Boric acid suppositories are vaginal inserts containing a weak acid with antiseptic properties, used to support vaginal health. They function as a complementary remedy for certain vaginal concerns. It is important to understand that boric acid suppositories are not a substitute for a medical diagnosis or conventional treatment prescribed by a healthcare professional.
Conditions It Addresses
Boric acid suppositories are often considered for recurrent vaginal yeast infections, also known as candidiasis. They are particularly used when standard antifungal medications have not been effective or when infections frequently return. Boric acid helps create an acidic environment in the vagina, which can discourage yeast growth and restore a balanced vaginal pH.
Beyond yeast infections, boric acid suppositories may also be used for bacterial vaginosis (BV), especially when conventional antibiotic treatments have failed or for chronic, recurring episodes. BV is characterized by an imbalance of bacteria in the vagina, leading to symptoms like unusual discharge and odor. Boric acid’s ability to promote a healthy vaginal pH may help manage these imbalances. Regulatory bodies, such as the FDA, have not approved boric acid for these uses, meaning its application is considered off-label based on clinical experience and some research.
How to Use Boric Acid Suppositories
To use a boric acid suppository, wash your hands thoroughly. Remove the suppository from its packaging and position yourself comfortably (e.g., lying on your back with bent knees). Gently insert the suppository into the vagina as far as it will comfortably go, using a finger or provided applicator.
The typical dosage is one 600 mg suppository inserted once daily. For acute issues, usage might be 3 to 14 days, while recurrent conditions may require longer courses, as advised by a healthcare provider. Inserting the suppository before bed is often recommended, as it allows it to dissolve overnight and helps minimize leakage. Wearing a panty liner can protect clothing from any watery discharge.
Complete the recommended course of treatment, even if symptoms improve earlier, to ensure effectiveness. After insertion, avoid sexual intercourse for a period, as the suppository needs time to dissolve and can cause irritation to a partner.
Important Safety Information
While generally safe for vaginal use, boric acid suppositories can cause mild side effects. Common reactions include vaginal irritation (burning, itching, redness) and watery discharge as the suppository dissolves. If these side effects are severe or persistent, discontinue use and consult a healthcare provider.
Boric acid is toxic if swallowed and must never be taken orally. Ingesting even a single suppository can lead to serious symptoms like abdominal pain, nausea, vomiting, and diarrhea; large amounts can be fatal. Keep boric acid suppositories out of reach of children and separate from oral medications to prevent accidental ingestion.
Boric acid suppositories are contraindicated during pregnancy due to potential harm to the developing fetus. They should also not be used if there are open sores, wounds, or ulcerations in the vaginal area, as this can lead to increased irritation or absorption. Boric acid is not intended for the treatment of sexually transmitted infections (STIs) or pelvic inflammatory disease (PID), nor does it serve as a form of contraception. Always consult a healthcare provider before using boric acid suppositories, especially if you have underlying health conditions, experience new or worsening symptoms, severe pain, fever, or unusual discharge.