vagikrem vaginal capsule - Clindamycin (100mg) + Clotrimazole (100mg) medicine

Applygen Forte Soft Gelatin Vaginal Suppository: Complete Information

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🏭 CRMS Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
🤰 Pregnancy Category Clindamycin: B; Clotrimazole: C (FDA). Use only if clearly needed. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for individual components.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (swelling, difficulty breathing)
  • Severe diarrhea or abdominal pain
  • High fever with chills
  • Persistent vaginal bleeding
  • No improvement after 7 days

If experiencing severe symptoms, call emergency services immediately.

What is vagikrem vaginal capsule used for?

This medicine is a vaginal suppository containing clindamycin and clotrimazole, used to treat mixed vaginal infections caused by bacteria and fungi.

  • Generic Name: Clindamycin (100mg) + Clotrimazole (100mg)
  • Manufacturer: CRMS Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 vagikrem vaginal capsule के बारे में (Hindi Summary)

उपयोग: यह दवा योनि संक्रमण के इलाज के लिए उपयोग की जाती है, जिसमें बैक्टीरिया और फंगस दोनों शामिल होते हैं। यह क्लिंडामाइसिन और क्लोट्रिमाजोल का संयोजन है।

साइड इफेक्ट्स: आम दुष्प्रभावों में योनि में जलन, खुजली या हल्की परेशानी शामिल है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी प्रतिक्रिया या गंभीर दस्त हो सकते हैं।

सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के निर्देशानुसार करें। उपयोग से पहले हाथ धोएं। रात को सोने से पहले इसे योनि में डालें। उपचार के दौरान संभोग से बचें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 vagikrem vaginal capsule Uses & Benefits

[{"condition":"Bacterial vaginosis","description":"Clindamycin treats bacterial vaginosis by inhibiting bacterial protein synthesis.","evidence":"Well-established"},{"condition":"Vaginal candidiasis","description":"Clotrimazole treats vaginal yeast infections by disrupting fungal cell membranes.","evidence":"Well-established"},{"condition":"Mixed vaginal infections","description":"The combination is used when both bacterial and fungal infections are present.","evidence":"Commonly used"}]

Off-label uses: []

Primary treatment for: Mixed vaginal infections

Also treats: Bacterial vaginosis, Vaginal candidiasis

📋 Drug Information

Generic Name(s)Clindamycin (100mg) + Clotrimazole (100mg)
Brand Namevagikrem vaginal capsule
ManufacturerCRMS Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action Class
Route of AdministrationVaginal
StorageStore below 25°C in a dry place. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Use at bedtime to prevent leakage.
2
Complete the full course even if symptoms improve.
3
Avoid sexual intercourse during treatment.
4
Do not use tampons or douches.
5
Wash hands before and after insertion.
6
If pregnant, consult your doctor before use.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Vaginal itching
This medicine is commonly prescribed for this.
Likely Use
Abnormal vaginal discharge
This medicine treats mixed infections causing discharge.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionClindamycin is absorbed systemically after vaginal administration, but plasma levels are generally low. Clotrimazole is minimally absorbed through intact vaginal mucosa.
DistributionClindamycin distributes widely into body tissues and fluids. Clotrimazole remains largely local in the vaginal area.
Protein BindingClindamycin is about 90% bound to plasma proteins. Clotrimazole is highly protein-bound.
MetabolismClindamycin is metabolized in the liver. Clotrimazole is metabolized in the liver by CYP3A4.
Half-LifeClindamycin half-life is about 2-3 hours. Clotrimazole half-life is approximately 2 hours.
ExcretionClindamycin is excreted in urine and bile. Clotrimazole is excreted mainly in feces.
BioavailabilityVaginal bioavailability of clindamycin is about 5-10%. Clotrimazole has minimal systemic absorption.
Onset of ActionSymptom relief may begin within 1-2 days, but full effect may take up to 7 days.
Peak Plasma TimePeak plasma levels of clindamycin occur about 2-4 hours after vaginal insertion. Clotrimazole peak is not well established.
Duration of ActionThe effects last for several hours, requiring once or twice daily dosing.

How It Works

Clindamycin binds to the 50S ribosomal subunit of bacteria, inhibiting protein synthesis and causing bacterial cell death. Clotrimazole inhibits the synthesis of ergosterol, a key component of fungal cell membranes, leading to increased permeability and cell death.

Mechanism Steps

1
Clindamycin binding: Clindamycin binds to the 50S ribosomal subunit, blocking peptide bond formation and protein synthesis.
2
Clotrimazole action: Clotrimazole inhibits ergosterol synthesis, disrupting the fungal cell membrane.
3
Cell death: Bacterial and fungal cells die due to impaired protein synthesis and membrane integrity.

💡 How to Take vagikrem vaginal capsule

Strength: Soft gelatin vaginal suppository containing Clindamycin 100mg and Clotrimazole 100mg.

1Wash your hands thoroughly.
2Lie on your back with knees bent.
3Insert the suppository high into the vagina using the applicator if provided.
4Stay lying down for at least 15 minutes.
5Dispose of the applicator properly.

