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|ImageFile=Methyl Violet 10B.png
|authorTag={{KS}}
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|OTC=Yes
|IUPACName=
|genericName=gentian violet
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|Section1= {{Chembox Identifiers
|drugClass=[[antifungal]] agent
| CASNo=548-62-9
|indicationType=treatment
| PubChem=11057
|indication=candidal [[vulvovaginitis]] and as an antiseptic to protect against skin infection in minor cuts, scrapes or burns
| SMILES=
|adverseReactions=discoloration of skin
| MeSHName=Gentian+violet
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| Formula=C<sub>25</sub>H<sub>30</sub>ClN<sub>3</sub>
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* First aid antiseptic to help protect against skin infection in minor cuts, scrapes or burns.
  }}
|offLabelAdultGuideSupport=* There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in adult patients.
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<!--FDA-Labeled Indications and Dosage (Pediatric)-->
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|fdaLIADPed===Indications==
'''Gentian violet''' ([[crystal violet]], '''Methyl Violet 10B''', hexamethyl [[pararosaniline]] chloride) is an [[antifungal drug|antifungal agent]],
* First aid antiseptic to help protect against skin infection in minor cuts, scrapes or burns
the primary agent used in the [[Gram staining|Gram stain test]], perhaps the single most important bacterial identification test in use today, and it is also used by hospitals for the treatment of serious heat burns and other injuries to the skin and gums. Typically prepared as a weak (e.g. 1%) solution in water, it is painted on skin or gums to treat or prevent [[mycosis|fungal infections]]. Gentian violet does not require a doctor's prescription (in the US), but is not easily found in drug stores. [[Tampon]]s treated with gentian violet are sometimes used for vaginal applications.
|offLabelPedGuideSupport=* There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients.
|offLabelPedNoGuideSupport=* There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients.
|warnings=* For external use only
 
'''DO NOT USE'''
* In eyes; with bandages; on large areas of the body; longer than one week unless directed by a doctor; stop use and consult a doctor if condition persists; in case of deep puncture wounds, animal bites or serious burns, consult a doctor; if known to be sensitive to any ingredients in the product; do not apply to ulcerative lesions as this may result in tattooing of the skin.
 
'''STOP USE AND ASK A DOCTOR OR PHARMACIST'''
 
* If skin irritation or sensitivity develops or increases or if the condition persists or gets worse.
|clinicalTrials=There is limited information regarding <i>Clinical Trial Experience</i> of {{PAGENAME}} in the drug label.
|postmarketing=* There is limited information regarding <i>Postmarketing Experience</i> of {{PAGENAME}} in the drug label.
|drugInteractions=* There is limited information regarding <i>Drug interactions</i> of {{PAGENAME}} in the drug label.
|useInPregnancyAUS=* There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of {{PAGENAME}} in women who are pregnant.
|useInLaborDelivery=* There is no FDA guidance on use of {{PAGENAME}} during labor and delivery.
|useInNursing=* There is no FDA guidance on the use of {{PAGENAME}} with respect to nursing mothers.
|useInPed=* There is no FDA guidance on the use of {{PAGENAME}} with respect to pediatric patients.
|useInGeri=* There is no FDA guidance on the use of {{PAGENAME}} with respect to geriatric patients.
|useInGender=* There is no FDA guidance on the use of {{PAGENAME}} with respect to specific gender populations.
|useInRace=* There is no FDA guidance on the use of {{PAGENAME}} with respect to specific racial populations.
|useInRenalImpair=* There is no FDA guidance on the use of {{PAGENAME}} in patients with renal impairment.
|useInHepaticImpair=* There is no FDA guidance on the use of {{PAGENAME}} in patients with hepatic impairment.
|useInReproPotential=* There is no FDA guidance on the use of {{PAGENAME}} in women of reproductive potentials and males.
|useInImmunocomp=* There is no FDA guidance one the use of {{PAGENAME}} in patients who are immunocompromised.
|administration=* Topical
* Clean the affected area. Apply a small amount using a cotton-tipped applicator one to three times daily. Do not bandage.
|monitoring=* There is limited information regarding <i>Monitoring</i> of {{PAGENAME}} in the drug label.
 
