Butoconazole topical Pregnancy and Breast Feeding Warnings
Butoconazole topical is also known as: Femstat 3, Gynazole 1, Gynazole-1, Mycelex-3
Overview
If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Butoconazole Cream while you are pregnant. It is not known if Butoconazole Cream is found in breast milk. If you are or will be breast-feeding while you use Butoconazole Cream, check with your doctor. Discuss any possible risks to your baby.
Butoconazole topical Pregnancy Warnings
Butoconazole has been assigned to pregnancy category C by the FDA. Animals studies utilizing high oral (up to 50 mg/kg) and topical doses have not revealed evidence of teratogenicity. Daily administration of doses greater than 100 mg/kg/day have resulted in fetal malformations in rats. Use of butoconazole in women during the second and third trimester has been documented in clinical trials and has not been associated with adverse fetal outcome. Butoconazole is only recommended for use during pregnancy when benefit outweighs risk. Butoconazole is indicated for the treatment of vaginal candidiasis during the second and third trimester.
In a review of 229,101 deliveries to Michigan Medicaid patients, 444 first-trimester exposures to butoconazole and 2450 exposures any time during pregnancy were recorded. A total of 16 birth defects were reported with first trimester exposure (17 expected) and included (observed/expected) 4/4 cardiovascular defects and one spina bifida. These data do not support an association between butoconazole use and birth defects (written communication, Franz Rosa, MD, Food and Drug Administration, 1994).
Butoconazole topical Lactation Warnings
There are no data on the excretion of butoconazole into human milk. The manufacturer recommends that caution be used when administering butoconazole to nursing women.
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