Nonoxynol-9
Nonoxynol-9 Vaginal gel
What is this medicine?
NONOXYNOL-9 (no NOX i nol 9) is a spermicide (kills sperm). It is used for birth control to prevent pregnancy. Some formulas of this birth control can be used along with condoms, the cervical cap, or a diaphragm; read the label of the product you have chosen.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
history of toxic-shock syndrome
HIV infection or AIDS
recent childbirth, miscarriage, or abortion
pelvic or vaginal infection
sexually transmitted disease, like herpes, gonorrhea, or chlamydia
an unusual or allergic reaction to nonoxynol-9, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
To prevent pregnancy, it is very important that this product be used properly. These products are used in the vagina and must be applied before sexual contact begins. Do not use in the rectum. Make sure you carefully read and follow the instructions that come with the product. Reapply prior to each episode of sexual intercourse.
If you are using nonoxynol-9 containing products with latex cervical caps, condoms, or diaphragms, make sure the product is labeled as safe for use with latex products. If not, this may cause the cervical cap, condom, or diaphragm to weaken or even break. If leakage or breakage occurs during intercourse, additional spermicide may be inserted into the vagina. Other products that can weaken latex include hand, face, or body cream; petroleum jelly; cooking oils or shortenings; and baby oil. These are oil-based products and should not be used as lubricants. Instead, use a water-based lubricant that is safe for use with cervical caps, condoms, or diaphragms.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
Use before each time you have sexual intercourse as directed on the label. If you miss a dose, you may become pregnant.
What may interact with this medicine?
douches
vaginal yeast infection creams or suppositories
This product may not work as well to prevent pregnancy if you use other vaginal products at the same time. Talk with your doctor or pharmacist before using the products together.
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medicine?
This product does not protect you or your partner against HIV infection. It does not protect you or your partner against any other sexually transmitted diseases.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling
chills
fever
irritation, itching, or burning of the sex organs that does not go away within a short period of time
pain in bladder or lower abdomen
pain on urination
redness, blistering, peeling or loosening of the skin, including inside the mouth or vagina
thick, white, or curd-like vaginal discharge
trouble passing urine or change in the amount of urine
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
mild irritation or feeling of warmth at site of use
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Follow the directions on the product label. Throw away any unused medicine after the expiration date.
Updated:  
March 21, 2017
Sources:  
U.S. FDA-approved Package Insert