Gynomax Special Precautions

Only for intravaginal use. Not to be swallowed or applied by other routes.
As other drugs of similar structure, tinidazole must not be used in patients with current picture or history of blood dyscrasia. Transient leukopenia and neutropenia may develop. In the preclinical and clinical studies, no persistent hematologic abnormalities were observed.
Patients should be warned not to take alcohol during the therapy and for 3 days after the end of a course of treatment because of the possibility of disulfiram-like reactions.
Should not be used in virgins and in young girls who are not sexually mature.
It should be used carefully in patients with cardiovascular disorders. Lidocaine can lead to heart rhythm disorders, difficulty in breathing, coma and even death if it is applied especially on large skin surfaces under occlusion.
The vaginal suppositories must not be used with contraceptive diaphragms and condoms since the suppository base may damage the rubber. Other vaginal products (e.g. tampon, douche or spermicide) should not be used during the treatment.
Sexual partners with Trichomonas vaginalis should be treated at the same time.
It is not known if Tioconazole + Tinidazole + Lidocaine (Gynomax) has influence on the ability to drive and use machines.