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Boric Acid Vaginal Suppositories

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About boric acid

Boric was first marketed in 1939, and had many general uses, such as treating symptoms associated with vaginitis. It wasn’t until recently, in January 2016, when a commercially available homeopathic boric acid vaginal suppository (Hylafem Homeopathic RX Vaginal Suppository)came to the market. Although there are commercially available homeopathic products available, the FDA hasn’t evaluated these products for safety or efficacy. It’s unknown how boric acid actually works, but what we do know is that boric acid is effective topically against preventing the growth of bacteria and fungi.

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Boric acid and Bacterial Vaginosis

Studies show that boric acid may increase the pH of the vagina (making it more acidic), and this leads to the prevention of fungal growth. In addition, boric acid has been shown to exert slow-acting bacteriostatic activity against staphylococci and streptococci. Current guidelines recommend treating bacterial vaginosis with prescription only oral medications called nitroimidazoles. In addition to that, the CDC suggests that adding boric acid vaginal suppositories to the treatment regimen may be effective for women with recurrent bacterial vaginosis. 

Important things to know before using boric acid

Do not ingest boric acid. Severe boric acid poisoning and fatalities have occurred. Boric acid is made for topical use only. There is still a risk of developing systemic toxicity even when applied topically. Infants and children are at the highest risk. Do not apply to skin that is cut or broken.

Signs and symptoms of acute toxicity following excessive absorption of boric acid may include: nausea and vomiting; diarrhea; abdominal pain; hemorrhagic gastroenteritis; CNS stimulation (weakness, lethargy, headache, and restlessness, tremor, twitching of facial muscles and extremities, and seizures) followed by CNS depression; metabolic acidosis; intravascular coagulation; and fever. Severe and fatal poisoning with boric acid may manifest as oliguria, anuria, renal tubular necrosis, hepatomegaly, jaundice, cyanosis, shock, circulatory collapse, and death. If accidentally swallowed or if systemic toxicity is suspected, seek medical help or contact a poison control center immediately.

Do not use if pregnant or breast feeding. Boric acid should never be administered to neonates or infants. Do not use boric acid vaginal products in children 12 years or younger. Keep all boric acid products out of the reach of children.

Boric acid vaginal suppositories are not recommended for use by patients with high blood pressure, cardiac disease or blood vessel disease. Vaginal use is not recommended in patients with immunosuppression, including patients with acquired immunodeficiency syndrome (AIDS); use is considered contraindicated by the manufacturer.[ Patients with known sexually transmitted disease (STD) or a history of pelvic inflammatory disease (PID) should only receive the vaginal boric acid products under the close supervision and prescription of a health care provider. Patients should discontinue use and seek medical examination and advice for any vaginal bleeding, sores, ulcerations, nausea, fever or chills, sensitivity in your lower pelvis or abdomen, or suspected sexually transmitted disease (STD) or pelvic inflammatory disease Open genital or vaginal wounds can increase the risk for systemic absorption of boric acid and toxicity. 

What side effects can I expect using boric acid vaginally?

When used short term and as directed, boric acid vaginal products generally won’t cause significant side effects. You can expect to have watery or gritty vaginal discharge, irritation of the vagina, redness, and slight burning. In addition, if you’re allergic to boric acid, some reactions you may experience include anaphylactic reactions, dyspnea or difficulty breathing, chest pain (unspecified), angioedema, pruritus, urticaria or other rash (unspecified), pruritus, and skin irritation or inflammation. If these occur, discontinue use immediately. 

How to use Boric acid vaginal suppositories

Wash hands thoroughly with soap and water.

  • Take out the capsule suppository from the foil pouch (if applicable) and insert the capsule suppository into the open end of the applicator.
  • Gently insert the applicator with the vaginal capsule suppository into the patient’s vagina as far as possible, following the directions of the product.
  • Depress the plunger so that the capsule suppository is released.
  • Withdraw the applicator and discard the disposable applicator.
  • Wash hands after insertion.
  • Patient may wish to wear a panty liner after product is inserted as directed
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Other instructions

Avoid sexual intercourse during the treatment period.

Do not douche

Keep the area around your vagina and rectum clean (wash the area daily with warm water).

Wipe yourself from front to back after using the toilet

Use only as recommended by a physician or as directed on the product package

 If you have a female sexual partner, tell her that you have a vaginal infection. She should see her health care provider and be treated if she has symptoms.

If you have a male sexual partner, he does not need treatment.

Wipe yourself from front to back after using the toilet.

Keep all follow-up visits as told by your health care provider. This is important

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Hope this helps !

Dr. Adrianna Shardey, PharmD

Why Your Vagina has a “Fishy” Odor: Bacterial Vaginosis

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Reasons why you may develop BV

Bacterial vaginosis (BV) is an infection of the vagina which occurs when the normal vaginal bacteria is thrown off balance, and other harmful bacteria start to overgrow.  It most commonly affects sexually active women of reproductive age (ages 15-44).

Having a new sexual partner or multiple sexual partners.

Having unprotected sex.

Douching.

Having an intrauterine device (IUD).

Smoking.

Drug and alcohol abuse.

Taking certain antibiotic medicines.

Being pregnant.

Myths about Bacterial Vaginosis

You can get BV from toilet seats or from contact with objects. – No.

You can get BV from swimming pools, hot tubs, or taking a bath. – No.

BV doesn’t require treatment. It will go away on its own. – No.

✔️ It’s important to get treated because bacterial vaginosis increases your risk for sexually transmitted diseases. Getting treated can help reduce your risk for chlamydia, gonorrhea, herpes, and HIV

✔️ Treatment is also important for preventing complications in pregnant women, because this condition can cause an early labor.

How do I know if I have bacterial vaginosis?

