GENITOURINARY - Bacterial Vaginosis (Anaerobes, Gardnerella vaginalis, Mycoplasma hominis, polymicrobial)
Metronidazole* (Flagyl^®) Generics available Pregnancy: B; Lactation: Unsafe Tabs: 250 mg, 500 mg	Adult: 500 mg twice daily for 7 days or 2 g given as a one time dose. (2-g dosing may be less effective than the 7-day regimen.)	Food: Administer on empty stomach unless GI upset occurs, then with food. Important side effects: Dizziness, headache, confusion, seizures, nausea, metallic taste, insomnia, paresthesias. May cause Disulfiram-like reaction - avoid alcohol.
Clindamycin Vaginal Cream* (Cleocin^®) Pregnancy: B; Lactation: Unknown Vaginal Cream 2%: 40 g	Adolescent and Adult: Insert one applicator (5 g) intravaginally each night at bedtime for 7 days.	Important side effects: May weaken latex condoms or diaphragms. Advise patient not to engage in vaginal intercourse while using this product.
Metronidazole gel* (MetroGel^®-Vaginal) Pregnancy: B; Lactation: Unk Gel, vaginal 0.75%: 70 g	Adult: Insert one applicator (5 g) intravaginally twice daily for 5 days.
Clindamycin* (Cleocin^®) Generics available Pregnancy: B; Lactation: Unk Caps: 150 mg -  , 300 mg	Adult: 300 mg twice daily for 7 days. *May cause severe colitis. Encourage patient to report severe, persistent, or bloody diarrhea.	Food: May administer without regard to food. Take with full glass of water to prevent esophagitis. Important side effects: Diarrhea (may be severe), esophagitis.