Metronidazole (Flagyl)
500 mg
Stop: Call 911 or get emergency help
Trouble breathing; face/lip/tongue swelling; blistering/peeling rash or mouth/eye sores; seizure; severe confusion or trouble walking; severe belly pain/hard belly; bloody vomit/black stools.
Seek medical help first
Use this information only if you are unable to contact your provider. Then, contact your provider as soon as possible.
What it may treat & how much to take
- 1
Bacterial vaginosis (BV)
Gray/white discharge; fishy odor after sex; little/no itch or burn. Both partners need treatment.
Take 1 tablet twice a day for 7 days.
- 2
Trichomonas (Trich)
Sexually transmitted infection with discharge, odor, itch, soreness, or burning. Both partners need treatment.
Women: 1 tablet twice daily for 7 days. Men: 4 tablets once.
- 3
Giardia
Foul watery diarrhea lasting more than 1 week; gas/burping/bloat; usually no fever.
Take 1 tablet twice a day for 5–7 days. Drink plenty of fluids.
- 4
Blood in stool or high fever
Loose stools with blood/mucus, high fever, bad cramps, or feeling very ill.
Get care ASAP. Do not use without provider advice.
- 5
Diverticulitis
Only if diagnosed before: lower-left belly pain, fever/chills, nausea, bowel changes, tender belly.
Take 1 tablet 3 times daily for 7 days AND ciprofloxacin twice daily. Contact your provider immediately.
How to take it
Take with food or water. Space doses evenly. Never double a missed dose.
Important information
NO ALCOHOL during treatment or for 3 days after. Trich partners need treatment; no sex until treatment is finished and symptoms are gone.
Common side effects
Metal taste; nausea/vomiting; appetite loss; cramps; diarrhea/constipation; headache/dizziness; dark urine; vaginal yeast infection.
Do not take if
Allergy to metronidazole or tinidazole; disulfiram in past two weeks; Cockayne syndrome.
Ask your provider or pharmacist first if
Liver/kidney disease; nerve problems/seizures; warfarin, lithium, phenytoin, phenobarbital, busulfan, or heart-rhythm medicines.
If pregnant or breastfeeding
Contact your provider. Treatment depends on infection and pregnancy stage. Tell your provider if breastfeeding.