Verify your signs and symptoms:

Grey or white vaginal discharge. Watery or foamy discharge.

Fish-like odor with discharge, especially after sexual intercourse or during menstruation.

Vaginal itching in and around the vagina.

Burning or pain with urination.

Some women with bacterial vaginosis have no signs or symptoms.

Verify your vaginal pH

There are kits available without a prescription to test your vaginal pH. A healthy vaginal pH ranges from 4-4.5.


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See your Primary Care Physician or OB/Gyn

Your condition will be diagnosed based on your medical history, physical exam of the vaginal and sample of vaginal fluid or cells.

How is this treated?

Bacterial Vaginosis (BV) is treated with prescription antibiotics and/or Boric acid. Prescription antibiotics may be give as a pill, a vaginal cream, or vaginal suppository. If the condition comes back after treatment, a second round of antibiotics may be needed.

The effectiveness of boric acid in treating BV has been gaining popularity amongst doctors recently, and is often used in conjunction with prescription antibiotics. The commercially available product is homeopathic and has not been evaluated by the FDA for safety or efficacy in treating vaginal conditions.

Genital Boils: How to get rid of them

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To get rid of a boil do the following:

Step 1: Apply a warm compress (with a clean wash cloth) 3-4 times a day for up to 20 minutes. 

Step 2: Clean the area with antibacterial/antiseptic soap at least 3 times a day

Step 3: Apply icthamol salve to unpopped boil 3-4 times a day after application of warm compress (OPTIONAL)

Step 4: Once the boil comes to a head (forms pus/whitehead) continue steps 1-2 until it drains/pops.

Step 5: Once boil drains, apply antibiotic ointment/cream (ex. Neosporin to the site 3-4 times a day after cleaning, then apply a bandage to keep it covered.

Step 6: Other options: In place of neosporin- apply Tea tree oil (diluted with coconut oil or olive oil)  or castor oil 3-4 tmes a day to site, then apply bandage to keep it covered.

Important note:  DO NOT ATTEMPT TO DRAIN THE BOIL WITH A NEEDLE OR POP WITH YOU FINGERS. 


****SEEK MEDICAL ATTENTION IF : THE BOIL DOES NOT IMPROVE WITHIN 2-3 DAYS, YOU HAVE A FEVER, SWOLLEN LYMPH NODES, MRSA/STAPH INFECTION, FEEL ILL, HAVE A MEDICAL CONDITION, OR IF OTHER BOILS ARE SURROUNDING THE PRIMARY BOIL. 
***

Boils can occur anywhere on the body.

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D.I.Y. Green Tea Lip Scrub

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Tired of DRY/CRUSTY lips? Me Too!

I’ve been using my homemade Green Tea Lip Scrub and have been getting amazing results!

I recommend scrubbing your lips with this at least 2-3 times a week, before bedtime. Be sure apply petroleum jelly afterwards and let moisturize overnight.

Green Tea Lip Scrub

Ingredients 

▪️ 1/2 contents of green teabag

▪️ 2 Tablespoons of granulated sugar

◾️ 1 Tablespoon of Olive Oil 

Equipment Needed

▪️Measuring Spoons

▪️Stirring Spoon

▪️Plastic Bowl w/ Lid

Instructions

Mix ingredients in a clean bowl. Apply to lips using your finger or a q-tip. Scrub for 15 seconds. Rinse with warm water. 

Apply chapstick or petroleum jelly. 

It should look like this !

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The Blue Glittery Eye

🌀Eye Deets People:

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🔷First I applied shadow to my crease and lid 🖌 using the Take Me Back To Brazil – 35 Color Pressed Pigment Palette @BHcosmetics

🔷I used all 3 blue pigments from lightest to dark

🔹they all contain color additive Blue 1 Lake and Ultramarines (Both subject to FDA Certification)

🔹Not intended for use around immediate eye area.

🔵I made the pressed Glitter myself !!

🔹ingredients: Isopropyl alcohol 91%, Pure Glycerin, Glitter (cosmetic grade), Aloe

🔹3 parts alcohol + 2 parts glycerin + 1 part aloe + glitter

🔹Apply the glitter with your finger to the Eye Lid ( dabbing on the lid gently )

💎SHould I do a tutorial on how to make the pressed gliiter ?!💎

🔵 I bought the lashes last year from a Halloween Store 🎃

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NYX Utimate Shadow Palette “BRIGHTS”

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🔘 NYX Ultimate Shadow Palette 🎨 “BRIGHTS” 🌈

🔘 Shades Used: #5 💜 and #9 💙

🔘 Yellow Lake No. 5 is the only color additive in SHADE 5 subject to FDA Certification 💛

🔘 Yellow Lake No. 5 and Blue Lake No. 1 are the only color additives in SHADE 9 subject to FDA Certification 💛💙

🔘 Both Color additives may be safely used for coloring cosmetics intended for use in the area of the eye 👁

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Blue Lake No.1 On My Sapphire Lips

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This lip color was inspired by Sapphire 💎, the Birthstone of September 💎.

💎💄I used 5 different Lip Products to get this beautiful color!!

💙Each one of these Lip Products (listed below) contains a color additive called FD&C Blue Lake No.1 (CI42090).

💎Blue Lake No. 1 is permitted by the FDA to be used on the Eye Area, in Lipsticks, and Externally.

💙Beware that this differs from D&C Blue No.4, which approved for EXTERNAL USE ONLY!

💙💎💄Products used: NYX Suede matte lip Liner (Blue), Revlon Ultra D Matte Lip color (HD Glitz), Maybelline Vivid Matte (Vivid Violet), NYX Liquid Suede (Jet Set), Palladio Line Out Loud (Sapphire)

— Adrianna, PharmD, Cosmetic Pharmacist