Fem pH (vaginal)

Fem pH is a natural acidic substance that is usually found in vinegar.

Fem pH (for use in the vagina) is used to make the vaginal canal more acidic.

Fem pH may also be used for reasons not included in this medication guide.

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Do not take by mouth. Fem pH is for use only in the vagina.

Fem pH is most commonly used every day, in the morning and in the evening.

Wash your hands before and after using vaginal medication.

Read all patient information, medication guides, and instruction sheets about how to insert the medicine.

Use this medicine only with the applicator provided.

If the applicator will be reused, take it apart and wash it with warm water and mild soap, then dry it completely.

Vaginal solution is usually packaged in single-use disposable bottles and applicator tips.

Do not reuse a disposable douche applicator or bottle.

You can use a sanitary napkin to prevent the medicine from staining your clothing, but do not use a tampon.

Your doctor may also prescribe antibiotic or antifungal medicine to treat your vaginal condition. Keep using all recommended medications for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotic or antifungal medication.

Call your doctor if your symptoms do not improve, or if they get worse.

Store at room temperature away from moisture and heat.

Follow all instructions on your medicine label and package. Inform each of your healthcare providers about all your medical conditions, allergies, and all medicines you are using.

You should not use Fem pH if you are allergic to Fem pH or vinegar.

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have other medical conditions, especially foul-smelling vaginal discharge or other signs of a bacterial infection.

It is not known whether Fem pH will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant.

It is not known whether acetic acid vaginal passes into breast milk or if it could harm a nursing baby. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Fem pH may cause serious side effects. Stop using Fem pH and call your doctor right away if you have:

• severe burning, stinging, or irritation after using the medicine; or
• any new symptoms.

Common side effects of Fem pH may include:

• mild burning or stinging after use.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not use extra medicine to compensate for the missed dose.

An overdose of Fem pH (vaginal) is not expected to be dangerous. Seek emergency medical help or call the Poison Help line at 1-800-222-1222 if someone has accidentally swallowed the medication.

Do not get this medication in your eyes, nose, mouth, or rectum. If this occurs, rinse with water.

Do not wear tight-fitting, synthetic clothing (like panty hose) that does not allow air circulation. Wear loose-fitting clothing made of cotton and other natural fibers until your condition is treated.

It is unlikely that other medications you take by mouth or inject will affect Fem pH when applied vaginally. However, many medications can interact with each other. Inform all your health care providers about all the medicines you are using, including prescription and over-the-counter medicines, vitamins, and herbal products.