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ANTIFUNGALS (Vaginal)

Brand & Generic Names

BUTOCONAZOLE Monistat 3
Canesten Monistat 7
Canesten 1 Mycelex-7
Canesten 3 Mycelex-G
Canesten 10% Myclo
CLOTRIMAZOLE Mycostatin
ECONAZOLE Nadostine
Ecostatin Nilstat
FemCare Nyaderm
Femstat NYSTATIN
Genapax Terazol 3
GENTIAN VIOLET Terazol 7
Gyne-Lotrimin TERCONAZOLE
Gyne-Trosyd TIOCONAZOLE
MICONAZOLE Vagistat
Monistat

Basic Information

  • Habit forming? No
  • Prescription needed? Yes, for some
  • Available as generic? Yes, some
  • Drug class: Antifungal (vaginal)

Uses

    Treats fungus infections of the vagina.

Dosage & Usage Information

How to use:
Vaginal creams--Insert into vagina with applicator as illustrated in patient instructions that come with prescription.
Vaginal tablets--Insert with applicator as illustrated in instructions.
Vaginal suppositories--Insert as illustrated in instructions.

When to use:
According to instructions. Usually once or twice daily.

If you forget a dose:
Use as soon as you remember.

What drug does:
Destroys fungus cell's membrane, causing loss of essential elements to sustain fungus cell life.

Time lapse before drug works:
Begins immediately. May require 2 weeks of treatment to cure vaginal fungus infections. Recurrence common.

Don't use with:
Other vaginal preparations or douches unless otherwise instructed by your doctor.


Overdose

SYMPTOMS:
None expected.

WHAT TO DO:

    Overdose unlikely to threaten life.

Possible Adverse Reactions or Side Effects

Life-threatening:

    None expected.

Common:

    None expected.

Infrequent:

    Vaginal burning, itching, irritation, swelling of labia, redness, increased discharge (not present before starting medicine).

Rare:

    Skin rash, hives, irritation of sex partner's penis.

Warnings & Precautions

Don't use if:

  • You are allergic to any of the products listed.
  • You have pre-existing liver disease.

Before you start, consult your doctor:
If you are pregnant.

Over age 60:
No problems expected.

Pregnancy:
No problems expected, but check with doctor.

Breast-feeding:
No problems expected. Consult doctor.

Infants & children:
Use only under close medical supervision.

Prolonged use:
No problems expected.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
No problems expected.

Discontinuing:
Recurrence likely if you stop before time suggested.

Others:

  • Gentian Violet and some of the other products can stain clothing. Sanitary napkins may protect against staining.
  • Keep the genital area clean. Use plain unscented soap.
  • Take showers rather than tub baths.
  • Wear cotton underpants or pantyhose with a cotton crotch. Avoid underpants made from non-ventilating materials. Wear freshly laundered underpants.
  • Don't sit around in wet clothing--especially a wet bathing suit.
  • If you will take antibiotics in the future, ask your doctor about eating yogurt, sour cream, buttermilk or taking acidophilus tablets.
  • After urination or bowel movements, cleanse by wiping or washing from front to back (vagina to anus).
  • Don't douche unless your doctor recommends it.
  • If urinating causes burning, urinate through a tubular device, such as a toilet-paper roll or plastic cup with the end cut out.

Possible Interaction with Other Drugs

GENERIC NAME COMBINED EFFECT
------------------------ -----------------------
Clinically significant intera ctions with oral or injected

Possible Interaction with Other Substances

INTERACTS WITH COMBINED EFFECT
--------------- ---------------
Alcohol: None expected.
Beverages: None expected.
Cocaine: None expected.
Foods: None expected.
Marijuana: None expected.
Tobacco: None expected.

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