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Pronunciation |
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(sul
fa NIL a
mide) |
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U.S. Brand
Names |
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AVC™ Cream; AVC™ Suppository;
Vagitrol® |
|
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Generic
Available |
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No |
|
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Pharmacological Index |
|
Antifungal Agent, Vaginal |
|
|
Use |
|
Treatment of vulvovaginitis caused by Candida
albicans |
|
|
Pregnancy Risk
Factor |
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C (avoid use after 7th month) |
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Contraindications |
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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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