Single-dose secnidazole demonstrated comparable efficacy to 7-day BID metronidazole regimen2
Secnidazole vs. Metronidazole for the Treatment of BV
(clinical cure at day 28[%])*†
* A multicenter, double-blind, double-dummy randomized phase-III study comparing secnidazole and metronidazole.2
Clinical cure was defined as the normalization of the three Amsel criteria. 95% CI secnidazole-metronidazole [-0.098 ; 0.052].2
  • As many as 50% of patients DO NOT complete their full mulit-day course of metronidazole treatment3
  • A single-dose regimen supports adherence, helping the patient benefit from the efficacy of a full course of treatment.4
68% of patients treated with SOLOSEC did not require any additional treatment for BV5
SOLOSEC demonstrated clinically and statistically significant efficacy in the treatment of BV.5,6
SOLOSEC delivers potent antimicrobial dosing in a single 2g oral dose1
  • A single 2 g oral dose achieves average maximum plasma concentration (Cmax) 4 hours after dosing for fast systemic absorption.1
  • Plasma concentrations of secnidazole remain over the minimum inhibitory concentration (MIC) of BV- associated pathogens for longer than 72 hours.7

Mean Plasma Concentrations over Time (SOLOSEC vs. Metronidazole)7
* Assumes complete adherence to 500 mg BID metronidazole regimen. This is a pictorial representation of 2 products' pharmacokinetic profiles. There is no peer-reviewed study directly comparing the pharmacokinetics of SOLOSEC and metronidazole.
Help ensure patients' adherence in treating either BV or trichomoniasis with a complete single dose regimen1
Comparative Half-Lives of 5-Nitroimidazole Compounds7,8
Long half-life supports a 1-day, single dose regimen of SOLOSEC.7
SOLOSEC is the only antibiotic therapy that delivers a complete course of treatment for BV in just one oral dose1
solosec and current treatments for bacterial vaginosis comparison chart
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current treatments for bacterial vaginosis comparison chart
current treatments for bacterial vaginosis comparison chart
* Combination oral contraceptive ethinyl estradiol plus norethindrone
The comparative efficacy of SOLOSEC with the listed treatments has not been adequately studied. This is not a complete list of attributes for each product that may be important to a clinical decision. For the most updated information, consult the PI for each product.
Are you sure she only has BV?
Co-existence of BV-related pathogens and trichomoniasis is common.14
In the Longitudinal Study of Vaginal Flora, women who presented for routine health visits and were diagnosed with BV were 1.5 – 2x more likely to develop trichomonal, gonococcal, and/or chlamydial infections.15
70% of women with trichomoniasis were PCR-positive for BV.14
BV provides a high-pH environment, allowing T. vaginalis to grow.15

Vaginal pH
Single dose 2 g SOLOSEC demonstrated high clinical efficacy in patients co-infected with trichomoniasis and BV16
SOLOSEC is the only single dose oral antibiotic that provides a complete course of therapy to treat both BV and trichomoniasis.1
SOLOSEC is the only single dose oral antibiotic that provides a complete course of therapy to treat both BV and trichomoniasis.1
1. SOLOSEC [prescribing information]. Baltimore, MD: Lupin Pharmaceuticals, Inc; 2022. 2. Bohbot JM, Vicaut E, Fagnen D, Brauman M. Treatment of bacterial vaginosis: a multi-center, double-dummy, randomized phase III study comparing secnidazole and metronidazole. Infect Dis Obstet Gynecol 2010;2010:1-6. 3. Bartley JB, Ferris DG, Allmond LM, Dickman ED, Dias JK, Lambert J. Personal digital assistants used to document compliance of bacterial vaginosis treatment. Sex Transm Dis 2004;31(8):488-491.23. 4. Kardas P, Bishai WR. Compliance in anti-infective medicine. Adv Stud in Med. 2006:6(July);652-658. 5. Hillier SL, Nyirjesy P, Waldbaum AS, et al. Secnidazole treatment of bacterial vaginosis: a randomized controlled trial. Obstet Gynecol 2017;130(2):379-386. 6. Schwebke JR, Morgan FG Jr, Koltun W, Nyirjesy P. A phase-3, double-blind, placebo-controlled study of the effectiveness and safety of single oral doses of secnidazole 2 g for the treatment of women with bacterial vaginosis [published correction appears in Am J Obstet Gynecol 2018;219(1):110]. Am J Obstet Gynecol 2017;217(6):678.e1-678.e9. 7. Nyirjesy P, Schwebke JR. Secnidazole: Next-generation antimicrobial agent for bacterial vaginosis treatment. Future Microbiol 2018;13:507-524. 8. Gillis JC, Wiseman LR. Secnidazole. A Review of its antimicrobial activity, pharmacokinetic properties and therapeutic use in the management of protozoal infections and bacterial vaginosis. Drugs 1996;51(4):621-638. 9. Flagyl [prescribing information]. New York, NY: Pfizer; 2021. 10. Tinidazole Tablets [prescribing information]. Buffalo Grove, IL: G.D. PACK Pharmaceuticals, LLC; 2018. 11. Clindesse [prescribing information]. Allegan, MI: Pharmacia & Upjohn Company, LLC; 2014. 12. Metrogel [prescribing information]. Sellersville, PA. Teva Pharmaceuticals, USA; 2005. 13. Nuvessa [prescribing information. Irvine, CA: Allergan Pharmaceuticals International, Ltd.; 2018. 14. Sobel JD, Subramanian C, Foxman B, Fairfax M, Gygax S. Mixed Vaginitis—More than Coinfection and with Therapeutic Implications. Curr Infect Dis Rep 2013;15:104-108. 15. Brotman RM. Vaginal microbiome and sexually transmitted infections: an epidemiologic perspective. J Clin Invest. 2011;121(12):4610-4617. 16. Muzny CA, Schwebke JR, Nyirjesy P, et al. Efficacy and Safety of Single Oral Dosing of Secnidazole for Trichomoniasis in Women: Results of a Phase 3, Randomized, Double-Blind, Placebo-Controlled, Delayed-Treatment Study. Clin Infect Dis 2021.