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Question
Hello. I am dealing with a vaginal fungal infection from medication I was on and I was told to use monostat. Thirty min. after using it I started having a ton of premature contractions. I mean a lot. Also I was having horrible contraction type pain. I stopped using it and my doctor says there is no way the crea affected my heart and she said the only other option I have for the infection is to take a pill like diflucan. The thing is that I have first degree heart block as well as lots of pvcs and some rythm issues not captured yet. Is there any other medication that will not harm my heart that can treat a fungal infection?

Answer
Your MD is correct when stating the Monistat cream had no affect on your heart.  It is the gold standard to prescribe diflucan for fungal infections of the vagina.  There are no topical fungal treatment that would affect your heart because the absorption systemically is low.  Hence, it will not travel to your cardiac (heart) system.  Diflucan is the best one of the options available.  You can try prescription strength clotrimazole vaginal suppositories.  It will not affect your heart.

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Nanaz Khosrowshahi

Expertise

Being a pharmacist, I can answer questions on medications. This includes how drugs work in the body, drug interactions, drug side effects, warnings and precautions to take when using certain medications, dosage forms and strengths, management of overdosing, storage of medications, drug administration, contraindications, and drug indications. I am able to guide them on lab work that needs to be drawn and monitored while on certain medications. I am able to help patients save money when purchasing medications by directing them to cost-effective therapies. I am able to answer questions on federal laws governing pharmacy practice in the United States. I am unable to answer questions legally as if I am diagnosing the patient's disease or illness. For example, if a patient stated he had upper flank pain, I am unable to say he definitely has a urinary tract infection. However, I am able to direct the patient to the correct next step, which is to call his physician with such a side effect.

Experience

I have been a licensed pharmacist since 2007, holding licenses in CT and MA. I have a PHARM.D from an accelerated pharmacy school program. Currently, I work at the Hebrew Home and Hospital in West Hartford, CT as a pharmacist. I am a well-rounded pharmacist, with experience in long-term care, IV home infusion, retail, hospital, and hospice. I serve as the pharmacy unit coordinator for Mass Dispensing Area #31 in CT, where I am called upon as a volunteer pharmacist in case of public emergencies, such as anthrax threats. I helped run the swine flu vaccine clinic in 2009. I am on the Editorial Advisory Board for Pharmacy Today, a publication of the American Pharmacists Association. My position on the board runs for three years. Every month I make suggestions and offer ideas that would help improve the magazine. I have undergone extra training to administer vaccines to patients, which is training that only a certain percentage of registered pharmacists in the country have.

Organizations
American Pharmacists Association 2007

Education/Credentials
Massachusetts College of Pharmacy and Health Sciences, Worcester, MA- PHARM.D 2007 University of California, Irvine- BA psychology 2001 cum laude

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