Sulfanilamide Vaginal cream

What is this medication?

SULFANILAMIDE (suhl fuh NIL uh mahyd) treats infections caused by too much yeast or fungus in the vagina. It belongs to a group of medications called sulfonamide antifungals.

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

COMMON BRAND NAME(S): AVC

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• An unusual or allergic reaction to sulfanilamide, other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-feeding

How should I use this medication?

This medication is only for use in the vagina. Wash hands before and after use. Read package directions carefully before using. Screw the applicator onto the end of the tube and squeeze the tube to fill the applicator. Remove the applicator from the tube. Lie on your back. Gently insert the applicator tip high in the vagina and push the plunger to release the cream into the vagina. Gently remove the applicator. Wash the applicator well with warm water and soap. Use at regular intervals as directed by your care team. Finish the full course of treatment even if you think your condition is better. Do not stop using this medication if your menstrual period starts during the time of treatment.

Talk to your care team about the use of this medication 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, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medication?

Interactions are not expected. Do not use any other medications in the vagina without asking your care team.

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 medication?

Tell your care team if your symptoms do not start to get better within a few days.

If you develop abdominal pain, a fever greater than 100 degrees F, or foul-smelling vaginal discharge, contact your care team. Do not self-treat if you have these symptoms. These are signs of a more serious infection, and you will need to be examined by your care team.

It is better not to have unprotected sex until you have completely finished this treatment. Many vaginal infections are spread by sexual activity. If your partner has itching or redness of the genitals, they should also see their care team about these symptoms. They may also need evaluation and treatment.

Your clothing may get soiled if you have a vaginal discharge. You can wear a sanitary napkin. Do not use tampons. Tampons can absorb this medication and decrease the efficacy of the medication. If possible, wear freshly washed cotton, not synthetic, panties.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

• Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
• Aplastic anemia—unusual weakness or fatigue, dizziness, headache, trouble breathing, increased bleeding or bruising
• Infection—fever, chills, cough, or sore throat

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

• Vaginal irritation at application site

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 medication?

Keep out of the reach of children and pets.

Store below 30 degrees C (86 degrees F). Avoid exposure to cold. Get rid of any unused medication after the expiration date.

To get rid of medications that are no longer needed or have expired:

• Take the medications to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
• If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

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.