NDC 0642-7466 Nuvessa


NDC Product Code 0642-7466

NDC 0642-7466-05

Package Description: 1 APPLICATOR in 1 CARTON > 5 g in 1 APPLICATOR

Price per Unit: $35.50700 per GM

NDC 0642-7466-06

Package Description: 1 APPLICATOR in 1 CARTON > 5 g in 1 APPLICATOR

NDC Product Information

Nuvessa with NDC 0642-7466 is a a human prescription drug product labeled by Exeltis Usa, Inc.. The generic name of Nuvessa is metronidazole. The product's dosage form is gel and is administered via topical form. The RxNorm Crosswalk for this NDC code indicates multiple RxCUI concepts are associated to this product: 1604336 and 1608253.

Dosage Form: Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.

Product Type: Human Prescription Drug What kind of product is this?
Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.

Nuvessa Active Ingredient(s)

What is the Active Ingredient(s) List?
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.

Inactive Ingredient(s)

About the Inactive Ingredient(s)
The inactive ingredients are all the component of a medicinal product OTHER than the active ingredient(s). The acronym "UNII" stands for “Unique Ingredient Identifier” and is used to identify each inactive ingredient present in a product.

  • WATER (UNII: 059QF0KO0R)

Administration Route(s)

What are the Administration Route(s)?
The translation of the route code submitted by the firm, indicating route of administration.

  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.

Pharmacological Class(es)

What is a Pharmacological Class?
These are the reported pharmacological class categories corresponding to the SubstanceNames listed above.

  • Nitroimidazole Antimicrobial - [EPC] (Established Pharmacologic Class)
  • Nitroimidazoles - [CS]

Product Labeler Information

What is the Labeler Name?
Name of Company corresponding to the labeler code segment of the Product NDC.

Labeler Name: Exeltis Usa, Inc.
Labeler Code: 0642
FDA Application Number: NDA205223 What is the FDA Application Number?
This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.

Marketing Category: NDA - A product marketed under an approved New Drug Application. What is the Marketing Category?
Product types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.

Start Marketing Date: 03-10-2018 What is the Start Marketing Date?
This is the date that the labeler indicates was the start of its marketing of the drug product.

Listing Expiration Date: 12-31-2022 What is the Listing Expiration Date?
This is the date when the listing record will expire if not updated or certified by the product labeler.

Exclude Flag: N - NO What is the NDC Exclude Flag?
This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions ("Y"), or because the listing certification is expired ("E"), or because the listing data was inactivated by FDA ("I"). Values = "Y", "N", "E", or "I".

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Information for Patients

Metronidazole Vaginal

Metronidazole Vaginal is pronounced as (me troe ni' da zole)

Why is metronidazole vaginal medication prescribed?
Metronidazole is used to treat vaginal infections such as bacterial vaginosis (an infection caused from too much of certain bacteria in the vagina). Metronidazole is in a...
[Read More]

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Nuvessa Product Labeling Information

The product labeling information includes all published material associated to a drug. Product labeling documents include information like generic names, active ingredients, ingredient strength dosage, routes of administration, appearance, usage, warnings, inactive ingredients, etc.

Product Labeling Index

1 Indications And Usage

NUVESSA is indicated in the treatment of bacterial vaginosis in non-pregnant women.

2 Dosage And Administration

A single-dose, pre-filled disposable applicator (which delivers approximately 5 g of gel containing 65 mg of metronidazole) administered once intravaginally. NUVESSA should be administered at bedtime.NUVESSA is not for ophthalmic, dermal or oral use.

3 Dosage Forms And Strengths

Vaginal gel (1.3%) containing 65 mg of metronidazole in 5 grams of gel in a pre-filled applicator.

4.1 Hypersensitivity

NUVESSA is contraindicated in persons who have shown hypersensitivity to metronidazole, parabens, other ingredients of the formulation, or other nitroimidazole derivatives.

4.2 Use Of Disulfiram

Psychotic reactions have been reported with co-administration disulfiram and oral metronidazole. Do not administer concurrently with or within 2 weeks of disulfiram.

4.3 Concomitant Alcohol

Disulfiram-like reactions to alcohol have been reported with co-administration of oral metronidazole; do not consume ethanol or propylene glycol, during and for at least 24 hours following treatment.

