<i>Background:</i> We compared a novel vaginal tablet consisting of 100 mg of clotrimazole and 100 mg of metronidazole (‘Clo-Met’) to a 100-mg clotrimazole tablet in the treatment of vaginitis. <i>Methods:</i> A multicenter, double-blind, randomized controlled study. Women with vaginal discharge and diagnosed as suffering from vaginitis caused by <i>Trichomonas vaginalis,</i> bacterial vaginosis or <i>Candida albicans,</i> or any combination of the three, and who had not received treatment for vaginitis during the previous month, were studied. <i>Results:</i> 165 patients were enrolled into the study – 84 into the combined therapy group, and 81 into the clotrimazole group. In women with <i>Candida</i> vaginitis, Clo-Met was more effective than clotrimazole treatment (p < 0.012 and p < 0.05, respectively). <i>Conclusion:</i> A combination vaginal tablet consisting of clotrimazole and metronidazole is therapeutically effective in candidal vaginitis. The effectiveness of Clo-Met on bacterial vaginosis, <i>T. vaginalis</i> infection as well as on vaginal infections due to a combination of these microorganisms should be studied further.