Does Cephalexin treat BV? 

Does Cephalexin treat BV?

No, Cephalexin is not the right choice of antibiotic to treat Bacterial Vaginosis (BV). Cephalexin is commonly used for the management and treatment of infections of the skin, bones, ears, urinary tract, and respiratory system. 

It does not do well against BV, which is why it is not prescribed for it. If you think you have BV, talk to your healthcare provider. Do not start taking any medication without your doctor’s approval. 

Cephalexin is commonly prescribed for the management and treatment of the following infections (1):

  • Respiratory tract infections, such as pneumonia, bronchitis, and strep throat
  • Skin and soft tissue infections, such as cellulitis, folliculitis, and impetigo
  • Urinary tract infections, such as bladder infections and kidney infections
  • Bone and joint infections, such as osteomyelitis and septic arthritis
  • Ear infections, such as otitis media

What medications treat BV? 

BV is treated effectively with a few antibiotics, which include (2):

Metronidazole 

  • Metronidazole tablet 500 mg 2 times a day for 7 days
  • Metronidazole gel 0.75% intravaginally, once a day for 5 days

Clindamycin 

  • Clindamycin cream 2% intravaginally at bedtime for 7 days
  • Clindamycin 300 mg 2 times a day for 7 days
  • Clindamycin ovule suppositories 100 mg intravaginally once at bedtime for 3 days.

Tinidazole 

  • The preferred dose for Tinidazole is 1 to 2 grams orally, once a day for 2 to 5 days, according to the severity of your infection and as prescribed by your physician.

Secnidazole 

  • Secnidazole granules are used, which can be added to applesauce or pudding for ease of administration. 

These antibiotics are all effective against BV, but the most appropriate one for you is determined by your healthcare provider. This is why it’s best to reach out to your doctor and don’t start taking any antibiotics without seeking medical attention. 

How to know you have BV?

BV is commonly associated with 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.-

National Library of Medicine, NIH. MedlinePlus. Cephalexin- oral [Internet]. U.S. National Institute of Health (NIH). 2021 [cited 2023 Apr 26]. Available from: https://medlineplus.gov/druginfo/meds/a682733.html.

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.