Gentian violet (Vaginal)

Vaginal gentian violet is used to treat fungus (yeast) infections.

Vaginal gentian violet was available only with your doctor's prescription.

Key Pharmaceuticals stopped making Genapax® on October 3, 1990.

If your symptoms do not improve within a few days, or if they become worse, check with your doctor.

Gentian violet will stain your skin and clothing. Vaginal medicines usually will come out of the vagina during treatment. To prevent the medicine from staining your clothes, wear a minipad or sanitary napkin.

To help completely clear up your infection and to help prevent it from coming back, good health habits are also needed.

• Wear cotton panties (or panties or pantyhose with cotton crotches) instead of synthetic (for example, nylon or rayon) panties.
• Wear only clean panties.

If you have any questions about this, check with your health care professional.

Many vaginal infections are spread through sexual intercourse. A male sexual partner may carry the germs on or in his penis. While you are using this medicine, it may be a good idea for your partner to wear a condom during sex to avoid re-infection. Also, your partner may need treatment. Do not stop using this medicine if you have sex during treatment.

Some women may want to use a douche before putting each dose in the vagina. Some doctors will allow the use of a vinegar and water douche or other douches. However, others do not allow any douching. If you do use a douche, do not overfill the vagina. Doing so may push the douche up into the uterus and possibly cause inflammation or infection. Also, do not douche if you are pregnant since this may harm the fetus. If you have any questions about this, check with your health care professional.

In deciding to use a medicine, you and your doctor will weigh the risks against the benefits. For this medicine, consider the following:

Allergies

Inform your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also let your healthcare professional know about any other allergies you have, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies on this medicine have only been done in adults, and there is no specific information comparing the use of vaginal gentian violet in children to use in other age groups.

Geriatric

Many medicines have not been specifically studied in older adults. Therefore, it may not be clear if they work the same way in older people as they do in younger adults. Although there is no specific information comparing the use of vaginal gentian violet in the elderly to use in other age groups, this medicine is not expected to cause different side effects or problems in older people than in younger adults.

Interactions with Medicines

Some medicines should not be used together at all, while in other cases, two different medicines may be used together even if an interaction could happen. In these situations, your doctor may want to adjust the dose, or other precautions may be needed. Inform your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be taken at or around the time of eating food or specific types of food due to potential interactions. Using alcohol or tobacco with certain medicines may also cause interactions. Talk with your healthcare professional about using your medicine with food, alcohol, or tobacco.

Along with its needed effects, a medicine may cause some unwanted effects. Not all of these side effects may occur, but if they do, they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• Vaginal burning, itching, pain, or other signs of irritation not present before using this medicine

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Gentian violet usually comes with patient directions. Read them carefully before using this medicine.

After insertion, remove the tampon from the vagina after 3 to 4 hours unless otherwise directed by your doctor.

To help clear up your infection completely, keep using this medicine for the full time of treatment, even though your condition may have improved. Do not miss any doses.

While you are using gentian violet tampons, the use of regular (non-medicated) tampons is not recommended. They will soak up the medicine that stays in the vagina after the gentian violet tampon is taken out. During your menstrual period you should wear a minipad or sanitary napkin instead.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For vaginal dosage form (tampons): For treating a vaginal fungus (yeast) infection: Adults and teenagers—5 milligrams (one tampon) inserted into your vagina one or two times a day for twelve days in a row. The tampon should be left in your vagina for three to four hours.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.