NOTICE
ANSM - Updated on: June 21, 2024
Name of the medication
PHARMATEX 18.9 mg, vaginal suppository
Benzalkonium chloride
Box
Please read this package insert carefully before using this medication, as it contains important information for you.
You should always use this medication exactly as described in this leaflet or as directed by your doctor or pharmacist.
· Keep this package insert. You may need to read it again.
· Ask your pharmacist for advice or information.
· If you experience any side effects, tell your doctor or pharmacist. This also applies to any side effects not listed in this leaflet. See Section 4.
What is in this package insert?
1. What is PHARMATEX 18.9 mg, vaginal suppository, and what is it used for?
2. What should you know before using PHARMATEX 18.9 mg, vaginal suppository?
3. How should you use PHARMATEX 18.9 mg, vaginal suppository?
4. What are the possible side effects?
5. How should you store PHARMATEX 18.9 mg vaginal suppositories?
6. Package contents and other information.
1. WHAT IS PHARMATEX 18.9 mg, vaginal suppository, AND WHAT IS IT USED FOR?
What is PHARMATEX?
Pharmacotherapeutic class: LOCAL CONTRACEPTIVE (G: genitourinary system) - ATC code: G02BB.
This medication is a local contraceptive:
· it contains a spermicide (a chemical that kills sperm);
· it reduces the risk of pregnancy but does not eliminate it entirely. Effectiveness depends on following the instructions for use.
When should PHARMATEX be used?
This local contraceptive is intended for all women seeking contraception, and in particular:
· If you cannot use hormonal contraception (see Section 6) or an intrauterine device (IUD), also known as a coil.
· If you have recently given birth, are breastfeeding, or are in perimenopause.
· If you are looking for occasional contraception.
· As a supplement to contraception using a diaphragm, a cervical cap, or an IUD (especially if you are taking certain medications long-term, such as nonsteroidal anti-inflammatory drugs).
· If you forgot to take a pill from your oral contraceptive or if you took it late.
In these cases, review the package insert for your oral contraceptive and use both methods of contraception for the remainder of your menstrual cycle.
2. WHAT INFORMATION SHOULD YOU KNOW BEFORE USING PHARMATEX 18.9 mg, vaginal suppository?
Never use PHARMATEX:
· If you are allergic to the active ingredient or any of the other ingredients in this medication. You will find the list of ingredients in Section 6.
· If you use male condoms made of polyurethane.
Warnings and Precautions
· Before using PHARMATEX, be sure to read and understand the instructions for use.
· Always insert PHARMATEX deep into the vagina before each sexual intercourse, regardless of where you are in your menstrual cycle.
· Soapy water destroys the active ingredient in this local contraceptive. Therefore, you must not wash your genital area with soap 2 hours before or 2 hours after intercourse. Only external cleansing with plain water is permitted for both partners.
· Wait at least 2 hours if you wish to perform a vaginal rinse with plain water.
· Avoid taking a bath or swimming in the ocean or a pool. This could reduce the effectiveness of PHARMATEX.
· If a genital lesion develops or worsens, stop treatment and consult your doctor.
· If vaginal treatment or the use of any other vaginal product is necessary, wait until the end of that treatment before (re)starting contraception with PHARMATEX.
Warning: This method of contraception does not protect against sexually transmitted infections or AIDS. To date, only condoms provide effective protection.
Why is it important to follow the instructions for use exactly?
The effectiveness of this local contraceptive method is lower than that of other forms of contraception, such as:
· hormonal contraception: oral contraceptives, subcutaneous implants, contraceptive patches, hormone-releasing IUDs, vaginal rings,
· the copper IUD,
· the diaphragm and cervical cap,
· condoms.
Therefore, it is very important that your doctor or pharmacist explain the instructions for use to you in detail.
If you do not understand how to use this medication, do not hesitate to ask your pharmacist or doctor again.
To ensure the most effective contraception possible, it is important to follow the instructions for use.
Use a vaginal suppository every time before sexual intercourse, regardless of where you are in your menstrual cycle, including during your period.
Other Medications and PHARMATEX 18.9 mg, Vaginal Suppository
· It is generally not recommended to use PHARMATEX at the same time as other vaginal medications or soaps. These products may reduce PHARMATEX’s contraceptive effectiveness.
· If your doctor has prescribed a vaginal treatment, wait until the treatment is finished before using PHARMATEX.
If you wish to use a condom with PHARMATEX 18.9 mg vaginal suppository, be sure to check the condom’s ingredients beforehand and refer to the “Practical Advice” section in Section 3 before use.
Tell your doctor or pharmacist if you are using, have recently used, or might use any other medications.
PHARMATEX with food and beverages
Not applicable.
Pregnancy and Breastfeeding
Pregnancy
Using PHARMATEX early in an unrecognized pregnancy does not pose a specific risk to the fetus.
Breastfeeding
Breastfeeding is possible.
If you are pregnant or breastfeeding, if you think you might be pregnant, or if you are planning a pregnancy, consult your doctor or pharmacist before taking this medication.
Driving and operating machinery
Not applicable.
PHARMATEX contains
Not applicable.
3. HOW TO USE PHARMATEX 18.9 mg, vaginal suppository?
Dosage
· Insert one ovule before every sexual intercourse, regardless of where you are in your menstrual cycle, including during your period.
· If you have sex more than once, use a new ovule before each additional instance of sex.
Method and Route of Administration
This medication is for vaginal use only. Do not swallow it.
It is necessary to follow the instructions for use below, as effectiveness depends on proper use:
· Always insert a vaginal suppository deep into the vagina 5 minutes before each sexual intercourse, regardless of where you are in your menstrual cycle, including during your period.