5.1 Central And Peripheral Nervous System Effects

Convulsive seizures and peripheral neuropathy, the latter characterized mainly by numbness or paresthesia of an extremity, have been reported in patients treated with oral or intravenous metronidazole. NUVESSA should be administered with caution to patients with central nervous system diseases.

5.2 Carcinogenicity In Animals

Metronidazole has been shown to be carcinogenic at high doses administered orally in mice and rats [see Nonclinical Toxicology (13.1)]. Unnecessary use of metronidazole should be avoided. Use of NUVESSA should be reserved for the treatment of bacterial vaginosis [see Indications and Usage (1)].

5.3 Drug/Laboratory Test Interactions

Metronidazole may interfere with certain types of determinations of serum chemistry values, such as aspartate aminotransferase (AST, SGOT), alanine aminotransferase (ALT, SGPT), lactate dehydrogenase (LDH), triglycerides, and glucose hexokinase. Values of zero may be observed. All of the assays in which interference has been reported involve enzymatic coupling of the assay to oxidation reduction of nicotinamide-adenine dinucleotides (NAD + NADH). Interference is due to the similarity in absorbance peaks of NADH (340 nm) and metronidazole (322 nm) at pH 7.

6 Adverse Reactions

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

6.1 Clinical Trials Experience

The safety of NUVESSA was evaluated in a randomized, double-blind, vehicle-controlled study in subjects with bacterial vaginosis. A total of 321 non-pregnant females with a mean age of 33.4 years (range 18 to 67 years) received NUVESSA. Subjects were primarily Black/African American (58.3%) or White (39.3%). Subjects administered a single dose of NUVESSA at bedtime on the first day of the study.There were no deaths or serious adverse events in this trial. Adverse events were reported by 19.0% of subjects treated with NUVESSA versus 16.1% of subjects treated with Vehicle Gel.Adverse events occurring in ≥1% of subjects receiving NUVESSA were: vulvovaginal candidiasis (5.6%), headache (2.2%), vulvovaginal pruritus (1.6%), nausea (1.6%), diarrhea (1.2%), and dysmenorrhea (1.2%). No subjects discontinued treatment due to adverse events.


Other Vaginal FormulationsOther reactions that have been reported in association with the use of other formulations of metronidazole vaginal gel include: unusual taste and decreased appetite.

Topical (Dermal) FormulationsOther reactions that have been reported in association with the use of topical (dermal) formulations of metronidazole include skin irritation, transient skin erythema, and mild skin dryness and burning. None of these adverse reactions exceeded an incidence of 2% of patients.

Oral and Parenteral FormulationsThe following adverse reactions and altered laboratory tests have been reported with the oral or parenteral use of metronidazole:Cardiovascular: Flattening of the T-wave may be seen in electrocardiographic tracings.Nervous System: The most serious adverse reactions reported in patients treated with oral metronidazole have been convulsive seizures, encephalopathy, aseptic meningitis, optic and peripheral neuropathy, the latter characterized mainly by numbness or paresthesia of an extremity. In addition, patients have reported syncope, vertigo, incoordination, ataxia, confusion, dysarthria, irritability, depression, weakness, and insomnia. [see Warnings and Precautions (5.1)]Gastrointestinal: Abdominal discomfort, nausea, vomiting, diarrhea, an unpleasant metallic taste, anorexia, epigastric distress, abdominal cramping, constipation, "furry" tongue, glossitis, stomatitis, pancreatitis, and modification of taste of alcoholic beverages.Genitourinary: Overgrowth of Candida in the vagina, dyspareunia, decreased libido, proctitis.Hematopoietic: Reversible neutropenia, reversible thrombocytopenia.Hypersensitivity Reactions: Urticaria; erythematous rash; Stevens-Johnson Syndrome, toxic epidermal necrolysis, flushing; nasal congestion; dryness of the mouth, vagina, or vulva; fever; pruritus; fleeting joint pains [see Contraindications (4)].Renal: Dysuria, cystitis, polyuria, incontinence, a sense of pelvic pressure, darkened urine.

Rx onlyDistributed By:Exeltis USA, Inc..180 Park Ave.,Florham Park, NJ 07932© 2017 Exeltis USA, Inc. All rights reserved.NUVESSA™ is a trademark of Exeltis USA, Inc..

7 Drug Interactions

The intravaginal administration of a single dose ofNUVESSAresults in lower systemic exposure to metronidazole that is approximately 2% to 4% of that achieved following oral administration of 500 mg metronidazole tablets [see Clinical Pharmacology (12.3)]. The following drug interactions were reported for oral metronidazole.

