Medication Effects on Vaginal Infections and Eye Health - Obstetrics and Gynecology

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Medication issues


Hello, this week I experienced discomfort in the genital area and after seeing a doctor, I was informed that I have vaginitis.
The doctor prescribed the following medications.
I would like to ask a few questions, thank you.
1.
Among the medications listed, which one has a diuretic effect? I have noticed an increased frequency of urination over the past two days and I'm unsure if it's due to increased fluid intake or the medication.
2.
I found information online regarding the medication "Biphosphate" stating that "patients with glaucoma or severe prostatic hypertrophy should use it with caution." What is the effect of this medication on glaucoma? Does it raise intraocular pressure or have other effects? I have a history of high intraocular pressure but have not been diagnosed with glaucoma.
I pay special attention to any related issues and want to confirm that this medication will not affect my current eye condition.
3.
Regarding personal hygiene, are commercially available specialized cleansing products suitable for daily use?
- Non-enteric coated tablets (Daflon)
- "Yongxin" Ningstai Ding capsules
- Biphosphate (Piperazine)
- Mycoclean vaginal tablets (Clotrimazole)
- Ailai 60 mg tablets

Niming, 20~29 year old female. Ask Date: 2021/11/14

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not cause diuresis.
In principle, if you experience any discomfort, you should see a doctor and not use cleaning agents on your own.
Wishing you good health.

Reply Date: 2021/11/14

More Info


When dealing with medications for vaginal infections and their potential effects on eye health, it's essential to understand the pharmacological properties of the drugs prescribed and how they may interact with pre-existing conditions, particularly those related to eye health.

1. Diuretic Effects: Among the medications you mentioned, it is important to note that some medications can have diuretic effects, which may lead to increased urination. However, without specific names of the medications, it's challenging to pinpoint which one might be causing this effect. If you are experiencing increased urinary frequency, it could be due to increased fluid intake or a side effect of the medication. It's advisable to monitor your symptoms and discuss them with your healthcare provider, as they can provide clarity on whether the medication is the cause.

2. Impact on Glaucoma: The medication "必迫痙錠" (likely referring to a drug containing propiverine) is known to have anticholinergic properties. Anticholinergics can potentially increase intraocular pressure, which is a concern for individuals with glaucoma or high eye pressure. If you have a history of elevated eye pressure, it is crucial to inform your healthcare provider about this condition before starting any new medication. They may need to monitor your eye pressure more closely or consider alternative treatments that do not pose a risk to your ocular health.

3. Daily Use of Cleansing Products: Regarding the use of commercial intimate cleansing products, while many are marketed as safe for daily use, it is essential to choose products that are gentle and free from harsh chemicals or fragrances that could irritate the sensitive vaginal area. Overuse of such products can disrupt the natural flora and pH balance, potentially leading to further infections. It is generally recommended to use plain water for cleansing the genital area and to limit the use of specialized products to avoid irritation.

In summary, when taking medications for vaginal infections, it is crucial to be aware of their potential side effects, especially concerning urinary frequency and eye health. If you have pre-existing conditions such as high eye pressure or are concerned about the effects of any medication on your eyes, it is best to consult with your healthcare provider. They can provide personalized advice and adjust your treatment plan as necessary to ensure both your vaginal and ocular health are maintained. Always communicate openly about any symptoms you experience while on medication, as this will help your healthcare provider make informed decisions regarding your treatment.

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