How to Safely Put In a Boric Acid Suppository

Boric acid suppositories are vaginal inserts, typically containing 600mg of the compound. They are primarily employed to help restore a healthy vaginal pH balance, which can be disrupted by various factors. This application is often recommended as a complementary approach for recurrent conditions like yeast infections or bacterial vaginosis when standard treatments have not been fully effective.

Step-by-Step Guide for Safe Insertion

Before handling the suppository, thoroughly wash your hands with soap and water and ensure they are completely dry to prevent introducing bacteria into the vaginal area. After unwrapping the capsule, you can choose a comfortable position for insertion, such as standing with one foot elevated on a chair or lying on your back with your knees bent. If the suppository feels too soft, you may briefly chill it in the refrigerator beforehand to make it easier to handle.

The suppository can be inserted using a clean finger or a disposable applicator. If using your finger, gently push the suppository into the vagina, aiming slightly toward your lower back rather than straight up. You should insert the capsule as far as it will comfortably go, typically about one inch deep, ensuring it is past the vaginal opening so it will not easily slip out.

If you are using an applicator, load the suppository into it according to the package directions, insert the applicator like a tampon, and then press the plunger to release the capsule. Once the suppository is placed, remove the applicator and dispose of it, or clean it if it is reusable. Immediately after insertion, wash your hands again with soap and water.

Critical Safety Warnings and Handling

Boric acid is toxic if ingested, and suppositories must never be swallowed or used in any way other than vaginally. Keep the suppositories stored securely out of the reach of children and pets. If accidental oral ingestion occurs, seek immediate medical attention or contact a poison control center.

Boric acid suppositories should not be used if you are pregnant, trying to become pregnant, or nursing, as safety has not been established. Avoid using the suppositories if you have open sores, wounds, ulcerations, or significant bleeding in the vaginal area. Damaged tissue can increase the absorption of boric acid, which could be harmful.

What to Expect During and After Use

A common side effect of using boric acid suppositories is a watery discharge or leakage as the capsule dissolves. Because the suppository takes time to dissolve (often 4 to 12 hours), it is generally recommended to insert it at night before bed to minimize inconvenience. Wearing a panty liner or pad is advised, especially when using the suppository during the day, to manage the discharge.

A typical treatment course involves inserting one suppository daily for 7 to 14 days, though regimens may vary. It is best to avoid using tampons during the treatment period because they can absorb the medication, which can reduce its effectiveness. If you experience mild irritation or a slight burning sensation, this may occur but is often temporary.

Stop using the suppository and contact a healthcare provider immediately if you notice severe symptoms. Severe symptoms include pronounced irritation, significant vaginal bleeding not related to your period, or symptoms that worsen or fail to improve after completing the treatment course. Also, avoid sexual intercourse until the suppository has completely dissolved to prevent irritation for your partner.