MetroGel Vaginal Gel contains metronidazole and should be used exactly as prescribed.
Before starting treatment, tell your healthcare provider about your allergies, medical conditions, pregnancy or breastfeeding status, and all medications or vaginal products you use.
Serious Allergic Reactions
Do not use MetroGel Vaginal Gel if you are allergic to metronidazole, other nitroimidazole medications, or any ingredient in the product.
Seek immediate medical attention if you develop:
- Hives
- Swelling of the face, lips, tongue, or throat
- Difficulty breathing
- A severe skin reaction
Neurological Symptoms
Metronidazole should be used carefully in people with central nervous system or seizure disorders.
Contact your healthcare provider promptly if you develop unusual numbness, tingling, weakness, problems with coordination, seizures, or other new neurological symptoms.
Pregnancy
Tell your healthcare provider if you are pregnant, planning to become pregnant, or think you may be pregnant before using MetroGel Vaginal Gel.
Your healthcare provider will determine whether metronidazole vaginal treatment is appropriate based on the stage of pregnancy, the severity of the infection, and the expected benefits and risks.
Breastfeeding
Metronidazole can pass into breast milk after systemic use.
Because vaginal treatment generally produces lower blood levels than oral metronidazole, exposure may also be lower. Talk to your healthcare provider before breastfeeding during treatment so they can advise you based on your specific product and treatment course.
Blood Disorders
Tell your healthcare provider if you have a history of blood disorders or abnormal blood cell counts.
Metronidazole should be used with caution in these patients, particularly if repeated or prolonged treatment is needed.
Liver Disease
Tell your healthcare provider if you have liver disease.
The liver helps process metronidazole, so significant liver problems may affect how the medication is handled by the body.
Your healthcare provider may determine whether additional monitoring or a change in treatment is needed.
Avoid Eye Contact
MetroGel Vaginal Gel is intended for vaginal use only.
Avoid getting the gel in your eyes. If accidental contact occurs, rinse your eyes thoroughly with water.
Other Vaginal Products
Talk to your healthcare provider before using other vaginal medications, creams, gels, douches, or similar products during treatment.
Using additional products at the same time may cause irritation or interfere with your treatment.
Condoms and Diaphragms
Some vaginal products can affect latex or rubber contraceptive devices.
Check the instructions provided with your specific MetroGel Vaginal Gel product and ask your healthcare provider or pharmacist whether condoms or diaphragms can be used reliably during treatment.
Alcohol
Follow the alcohol precautions provided with your specific metronidazole vaginal product.
Because some metronidazole products carry warnings about alcohol-related reactions, your healthcare provider or pharmacist may recommend avoiding alcohol during treatment and for a period after the final dose.
Possible symptoms of an alcohol-related reaction can include flushing, headache, nausea, vomiting, or abdominal discomfort.
Drug Interactions
Tell your healthcare provider about all prescription medications, over-the-counter drugs, vitamins, supplements, and herbal products you use.
Even though less metronidazole is generally absorbed from vaginal gel than from oral forms, interactions may still be possible.
Use MetroGel Vaginal Gel Only as Directed
Do not use more MetroGel Vaginal Gel, apply it more often, or continue treatment longer than prescribed.
If symptoms do not improve, become worse, or return after treatment, contact your healthcare provider rather than extending the treatment on your own.
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