7.1 Disulfiram

Use of oral metronidazole has been associated with psychotic reactions in alcoholic patients who are using disulfiram concurrently. NUVESSA should not be used by patients who have taken disulfiram within the last two weeks [see Contraindications (4.2)].

7.2 Alcoholic Beverages

Use of oral metronidazole has been associated with a disulfiram-like reaction (abdominal cramps, nausea, vomiting, headaches, and flushing) to alcohol. Alcoholic beverages and preparations containing ethanol or propylene glycol should not be consumed during and for at least 24 hours after NUVESSA therapy [see Contraindications (4.3)].

7.3 Coumarin And Other Oral Anticoagulants

Use of oral metronidazole has been reported to potentiate the anticoagulant effect of warfarin and other coumarin anticoagulants, resulting in a prolongation of prothrombin time. This possible drug interaction should be considered when NUVESSA is prescribed for patients on this type of anticoagulant therapy.

7.4 Lithium

Short-term use of oral metronidazole has been associated with elevation of plasma lithium concentrations and, in a few cases, signs of lithium toxicity in patients stabilized on relatively high doses of lithium.

7.5 Cimetidine

Use of oral metronidazole with cimetidine may prolong the half-life and decrease plasma clearance of metronidazole. No dose adjustment of NUVESSA is necessary.

Teratogenic Effects

Pregnancy Category B. NUVESSA should be used during pregnancy only if clearly needed. There are no adequate and well-controlled studies in pregnant women. Metronidazole crosses the placental barrier and enters the fetal circulation rapidly.No fetotoxicity or teratogenicity was observed when metronidazole was administered orally to pregnant rabbits at up to 200 mg/kg (about 60 times the maximum human dose based on mg/m2). Similarly no fetotoxic or teratogenic effects were observed in five studies in rats where dosing was administered orally in the diet or by gastric intubation at doses up to 200 mg/kg (about 30 times the maximum human dose based on mg/m2).As well, no fetotoxicity or teratogenicity was observed when metronidazole was administered orally to pregnant mice at doses up to 100 mg/kg (about 7 times the maximum human dose based on mg/m2). However, some intrauterine deaths were observed in Swiss Webster mice administered metronidazole intraperitoneally at doses up to 15 mg/kg (about 1 times the maximum human dose based on mg/m2). The relationship of these intraperitoneal findings in mice to the topical use of NUVESSA is unknown.Because animal reproduction and development studies are not always predictive of human response, and because metronidazole is a carcinogen in rodents, this drug should be used during pregnancy only if clearly needed.

8.3 Nursing Mothers

Following oral metronidazole administration, concentrations of metronidazole in human milk are similar to concentrations in plasma. Since some metronidazole is systemically absorbed following vaginal administration of NUVESSA, excretion in human milk following topical use is possible.Because of the potential for tumorigenicity shown for metronidazole in animal studies, a decision should be made whether to discontinue nursing or to discontinue NUVESSA, taking into account the importance of the therapy to the mother. A nursing mother may choose to pump and discard her milk during NUVESSA therapy and 24 hours after therapy ends and feed her infant stored human milk or formula.

8.4 Pediatric Use

The safety and effectiveness of NUVESSA in pediatric patients below the age of 18 years have not been established.

8.5 Geriatric Use

Clinical studies with NUVESSA did not include sufficient numbers of subjects 65 years of age or older to determine whether they respond differently than younger subjects.

10 Overdosage

There is no human experience with overdosage of metronidazole vaginal gel. Vaginally applied NUVESSA could be absorbed in sufficient amounts to produce systemic effects [see Warnings and Precautions (5) and Adverse Reactions (6.2)].

11 Description

NUVESSA contains 1.3% metronidazole, USP in a single-dose prefilled disposable applicator. It is intended for intravaginal use. Metronidazole is a nitroimidazole antimicrobial.Chemically, metronidazole is a 2-methyl-5-nitroimidazole-1-ethanol. Its structural formula is:The molecular formula is C6H9N3O3 with a molecular weight of 171.16.NUVESSA is an aqueous gel containing metronidazole at a concentration of 13 mg/g (1.3%). The gel is formulated at pH 4.0. The gel also contains benzyl alcohol, methylparaben, polycarbophil, polyethylene glycol 400, propylene glycol, propylparaben, and purified water.Each applicator contains approximately 65 mg of metronidazole in 5 g of vaginal gel.