 
 
<!--IV Compatibility-->
|IVCompat=* There is limited information regarding <i>IV Compatibility</i> of {{PAGENAME}} in the drug label.
|overdose=* There is limited information regarding <i>Chronic Overdose</i> of {{PAGENAME}} in the drug label.


Gentian violet is also known as Andergon, Aniline violet, Axuris, Badil, Basic Violet 3, Brilliant Violet 58, Gentiaverm, Hexamethyl-p-rosaniline chloride, Meroxylan, Meroxyl, Methylrosalinide chloride, Methyl Violet 10BNS, Pyoktanin, Vianin, Viocid, and Viola Crystallina.


==Applications==
Commonly used for
: [[Ringworm|Tinea]]; e.g. [[Athlete's foot]], [[jock itch]], and ringworm
: [[Candidiasis|Candida albicans]] and related infections; e.g. [[Candidiasis|thrush]], yeast infections
: [[Mouth ulcer]]s<sup>[http://www.emro.who.int/cah/pdf/IMCI-Chartbook-Sud-Eng.pdf]</sup>


In [[forensics]], gentian violet was used to develop [[fingerprint]]s.
<!--Drug box 2-->
|drugBox=[[File:Gentian violet wikipedia.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]


In [[body piercing]], gentian violet is commonly used to mark the location for placing a tongue piercing.
|mechAction=* There is limited information regarding <i>Mechanism of action</i> of {{PAGENAME}} in the drug label.
|PD=* There is limited information regarding <i>Pharmacodynamics</i> of {{PAGENAME}} in the drug label.
|PK=* There is limited information regarding <i>Pharmacokinetics</i> of {{PAGENAME}} in the drug label.
|nonClinToxic=* There is limited information regarding <i>Nonclinical Toxicology</i> of {{PAGENAME}} in the drug label.
|clinicalStudies=* There is limited information regarding <i>Clinical Studies</i> of {{PAGENAME}} in the drug label.
|storage=* Store at controlled room temperature. Will stain skin and clothing.
|packLabel=[[File:Gentian violet.jpg|thumb|none|600px|This image is provided by the National Library of Medicine.]]


Engineering students in Canada traditionally use this substance to dye their whole bodies purple in preparation for homecoming celebrations and [[frosh week]]. Additionally, Queens University's golden leather engineering jacket, also known as Golden Party Armour or GPA, is purpled using this dye.
[[File:Gentian violet ingredients and appearance.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]
|fdaPatientInfo='''KEEP OUT OF REACH OF CHILDREN'''.
* In case of accidental ingestion, seek medical help or contact a Poison Control Center immediately.
|alcohol=* Alcohol-{{PAGENAME}} interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
|brandNames=* GENTIAN VIOLET®<ref>{{Cite web | title =gentian violet solution| url =http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a972c857-1e3e-4a89-9fb2-da5a64d55bf7 }}</ref>


==Precautions==
The Food and Drug Administration has determined that gentian violet has not been shown by adequate scientific data to be safe for use in animal feed. Use of gentian violet in animal feed causes the feed to be adulterated and in violation of the Federal Food, Drug, and Cosmetic Act. 21CFR589.1000


Gentian violet's worst common side effect is staining skin and cloth, but if used on [[ulceration]]s or open [[wound]]s it can cause [[tattoo|tattooing]]. It is generally considered safe for use on children and [[breastfeeding]] mothers. It has even been applied to the mouth and lips of premature infants, and has a long history of safe use. Many have recommended it for thrush on the nipple, and [[La Leche League]] lists gentian violet as a possible alternative.<ref>[http://www.lalecheleague.org/FAQ/thrush.html www.lalecheleague.org]</refHowever, in large quantities, gentian violet may lead to ulceration of a baby's mouth and throat and is linked with mouth cancer. [[William Sears (physician)|Dr. Sears]] recommends using it sparingly.<ref>[http://www.askdrsears.com/html/8/T083100.asp www.askdrsears.com]</ref> Gentian violet has also been linked to cancer in the digestive tract of other animals.<ref>[http://extoxnet.orst.edu/newsletters/n115_91.htm extoxnet.orst.edu]</ref>
|lookAlike=* A® — B®<ref name="www.ismp.org">{{Cite web  | last = | first = | title = http://www.ismp.org | url = http://www.ismp.org | publisher =  | date =  }}</ref>


