Trimethoprim for Bacterial Vaginosis & Cystitis: Effectiveness & Alternatives

Bacterial vaginosis

Yes, trimethoprim can treat bacterial vaginosis.

Metronidazole, Clindamycin, Secnidazole, Tinidazole are the first line of antibiotic treatment for bacterial vaginosis. Nitroimidazoles are the treatment of choice due to their high cure rate and low recurrence rates.

Trimethoprim-Sulfamethoxazole is occasionally used as alternative treatment for bacterial vaginosis.

Oral Nitroimidazoles are not generally recommended for pregnant women because they pose a theoretical risk of teratogenicity.

Cystitis

Yes, trimethoprim can treat cystitis.

Trimethoprim is indicated in the treatment of both uncomplicated and complicated urinary tract infections caused by susceptible strains of the designated microorganisms, including pyelonephritis, prostatitis, and acute uncomplicated urethritis in men.

Nitrofurantoin and Trimethoprim-Sulfamethoxazole are the initial therapy of choice for uncomplicated UTI in pregnancy.