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Phexxi
Phexxi (lactic acid, citric acid, and potassium bitartrate) is a prescription vaginal gel used as a non-hormonal contraceptive method to prevent pregnancy. It is designed to be used at the time of intercourse and works by maintaining the vaginal pH at an acidic level, which helps to prevent sperm from reaching and fertilizing an egg.
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Frequently Asked Questions
How quickly does Phexxi start to work?
Phexxi begins to work immediately upon application, making it effective for use right before intercourse.
Can I use Phexxi if I am on my period?
Phexxi can be used during menstruation, but it is generally not necessary for contraception unless there is a risk of sexual activity during that time.
Are there any specific dietary restrictions while using Phexxi?
There are no specific dietary restrictions associated with the use of Phexxi.
What should I do if I miss a dose of Phexxi?
Since Phexxi is used on an as-needed basis right before intercourse, missing a dose would not apply. However, if you have unprotected intercourse without using Phexxi, consider discussing emergency contraception options with your healthcare provider.
Is Phexxi safe for long-term use?
Phexxi is intended for use as needed for contraception. Regular follow-up with a healthcare provider is essential to ensure ongoing effectiveness and to discuss any concerns or potential side effects.
Comprehensive Drug Guide
How Does Phexxi Work?
- Acidifying the vaginal environment: The active ingredients create an acidic environment in the vagina, which helps to immobilize sperm, reducing the likelihood of fertilization.
- Preventing sperm motility: By altering the vaginal pH, Phexxi inhibits sperm movement, making it more difficult for sperm to travel through the cervical mucus.
Common Dosages
- Vaginal gel: Each applicator contains 5 g of the gel.
Typical Dosing
- Phexxi should be used immediately before vaginal intercourse. The recommended dose is one applicatorful (5 g) inserted into the vagina no more than 1 hour prior to sexual intercourse. If there are multiple acts of intercourse, a new dose should be used for each act.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy in females of reproductive age.
Who Shouldn't Take Phexxi?
- Known hypersensitivity to any component of the formulation.
- Unexplained vaginal bleeding or active pelvic inflammatory disease.
Advice From The Pharmacist
- Instruct patients on the proper technique for using Phexxi, including how to correctly insert the applicator.
- Advise patients that Phexxi does not protect against sexually transmitted infections (STIs) and should be used in conjunction with barrier methods if STI protection is needed.
- Discuss the importance of using Phexxi correctly and consistently to maximize its contraceptive effectiveness.
Side Effects of Phexxi
Common Side Effects
- Vaginal irritation or discomfort
- Burning sensation in the vagina
- Abdominal pain
- Headache
Uncommon/Severe Side Effects
- Severe allergic reactions (such as rash, itching, or difficulty breathing)
- Increased risk of urinary tract infections (UTIs).
Risks and Warnings of Phexxi
- Effectiveness: Phexxi is effective when used correctly; however, its efficacy may be reduced if used with certain medications or in specific conditions. Discuss alternative contraceptive methods if there are concerns about proper use.
- Vaginal Health: Monitor for any unusual vaginal symptoms, and report them to a healthcare provider, as they may indicate an infection or other condition.
Interactions with Phexxi
Common Drug Interactions
- Other Medications: Patients should inform their healthcare provider about all medications they are taking, including hormonal contraceptives and antibiotics, as they may affect the efficacy of Phexxi.
Alternatives to Phexxi
- Other Contraceptive Methods: Alternatives may include hormonal contraceptives (like the pill, patch, or IUD), barrier methods (such as condoms), or intrauterine devices (IUDs), depending on individual preferences and health considerations.
