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Antibiotics, like Flagyl, are typically prescription-only medications due to their potential side effects and the risk of antibiotic resistance. However, there are some exceptions where antibiotics can be obtained over the counter (OTC) without a prescription. 1. OTC Antibiotics for Topical Use Can I Buy Metronidazole Online? Metronidazole is a prescription medication in the United States and not available over the counter. Push Health can connect people who might need a metronidazole prescription with licensed medical providers who can prescribe the medication and electronically send it to the patient's pharmacy when appropriate to … The term "over the counter Flagyl" has been gaining traction as more patients seek convenient solutions for their health concerns. Flagyl, known generically as metronidazole, is a medication primarily used to treat various infections caused by bacteria and parasites. 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