Antiseptic vaginal pessary
Dequalinium chloride
Brand names: Fluomizin
Adult dose
Dose: 10mg pessary intravaginally OD for 6 days
Route: Vaginal
Frequency: OD
Clinical pearls
- BASHH bacterial vaginosis guideline: alternative to metronidazole
- Particularly useful in pregnancy / breastfeeding (no systemic absorption)
- NICE CKS BV
Contraindications
- Vaginal ulceration
- Pre-pubertal
- Hypersensitivity
Side effects
- Vaginal irritation
- Pruritus
- Discharge
- Mild burning
Interactions
- Spermicidal contraceptives (theoretical)
- Soap (inactivation)
Monitoring
- Symptom resolution
Reference: BNF; BASHH BV guideline; NICE CKS; SmPC; https://bnf.nice.org.uk/drugs/dequalinium-chloride/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21