· Insert the ovule preferably while lying down, as this makes it easier to place it deep inside the vagina.
· Insert another ovule before each sexual intercourse if you have repeated intercourse.
· Protection lasts for 4 hours.
· Immediately before or after intercourse, only external cleansing with plain water is permitted for both partners. Do not wash your genital area with soap.
Practical Tips
This contraceptive method iscompatiblewith:
· silicone diaphragms
· silicone cervical caps
· latex and polyisoprene male condoms.
This contraceptive method is contraindicated for use with male condoms made of polyurethane.
If you have used more PHARMATEX than you should have
Consult your doctor or pharmacist immediately
If you forget to use PHARMATEX
There is a risk of pregnancy. In this case, emergency contraception may be used; it must be taken as soon as possible (see also Section 6, “Information on the Menstrual Cycle and Contraception”).
If you stop using PHARMATEX
Not applicable.
If you have any other questions about the use of this medication, ask your doctor or pharmacist for more information.
4. WHAT ARE THE POSSIBLE SIDE EFFECTS?
Like all medicines, this medicine can cause side effects, although not everyone gets them.
Rare side effects (affecting 1 to 10 out of 10,000 patients)
· itching, burning sensations, or local irritation in one or both partners.
Side effects of unknown frequency (cannot be estimated based on available data)
· Allergy to any of the drug’s ingredients.
You can recognize the signs of an allergic reaction by redness, itching, and, very rarely, sudden swelling of the neck and face causing difficulty breathing. If these signs occur, consult a doctor immediately.
Reporting Side Effects
If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not listed in this package insert. You can also report side effects directly through the national reporting system: the French National Agency for Medicines and Health Products Safety (ANSM) and the network of Regional Pharmacovigilance Centers—Website: https://signalement.social-sante.gouv.fr/.
By reporting side effects, you help provide more information on the safety of this medication.
5. HOW SHOULD PHARMATEX 18.9 mg, vaginal suppository, BE STORED?
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date printed on the box. The expiration date refers to the last day of that month.
Store at a temperature not exceeding +25°C.
Do not dispose of any medication down the drain or with household trash . Ask your pharmacist to dispose of medications you no longer use. These measures will help protect the environment.
6. PACKAGE CONTENTS AND OTHER INFORMATION
What PHARMATEX 18.9 mg, vaginal suppository contains
· The active ingredient is:
Benzalkonium chloride.............................................................................................. 18.9 mg
Per vaginal suppository
· The other ingredients are:
Hydroxypropylcellulose and solid semi-synthetic glycerides (Witepsol S51 type).
What is PHARMATEX 18.9 mg, vaginal suppository, and contents of the outer packaging
This medication comes in the form of a vaginal suppository.
Each box contains 10 or 20 ovules.
Marketing Authorization Holder
LABORATOIRE INNOTECH INTERNATIONAL
22 AVENUE ARISTIDE BRIAND
94110 ARCUEIL
Marketing Authorization Holder
INNOTECH INTERNATIONAL LABORATORY
22 ARISTIDE BRIAND AVENUE
94110 ARCUEIL
Manufacturer
INNOTHERA CHOUZY
Rene Chantereau Street, Chouzy-sur-Cisse
41150 VALLOIRE-SUR-CISSE
Drug names in the Member States of the European Economic Area
Not applicable.
The date this package insert was last revised is:
[to be completed later by the marketing authorization holder]
Other
Detailed information about this medication is available on the ANSM (France) website.
BASIC INFORMATION ABOUT THE MENSTRUAL CYCLE AND CONTRACEPTION
What is the menstrual cycle?
· The menstrual cycle is the period between the first day of one menstrual period and the start of the next.
· Usually, the cycle lasts 28 days, though it can vary significantly from one woman to another.
· Menstruation occurs when a woman is not pregnant.
What is ovulation, and when does it occur?
· Ovulation is when the ovary releases an egg, which is then picked up by the fallopian tube.
· Generally, ovulation occurs in the middle of the cycle, but it can occur at any time during the cycle, even during menstruation.
When does pregnancy begin?
· If sperm are near the egg in the fallopian tube, “fertilization” (that is, the union of the egg and a sperm to create an embryo) can occur.
· After a few days, the fertilized egg will attach (or “implant”) in the uterus, and pregnancy begins.
What are the main methods of contraception?
· Hormonal contraception: oral contraceptives, subcutaneous implant, contraceptive patch, hormone-releasing intrauterine device (IUD), vaginal ring.
· The copper IUD.
· Local contraception: spermicides, condoms, diaphragms, cervical caps.
· Female sterilization.
What are the ways to prevent sexually transmitted infections (STIs), including HIV infection and AIDS?
When used correctly during sexual intercourse, condoms (male or female) are the only form of contraception that also protects against STIs and the Human Immunodeficiency Virus (HIV), which causes AIDS (Acquired Immunodeficiency Syndrome).
Other methods of contraception do not protect against these sexually transmitted infections or against AIDS.
What should I do if I’ve had unprotected sex or if I forgot to use my usual method of contraception?
If you find yourself in this situation, seek advice from your doctor or pharmacist as soon as possible.
· You can use emergency contraception (also known as the morning-after pill). It must be taken as soon as possible.
· This type of contraception works by preventing pregnancy by blocking or delaying ovulation.
What should you do if your situation changes or if this method of birth control isn’t right for you or no longer works for you?
Consult your doctor so they can prescribe another method of contraception that is better suited to your situation.