Conditions

Zidoval

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Reviews
About Product
This content has been written and checked for quality and accuracy by
Adil Bhaloda Pharmacist GPhC: 2086262 Updated on: 02/11/2020 Next review: 02/05/2021

What is Zidoval gel?

Zidoval is an antibiotic gel which is used to treat bacterial vaginosis.

Bacterial vaginosis (BV) is an infection which causes an unusual and foul smelling discharge which is greyish white and watery. Half of women do not experience symptoms of BV, which can make it difficult to tell if you have it. Moreover, BV does not cause itching or pain. If you suspect you have BV, speak to your doctor.

While BV is not technically a sexually transmitted infection (STI), it can be caused by sexual intercourse with a new partner or having multiple sexual partners. BV can also be triggered by having an STI. It is believed that sex and STIs upset the careful balance of bacteria in the vagina and cause a bout of bacterial vaginosis.

However, women who are not sexually active can also experience BV.

While the exact cause of BV is unknown, you may be at a higher risk of BV if you:

  • Use perfumed soaps
  • Use antiseptic bath additives
  • Have an IUD (intra-uterine device)
  • Change your sexual partner
  • Are sexually active

Bacterial vaginosis is not a serious condition, but you should still seek treatment. If left unchecked, BV can cause complications in pregnancy and increase your risk of pelvic inflammatory disease (PID).

Buy Zidoval gel online

We understand that it is isn't always convenient to go to your doctor to get a prescription for Zidoval. With Prescription Doctor, you can buy Zidoval gel online from our UK based pharmacy.

To begin your order, just complete our short online medical form for our doctor to review. If our doctor deems the treatment appropriate for you, they will issue a prescription for our UK based pharmacy to dispense. If your order is approved before 3pm between Monday and Friday, we will dispatch your item the same day via a next-day discreet delivery.


How does Zidoval work for bacterial vaginosis?

Zidoval contains an antibiotic called metronidazole.

Metronidazole kills anaerobic bacteria, such as the ones which cause bacterial vaginosis, by interfering with the DNA of the bacteria and preventing them from replicating.


How do I use Zidoval gel?

Zidoval gel comes with disposable applicators, which are used to insert the gel in your vagina.

The gel is usually used once a day for 5 days.

You should apply the gel at bedtime.

It is important to use Zidoval gel at the same time each day. If you have difficulty remembering when to take medicines, set a reminder on your phone or smart speaker. You can also store your medicine in a place which will remind you when to take it.

Before you use Zidoval gel, it's important to wash your hands with soap and water.

You should use a new applicator for every dose of Zidoval gel. Do not reuse the applicators.

Used applicators can be thrown in your household waste.

  1. Open the tube by unscrewing the cap. Use the pointed end of the cap to pierce the end of the tube.
  2. Take one of the applicators and screw it onto the end of the tube.
  3. Squeeze the tube gently to fill the applicator with Zidoval. As the applicator fills up, the plunger will move. Once the plunger reaches 5g (the recommended dose), it will stop moving. At this point, the plunger is filled.
  4. Carefully remove the applicator from the end of the Zidoval tube and replace the cap of the tube.
  5. Holding the filled applicator by the barrel, gently insert it into your vagina as far as is comfortable. This may be easier to do on your back with your knees bent.
  6. Slowly depress the plunger to release the gel into your vagina. Keep pressing down the plunger until it stops to ensure all the gel has been applied.
  7. Remove the applicator from your vagina and discard the used applicator in a bin.

After applying Zidoval gel, wash your hands with soap and water.

You should repeat these steps for 5 consecutive days. If you don't feel better after completing the 5 days course, speak to your doctor.


Side effects and cautions

Before you use Zidoval Gel, it's important to read the enclosed leaflet. This leaflet contains important information regarding the safety of Zidoval.

You can view the patient information leaflet for Zidoval online here.

Who should not take Zidoval?

Zidoval is not safe for everyone. If you are unsure whether it is safe for you to use Zidoval gel, speak to your doctor or a pharmacist.

Do not take Zidoval if you:

  • Are elderly (the safety of Zidoval gel in this group has not been established)
  • Are under 18 years old

Before using Zidoval gel, it's important to inform our doctor of all medicines you are currently taking, including those bought over the counter, as well as health supplements.

Speak to your doctor or pharmacist before using Zidoval gel if you are taking:

  • Anticoagulants (warfarin)
  • Lithium (for mental illness)
  • Cyclosporin (for autoimmune diseases and rheumatoid arthritis)
  • 5-fluorouracil (for skin problems and cancer)

Do not use Zidoval gel during your period.

Side effects

All medicines carry the risk of side effects, though not everybody experiences them. It's important to remain aware of any side effects caused by Zidoval gel.

Common side effects (may affect up to 1 in 10 people):

  • Being sick
  • Decreased appetite
  • Discomfort around your pelvis
  • Dry skin
  • Headache and dizziness
  • Itching of the skin (pruritus)
  • Redness of the skin (erythema)
  • Skin discomfort (burning, pain of skin/stinging)
  • Skin irritation
  • Stomach cramps
  • Unpleasant taste in your mouth
  • Unusual feeling on your tongue
  • Vaginal discharge
  • Vaginal thrush (candidiasis)

This is not an exhaustive list of side effects. Further information regarding the safety of Zidoval gel, including a complete list of side effects, can be found inside the leaflet which comes with your medicine.

