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This is Dr. David
you need a follow up gyn exam to see if your bacterial vaginosis has been cleared or not by 4th dose
what might be better is to just switch over to clindamycin and you can take that with a probiotic without worry about neuropathy.
flagyl is metabolized 60-80% through the kidneys. so drinking water and urinating will help it come out eventually
it has a half life of 8 hours and so in 40 hours, it is out of your system.
I would go with clindamycin before vanco.
let me know if you have questions.