Side Effects of Vaginal Suppositories: Itching and Discharge Concerns

Rofecoxib vaginal tablets

I previously visited a doctor due to itching and slight bleeding.
The doctor mentioned that the itching might be due to a bacterial infection and that the bleeding could be related to my menstrual cycle.
I was prescribed Lofenalac vaginal tablets and a topical ointment.
However, after using the tablet on the first day, I experienced increased itching, and when I woke up in the morning, the itching was even worse.
The discharge resembled menstrual blood.
Is this normal? Now, on the third day, the itching has subsided, but I continue to use the medication.
However, it still itches when I insert it, and in the morning, the discharge looks like menstrual blood.
Throughout the day, I notice blood-like discharge when I wipe with tissue.
I would like to know if the increased itching after inserting the medication and upon waking is normal, and whether the blood-like discharge is actual bleeding or just the color from the medication dissolving.

En, 0~9 year old female. Ask Date: 2015/09/09

Dr. Lin Wenbin reply Obstetrics and Gynecology

When using the vaginal suppository, it must be pushed all the way to the back of the vagina to be effective.
If the suppository dissolves and secretions flow out, some patients may experience discomfort in the vulvar area.
In this case, it is necessary to apply a topical ointment, such as a hydrocortisone cream, to the vulva to alleviate itching.
Please monitor for any signs of allergic reactions in the vulvar area.
If itching persists and there is redness and swelling, discontinue the use of both medications and seek evaluation at a clinic.
When using the suppository, there is no need to use any cleansers while bathing; rinsing with plain water is sufficient to minimize skin irritation.
The medication should not produce red discharge; instead, observe for any bleeding and its characteristics.
If necessary, return to the clinic to determine whether the bleeding is originating from the cervix or the uterine body.

Reply Date: 2015/09/09

More Info

When using vaginal suppositories, such as the ones you mentioned (柔芬陰道錠 and 皮大夫), it is not uncommon to experience some side effects, including itching and unusual discharge. These symptoms can be concerning, especially if you have a history of itching and bleeding, which may have been attributed to a bacterial infection or your menstrual cycle.

Firstly, it’s essential to understand that vaginal suppositories are designed to dissolve and release medication locally within the vaginal canal. The ingredients in these suppositories can sometimes cause irritation, leading to itching or a burning sensation, especially if you have sensitive skin or if there is an underlying infection. The itching you experienced after inserting the suppository could be a reaction to the medication itself or a sign that your vaginal flora is still imbalanced.

Regarding the discharge that resembles menstrual blood, it is possible that what you are observing is a combination of the suppository dissolving and your body's natural response to the medication. Some suppositories can cause a discharge that may appear bloody or brownish, especially if they contain certain active ingredients that can irritate the vaginal lining. However, if the discharge is persistent and resembles blood, it is crucial to monitor it closely.

Here are some points to consider:
1. Normal Side Effects: Itching and discharge can be normal side effects of using vaginal suppositories. If the itching subsides after a few days and the discharge is not accompanied by a foul odor or significant discomfort, it may be a typical reaction.

2. Monitoring Symptoms: Since you mentioned that the itching has decreased but persists upon insertion, it may be beneficial to discuss this with your healthcare provider. They can assess whether the suppository is suitable for you or if an alternative treatment might be more appropriate.

3. Potential Infection: If you experience any additional symptoms such as a strong odor, increased discomfort, or if the discharge changes in color or consistency, it could indicate an infection. In such cases, it is essential to seek medical advice promptly.

4. Consulting Your Doctor: Given your previous concerns about bacterial infection and the current symptoms, it would be wise to follow up with your healthcare provider. They may want to perform an examination to rule out any infections or other underlying issues.

5. Understanding Discharge: The discharge you are experiencing could be a result of the suppository dissolving, but if it continues to resemble menstrual blood, it’s important to differentiate between normal discharge and actual bleeding. If you are uncertain, a medical evaluation is warranted.

In summary, while some itching and discharge can be normal when using vaginal suppositories, persistent or severe symptoms should not be ignored. It’s always best to consult with your healthcare provider to ensure that you are receiving the appropriate treatment and to rule out any potential complications. Your health and comfort are paramount, and addressing these concerns with a professional will provide you with the best guidance moving forward.

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