Acetic-acid-oxyquinoline-ricinoleic-acid Vaginal Gel

ACETIC ACID; OXYQUINOLINE; RICINOLEIC ACID (a SEE tik AS id; ox y KWIN o line; ris uh noh LEE ik AS id) is used to create or maintain the acidity of the vagina.

This drug can cause serious side effects. See which side effects you should report to your doctor right away.

Know how to use your medication, and learn what might happen if you miss a dose.

Talk to your healthcare provider if you have any of these conditions.

Know what to watch for and get tips for reducing your risks while taking this drug.

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• vaginal pain or continued stinging or burning

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• minor vaginal irritation, itching or burning

• spermicides such nonoxynol-9 or octoxynol

Do not use any other medicines in the vagina without asking your doctor or health care professional.

This medicine is only for use in the vagina. Do not take by mouth. Wash hands before and after use. Read package directions carefully before using. Remove the cap from the tube. Reverse the cap and place puncture tip into the tube. Push the cap in firmly to puncture the end of the tube. Screw the applicator onto the tube. Squeeze the tube forcing contents into the barrel until it is full. Then remove the applicator from the tube. Lie on your back with your knees drawn up and insert barrel into vagina as far as it will go comfortably. Press plunger to deposit gel. While plunger is depressed, remove applicator from vagina. Do not get this medicine in your eyes. If you do, rinse the eyes out with plenty of cool tap water. Use at regular intervals or as directed by your health care professional.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

They need to know if you have any of these conditions:

• an unusual or allergic reaction to acetic acid; oxyquinoline; ricinoleic acid gel, eggs, other medicines, foods, dyes or preservatives
• pregnant or trying to get pregnant
• breast-feeding

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Tell your doctor or health care professional if your symptoms do not start to get better within a few days.

This medicine may make certain birth control devices, such as latex rubber condoms, diaphragms, vaginal rings, cervical caps, or spermicides less effective. This may increase the chance of getting pregnant. A different or additional method of birth control may be needed if you are using this medicine.

Vaginal medicines usually will come out of the vagina during treatment. To keep the medicine from getting on your clothing, wear a mini pad or sanitary napkin. The use of tampons is not recommended since they may soak up the medicine.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from heat and light. Throw away any unused medicine after the expiration date.