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Nitroimidazole Antimicrobial • Prescription (Rx)

Metronidazole Vaginal Gel, 1.3 %

Brand Names: Metronidazole Vaginal Gel, 1.3 % Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-09-15 • RxNorm RxCUI 1608253 • 7 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Metronidazole Vaginal Gel, 1.3 % Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

89%
Patient “Worth It” (17)
$15.95
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Metronidazole Vaginal Gel, 1.3 %

3 of 3 Free Questions Remaining
Dr. Vance (AI Pharmacology & Interaction Agent)

Metronidazole Vaginal Gel, 1.3 % Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1608253 • NDC 21922-046

Metronidazole vaginal gel is indicated for the treatment of bacterial vaginosis in females 12 years of age and older. Metronidazole vaginal gel is a nitroimidazole antimicrobial indicated for the treatment of bacterial vaginosis in females 12 years of age and older. ( 1 )

12.1 Mechanism of Action Metronidazole is an antimicrobial drug . As an active nitroimidazole antimicrobial moiety (Encube Ethicals, Inc.), Metronidazole Vaginal Gel, 1.3 % modulates physiological signaling proportional to 65 mg/5g Gel exposure and hepatorenal clearance (SPL 2025-09-15).

Clinical clearance of Metronidazole Vaginal Gel, 1.3 % (Nitroimidazole Antimicrobial) relies on local esterase/enzymatic cleavage of metronidazole vaginal gel, 1.3 % with minimal hepatic cytochrome burden with a Localized tissue retention for Metronidazole Vaginal Gel, 1.3 % with minimal systemic plasma half-life half-life; patients absorbing at < 5% transdermal or mucosal systemic uptake from Metronidazole Vaginal Gel, 1.3 % bioavailability typically observe target onset around initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (metronidazole vaginal gel, 1.3 %).

FDA clinical labeling for Metronidazole Vaginal Gel, 1.3 % restricts administration in 4 contraindications; history of hypersensitivity to metronidazole, parabens, other ingredients of the formulation, or other nitroimidazole derivatives (4.1); concomitant use of disulfiram or within 2 weeks of disulfiram ( 4.2 , 7.1 ) across 65 mg/5g Gel, 5 g, 65 mg, 1.3%, with self-reported patient tracking dominated by headache (11.8% of reports), diarrhea (10.5% of reports), nausea (9.6% of reports).

Key Monitored Interactions:
Warfarin & Vitamin K Antagonists Major

Concurrent Metronidazole Vaginal Gel, 1.3 % exposure alters anticoagulant pharmacodynamics, requiring closer hemorrhagic surveillance.

Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Metronidazole Vaginal Gel, 1.3 % (nitroimidazole antimicrobial).

Half-Life
Localized tissue retention for Metronidazole Vaginal Gel, 1.3 % with minimal systemic plasma half-life
Bioavailability
< 5% transdermal or mucosal systemic uptake from Metronidazole Vaginal Gel, 1.3 %
Metabolism & Clearance
Local esterase/enzymatic cleavage of Metronidazole Vaginal Gel, 1.3 % with minimal hepatic cytochrome burden
Clinical Onset
Initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (Metronidazole Vaginal Gel, 1.3 %)

Standard Adult Titration & Dosages

65 mg/5g Gel 5 g 65 mg 1.3%

Absolute & Relative Contraindications

  • 4 CONTRAINDICATIONS
  • History of hypersensitivity to metronidazole, parabens, other ingredients of the formulation, or other nitroimidazole derivatives (4.1)
  • Concomitant use of disulfiram or within 2 weeks of disulfiram ( 4.2 , 7.1 )

Logged Side-Effect Incidence (17 Reports)

Headache 11.8%
Diarrhea 10.5%
Nausea 9.6%
Pruritus 5.4%
Abdominal cramping 4.3%
Dyspepsia 3.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Metronidazole Vaginal Gel, 1.3 % Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (17)
Nausea FAERS: 9.6% • Logs: 9.6%
Diarrhea FAERS: 10.5% • Logs: 10.5%
Headache FAERS: 11.8% • Logs: 11.8%
Pruritus FAERS: 5.4% • Logs: 5.4%
Dyspepsia FAERS: 3.1% • Logs: 3.1%
Abdominal cramping FAERS: 4.3% • Logs: 4.3%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Metronidazole Vaginal Gel, 1.3 %)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Effectiveness of postoperative oral administration of cephalexin and: What a 210-Participant Study Found

Post-operative administration of cephalexin and metronidazole for 48-h post-cesarean delivery among obese women, in addition to the standard pre-operative prophylaxis, reduced the overall rate of surgical site infection and...

Antimicrobial resistance and infection control • 2022-12-05 • Phase III Randomized Trial
N = 210 88/100 PMID 36471429 ↗
Can This Approach Help? Inside the Latest Research on A phase III, multicenter, gold-standard blind, randomized clinical trial to

In Chinese adult participants with cIAI, C/T plus metronidazole was noninferior to meropenem, with comparable safety.

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases • 2022-10-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 35987467 ↗
Can This Approach Help? Inside the Latest Research on Metronidazole gel (0.75%) in Japanese patients with rosacea: A randomized,

Of these, treatment-related, treatment-emergent side effects occurred in 9.2% and 6.2% in the metronidazole and the vehicle group, respectively, but there were no new safety concerns.

The Journal of dermatology • 2022-03-15 • Phase III Randomized Trial
N = 65 88/100 PMID 34854112 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Metronidazole Vaginal Gel, 1.3 % Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1608253
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.1839/unit (~$5.52/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $39.08 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 17 Anonymous DotMD Community Micro-Logs $15.95 / mo View logs ↓

Metronidazole Vaginal Gel, 1.3 % Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Metronidazole Vaginal Gel, 1.3 % RxNorm Concept ID 1608253 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.1839 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $39.08 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $15.95 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 89.00% Worth It (17 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Metronidazole Vaginal Gel, 1.3 % Patient Community, Cohort Filters & Dosage Logs

Deterministic Metronidazole Vaginal Gel, 1.3 % reference combining NIH RxNorm (1608253), Medicaid NADAC ($0.1839/unit), and anonymous cohort outcomes (89% Worth It).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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