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The 5-nitroimidazole drugs (metronidazole and tinidazole) are the mainstay of treatment for infection with Trichomonas vaginalis. Treatment for both the infected patient and the patient's sexual partner is recommended, even if asymptomatic. Therapy other than 5-nitroimidazole drugs is also an option, but cure rates are much lower. [25]
For 95–97% of cases, infection is resolved after one dose of metronidazole. [26] [35] Studies suggest that 4–5% of trichomonas cases are resistant to metronidazole, which may account for some "repeat" cases. [33] [9] Without treatment, trichomoniasis can persist for months to years in women, and is thought to improve without treatment in ...
[1] [5] [10] It has also been used at a maintenance dose of 600 mg twice weekly for recurrent vulvovaginal candidiasis suppression. [1] [5] The drug is used to treat bacterial vaginosis (BV). [5] [19] [21] [10] [22] [23] It is specifically used following treatment with or in combination with nitroimidazoles like metronidazole for recurrent ...
Dosage typically includes information on the number of doses, intervals between administrations, and the overall treatment period. [3] For example, a dosage might be described as "200 mg twice daily for two weeks," where 200 mg represents the individual dose, twice daily indicates the frequency, and two weeks specifies the duration of treatment ...
Metronidazole is an antibiotic with an off-label use in eradicating H. pylori for treating gastric ulceration. Resistance of metronidazole is above 15% worldwide. [32] It is likely to be resistant so is not the first line choice of treatment. [44]
The two lineages differ in whether or not Trichomonas vaginalis virus infection is present. Trichomonas vaginalis virus infection is clinically relevant in that, it has an effect on parasite resistance to metronidazole, a first line drug treatment for human trichomoniasis. [38]