Can Bactrim treat Bacterial Vaginosis? 

Can Bactrim treat Bacterial Vaginosis?

No, Bactrim (Sulfamethoxazole/Trimethoprim) is not intended to be used to treat Bacterial Vaginosis. Bactrim is a strong antibiotic and can be used for several bacterial infections, but BV is not one of them. 

If you think you have Bacterial Vaginosis, talk to your healthcare provider. There are a number of effective antibiotics for treating BV, but which one is the most appropriate for you can only be determined by your doctor. 

Bactrim is generally prescribed for the management and treatment of the following (1):

  • Urinary tract infections (UTIs)
  • Ear infections
  • Bronchitis and other respiratory tract infections
  • Traveller’s diarrhoea
  • Shigellosis (a type of bacterial infection that causes diarrhoea)
  • Pneumocystis pneumonia (PCP) in people with weakened immune systems, such as those with HIV/AIDS or undergoing chemotherapy.

What medications treat Bacterial Vaginosis? 

Bacterial Vaginosis is treated with the following antibiotics (2):

  • Metronidazole 
  • Clindamycin 
  • Tinidazole
  • Secnidazole

These antibiotics are prescribed for BV, but again which one you can gain the most benefit from is determined by your doctor. There are other add-on options as well for the management of BV, like Probiotics, boric acid, etc (3). 

However, these are considered symptomatic treatments and the main infection is only treated with antibiotics. If your doctor has already prescribed you a suitable antibiotic, make sure you take it properly. 

You may think your infection has completely subsided before completing your course of treatment, but don’t stop there. 

Leaving your treatment halfway can result in a relapse and your infection will again start to get worse. This is why you need to make sure you complete your antibiotic course to make the most out of it. 

How to know you have bacterial vaginosis?

BV is commonly characterised by the following signs and symptoms: 

  • Thin, greyish-white vaginal discharge with a strong fishy odour
  • Vaginal itching and irritation
  • Pain or discomfort during urination
  • Burning sensation in the vaginal area
  • Vaginal dryness or tightness
  • Abnormal vaginal bleeding or spotting

BV should be properly treated, or else it can lead to complications and can even harm your reproductive health. It is also important to make sure you practice safe vaginal hygiene to eliminate the risk of worsening BV. 

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References

1.-

Mayo Clinic. Sulfamethoxazole and Trimethoprim (Oral Route) – Description and Brand Names [Internet]. mayoclinic.org. 2021 [cited 2023 Jan 23]. Available from: https://www.mayoclinic.org/drugs-supplements/sulfamethoxazole-and-trimethoprim-oral-route/description/drg-20071899.

2.-

Centers for Disease Control and Prevention. Bacterial Vaginosis – CDC Fact Sheet [Internet]. Centers for Disease Control and Prevention. 2021 [cited 2023 Jan 23]. Available from: https://www.cdc.gov/std/bv/stdfact-bacterial-vaginosis.htm.

3.-

Homayouni A, Bastani P, Ziyadi S, Mohammad-Alizadeh-Charandabi S, Ghalibaf M, Mortazavian AM, Mehrabany EV. Effects of probiotics on the recurrence of bacterial vaginosis: a review. J Low Genit Tract Dis. 2014 Jan;18(1):79-86. doi: 10.1097/LGT.0b013e31829156ec. PMID: 24299970. [cited 2023 Jan 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/24299970/