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Spermicide

Nonoxinol-9

Brand names: Gygel

Adult dose

Dose: Apply per product before intercourse
Route: Vaginal
Frequency: PRN

Clinical pearls

  • Used with diaphragm/cap; not recommended as sole contraceptive (failure ~28%/year typical use)
  • WHO advises against in HIV-risk populations

Contraindications

  • High HIV risk (mucosal irritation increases risk)
  • Hypersensitivity

Side effects

  • Local irritation
  • Mucosal damage
  • Allergic reactions

Interactions

  • Latex (compatible with most latex condoms; check individual product)

Reference: BNF; FSRH guidance; https://bnf.nice.org.uk/drugs/nonoxinol/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.