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Metronidazole

Bacterial Vaginosis|Active ingredient(s): Metronidazole|Manufacturer: Various

A smiling young woman sitting on a couch

Targeted relief from BV and trichomoniasis within 7 days

  • Kills infectious cells directly at the source
  • Symptom relief usually felt within days
  • Treats bacterial and parasitic infections
  • Helps restore healthy vaginal flora
  • 400 mg tablets taken twice daily

How to use

A woman taking a tablet with a glass of water

Take your tablets

Take one 400 mg tablet twice a day; once in the morning and once in the evening.

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Avoid alcohol

Make sure not to drink any alcohol for at least 2 days after taking your last tablet.

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Complete the full course

Finish the entire course you’ve been prescribed, even if symptoms improve before then.

What others say about Metronidazole

Trustpilot review
23 reviews with score 4.9

Quality healthcare
made easy

Price is all-inclusive.
Consultation is included.
Prescription is included.

Free shipping.
UK: Free next-day delivery.
Discreet packaging.

Licensed doctors.
Registered pharmacies.
Certified online pharmacy.

Metronidazole

What is Metronidazole and what is it used for?

Metronidazole is a prescription medicine used to treat a wide range of bacterial and parasitic infections, including bacterial vaginosis (BV), and trichomoniasis. It can come in the form of tablets, suppositories, vaginal gels, skin creams, or drinkable liquids.

Metronidazole tablets are the most common treatment for BV or trichomoniasis, and are available from 121doc in a dosage of 400 mg, after a short online consultation.

How does Metronidazole work?

Metronidazole is an antibiotic medicine that works by targeting bacteria and parasites and stopping them from growing. It does this by entering harmful cells and damaging DNA strands that allow them to multiply. With growth prevented, these cells eventually die out, allowing your body to clear the infection.

How effective is Metronidazole?

Metronidazole 400 mg tablets are highly effective in the treatment of bacterial vaginosis and trichomoniasis, as shown by clinical trials:

How long will it take for Metronidazole to work?

Whether you’re taking it for bacterial vaginosis or trichomoniasis, Metronidazole should start to reduce symptoms within a few days. However, it can take up to 7 days before your infection is completely cured. It is also important to take your medicine for the entire course your doctor prescribes, even if symptoms improve before then. If you stop treatment early, you risk your infection coming back even stronger than before.

What if I miss a dose?

If you forget to take one of your tablets, take it as soon as you remember. However, if it’s almost time to take your next dose, then skip the missed one and take your next one at the usual time. Do not take two tablets in one day to make up for a missed dose.

Can I use Metronidazole?

To be prescribed Metronidazole for BV or trichomoniasis, you must be over 18 years old, and you must complete a short online consultation for one of our doctors to review.

Do not take Metronidazole if you are allergic to any of the ingredients found in this medicine. Additionally, your doctor may decide treatment is unsafe if you:

  • have ever had liver problems
  • are having kidney dialysis
  • have a nervous system disease
  • are pregnant or breastfeeding

What side effects of Metronidazole could I get?

Taking Metronidazole can cause some side effects, although it is generally well-tolerated. The most common Metronidazole side effects are:

  • nausea or vomiting
  • diarrhoea
  • a metallic taste in your mouth
  • skin problems

This is not an exhaustive list. For a full list of side effects, including more serious ones, consult the patient information leaflet.

How long does Metronidazole stay in your system?

Metronidazole stays in your system for roughly 40-56 hours. The time it takes for half the medicine to leave your system (the half-life) is around 8 hours.

Can Metronidazole make me tired?

Tiredness is not a common side effect of Metronidazole, but it can happen in very rare cases because of a blood problem. If you feel extreme tiredness after taking Metronidazole, it’s important to seek medical help immediately.

Can I drink alcohol while taking Metronidazole?

No, you should not drink alcohol when taking Metronidazole and for 48 hours afterwards, as it can make side effects worse and interfere with treatment. In some cases, it can also cause a disulfiram-like reaction; a severe physical reaction from alcohol and antibiotics that can cause headaches, nausea, vomiting, and dizziness.

Can I take paracetamol with Metronidazole?

Yes, over-the-counter painkillers like paracetamol and ibuprofen are usually safe to take with Metronidazole, as long as you follow the dosage guidelines for both medications. Tell your doctor about any medicines you regularly take alongside Metronidazole in your consultation.

Can you take Metronidazole and Amoxicillin together?

While technically you can take Metronidazole and Amoxicillin together, you should only do so under a doctor’s supervision. Many healthcare providers prescribe both together to more effectively treat bacterial or parasitic infections, although Metronidazole alone is usually enough to effectively treat bacterial vaginosis or trichomoniasis.

Can I take Metronidazole while pregnant or breastfeeding?

No. Metronidazole should not be taken when pregnant unless your doctor deems it absolutely necessary. In most cases, an alternative treatment will be prescribed for your infection. As for breastfeeding women, Metronidazole should not be taken at the same time, as small amounts of the medicine can pass into breastmilk.

Are there any foods I should avoid while taking Metronidazole?

Apart from alcohol, you can usually eat and drink like normal while taking Metronidazole. However, it is generally advised to maintain a healthy diet and drink plenty of water to give your body the best chance at fighting the infection fast.

Can I buy Metronidazole over the counter?

No, you cannot buy Metronidazole tablets without a prescription from a licensed healthcare provider. Safety is our number one priority at 121doc, and our doctors will only prescribe treatment if you meet the criteria in your online consultation.

