Proper Use

Drug information provided by: Merative, Micromedex®

It is very important that you use this medicine exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects.

This medicine is to be used only in the vagina. Do not get any of it in your eyes, nose, mouth, or on your skin. If this medicine does get into your eyes, rinse them immediately with large amounts of cool tap water. If your eyes still burn or are painful, check with your doctor.

This medicine comes with a disposable applicator or in a prefilled applicator that delivers the medicine when inserted into your vagina. Use each applicator only once, and then throw it away.

To use the gel:

  • Wash your hands with soap and water before and after you use this medicine.
  • Remove cap from the tube and puncture the seal on the tube using the pointed tip on the cap.
  • Do not use the tube if it has been opened before or if the seal is damaged or broken.
  • Hold the applicator by the grip, screw the tip of the applicator into the tube. Leave the plunger inside the applicator.
  • Squeeze the tube from the bottom to push the medicine into the applicator.
  • Remove the filled applicator from the tube.
  • Lie on your back with knees bent or in any comfortable position. Hold the filled applicator and slowly insert the tip into your vagina as far as it will go.
  • Slowly push the plunger until it stops to release all the medicine.

To use the cream:

  • Wash your hands with soap and water before and after you use this medicine.
  • Peel back the protective foil and remove the pre-filled applicator. Do not remove the tip.
  • Do not use the applicator if the tip has been removed or the protective foil is damaged or broken.
  • Hold the applicator and pull the ring back to fully extend the plunger. This will activate the plunger.
  • Lie on your back with knees bent or in any comfortable position. Gently insert the applicator as far as it will comfortably go.
  • Slowly push the plunger until it stops to release all the medicine.
  • Remove the empty applicator and throw it in the trash.

To help clear up your infection completely, it is very important that you keep using this medicine for the full time of treatment , even if your symptoms begin to clear up after a few days. If you stop using this medicine too soon, your symptoms may return. Do not miss any doses. Also, continue using this medicine even if your menstrual period starts during the time of treatment.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For bacterial vaginosis:
    • For vaginal dosage form (cream with a prefilled applicator):
      • Adults and children who have started their monthly period—One pre-filled applicator (5 grams [g]) inserted into the vagina one time at any time of the day. This is a one-day treatment.
      • Children who have not started their monthly period—Use and dose must be determined by your doctor.
    • For vaginal dosage form (gel):
      • Adults and children 12 years of age and older—One pre-filled applicator (5 grams [g]) inserted into the vagina one time at any time of the day. This is a one-day treatment.
      • Children younger than 12 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.