12.1 Mechanism Of Action

Metronidazole is an antimicrobial drug [see Clinical Pharmacology, Microbiology (12.4)].

12.3 Pharmacokinetics

Following a single, intravaginal 5 g dose of NUVESSA (equivalent to 65 mg of metronidazole) to 20 healthy female subjects, a mean maximum serum metronidazole concentration (Cmax) of 239 ng/mL was observed (range: 114 to 428 ng/mL). The average time to achieve this Cmax was 7.3 hours (range: 4 to 18 hours). This Cmax is approximately 2% of the mean maximum serum concentration reported in healthy subjects administered a single, oral 500 mg dose of metronidazole tablets (mean Cmax = 12,785 ng/mL).The extent of exposure [area under the curve (AUC)] of metronidazole, when administered as a single intravaginal 5 g dose of NUVESSA (equivalent to 65 mg of metronidazole), was 5,434 ng∙hr/mL (range: 1382 to 12744 ng∙hr/mL). This AUC0-∞ is approximately 4% of the reported AUC of metronidazole following a single oral 500 mg dose of metronidazole (approximately 125,000 ng∙hr/mL).

12.4 Microbiology

Metronidazole is a nitroimidazole antimicrobial agent that acts primarily against anaerobic bacteria and selected protozoa. The 5-nitro group on the metronidazole molecule is reduced by metabolically active anaerobes to its active state by the bacterial nitro-reductase enzyme after it diffuses into the bacterial cell. This results in the production of cytotoxic compounds that disrupt the helical structure of bacterial DNA thereby inhibiting bacterial nucleic acid synthesis which leads to cell death.Culture and sensitivity testing of bacteria are not routinely performed to establish the diagnosis of bacterial vaginosis. [see Clinical Studies (14)]Metronidazole is active in vitro against most isolates of the following organisms that have been reported to be associated with bacterial vaginosis:Bacteroides spp.Gardnerella vaginalisMobiluncus spp.Peptostreptococcus spp.

13.1 Carcinogenesis, Mutagenesis, Impairment Of Fertility

Metronidazole has shown evidence of carcinogenic activity in a number of studies involving chronic oral administration in mice and rats. Pulmonary tumors were reported in several mouse studies in which mice were dosed orally at 75 mg/kg and above (about 6 or more times the maximum recommended human dose based on mg/m2). Malignant lymphoma was reported at 66 mg/kg and above (about 5 or more times the maximum recommended human dose based on mg/m2). These tumors have been observed in all six reported studies in the mouse, including one study in which the animals were dosed on an intermittent schedule (administration during every fourth week only). All these effects were statistically significant.There were statistically significant increases in the incidence of mammary tumors, among female rats administered metronidazole at 270 mg/kg and above (about 40 times the maximum human dose based on mg/m2). Hepatic adenomas and carcinomas were observed in rats administered 300 mg/kg (about 45 times the maximum human dose based on mg/m2).Two lifetime oral tumorigenicity studies in hamsters have been performed and reported to be negative at doses up to 80 mg/kg (about 10 times the maximum human dose based on mg/m2).Carcinogenesis studies have not been conducted with NUVESSA.Although metronidazole has shown in vitro mutagenic activity in bacterial reverse mutation tests, it was negative in in vitro mammalian mutation systems including CHO/HGPRT and CH V79 lung cell assays. Metronidazole was not clastogenic in vitro chromosome aberration tests in CHO cells up to 5000 µg/mL but was positive in human and monkey peripheral blood lymphocytes at 0.1 µg/mL.In general, numerous micronucleus studies in rats and mice have failed to demonstrate a potential for genetic damage up to single oral doses 3000 mg/kg in mice (about 225 times the maximum human dose based on mg/m2). However, a dose dependent increase in the frequency of micronuclei was observed in CFW mice after intraperitoneal injections of up to 160 mg/kg (about 12 times the maximum human dose based on mg/m2).Fertility studies have been performed in mice orally dosed up to 500 mg/kg (about 37 times the maximum human dose based on mg/m2) revealed no evidence of impaired fertility.While no effects on fertility were observed in female rats dosed intraperitoneally at doses up to 1000 mg/kg (about 300 times the maximum human dose based on mg/m2), studies in male rats resulted in effects on testes and sperm production at oral doses of 100 mg/kg and above (about 30 times the maximum human dose based on mg/m2).

