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**Metronidazole + nystatin** is a fixed-dose intravaginal anti-infective combination containing the nitroimidazole antibacterial and antiprotozoal agent metronidazole and the polyene antifungal nystatin. Metronidazole is reduced within susceptible anaerobic organisms and *Trichomonas vaginalis* to reactive metabolites that damage DNA, while nystatin binds fungal-membrane ergosterol and disrupts membrane integrity. Marketed vaginal ovules such as Flagystatin contain metronidazole 500 mg plus nystatin 100,000 IU and are used for mixed vaginal infections, including infections involving *T. vaginalis* and *Candida albicans*. ([sanofi.com](https://www.sanofi.com/assets/countries/canada/docs/products/prescription-products/flagystatin-en.pdf))
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