A prescription from a trusted healthcare provider like 121doc ensures:

  • safety during treatment
  • effective results
  • monitoring of side effects

To see if you’re eligible for treatment, all you have to do is complete a short online consultation. If approved by our medical team, your treatment will be delivered direct to your door in discreet packaging.

Medical review byDr. Caroline FontanaLast review 24 April 2026
Dr. Caroline Fontana

Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

Metronidazole Overview

Type of medicine Antibiotic
Used for Bacterial vaginosis, trichomoniasis
Active ingredient Metronidazole
Works by Damaging the DNA of harmful bacteria and parasites, causing them to die
Effective within A few days for symptom relief, but needs to be taken for the full 7-day course
Available as Tablets
Available dosage(s) 400 mg
Usage instructions Take a 400 mg tablet twice a day for 5-7 days
Packaging Blister packs containing 14 tablets
Manufacturer Various
Branded available? No
Storage Store below 25°C in the original packaging

FAQs

What is included in the online consultation?
Will a doctor review my consultation?
What happens after I submit my order?
What services are included with my order?
Is the price all-inclusive?
What are my delivery options?
Is it safe to buy prescription medication online?
Is this service discreet?
What is included in the online consultation?

Our online consultations are in the format of short medical questionnaires. You will be asked general questions about your health and medical history, as well as specific medical questions relevant to the treatment you have chosen. We will also ask you for your payment and delivery details to complete the order.

Online consultations take no longer than 5 minutes to complete. All questions are necessary when issuing prescription medicines. It means that our doctors can make sure the treatment is safe and right for you.

Will a doctor review my consultation?

Yes, it is a legal requirement that all online consultations are reviewed by a registered doctor. This is to make sure the chosen treatment is safe and right for you to take. All personal information is stored securely and confidentially.

Please note, all orders are subject to doctor approval, and we cannot guarantee that your order will be approved.

What happens after I submit my order?

Your online consultation will be sent directly to our medical team, where it will be reviewed by on of our in-house doctors.

If a doctor approves you for treatment, they will issue a prescription. Your prescription will then be forwarded to our pharmacist, where you medication will be dispensed and dispatched for delivery.

What services are included with my order?

Every order includes:

  • Free consultation - your consultation will be personally reviewed by one of our registered doctors.
  • Free prescription - a doctor will issue you a prescription if approved for treatment.
  • Free delivery - we provide free express delivery across Europe, you should receive your order in 1-2 working days.
Is the price all-inclusive?

Yes, our service is all-inclusive and there are no hidden fees. All 121doc orders include a free online consultation, a free prescription and free express delivery.

What are my delivery options?

We offer several delivery options at no extra charge:

  • Next-day delivery
  • UPS Access Point - convenient parcel drop-off and collection near your home or work address
  • Nominated-day delivery - choose the most convenient day for delivery

All these options can be tracked and require a signature on delivery. If you are not in, a friend or relative can sign in your place.

Is it safe to buy prescription medication online?

It is safe to buy prescription medications online from genuine and reputable healthcare providers, like 121doc.

Our medical staff and facilities are registered with the relevant medical governing bodies. We also ensure your data is protected by adhering to European data privacy laws.

You can learn more about our certifications here.

Is this service discreet?

Our patients’ privacy is of utmost importance. All your medical information is securely stored and only viewed by our doctors. We do not share your details with third-parties. We are also closely adhere to data privacy laws.

All orders will only show on invoices, bank statements, etc. as ‘HHC Ltd’.

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How does it work?

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Select a condition here or use the top menu. For every condition, we provide you with information as well as the treatments we currently offer. If you don’t know which is best for you, just click the 'Advise-me' button.

Treatments:

If you know what you want, the quickest way to find a specific medication is to use the search bar here.

Ordering:

Every order starts with an online consultation. We will ask you medical questions to make sure only treatment that is safe and effective is prescribed. We take into account your lifestyle, health and any other medications you’re currently using.

The consultation is completely free, and takes between 5 and 10 minutes of your time.

All your information is safe with us. We don’t share it with anyone unless you want us to.

Help:

If you need any guidance, you can call, message or email our customer service team via the ‘How can we help you?' section here.

Prescribe
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Review:

As soon as you place the order, one of our doctors will review your consultation. On working days, this usually takes around one hour.

Questions:

If the doctor has any additional questions, you will receive a phone call and an email. We understand you might be at work or busy. Our customer service representatives are always discreet and can call back at a more convenient time if necessary.

Our emails never contain any personal or medical information, only a link to your private account on our website (where you will find your messages).

Pharmacy:

Once our pharmacy receives your prescription, you will get a second email with your package tracking code.

Deliver
Deliver Expect your delivery the next working day.
Always free. Discreet packaging.
Free next-day delivery

Free:

All orders include next-day delivery. Alternatively, you can select a delivery date that suits you better.

Location:

We also provide a free UPS Access Point service. Pick up your package from one of many collection points across the UK.

With your tracking code, you will know the estimated delivery time. All we need is your signature (or a friend‘s or relative’s).

Discreet:

All parcels are plainly labelled; there is no logo or any indication of its contents. Inside, you will find your treatment as well as a patient leaflet in your chosen language.

Repeat
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Repeat:

With 121doc’s Subscribe & Save service, you can automatically receive your treatment every few weeks or months.

The order will be generated by us, using the information you provided (including delivery frequency). You don’t have to do anything. Payment is taken two days before shipping.

Subscribe:

There are two ways to subscribe. The first is during the order process. The second is via your profile here.

You can cancel or amend your repeat prescriptions at any time.

Save:

There are no sign-up fees with this service. Plus, you get a 10% discount off all future prescriptions, increasing to 15% after six orders!