14 Clinical Studies

A single, randomized, double-blind, vehicle-controlled clinical trial was conducted to evaluate the efficacy of NUVESSA. Subjects had a clinical diagnosis of bacterial vaginosis defined by the presence of a homogenous vaginal discharge that (a) had a pH ≥ 4.7, (b) emitted a "fishy" amine odor when mixed with a 10% KOH solution ("whiff" test), and (c) contained clue cells ≥ 20% of the total vaginal epithelial cells. In addition, to be eligible for analysis subjects must have had a Gram stain Nugent score ≥ 4 and have been negative for N. gonorrhoeae and C. trachomatis. Non-pregnant females at least 18 years of age were randomized 1:1 to either NUVESSA or Vehicle Gel and instructed to administer study drug once at bedtime. Two hundred ninety-two (292) NUVESSA subjects and 285 Vehicle Gel subjects were eligible for the analysis.Clinical cure was defined as (a) return of normal physiologic discharge, (b) negative KOH "whiff" test, and (c) clue cell < 20% of the total vaginal epithelial cells at the Test of Cure visit (between 21 to 30 days post-treatment). Bacteriological Cure was defined as a Nugent score of < 4 and Therapeutic cure was defined as clinical cure and bacteriological cure. NUVESSA demonstrated statistically significantly higher cure rates over Vehicle Gel as measured by clinical cure, bacteriological cure and therapeutic cure (Table 1).Table 1. The Efficacy of NUVESSA for the Treatment of Bacterial Vaginosis in a Randomized, Double-Blind, Vehicle-Controlled, Parallel Group StudyOutcomeNUVESSAN = 292n (%)Vehicle GelN = 285n (%)Treatment Difference (%)[95% Confidence Interval]  Test of Cure (Day 21 to 30)  Clinical Cure108 (37.0)76 (26.7)10.3 (2.8, 17.9)  Bacteriological Cure57 (19.5)22 (7.7)11.8 (6.3, 17.3)  Therapeutic Cure49 (16.8)18 (6.3)10.5 (5.3, 15.6)Clinical Cure and Bacteriological Cure were also assessed at Day 7. Clinical Cure at Day 7 was achieved by a statistically significantly greater proportion of subjects in the NUVESSA group compared to subjects in the Vehicle Gel group (41.1% vs. 20.0%). Bacteriological Cure at Day 7 was achieved by a statistically significantly greater proportion of subjects in the NUVESSA group compared to subjects in the Vehicle Gel group (33.9% vs. 6.3%).

16 How Supplied/Storage And Handling

  • NUVESSA is available in cartons containing one single-dose, prefilled disposable applicator delivering 5 g of vaginal gel containing approximately 65 mg of metronidazole: 5 g disposable applicator (NDC 0642-7466-05) as a trade sample and 5 g disposable applicator (NDC 0642-7466-06) as a Professional Sample.

Storage And Handling

Store at 20-25°C (68-77°F); excursions permitted to 15°-30°C (59°-86°F) [see USP Controlled Room temperature]. Protect from freezing. Do not refrigerate.Keep out of reach of children.

17 Patient Counseling Information

Advise the patient to read the FDA-approved patient labeling (Patient Information and Instructions for Use).

17.1 Interaction With Alcohol

Instruct the patient not to consume alcoholic beverages and preparations containing ethanol or propylene glycol during and for at least 24 hours after treatment with NUVESSA [see Contraindications (4.3) and Drug Interactions (7.2)].

17.2 Drug Interactions

Instruct the patient not to use NUVESSA if disulfiram had been used within the last two weeks [see Contraindications (4.2)], and to inform their healthcare provider if they are taking oral anticoagulants, or lithium [see Drug Interactions (7.3, 7.4)].

17.3 Vaginal Intercourse And Use With Vaginal Products

Instruct the patient not to engage in vaginal intercourse, or use other vaginal products (such as tampons or douches) following the single administration of NUVESSA.

17.4 Human Milk Feeding

Advise women that they may consider discontinuing milk feeding or pump and discard their milk during treatment and for 24 hours after treatment with NUVESSA [see Use in Specific Populations (8.3)].

17.5 Vaginal Irritation

Inform the patient to discontinue use and consult a healthcare provider if vaginal irritation occurs with use of NUVESSA.

17.6 Administration Of Drug

Instruct the patient that NUVESSA is supplied as a single dose in a pre-filled applicator. See INSTRUCTIONS FOR USE for complete instructions on how to use the product and the vaginal applicator.

