Description:

Gogynax Clotrimazole Vaginal Insert USP 100mg (by Shalina Laboratories) is a vaginal antifungal pessary (insert/suppository) used to treat vulvovaginal candidiasis (vaginal yeast infection/thrush) caused by Candida species. It relieves symptoms such as vaginal itching, burning, irritation, abnormal discharge (often white/curd-like), and discomfort during urination or intercourse. Clotrimazole inhibits fungal cell membrane synthesis (ergosterol biosynthesis), leading to fungal cell death. It is a common, affordable prescription or OTC vaginal antifungal in Ghana (Accra pharmacies) for uncomplicated vaginal candidiasis.

Prescription:

Prescription-only in many regulated markets, but commonly sold OTC in Ghana for short-term use in uncomplicated cases (available without Rx in pharmacies for vaginal thrush). Consult a gynecologist, doctor, or pharmacist for proper diagnosis (to rule out bacterial vaginosis, trichomoniasis, or other causes) and to confirm suitability; recurrent or complicated infections require medical evaluation.

Therapeutic Category:

Topical Azole Antifungal / Vaginal Anti-infective (Imidazole antifungal for vulvovaginal candidiasis.

Active Ingredients/Composition:

Each vaginal insert contains:

• Clotrimazole USP – 100 mg (active antifungal agent). Other ingredients (excipients, typical): Polyethylene glycol (PEG) base (for melt-at-body-temperature delivery), or glycerin/gelatin base, preservatives (e.g., parabens in some formulations). The insert is white to off-white, bullet-shaped or oval, and melts in the vagina for local action.

Vitamins: None.

Minerals: None.

Variant:

• Gogynax Clotrimazole Vaginal Insert USP 100mg (standard 100mg strength; common pack of 6 or 7 inserts with applicator). Related variants: Gogynax Cream 30g (topical cream for external vulval application), Gogynax 200mg or 500mg inserts (higher-dose single-use for severe/recurrent cases), or combination products (e.g., with metronidazole for mixed infections). The 100mg insert is the most common for multi-day treatment.

Consume Type:

Vaginal – Insert/Pessary (inserted into the vagina; not for oral, rectal, or external use unless specified).

Directions/Usage: Use at bedtime for best retention.

• Wash hands and vulva.
• Lie on back with knees bent; insert one 100mg pessary high into the vagina using the provided applicator (or finger).
• Standard regimen: 1 insert (100mg) once nightly for 6–7 consecutive nights.
• For external symptoms: Apply Gogynax cream to vulva if needed (2 times daily).
• Complete full course even if symptoms improve.
• Avoid sexual intercourse or use condoms during treatment (may reduce efficacy or irritate partner).
• Do not use during menstruation (insert may be washed out).

Common Side Effects: Common (mild/local):

• Vaginal burning, itching, or irritation on application.
• Mild redness or discomfort in vulva.
• Increased vaginal discharge (normal as medication melts). Rare: Allergic reactions (severe rash, swelling), abdominal pain, or headache. Systemic absorption minimal.

Package Type:

Blister pack of 6–7 vaginal inserts (each individually sealed in foil blister; includes plastic applicator; carton with patient leaflet and instructions).

Storage Advice:

Store at room temperature (below 25–30°C) in a cool, dry place, away from direct sunlight and heat. Keep in original packaging. Do not freeze. Out of reach of children.

Safety Advice:

• For vaginal use only; avoid if allergic to clotrimazole, imidazoles, or ingredients.
• Contraindicated in first trimester of pregnancy unless benefits outweigh risks (consult doctor).
• Caution in pregnancy (second/third trimester safe), breastfeeding (minimal systemic absorption), or children (not indicated).
• If severe irritation, fever, lower abdominal pain, or no improvement after 7 days, stop use and seek medical care (possible resistant strain, bacterial vaginosis, or other infection).
• Do not use tampons, douches, or spermicides during treatment (may reduce efficacy).
• Keep out of reach of children.

Product Substitutes: Similar clotrimazole 100mg vaginal inserts in Ghana include:

• Gyno-Daktarin Vaginal Capsules 100mg (miconazole).
• Canesten Vaginal Tablets 100mg (clotrimazole).
• Generic clotrimazole 100mg pessaries (various importers).
• Higher-dose: Clotrimazole 200mg or 500mg single-dose inserts.
• Alternatives: Fluconazole 150mg oral tablet (single-dose systemic option), or miconazole cream/inserts. Consult pharmacist/gynecologist in Accra (e.g., Scab Pharmacy, Country Medical Pharmacy) for availability.

Manufacturer/Marketer:

Shalina Laboratories (India-based; produces Gogynax as part of its gynecological range). Marketed/distributed in Ghana by Shalina or local importers/pharmacies (widely stocked at outlets like Scab Pharmacy, Beybee Pharmacy).

Country of Origin:

India (manufactured by Shalina Laboratories; imported to Ghana and widely available in local pharmacies)