If you experience any side effects, regardless of whether they are listed above or in the patient information leaflet, inform your doctor or a pharmacist for advice.

Allergies

Do not take Zidoval if you are allergic to metronidazole or any similar nitroimidazole antibacterials, parabens (a preservative agent), or any of the other ingredients listed in the leaflet.

Zidoval gel contains the following ingredients which may cause allergic reactions:

  • Methyl parahydroxybenzoate (E218)
  • Propyl parahydroxybenzoate
  • Propylene glycol (E1520)

If you experience the signs and symptoms of an allergic reaction, stop using Zidoval gel and seek immediate medical attention by going straight to your nearest A&E department. Remember to take the packaging and any remaining medicine with you so doctors know exactly what and how much of the medicine you have used.

Signs and symptoms of an allergic reaction include:

  • Chest tightening
  • Dry, red and cracked skin
  • Itchy, red watery eyes
  • Raised, itchy, red rash (hives)
  • Swelling of the lips, tongue, eyes or face
  • Tummy pain, nausea, vomiting or diarrhoea
  • Wheezing

Pregnancy and breastfeeding

If you are pregnant, think you might be pregnant, plan on having a baby or breastfeeding, speak to your doctor before using Zidoval gel.

Other safety information

Always speak to your doctor before you buy Zidoval gel online from Prescription Doctor.

Please inform our prescriber of all medicines you are currently taking, including those bought over the counter and health or herbal supplements.

Do not have sexual intercourse while treating bacterial vaginosis.

Do not use Zidoval gel past the expiry date printed on the packaging. The date refers to the last day of the specified month.

Never throw away medicine via household or water waste. Take any unwanted or expired medicine to your pharmacy and ask them to dispose of it safely for you.

Always store Zidoval gel out of sight and reach from children and pets.

Never share your medicine with anybody else, even if they are experiencing the same symptoms or have been diagnosed with the same condition as you.


Frequently asked questions

What should I do if I forget to use Zidoval gel when I should?

If you forget to use Zidoval gel when you should, skip the missed dose and apply it at your next bedtime.

Do not use more Zidoval gel to make up for the missed dose.

What should I do if I accidentally apply more Zidoval gel than I should?

If you accidentally use Zidoval gel than you should, seek advice from your doctor or a pharmacist.

Do not use more Zidoval gel than you should. Using more Zidoval gel will not clear your infection faster, but may increase your risk of side effects.

How can I stop using Zidoval gel?

Do not stop using Zidoval gel without first consulting your doctor. It is important to always complete a course of antibiotics in order to completely clear the infection.

Will Zidoval gel affect my ability to drive or operate machinery?

Zidoval is unlikely to affect your ability to drive or operate machinery. You should understand how this medicine affects you before engaging in such activities.

Can I drink alcohol while using Zidoval gel?

Do not drink alcohol while using Zidoval gel.

Drinking alcohol while using Zidoval gel can cause nausea, sickness, headache and abnormal heart beat.

Will Zidoval gel interfere with my contraception?

While metronidazole does not interfere with hormonal contraception, such as the combined contraceptive pill or emergency pill (morning after pill), it can cause vomiting or diarrhoea.

If you experience vomiting or diarrhoea for more than 24 hours, read the instructions in the leaflet for your contraceptive pill. Vomiting and severe diarrhoea can affect the protection provided by your contraceptive pill.

Can Zidoval gel impact my fertility?

It is unlikely that Zidoval gel will affect your fertility. If you have any concerns about how Zidoval gel or bacterial vaginosis may affect your fertility, speak to your doctor.

How long does Zidoval gel take to work?

Zidoval gel takes up to 5 days to work for BV.

Does Zidoval cause thrush?

Zidoval gel may cause thrush symptoms to become more noticeable.

Can Zidoval treat thrush?

Zidoval gel does not treat thrush. If you notice the symptoms of thrush while using Zidoval gel, inform your doctor. You will need a separate treatment for the thrush infection.


Where can I buy Zidoval gel online?

Arranging an appointment with your GP for a prescription of Zidoval isn't always easy or convenient.

With Prescription Doctor, you can buy Zidoval gel online without the hassle of scheduling an appointment.

Simply complete our online medical form, and one of our online doctors will review your suitability.

If your order is approved before 3pm between Monday and Friday, our UK based pharmacy will dispatch your item the same day via discreet next-day delivery.


Sources

Mylan, 2018. Zidoval 7.5mg/g Vaginal Gel: Summary of Product Characteristics

Mylan, 2018. Zidoval 7.5mg/g Vaginal Gel: Patient Information Leaflet

NHS, 2018. Metronidazole

Treatment information

  • Product Name: Zidoval
  • Manufacturer: Mylan
  • Active Ingredient(s): Metronidazole
  • Administration: Intravaginal
  • Presentation: Gel
  • Available Strength: 7.5mg/g
  • Exemption: Prescription Only
  • Dosage: Apply the gel once a day at bedtime for 5 consecutive days
  • Description: Zidoval gel is an antibiotic gel which is used to treat bacterial vaginosis
  • Drug Class: Antibiotic
  • Alcohol Consumption: Do not drink alcohol while using Zidoval
  • When Pregnant: Speak to your doctor before using Zidoval if you are pregnant or plan on having a baby
  • When Breastfeeding: Speak to your doctor before using Zidoval if you are breastfeeding
Click here to view the Zidoval - Patient Information Leaflet

Bacterial vaginosis Alternatives

Metronidazole

Metronidazole