Metronidazole is an antibiotic that may be used to treat certain infections of the vagina, stomach, liver, skin, joints, brain and spinal cord, lungs, heart, or bloodstream.

Metronidazole has been approved to treat:

Symptomatic trichomoniasis (a sexually transmitted infection) in adults that has been confirmed by culture or wet smear test
Asymptomatic trichomoniasis in females when associated with cervical changes, and in asymptomatic sexual partners
Amebiasis (an infection caused by a parasite) in adults and children
Anaerobic bacterial infections (infections caused by bacteria that do not need oxygen to survive).

Metronidazole is thought to work by first diffusing into the cytoplasm of the anaerobic bacteria where it is then activated and reduced into a short-lived nitroso free radical which can interact with DNA, causing a loss of the helical DNA structure, strand breakage, and bacterial death.

Metronidazole is well absorbed after oral administration, with peak concentrations being reached in one to two hours. Although it starts to work quickly, it may take a couple of days before you start to feel better or notice an improvement in your symptoms. It is important that you still finish the course of metronidazole that your doctor has prescribed, even if you feel better, because the infection may still be present, and it could flare up or recur if you haven’t finished the course.

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