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Sulfanilamide
Pronunciation
U.S. Brand Names
Generic Available
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Usual Dosage
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(sul fa NIL a mide)

U.S. Brand Names
AVC™ Cream; AVC™ Suppository; Vagitrol®

Generic Available

No


Pharmacological Index

Antifungal Agent, Vaginal


Use

Treatment of vulvovaginitis caused by Candida albicans


Pregnancy Risk Factor

C (avoid use after 7th month)


Contraindications

Hypersensitivity to sulfanilamide or any component


Warnings/Precautions

Since sulfonamides may be absorbed from vaginal mucosa, the same precaution for oral sulfonamides apply (eg, blood dyscrasias); if a rash develops, terminate therapy immediately. Use vaginal applicators very cautiously after the 7th month of pregnancy.


Adverse Reactions

Percentage unknown: Rarely, systemic reactions occur; increased discomfort, burning, allergic reactions, Stevens-Johnson syndrome (infrequent)


Drug Interactions

Worsens the toxic effects of oral hypoglycemia, oral anticoagulants, phenytoin


Mechanism of Action

Interferes with microbial folic acid synthesis and growth via inhibition of para-aminiobenzoic acid metabolism; exerts a bacteriostatic action


Usual Dosage

Adults: Female: Insert one applicatorful intravaginally once or twice daily continued through 1 complete menstrual cycle or insert one suppository intravaginally once or twice daily for 30 days


Mental Health: Effects on Mental Status

None reported


Mental Health: Effects on Psychiatric Treatment

None reported


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Complete full course of therapy as directed. Insert vaginally as directed by prescriber or see package insert. You may be sensitive to direct sunlight (wear protective clothing, use sunblock, and avoid excessive exposure to direct sunlight). Sexual partner may experience irritation of penis; best to refrain from intercourse during period of treatment. Report persistent vaginal burning, itching, or irritation; rash; yellowing of eyes or skin, dark urine, or pale stool; unresolved nausea or vomiting; or painful urination. Breast-feeding precautions: Do not breast-feed.


Nursing Implications

Avoid excessive exposure to sunlight; complete full course of therapy; notify physician if burning or irritation become severe or persist or if allergic symptoms occur


Dosage Forms

Cream, vaginal (AVC™, Vagitrol®): 15% [150 mg/g] (120 g with applicator)

Suppository, vaginal (AVC™): 1.05 g (16s)


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