Vaginal clotrimazole is used to treat vaginal yeast infections in adults and children 12 years of age and older. Clotrimazole is in a class of antifungal medications called imidazoles. It works by stopping the growth of fungi that cause infection.

Vaginal clotrimazole comes as a cream to be inserted into the vagina. It also may be applied to the skin around the outside of the vagina. The cream is inserted into the vagina once a day at bedtime for 3 or 7 days in a row, depending on the product instructions. The cream is used twice a day for up to 7 days around the outside of the vagina. Follow the directions on the package or your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use clotrimazole exactly as directed. Do not use more or less of it or use it more often than directed on the package or prescribed by your doctor.

Vaginal clotrimazole is available without a prescription (over the counter). If this is the first time you have had vaginal itching and discomfort, talk to a doctor before using clotrimazole. If a doctor has told you before that you had a yeast infection and you have the same symptoms again, use the vaginal cream as directed on the package.

Do not have vaginal intercourse or use other vaginal products (such as tampons, douches, or spermicides) during your treatment.

You should begin to feel better during the first three days of treatment with clotrimazole. If your symptoms do not improve or get worse, call your doctor.

To apply the clotrimazole cream to the outside area around the vagina, use your finger to apply a small amount of cream to the affected area of skin.

To insert the clotrimazole cream vaginally, read the instructions provided with the medication and follow these steps:

1. Fill the special applicator that comes with the cream to the level indicated.
2. Lie on your back with your knees drawn upward and spread apart or standing with your feet far apart and knees bent.
3. Gently insert the applicator into the vagina, and push the plunger to release the medication.
4. Withdraw the applicator.
5. Discard the applicator if it is disposable. If the applicator is reusable, pull it apart and clean it with soap and warm water after each use.
6. Wash your hands promptly to avoid spreading the infection.

The dose should be applied when you lie down to go to bed. It works best if you do not get up again after applying it except to wash your hands. You may wish to wear a sanitary napkin while using the vaginal cream to protect your clothing against stains. Continue using clotrimazole vaginal cream even if you get your period during treatment.

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

Before using vaginal clotrimazole,

• tell your doctor and pharmacist if you are allergic to clotrimazole, any other medications, or any of the ingredients in clotrimazole vaginal cream. Ask your pharmacist for a list of the ingredients.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• tell your doctor if you have lower stomach, back, or shoulder pain. fever, chills, nausea, vomiting, or foul-smelling vaginal discharge; been exposed to or have human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS); or have had frequent vaginal yeast infections (once a month or 3 or more infections in 6 months).
• tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using clotrimazole, call your doctor.
• you should know that condoms and diaphragms may be weakened if they are used during your treatment with vaginal clotrimazole. Because of this, these devices may not be effective at preventing pregnancy or sexually transmitted diseases if you use them during your treatment.

Unless your doctor tells you otherwise, continue your normal diet.

Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.

Clotrimazole may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• increased burning, itching, or irritation of the vagina

Some side effects can be serious. If you experience any of the following symptoms, stop using clotrimazole and call your doctor immediately:

• rash
• hives
• stomach pain
• fever
• chills
• nausea
• vomiting
• foul-smelling vaginal discharge

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (https://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Keep all medication out of sight and reach of children as many containers are not child-resistant. Always lock safety caps. Place the medication in a safe location – one that is up and away and out of their sight and reach.https://www.upandaway.org

Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Do not flush this medication down the toilet. Use a medicine take-back program. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines websitehttps://goo.gl/c4Rm4p for more information.

If someone swallows clotrimazole vaginal, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Keep all appointments with your doctor.

Ask your pharmacist any questions you have about clotrimazole.

If you still have symptoms of infection 7 days after starting treatment with clotrimazole, call your doctor.

Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies.

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