Acetic Acid, Glacial, Oxyquinoline Sulfate, Ricinoleic Acid Vaginal gel

What is this medicine?

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 medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

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

How should I use this medicine?

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.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

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.

What may interact with this medicine?

• spermicides such nonoxynol-9 or octoxynol

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

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

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.

What side effects may I notice from receiving this medicine?

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

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my 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.

NOTE:This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.