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Everything You Need to Know About Phexxi Prescribing Information
If you or someone you know is looking for a new contraceptive method, you may have heard of Phexxi. This recently FDA-approved non-hormonal gel is designed for use before each act of vaginal intercourse to prevent pregnancy. But what exactly is Phexxi, how does it work, and what do you need to know before you consider prescribing it? In this article, we will provide you with a comprehensive overview of Phexxi prescribing information, based on the latest scientific evidence and industry guidelines.
What is Phexxi?
Phexxi is a water-based, acidic gel that contains three different active ingredients: lactic acid, citric acid, and potassium bitartrate. These substances work together to create an acidic environment inside the vagina that can kill or immobilize sperm. Phexxi does not contain hormones, unlike most other forms of contraception, and can be used as needed, up to one hour before vaginal intercourse.
How effective is Phexxi?
According to the clinical trials conducted by the manufacturer of Phexxi, the gel has an overall failure rate of 13.7% for typical use and 4.9% for perfect use. This means that out of 100 women who use Phexxi for one year, around 14 will become pregnant if they use it as instructed, while less than 5 will do so if they use it perfectly. These rates are comparable to those of other non-hormonal methods, such as condoms or diaphragms, but lower than those of spermicides alone.
However, it’s important to note that Phexxi is not effective against sexually transmitted infections (STIs) and does not provide any protection against HIV or AIDS. It should be used in combination with other barrier methods or abstinence if you are at risk of contracting or transmitting STIs.
Who can use Phexxi?
Phexxi is indicated for use in premenopausal women aged 18 and above who are seeking contraception. It is not recommended for women who are currently pregnant or breastfeeding, as its safety and efficacy in these populations have not been established. Phexxi may also not be suitable for women who have a history of recurrent urinary tract infections, as its acidity may exacerbate their symptoms.
Before prescribing Phexxi to your patients, you should review their medical history and lifestyle habits, as some factors may influence its effectiveness or tolerability. For example, women who have a history of vulvovaginal candidiasis or bacterial vaginosis may need to avoid Phexxi or take additional measures to prevent these conditions from recurring. Women who have trouble inserting the applicator or experience discomfort or pain during intercourse may also need extra counseling or guidance.
How to use Phexxi?
Phexxi comes in a tampon-like applicator that contains 5 grams of gel. To use Phexxi, your patient should:
1. Wash their hands and open the foil pouch containing the applicator.
2. Hold the applicator by the thick end and shake it gently to dislodge any air bubbles.
3. Twist off the thin end and discard it.
4. Assume a comfortable position, either lying down or standing with one leg up.
5. Gently insert the entire applicator into the vagina, as deep as it can go, without causing pain or discomfort.
6. Squeeze the plunger to release the gel.
7. Remove the applicator and discard it in the trash.
8. Do not wash or rinse the vagina for at least one hour after using Phexxi.
Your patient should use one applicator of Phexxi before each act of vaginal intercourse, even if they have already used another form of contraception earlier. They should avoid using more than one applicator within a 24-hour period or using it more than seven times in a week. If they experience unexpected vaginal bleeding, severe itching or burning, or signs of an allergic reaction, they should seek medical attention and discontinue using Phexxi until they have consulted with a healthcare provider.
How to prescribe Phexxi?
Phexxi is a prescription-only medication that can be ordered by certified healthcare providers, such as physicians, nurse practitioners, or physician assistants. To prescribe Phexxi, you need to register with the manufacturer’s pharmacy partner, announce your intention to prescribe Phexxi to your medical board, take an online training course, and agree to follow certain distribution and dispensing rules. These rules include verifying the patient’s eligibility and counseling them on the correct and consistent use of Phexxi, as well as reporting adverse events and maintaining accurate records.
Phexxi is typically covered by most insurance plans and may have some out-of-pocket costs for patients. However, the manufacturer provides a patient savings program and a provider incentive program that can help reduce the financial burden and increase patients’ access to Phexxi.
Conclusion
Phexxi is a new contraceptive option that offers women a non-hormonal, on-demand method of preventing pregnancy. Phexxi’s prescribing information includes its active ingredients, effectiveness rates, indications and contraindications, usage and dosing instructions, and prescribing regulations. As a healthcare provider, you play a crucial role in educating your patients about Phexxi and helping them make an informed choice for their reproductive health. By staying up-to-date on the latest research, safety concerns, and regulatory updates about Phexxi, you can provide the best care possible and empower your patients to make the right decisions for themselves.
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