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So im on metronidizole (flagl) and Cipro long term and wondered what dosage seems to help other people! 

weve been trying to reduce my dosage and whenever I try I get worse and have to go back up the ladder!  The plan was to get down to alternative days 250 Cipro one day, 200 metro the other. I seem to do best with 400 metro every day but is anyone else on this much? I don't know if this is abnormally high or common! 

 

Thanks for any help!! 

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400mg metronidazole daily isn't too bad. The usual dosage for short term use is 250-500mg 3 times a day. For long term use, the lowest dosage you can get by on is the right dose. This is to reduce side effects. I'm currently taking 500mg daily, but rotate off of it after 10-14 days to another antibiotic or a drug "holiday."

Jan

For Cipro I am typically 500mg a day (250mg morning and another 250mg evening). I have in some cases got by with a 250mg total in a day, but usually I need to go back to 500mg / day. When I flare, I have to up it to 750mg / day and worst case 1000mg / day but just for a few days and then I can get back down to 500mg / day Cipro for my maintenance amount.

For Flagy, I was on 250 mg morning and night the last time I was on it, but eventually the Flagy stopped working for me and I tried other antibiotics. One by one I've been losing those over the years too (others have also stopped working for me), and I am about to try Flagy again just as a means to rotate out from Cipro at least part time. Otherwise I am on Cipro continuously and have been for about 10 years now....  

 

Scott F posted:

FWIW, I experimented with once daily vs. twice daily dosing of Cipro/Flagyl, and once daily worked exactly as well for me (and is much more convenient).

That's interesting, and it sure would be more convenient. I've always been told to space out the Flagyl so as to keep the levels more constant during the day. Might be worth trying a once a day dosage and see how it goes.

whoa youre able to drink one let alone two on that dose! amazing.

my first experience with I think a week's worth of Flagyl after my first pouchitis led to the worst and most exhaustive vomiting experience of my life by sipping a beer the night I finished my dosing. I remember that so vividly that the prospect of even a hint of alcohol scares the bejesus out of me.

interesting and glad to hear youre able to enjoy, not to mention avoiding the seemingly inevitable nausea. do you avoid the metallic taste buildup too?

 

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