Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole

Dosage forms available

• Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole is available mainly in the form of vaginal gels and creams.

• These formulations are administered intravaginally, allowing direct application to the affected area.

Age and dose restrictions

• This medicine is intended for use by adult women, especially those diagnosed with vaginal infections such as bacterial vaginosis.

Contraindications

• Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole is contraindicated for individuals with severe liver disease.

• It is also contraindicated in those with blood disorders like porphyria.

• Those who have taken disulfiram in the past 14 days should not use this medicine due to the risk of severe reactions.

Other medications to avoid

• This combination may interact with other antiseptics (such as iodine-based solutions), other local anesthetics (like bupivacaine), and other antibiotics (such as clindamycin). These interactions could affect the effectiveness and safety of the treatment.

Overdose and missed dose

• An overdose of this medication might lead to excessive numbness due to lidocaine, or more severe neurological symptoms from metronidazole. Immediate medical attention is advised in the event of an overdose.

• If a dose is missed, it should be used as soon as remembered unless it is nearly time for the next dose. In such cases, skip the missed dose but do not double up on the next one to avoid potential complications.

Management of side effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Apply an ice pack or cool compress to alleviate mild vaginal burning or itching.

• Drinking plenty of fluids can help manage mild nausea or diarrhoea that might occur.

Use in driving and operating machinery

• Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole may cause dizziness or lightheadedness. You should avoid driving or operating heavy machinery until you know how this medicine affects you.

Use in pregnancy and lactation

• The safety of Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole during pregnancy or while breastfeeding has not been fully established. It is crucial to consult your doctor before using this medication in these conditions.

Caution in other conditions

• Individuals with liver disease or blood disorders should use Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole with caution.

• Those with existing nervous system disorders are advised to discuss potential risks with their doctor due to the neurological effects of metronidazole and lidocaine.

Special dietary and lifestyle recommendations

• While using Chlorhexidine Gluconate + Lidocaine / Lignocaine + Metronidazole, avoiding alcohol is recommended as it can interact negatively with metronidazole, causing nausea and vomiting.

• Maintaining good personal hygiene can help prevent further infection or irritation.

• Wearing loose-fitting, cotton underwear can reduce irritation and allow better air circulation, helping to keep the vaginal area dry and decreasing the likelihood of fungal infections.

• Consuming probiotics through yoghurt or supplements may help maintain healthy vaginal flora and combat potential side effects like yeast infections.