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Oral thrush? Gentian Violet
 

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Zule Views: 22,723
Published: 16 years ago
 

Oral thrush? Gentian Violet


A good articles about topican use of gential violet.

Category
Antifungal

Description
Gentian violet ( JEN-shun VYE-oh-let) belongs to the group of medicines called antifungals. Topical gentian violet is used to treat some types of fungus infections inside the mouth (thrush) and of the skin.
Gentian violet is available without a prescription; however, your doctor may have special instructions on the proper use of gentian violet for your medical condition.
Gentian violet is available in the following dosage form:
Topical
Solution (U.S.)

Before Using This Medicine
If you are using this medicine without a prescription, carefully read and follow any precautions on the label. For gentian violet, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to gentian violet. Also tell your health care professional if you are allergic to any other substances, such as preservatives or dyes.
Pregnancy—Gentian violet topical solution has not been shown to cause birth defects or other problems in humans.
Breast-feeding—Gentian violet topical solution has not been reported to cause problems in nursing babies.
Children—Although there is no specific information comparing use of this medicine in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults.
Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of this medicine in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults.
Other medical problems—The presence of other medical problems may affect the use of gentian violet. Make sure you tell your doctor if you have any other medical problems, especially:
Ulcerative skin condition on the face—Use of gentian violet may cause tattooing of the area

Proper Use of This Medicine
Using a cotton swab, apply enough gentian violet to cover only the affected area.
If you are applying this medicine to affected areas in the mouth, avoid swallowing any of the medicine.
If you are using this medicine in a child's mouth, make sure you understand exactly how to apply it so that it is not swallowed. If you have any questions about this, check with your health care professional.
Do not apply an occlusive dressing (airtight covering, such as kitchen plastic wrap) over this medicine. It may cause irritation of the skin.
To help clear up your infection completely, keep using this medicine for the full time of treatment, even if your condition has improved. Do not miss any doses.
Dosing—
The dose of gentian violet will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average dose of gentian violet. If your dose is different, do not change it unless your doctor tells you to do so.
For topical solution dosage form:
For fungus infections:
Adults and children—Apply to the affected area(s) of the skin two or three times a day for three days.
Missed dose—
If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Storage—
To store this medicine:
Keep out of the reach of children.
Store away from heat and direct light.
Keep the medicine from freezing.
Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine
Gentian violet will stain the skin and clothing. Avoid getting the medicine on your clothes.

Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if the following side effect occurs:
Skin irritation not present before use of this medicine

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Revised: 06/29/1994

Micromedex, Inc. Disclaimer
Copyright© 2003 Thomson MICROMEDEX. All rights reserved. USP DI® and Advice for the Patient® are registered trademarks of USP used under license to Micromedex, a business of Thomson Healthcare Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

Proper Use of This Medicine
Gentian violet usually comes with patient directions. Read them carefully before using this medicine.
After insertion, remove the tampon from the vagina after 3 to 4 hours unless otherwise directed by your doctor.
To help clear up your infection completely, keep using this medicine for the full time of treatment, even though your condition may have improved. Do not miss any doses.
While you are using gentian violet tampons, the use of regular (non-medicated) tampons is not recommended. They will soak up the medicine that stays in the vagina after the gentian violet tampon is taken out. During your menstrual period you should wear a minipad or sanitary napkin instead.
Dosing—
The dose of gentian violet will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of gentian violet. If your dose is different, do not change it unless your doctor tells you to do so.
For vaginal dosage form (tampons):
For treating a vaginal fungus (yeast) infection:
Adults and teenagers—5 milligrams (one tampon) inserted into your vagina one or two times a day for twelve days in a row. The tampon should be left in your vagina for three to four hours.
Missed dose—
If you miss a dose of this medicine, insert it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Storage—
To store this medicine:
Keep out of the reach of children.
Store away from heat and direct light.
Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine
If your symptoms do not improve within a few days, or if they become worse, check with your doctor.
Gentian violet will stain the skin and clothing. Vaginal medicines usually will come out of the vagina during treatment. To keep the medicine from getting on your clothing, wear a minipad or sanitary napkin.
To help clear up your infection completely and to help make sure it does not return, good health habits are also needed.
Wear cotton panties (or panties or pantyhose with cotton crotches) instead of synthetic (for example, nylon or rayon) panties.
Wear only clean panties.
If you have any questions about this, check with your health care professional.
Many vaginal infections are spread by having sex. A male sexual partner may carry the germs on or in his penis. While you are using this medicine, it may be a good idea for your partner to wear a condom during sex to avoid re-infection. Also, your partner may need to be treated. Do not stop using this medicine if you have sex during treatment.
Some women may want to use a douche before putting each dose in the vagina. Some doctors will allow the use of a vinegar and water douche or other douche. However, others do not allow any douching. If you do use a douche, do not overfill the vagina. To do so may push the douche up into the uterus and possibly cause inflammation or infection. Also, do not douche if you are pregnant since this may harm the fetus . If you have any questions about this, check with your health care professional.

Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Vaginal burning, itching, pain, or other sign of irritation not present before use of this medicine

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202260.html


Using Gentian Violet
by Jack Newman, MD, FRCPC
Gentian violet (1% solution in water) is an excellent treatment for Candida albicans. Candida albicans is a fungus which may cause an infection of skin and/or mucous membranes (inside of mouth, for example) in both children and adults. In small children, this yeast may cause white patches in the mouth (thrush), or diaper rash. When the nursing mother has a Candidal infection of the nipple, she may experience severe nipple pain, as well as deep breast pain.
Nipple pain caused by Candida albicans
The pain caused by a Candidal infection is generally different from the pain caused by poor positioning and/or ineffective suckling. The pain caused by a Candidal infection:
is often burning in nature, rather than the sharp, stabbing or pinching pain associated with other causes. Burning pain may be due to other causes, however, and pain due to a Candidal infection does not necessarily burn.
frequently lasts throughout the feeding, and occasionally continues after the feeding has ended. This is in contrast to the pain due to other causes which usually hurts most as feeding begins, and gradually improves as the baby nurses.
may radiate into the mother's armpit or into her back.
may cause no change in appearance of the mother's nipples or areolas, though there may be redness, or some scaling, or the skin of the areola may be smooth and shiny.
not uncommonly will begin after a period of pain free nursing. This characteristic alone is reason enough to try treatment for Candida. However, milk blisters on the nipple also may cause nipple pain after a period of pain free nursing as may eczema or other skin condition.
may be associated with recent use of Antibiotics by the baby or mother, but not necessarily.
may be quite severe, may or may not be itchy.
may occur only in the breast. This pain is often described as "shooting", or "burning" in nature, and is often worse after the feeding is over. It is often said to be worse at night. At the same time, the breast appears or feels normal. This is not mastitis and there is no reason to treat with Antibiotics . On the contrary, Antibiotics may make the problem worse.
Please Note:
a) The baby does not have to have thrush in his mouth.
b) A Candidal infection of the nipple may be combined with other causes of soreness.
Using Gentian Violet
We believe that gentian violet (combined with "all purpose nipple ointment", see Treatments for Problems handout #24) is the best treatment of nipple soreness due to Candida albicans for the breastfeeding mother. This is because it works almost always, and relief is rapid. It is messy, and will stain clothing (actually, it usually will wash out), but not skin. The baby's lips will turn purple, but the purple will disappear after a few days. Gentian violet is available without prescription but is not available at all pharmacies. Call around before going out to get it.
About 10 ml (two teaspoons) of gentian violet is more than enough for an entire treatment.
Many mothers prefer doing the treatment just before bed so that they can keep their nipples exposed and not worry about staining their clothing. The baby should be undressed to his diaper, and the mother should be uncovered from the waist up. Gentian violet is messy.
Dip an clean ear swab (Q-tip) into the gentian violet.
Put the purple end of the ear swab into the baby's mouth and let him suck on the swab for a few seconds. The gentian violet usually spreads around the mouth quickly. If it does not, paint the inside of the mouth to cover as much of the inside of the cheeks and tongue as possible.
Put the baby to the breast. In this way, both the baby's mouth and your nipple are treated.
If, at the end of the feeding, you have a baby with a purple mouth, and two purple nipples, there is nothing more to do. If only one nipple is purple, paint the other one with the ear swab and the gentian violet. In this way, the treatment is finished in one go.
Repeat the treatment each day for three or four days (see handout Candida Protocol for how long to use gentian violet).
There is often some relief within hours of the first treatment, and the pain is usually gone or virtually gone by the third day. If it is not, it is unlikely that Candida was the problem, though it seems Candida albicans is starting to show some resistance to gentian violet, as it already has to other antifungal agents. Of course, there may be more than one cause of nipple pain, but after three days the contribution to your pain caused by Candida albicans should be gone. However, if your pain is virtually gone after 3 or 4 days, but not completely, you can use gentian violet a few more days if necessary.
All artificial nipples that the baby uses should be boiled daily during the treatment, or well covered with gentian violet. Consider stopping artificial nipples.
There is no need to treat just because the baby has thrush in his mouth. The reason to treat is the mother's and/or the baby's discomfort. Babies, however, do not commonly seem to be bothered by thrush.
Uncommonly, babies who are treated with gentian violet develop sores in the mouth which may cause them to reject the breast. If this occurs, or if the baby is irritable while nursing, stop the gentian violet immediately, and contact the clinic. The sores clear up within 24 hours and the baby returns to feeding.
If the infection recurs, treatment can be repeated as above. But if the infection recurs a third time, a source of reinfection should be sought out. The source may be the mother who may be a carrier for the yeast (but may have no sign of infection elsewhere), or from artificial nipples the baby puts in his mouth. Treatment of the mother (usually with a medication other than gentian violet) at the same time as treatment is repeated for the nipples will usually eliminate reinfection. Contact the clinic.
Questions? (416) 813-5757 (option 3) or newman@globalserve.net
Handout #6. Using Gentian Violet Revised January 2000
Written by Jack Newman, MD, FRCPC
This article may be copied and distributed without further permission
Please view the copyright information and warning about the material contained in this article.


http://www.thelaboroflove.com/forum/breastfeeding/newman/22.html


Good Luck

Zule

http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202260.html

 

 
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