Patient Information

  • NUVESSA™ (metronidazole vaginal gel 1.3%)For intravaginal use only. Do not use in the eyes, mouth or skin.What is NUVESSA?NUVESSA is used to treat bacterial vaginosis in women who are not pregnant.Who should not use NUVESSA?Do not use NUVESSA if you:are allergic to metronidazole, parabens, nitroimidazole derivatives, or any of the ingredients in NUVESSA. See the end of this leaflet for a complete list of ingredients in NUVESSA.take or have taken a medicine called Antabuse (disulfiram) in the last 2 weeks.drink alcohol. Do not drink alcohol while you use NUVESSA and for at least 24 hours after you stop using it. It can increase your chances of getting serious side effects.Before you use NUVESSA, tell your healthcare provider about all your medical conditions, including if you: are pregnant or plan to become pregnant. It is not known if NUVESSA will harm your unborn baby.are breastfeeding or plan to breastfeed. NUVESSA passes into breast milk and may harm your baby. You and your healthcare provider should decide if you will use NUVESSA or breastfeed.Tell your healthcare provider all about the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.How should I use NUVESSA?See the "Instructions for Use" at the end of this Patient Information leaflet for detailed instructions about how to use NUVESSAUse NUVESSA exactly as your healthcare provider tells you toNUVESSA is used one time at bedtimeIf you get NUVESSA in your eyes, rinse your eyes with cool tap water and call your healthcare providerWhat should I avoid while using NUVESSA?Do not have vaginal intercourse or use other vaginal products (such as tampons or douches).What are the possible side effects of NUVESSA?The most common side effects of NUVESSA include yeast infections, headache, vaginal itching, nausea, diarrhea, and pain with menstrual cycle.Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the side effects of NUVESSA. For more information, ask your healthcare provider or pharmacist. Call your healthcare provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.General information about NUVESSAMedicines are sometimes prescribed for purposes other than those listed in the Patient Information leaflet. Do not use NUVESSA for a condition for which it was not prescribed. Do not give NUVESSA to other people, even if they have the same symptoms you have. It may harm them.This Patient Information leaflet summarizes the most important information about NUVESSA. If you would like more information, talk with your doctor. You can also ask your pharmacists or doctor for information about NUVESSA that is written for health professionals.For more information call: Exeltis USA, Inc., at 1-877-324-9349.What are the ingredients in NUVESSA?Active ingredient: metronidazoleInactive ingredients: polyethylene glycol 400, propylene glycol, benzyl alcohol, methylparaben, propylparaben, purified water, and polycarbophil AA-1Content Updated: 08/2017

Instructions For Use

  • NUVESSA™(metronidazole vaginal gel 1.3%)For vaginal use only.You will need the following supplies (See Figure A)Figure AStep 1: Remove the pre-filled applicator and plunger from the foil package (See Figure B)Tear open the foil packet just before usingRemove the pre-filled applicator and plunger from the foil packagingFigure BStep 2: Insert the plunger into the open end of the pre-filled applicator (See Figure C)With the pink cap still on, push the tip of the plunger into the open end of the pre-filled applicatorFigure CStep 3: Remove the pink cap (See Figure D)Pull the pink cap straight off the top of the pre-filled applicator.Figure DStep 4: Prepare to insert the pre-filled applicator (See Figure E)The pre-filled applicator may be inserted while lying on your back with your knees bent or in any comfortable position.Figure EStep 5: Insert the pre-filled applicator (See Figure F)Hold the pre-filled applicator by the barrel and gently insert the rounded tip into your vagina as far as it will comfortably go, then pull back slightlyFigure FStep 6: Push the plunger (See Figure G)While holding the barrel in place, slowly press the plunger until it stops to release the gel into your vaginaFigure GStep 7: Remove the pre-filled applicator from your vagina and throw it away in your household trash.How should I store NUVESSA?Store NUVESSA at room temperature, 59°-86°F (15°-30°C).Keep NUVESSA and all medicines out of the reach of children.This Patient Information and Instructions for Use have been approved by the US Food and Drug Administration.Rx onlyDistributed By:Exeltis USA, Inc..180 Park Ave., Florham Park, NJ 07932© 2017 Exeltis USA, Inc.. All rights reserved.NUVESSA™ is a trademark of Exeltis USA, Inc..Revised: 08/20174660501-01

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