Indications 

Monistat 7 Dual-Pak Combination Pack is indicated for the treatment of vaginal yeast infections and for the relief of associated symptoms such as external itching and irritation. 

Belonging to the class of antifungal medications called imidazoles, Monistat 7 Dual-Pak Combination Pack functions by inhibiting the growth of fungi responsible for infections. 

Uses and Dosage 

Before using Monistat 7 Dual-Pak Combination Pack, thoroughly read the provided consumer information leaflet for detailed instructions and information. If you have any questions, consult with your doctor or pharmacist for guidance. 

Monistat 7 Dual-Pak Combination Pack includes 7 disposable applicators, 1 tube of miconazole cream, and 1 tube of external itch relief cream. 

The applicator needs to be loaded with miconazole cream before inserting into the vagina before bedtime for 7 days. While the external itch relief cream should be applied around the vagina twice daily for up to 7 days, as needed. 

To properly administer miconazole cream: 

1. Begin by washing your hands. 
2. Unscrew the cap of the tube.  
   • For the first use, puncture the sealed end with the sharp point of the cap 
   • Press down firmly until the seal is opened. 
3. Attach the applicator securely to the cream tube. 
4. Gently squeeze the cream into the applicator, filling it completely. 
   • Separate the applicator from the tube, maintaining pressure until fully separated. 
   • After each use, replace the cap and roll up the tube from the bottom. 
5. Hold the barrel and gently insert the applicator into the vagina as far as comfortable, either while lying on your back with your knees bent or while standing with your feet apart and your knees bent. 
6. With one hand holding the barrel, use the other hand to push the plunger all the way in, placing the cream as far back in the vagina as possible.  
7. Remove both parts of the applicator from the vagina and discard after use.  
   • Do not flush down in the toilet. 
8. Wash your hands after completing the procedure and lie down as soon as possible to reduce leakage. 
9. Repeat these steps before bedtime for the next six days. 

Consider using pads or panty shields without deodorant to protect your clothing, as the cream may leak or cause discharge after insertion. 

To properly apply the external itch relief cream: 

1. Wash your hands before applying the cream. 
2. Open the tube by unscrewing the cap.  
   • For the first use, puncture the sealed end by pressing the sharp point of the cap into it.  
   • Push down firmly until the seal is open. 
3. Squeeze a small amount of cream onto your fingertip and apply it to the irritated skin outside the vagina (vulva). 
4. Screw the cap back onto the tube and wash your hands after each application. 
5. Repeat these steps every morning and at bedtime for the prescribed duration of use, as needed. 

Do not use tampons, douches, spermicides, condoms, or diaphragms until after completing the treatment and your symptoms have disappeared. 

Refrain from wearing tight synthetic clothing, like pantyhose, that restricts airflow. Opt for loose-fitting garments made of cotton and other natural fibers until the infection is resolved. 

To achieve optimal results, use Monistat 7 Dual-Pak Combination Pack exactly as instructed on the leaflet. If your doctor has prescribed this medication, adhere to their guidance strictly. 

Complete the entire prescribed medication regimen, even if your symptoms improve or your menstrual period starts. Stopping the medication too soon could lead to a recurrence of the yeast infection. 

Discontinue the use of Monistat 7 Dual-Pak Combination Pack and consult your doctor if: 

• Your symptoms do not improve within 3 days. 
• Symptoms persist for more than 7 days. 
• You experience a rash, hives, abdominal pain, fever, chills, nausea, vomiting, or foul-smelling vaginal discharge. 

These could indicate that this product is ineffective for you, or you may have a more serious condition or an allergic reaction. 

Side Effects 

Common Side Effects 

• Mild burning or itching 
• Skin irritation around the vagina 
• Urinating more than usual 

If these common side effects persist or worsen, notify your doctor right away. 

Allergic Reactions 

Severe allergic reaction to Monistat 7 Dual-Pak Combination Pack is uncommon; however, seek prompt medical assistance if you observe signs such as: 

• Hives 
• Difficulty breathing 
• Swelling of the face, lips, tongue, or throat 

This list does not include all potential side effects of Monistat 7 Dual-Pak Combination Pack. If you observe any other side effects, inform your doctor or pharmacist. 

Cautions 

Before using Monistat 7 Dual-Pak Combination Pack, consult your doctor if you: 

• Are experiencing vaginal discharge, itching, burning, and discomfort for the first time 
• Have known allergies, especially to any ingredients included in the dual-pak 
• Have other medical conditions  
• Are experiencing lower abdominal, back, or shoulder pain, along with fever, chills, nausea, vomiting, or foul-smelling vaginal discharge 
• Are taking other medications, especially prescription blood thinners like warfarin (Coumadin) 

Monistat 7 Dual-Pak Combination Pack could damage condoms and diaphragms, leading to potential failure in preventing pregnancy or sexually transmitted diseases (STDs). 

Consult your healthcare provider prior to using the Monistat 7 Dual-Pak Combination Pack if you are pregnant or nursing.