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& Mason, P

Metronidazole (Rozex, Metrogel) Mild anti-inflammatory but less effective than azelaic acid or ivermectin

Pro-inflammatory agents, including IL-1, not only enhance the synthesis of HBD2 within an inflammatory context but also modify the vaginal microbiotas composition, suppressing the growth of beneficial bacteria such as Lactobacillus while encouraging the increase of pathogenic bacterial populations

At ~6.67 mg/mL, 1 unit 66.7 mcg