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Phexxi (Generic Lactic Acid, Citric Acid, and Potassium Bitartrate Vaginal Contraceptive)

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Why is this medication prescribed?

Phexxi is a prescription medication used as a contraceptive method for the prevention of pregnancy. It is a non-hormonal vaginal gel that works by maintaining the acidity of the vagina, creating an environment that is inhospitable to sperm. Phexxi is intended for use by sexually active individuals with a uterus and is not effective in preventing sexually transmitted infections (STIs).

How should this medicine be used?

Here are the general instructions on how to use Phexxi:

  • Timing: Phexxi should be applied right before each act of vaginal intercourse.
  • Administration: The gel comes in a pre-filled applicator, and it should be inserted into the vagina. The applicator is squeezed to release the gel inside the vagina.
  • Dosage: One applicator is used for each act of intercourse. It is important to follow the prescribed dosage and not use more than one application per act of intercourse.
  • Preparation: Before using Phexxi, make sure to read the instructions provided by your healthcare provider or on the medication packaging. Wash your hands before handling the applicator.
  • Positioning: Insert the applicator into the vagina while lying on your back or in a comfortable position. Push the plunger to release the gel.
  • Timing of application: Phexxi should be applied no more than one hour before each act of intercourse.

It’s essential to follow your healthcare provider’s instructions carefully and discuss any questions or concerns you may have about using Phexxi. Additionally, it’s important to note that Phexxi is not effective if it is not used as directed, so consistent and correct use is crucial for its contraceptive effectiveness.

If you have specific questions about Phexxi or its use, it is advisable to consult with your healthcare provider for personalized advice and guidance.

Other uses for this medicine

Phexxi is specifically designed and approved for use as a contraceptive, and its main active ingredients are lactic acid, citric acid, and potassium bitartrate. It is not intended for other medical conditions, and its efficacy is limited to preventing pregnancy. It does not protect against sexually transmitted infections (STIs).

What special precautions should I follow?

Special precautions and considerations when using Phexxi include:

  • Effectiveness: Phexxi should only be relied upon for preventing pregnancy and should not be used as protection against sexually transmitted infections. If there is a concern about STIs, additional barrier methods such as condoms are recommended.
  • Timing: Phexxi should be applied no more than one hour before each act of intercourse. It is crucial to adhere to the recommended timing for optimal contraceptive effectiveness.
  • Follow Instructions: It is essential to follow the instructions provided by your healthcare provider and those included with the medication. This includes proper application techniques and the prescribed dosage.
  • Irritation: Some individuals may experience vaginal irritation or discomfort while using Phexxi. If you experience persistent irritation or discomfort, contact your healthcare provider.
  • Allergies: Inform your healthcare provider about any allergies you may have, especially if you are sensitive to any of the components of Phexxi.
  • Medication Interactions: Discuss with your healthcare provider any other medications or products you are using, including over-the-counter drugs or supplements. Some substances may interact with Phexxi.
  • Infection: If you have a vaginal infection or irritation, it is advisable to consult with your healthcare provider before using Phexxi.
  • Pregnancy and Breastfeeding: The safety of Phexxi during pregnancy and breastfeeding has not been well studied. Consult with your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.

Always consult with your healthcare provider for personalized advice based on your medical history and individual circumstances. If you experience any unusual or severe side effects while using Phexxi, contact your healthcare provider promptly.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with the use of Phexxi. However, it’s always a good idea to maintain a healthy and balanced diet for overall well-being.

What should I do if I forget a dose?

Phexxi is typically used on an as-needed basis before each act of intercourse. If you forget to use Phexxi before intercourse, you should not apply it after the fact. Instead, you can use another form of contraception, such as a barrier method like condoms, to help prevent pregnancy.

If you frequently forget to use Phexxi or have concerns about its effectiveness, it’s crucial to discuss this with your healthcare provider. They can provide guidance on the best contraceptive methods for your individual needs and help address any issues or concerns you may have.

What side effects can this medication cause?

Phexxi, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects that are not listed. If you are prescribed Phexxi and are concerned about potential side effects, it’s crucial to discuss them with your healthcare provider. Common side effects of Phexxi may include:

  • Vaginal Irritation: Some individuals may experience irritation, itching, or discomfort in the vaginal area.
  • Urinary Tract Infection (UTI): UTIs may occur in some cases.
  • Vaginal Discharge: Changes in vaginal discharge, such as an increase or unusual consistency, may be observed.
  • Bacterial Vaginosis: There is a possibility of developing bacterial vaginosis, a condition characterized by an overgrowth of certain bacteria in the vagina.
  • Yeast Infection: Phexxi may increase the risk of yeast infections in some individuals.
  • Discomfort During Intercourse: Some users may experience discomfort or pain during sexual intercourse.
  • Genital Discomfort: Phexxi may cause genital discomfort, including burning or itching.
  • Urinary Urgency: Increased urgency to urinate may be a side effect.

It’s important to seek medical attention if you experience severe or persistent side effects or if you have concerns about any reactions. Additionally, if you have an allergic reaction (such as rash, itching, swelling, severe dizziness, or difficulty breathing), seek emergency medical attention.

Every individual may react differently to medications, and your healthcare provider will consider your medical history and individual circumstances when prescribing Phexxi. If you experience any side effects or have questions about the medication, don’t hesitate to contact your healthcare provider for guidance.

What should I know about storage and disposal of this medication?

Storage and Disposal of Phexxi:

  • Storage: Store Phexxi at room temperature between 20°C to 25°C (68°F to 77°F). Avoid exposing it to extreme temperatures or direct sunlight.
  • Keep Away from Children: Keep Phexxi out of reach of children and pets. The applicators contain a single dose of the gel, and accidental ingestion by children should be prevented.
  • Disposal: Dispose of used applicators in a way that is safe and out of reach of children. Follow local regulations or guidelines for the disposal of medication.

In case of emergency/overdose

In the case of an emergency or suspected overdose, contact your local poison control center (1-800-222-1222 in the United States) or seek emergency medical attention immediately. Overdose symptoms are not well-documented for Phexxi, but if you have concerns, it’s crucial to seek medical advice promptly.

What other information should I know?

  • Effectiveness: Phexxi is a contraceptive method designed to prevent pregnancy and is not effective in protecting against sexually transmitted infections (STIs). If STI prevention is a concern, additional barrier methods such as condoms are recommended.
  • Follow-up Appointments: Keep scheduled follow-up appointments with your healthcare provider to monitor your health, discuss any concerns, and ensure the continued effectiveness of Phexxi.
  • Missed Doses: Phexxi is typically used on an as-needed basis before each act of intercourse. If you forget to use Phexxi, do not apply it after the fact. Instead, consider using another form of contraception, such as condoms.
  • Consultation with Healthcare Provider: Always consult with your healthcare provider if you have questions, concerns, or experience any side effects while using Phexxi.
  • Medical History: Inform your healthcare provider about your complete medical history, including any allergies or pre-existing conditions, before starting Phexxi.
  • Regular Gynecological Check-ups: It’s important to continue with regular gynecological check-ups even when using contraceptive methods like Phexxi.

As with any medication, it’s crucial to follow your healthcare provider’s instructions and advice for the safe and effective use of Phexxi. If you have specific concerns or questions, discuss them with your healthcare provider for personalized guidance.

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