is flagyl likely to cause a flare

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Regular Member

Date Joined Nov 2007
Total Posts : 401
   Posted 7/23/2008 7:19 AM (GMT -6)   
i know everyone is different-my daughter has this bacterial vaginal problem and the gyno is treating it with an insert because he wants to be gentle on her intestines, but his normal treatment would be flagyl- i called her gastro and she said flagyl would be ok- but she is kind of fliipant so i'm wondering if anyone can give us some advise here?
Mom to 19 year old daughter diagnosed 11/07.
colazal 3 x3 daily
purinethol 6mp=50mg daily
culturelle probiotic 1 daily
chewable vitamin
xifaxan antibiotic 400mg 2x day soon to be weaned-done
lo-estrin birth control pill for cramps started aroun 2003

Veteran Member

Date Joined Jun 2008
Total Posts : 610
   Posted 7/23/2008 7:29 AM (GMT -6)   
I have a pretty strong reaction to antibiotics and often flare when I take them.  And I've told my doctors that, and they've all thought I was being overly cautious. 
My GI was pretty flippant about flagyl, too.  The flare it started was so severe it put me in the hospital.

Regular Member

Date Joined Apr 2008
Total Posts : 48
   Posted 7/23/2008 10:44 AM (GMT -6)   

I also have had problems with flagyl in the past, it was part of what kept me in the hospital one time. The doctors seemed to not even consider the fact that it might be doing more harm than good. 

Generally for myself, antibiotics are far too rough to take. 

Dx: Pan colitis for 12 years
Meds: Asacol (400mg x12 daily)
         6mp (50mg from Aug06 to Dec07)
         Fish Oil
         Culturelle x2 daily

at wit's end
Veteran Member

Date Joined Jun 2007
Total Posts : 569
   Posted 7/23/2008 2:32 PM (GMT -6)   
I've been on an antibiotic for 10 days now due to a bacterial urinary tract infection, now I've noticed I'm starting to flare rectally. I have noticed for about a week a foul smell to my stool and I've noticed this weird brownish mucus type stuff last night and this morning. I hope this will pass. I have gone back to using my Canasa 1000mg every night and am on maintenance Asacol 4 pills a day. Wondering if I could get by with increasing the Asacol to 6 pills a day like I used to take.
Diagnosed with left sided UC in sigmoid colon and rectum 1986.
Put on Azulfidine 2 X 3 a day and Rowasa enemas 60mg.
Have been pretty much in remission overall other than a few flares over the past 21 years.
Medicine changed to Asacol 400mg 2 pills X3 times a day. Taken off all meds in 2004.
Diagnosed with acid reflux 2005. Put on Protonix 40mg.
Have been using Canasa 1000mg suppositories nightly since January 2007.
Was put back on Asacol 400mg 2 pills 2X a day in July 2007 maintenance. 

Regular Member

Date Joined Dec 2007
Total Posts : 31
   Posted 7/23/2008 4:10 PM (GMT -6)   
Last year, I had same problem as your daughter and my family physician prescribed the topical cream treatment instead of flagyl tablets because of a concern about aggravating a flare.  She also thought that increasing the probiotic dosage was a good idea so as to increase the chances of maintaining as good as possible a bacterial balance.
pan colitis (diag: Nov 05)
Meds: salofalk7 to 10 tabs/day depending on disease status; imuran 75mg/day; entocort when flaring; cortifoam when flaring; pantoloc; VSL#3; vitamin D and calcium; fosomax

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 7/23/2008 4:28 PM (GMT -6)   
i was always put on flagyl to help control flares, and it was actually the only antibiotic i could take without causing a flare

Regular Member

Date Joined May 2008
Total Posts : 388
   Posted 7/23/2008 5:05 PM (GMT -6)   
I was put on flagyl for two weeks to calm down a flare and to see if it had any affect on a anal fistula - so at least some GI's must think it is more helpful than harmful. It made me too nauseaus! I quit after a few days so I don't know if it would have made my symptoms worse.
UC diagnosed 10/05, first symptoms 1983
canasa and lialda daily
Trying out Digestive Fitness Probiotic

Old Hat
Veteran Member

Date Joined Feb 2007
Total Posts : 5190
   Posted 7/23/2008 5:59 PM (GMT -6)   
I would go with the insert. Flagyl is a vile drug that should only be used as an amebicide-- because it can aggravate UC. It's like swallowing insecticide, IMO! Let me just add that your daughter's gyno problems are not unusual. Vaginitis tends to recur because of monthly changes. It helps to wear cotton underpants & insert tampons with some sterile jelly lubricant. I also advocate douching after end of period with 1 tablespoon of plain vinegar in a quart of tepid water. For more info on this, have a look at OUR BODIES, OURSELVES by the Boston Women's Health Collective-- several editions have been printed since the 1970s. / Old Hat (nearly 30 yrs with left-sided UC; currently on 3 Colazal daily for maintenance of remission)

Regular Member

Date Joined Dec 2007
Total Posts : 151
   Posted 7/24/2008 1:35 AM (GMT -6)   
I would be careful with Flagyl.   I think its what started my UC for the first time...I was on it for a vaginal infection and thats when the blood and mucous and diarrhea started for the first time.   I thought it was the antibiotics just putting my bowels out of balance,  but things kept getting worse and worse,  until my actual diagnosis.     I also know that some GI docs will actually use Flagyl to treat some flares.      The GI doc oncall while I was in the hospital put me on IV flagyl,  but my GI came in a few days later and took me off it.  hmmm...interesting when they don't see eye to eye.   I do know that I used the suppository kind tho before without problems.   HOpe all goes well!! 
41 yo RN, happily married, with 2 beautiful daughters, Tianna(14 yo) and Alyssa(10 yo).   Diagnosed L sided Ulcerative Colitis in Jan '04 and Diabetes type 2 in June '05. (Currently in complete remission thanks to Remicade!!)
Remicade infusions ~ 11/6/07, 12/6/07, 12/20/07, 2/14/08, 4/10/08, 6/08, 6-MP 100mg daily, Pentasa 500mg twice a day, Lantus insulin 15 units daily, Amaryl 2mg daily, multi-vitamin daily, Calcium daily, B complex vit daily,  and pro-biotics daily.

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