Dosage Information

Adult DosageThe usual adult dose is one suppository inserted vaginally once or twice daily, usually at bedtime, for 3 to 7 days. The exact dose and duration must be individualized by a qualified clinician based on the type and severity of infection, age, and renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dose adjustment is required for elderly patients, but use with caution.
Renal ImpairmentNo dose adjustment is typically needed for renal impairment, but consult your doctor.
Hepatic ImpairmentUse with caution in severe hepatic impairment. Consult your doctor.
Maximum Daily DoseOne suppository twice daily (200mg clindamycin + 200mg clotrimazole).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of vagikrem vaginal capsule

✅ Common Side Effects

Vaginal burning (Common (5-10%))
Usually resolves on its own. If persistent, consult your doctor.
Vaginal itching (Common (5-10%))
May be due to the infection or medicine. Consult if severe.
Headache (Uncommon (1-5%))
Rest and hydrate. Consult if severe.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience swelling, difficulty breathing, or rash.
Pseudomembranous colitis (Rare (<0.1%))
Report severe diarrhea, abdominal pain, or fever immediately.

⚠️ Rare Side Effects

Vaginal discharge
Consult if persistent.
Pelvic pain
Consult your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Erythromycin Major
Warfarin Moderate

🚨 Major Interactions

  • Erythromycin

⚡ Moderate Interactions

  • Warfarin

🍷 Alcohol Interaction

No known interaction with alcohol, but alcohol may worsen vaginal irritation.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to clindamycin or clotrimazole","First trimester of pregnancy (relative)"]

⚠️ Warnings & Precautions

["Do not use orally.","Avoid contact with eyes.","Use with caution in patients with liver disease.","May cause vaginal irritation.","Do not use during menstruation."]

🤱 Lactation Safety

Clindamycin is excreted in breast milk. Clotrimazole is minimally absorbed. Consult your doctor before use.

💊 Overdose Management

Overdose is unlikely due to vaginal route. If accidental ingestion, seek medical attention.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose. Do not double dose.

Additional Safety Advice

General Safety

Use this medicine exactly as prescribed by your doctor. Wash your hands before and after inserting the suppository. Insert it high into the vagina while lying on your back with your knees bent. It is best used at bedtime to allow the medicine to stay in place. Avoid sexual intercourse during treatment, as it may reduce effectiveness and cause irritation. Do not use tampons or douches while using this medicine. If you are pregnant or breastfeeding, consult your doctor before use. Do not use this medicine if you have a history of allergy to clindamycin or clotrimazole. Keep out of reach of children. If symptoms do not improve within a few days, contact your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects. Use with caution and monitor for adverse reactions.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. It is generally not recommended in the first trimester.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after any vaginal or pelvic surgery.

🦷 Dental Procedures

No specific considerations for dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Wear cotton underwear to allow air circulation.
🥗
Avoid tight-fitting clothing.
😴
Practice good genital hygiene.
💧
Avoid douching.
🧘
Maintain a healthy diet to support immunity.

🏋️ Exercise Considerations

No specific exercise restrictions, but avoid strenuous activities if you feel discomfort.

🥗 Diet Recommendations

Include probiotics like yogurt to support vaginal health.
Stay hydrated.
Reduce sugar intake to prevent yeast overgrowth.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. You can continue normal activities, but avoid intercourse during treatment.

🛑 When to Stop This Medicine

Stop using this medicine only after completing the prescribed course or as directed by your doctor. If you experience severe side effects, stop and consult your doctor immediately.

📅 Long-Term Use Effects

Long-term use of clindamycin can lead to bacterial resistance and rarely pseudomembranous colitis. Prolonged use of clotrimazole may cause local irritation. Use only as prescribed and for the recommended duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral antibiotics/antifungals

May be used for systemic treatment but with different side effect profiles.

Evidence: Well-established
Probiotics

Can help restore vaginal flora but not a primary treatment.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interaction with vaccines.

📦 Storage Guide

✅ DO

Store below 25°C in a dry place

❌ DON'T

Do not freeze

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from extreme heat. If traveling across time zones, continue your regular schedule. Inform customs if carrying more than personal use quantity.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 32-year-old woman with symptoms of vaginal itching and discharge.
She was prescribed this medicine for 7 days. She used it at bedtime and avoided intercourse. Symptoms improved within 3 days, but she completed the full course to prevent recurrence.
💡 Lesson: Completing the full course is essential to prevent recurrence and resistance.
👤 A 45-year-old woman with diabetes and recurrent vaginal infections.
She used this medicine as prescribed and maintained good blood sugar control. She experienced mild burning initially, which resolved. She was advised to follow up regularly.
💡 Lesson: Managing underlying conditions like diabetes helps prevent recurrent infections.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling relief within 1-2 days, but complete the full course as prescribed.

Q: Can I have sex while using this medicine?

A: It is recommended to avoid sexual intercourse during treatment to prevent irritation and ensure effectiveness.

Q: Is it safe during pregnancy?

A: Consult your doctor. It is generally not recommended in the first trimester unless clearly needed.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this during my periods?
  • Is it safe to use while breastfeeding?
  • How soon will I see improvement?
  • Can I use it if I have an IUD?
  • What if I accidentally insert two suppositories?

🔄 Substitutes for vagikrem vaginal capsule

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: It can be taken orally.
    Fact: It is for vaginal use only.
  • Myth: It can cure all vaginal infections.
    Fact: It only treats bacterial and fungal infections.

📊 Comparison with Similar Medicines

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