Gentian violet is an antifungal and antibacterial agent for use on the skin. It is effective against fungi (such as Candida which causes thrush) and bacteria (such as Staphylococcus aureus). In the past, it was commonly used to treat thrush infections in babies' mouths and on their nappy area. Currently, gentian violet has a place in the treatment of nipple thrush when all other treatment options have failed.
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Use of gentian violet
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The recommended use is as a 0.5% aqueous solution. A prescription is required for this and can be made up in some pharmacies.
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This solution is applied to the nipples, after breastfeeding, with a cotton bud twice a day for a few days (no more than a week)
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Contra-indications for use
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- if there is a known hypersensitivity to gentian violet
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- on ulcerated, open or broken wounds
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Note: Gentian violet is a purple dye and may stain any material it comes into contact with eg bathroom basin.
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Important: Store in a safe place away from children.
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Side effects
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- temporary staining of the skin and clothing
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- overuse in baby's mouth can cause ulceration of the mouth and throat
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Research involving rats and mice, that were fed large quantities of gentian violet over a period of time, found an increased rate of cancer in these animals. This has not been reported when used on the skin in humans.
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Royal Women's Hospital Clinical Practice Guidelines (CPGs) are intended to provide guidance to health care professionals, based on a thorough evaluation of research evidence, on the practical assessment and management of specific clinical issues or situations. The guidelines allow some flexibility on the part of the health care professional based on the needs of the specific patient for whom they are caring.
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