesses. All orders are sent in unmarked packaging, and you will receive a tracking link as soon as the pharmacy dispatches your medication.
Metronidazole is a versatile antibiotic used to treat bacterial and parasitic infections caused by anaerobic organisms that do not require oxygen to grow. It is most frequently used for bacterial vaginosis (BV), dental infections, trichomoniasis and rosacea flares. According to the NHS, it is also effective for infected insect bites, skin ulcers, and certain types of pelvic inflammatory disease (PID).
The active ingredient in this medication is metronidazole, which belongs to the nitroimidazole class of antibiotics. Depending on the brand, the tablets may also contain inactive ingredients (excipients) such as povidone, magnesium stearate and maize starch.
Many users report that Metronidazole works quickly, with symptoms like the "fish" odour of BV or the throbbing pain of a dental abscess improving within 1 to 3 days. However, a common feedback point is the temporary metallic taste in the mouth and the strict necessity to avoid alcohol, as even small amounts can cause significant nausea.
Every box of Metronidazole includes a Patient Information Leaflet (PIL) which contains comprehensive safety data and usage instructions. You should read this document thoroughly before starting your course to understand the full list of potential interactions and side effects.
Metronidazole works by entering the bacterial cells and disrupting their DNA synthesis, which prevents the bacteria from replicating and eventually kills them. This mechanism is specifically targeted at anaerobic bacteria, which are often the cause of infections in "hidden" areas like the gums, the vagina, or the gut.
You should swallow Metronidazole tablets whole with a glass of water, ideally during or just after a meal to reduce the risk of stomach upset. It is vital to space your doses evenly throughout the day and to finish the entire course, even if you feel better after the first few tablets, to prevent antibiotic resistance.
The dosage of Metronidazole depends on the condition being treated and your medical history.
| Condition | Standard Adult Dosage | Typical Duration |
|---|---|---|
| Bacterial Vaginosis (BV) | 400mg twice daily | 5 to 7 days |
| Dental Infections | 400mg three times daily | 3 to 7 days |
| Trichomoniasis | 2g single dose (or 400mg twice daily) | 1 to 7 days |
Common side effects of Metronidazole include a metallic taste in the mouth, nausea, and digestive upset. While most people tolerate the medication well, you should be aware of the following potential reactions:
- Common: Furry tongue, loss of appetite, and darkened urine (this is harmless).
- Rare: Dizziness, drowsiness, or blurred vision. If these occur, do not drive or use machinery.
- Serious: Yellowing of the eyes/skin (jaundice) or severe stomach pain, which require immediate medical attention (NHS 111).
The most important precaution when taking Metronidazole is the strict avoidance of alcohol during the course and for 48 hours after finishing. This is because metronidazole prevents the breakdown of alcohol, leading to a "disulfiram-like reaction" characterised by intense vomiting, hot flushes, and palpitations. Additionally, tell your prescriber if you have liver problems or are taking blood-thinning medications like Warfarin.
Metronidazole is considered a first-line treatment for BV in the UK, often compared to Clindamycin or Zidoval gel. While topical gels may have fewer systemic side effects, oral Metronidazole tablets are often preferred for their high efficacy and lower cost.
Can I drink alcohol while taking Metronidazole?
No, you must not drink alcohol while taking this medication or for 48 hours after your last dose. Doing so can cause a severe reaction including nausea, vomiting, and a pounding heartbeat.
How long does Metronidazole take to work for BV?
Most women notice an improvement in BV symptoms, such as unusual discharge and odour, within 2 to 3 days of starting treatment, though the full 7-day course is usually required to clear the infection completely.
Can I take Metronidazole while pregnant?
Metronidazole is generally considered safe during pregnancy when prescribed by a doctor, but high-dose "stat" treatments are usually avoided. Always consult your GP or midwife before taking antibiotics while pregnant.
Does Metronidazole treat UTIs?
Metronidazole is not typically used to treat standard urinary tract infections (UTIs) as these are usually caused by aerobic bacteria like E. coli. It is, however, used for "vaginal infections" like BV which can sometimes be confused with UTI symptoms.
The information provided on this page is for general informational purposes only and should not replace seeking advice from a medical professional. Always consult with a doctor or pharmacist for personalised medical advice regarding your specific health condition and treatment options.
Our content is regularly reviewed by our team of medical experts and GPhC-registered pharmacists to ensure it remains up to date, accurate, and aligned with the latest clinical guidelines from the NHS, BNF, and NICE.
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