When using gentian in order to purple skin or jackets, care should be taken to mix only low concentrations of the [[crystal]] into warm water. This avoids the material attaining a golden hue. Additionally, jackets with a waterproof coating should be scrubbed lightly with a scrub pad, steel wool, or light grade sand paper before dyeing.<ref>[http://engsoc.queensu.ca/ceo/Purpling%20Guide_website.doc Jacket Purpling Guide]; URL last accessed [[September 19]], [[2006]]</ref>


==Popular culture==
|drugShortage=
In [[Catch-22]], the medics are portrayed as using gentian violet on feet and gums as a [[universal panacea]].  During the 1940's in the US, tub soaks made with water and gentian violet were "prescribed" as a cure for poison ivy, though its efficacy in such an application is unsubstantiated.
}}
{{PillImage
|fileName=No image.jpg
}}
{{LabelImage
|fileName={{PAGENAME}}11.png
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{{LabelImage
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<!--Pill Image-->


==References==
<references/>


==See also==
*[[Methylene blue]]
*[[Prussian blue]]


==External links==
<!--Label Display Image-->
* [http://www.lifelearning.org/2006/03/06/home-treatment-for-thrush-in-nursing-moms-and-babies/ Gentian Violet and Thrush]
* [http://gentian.rutgers.edu/GentianViolet.htm  Gentian Violet]
* [http://engsoc.queensu.ca/ceo/Purpling%20Guide_website.doc Jacket Purpling Guide]
* [http://www.rwh.org.au/rwhcpg/maternity.cfm?doc_id=5870 Clinical Practice Guidelines]


<!--Category-->
[[Category:Antifungals]]
[[Category:Antifungals]]
[[Category:Disinfectants]]
[[Category:Drug]]
 
[[pl:Gencjana]]
[[pt:Violeta de genciana]]
{{WikiDoc Help Menu}}
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Latest revision as of 15:51, 21 April 2015

Gentian violet
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Disclaimer

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NOTE: Most over the counter (OTC) are not reviewed and approved by the FDA. However, they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

Overview

Gentian violet is an antifungal agent that is FDA approved for the treatment of candidal vulvovaginitis and as an antiseptic to protect against skin infection in minor cuts, scrapes or burns. Common adverse reactions include discoloration of skin.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Indications

  • First aid antiseptic to help protect against skin infection in minor cuts, scrapes or burns.

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

  • There is limited information regarding Off-Label Guideline-Supported Use of Gentian violet in adult patients.

Non–Guideline-Supported Use

  • There is limited information regarding Off-Label Non–Guideline-Supported Use of Gentian violet in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

Indications

  • First aid antiseptic to help protect against skin infection in minor cuts, scrapes or burns

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

  • There is limited information regarding Off-Label Guideline-Supported Use of Gentian violet in pediatric patients.

Non–Guideline-Supported Use

  • There is limited information regarding Off-Label Non–Guideline-Supported Use of Gentian violet in pediatric patients.

Contraindications

There is limited information regarding Gentian violet Contraindications in the drug label.

Warnings

  • For external use only

DO NOT USE

  • In eyes; with bandages; on large areas of the body; longer than one week unless directed by a doctor; stop use and consult a doctor if condition persists; in case of deep puncture wounds, animal bites or serious burns, consult a doctor; if known to be sensitive to any ingredients in the product; do not apply to ulcerative lesions as this may result in tattooing of the skin.

STOP USE AND ASK A DOCTOR OR PHARMACIST

  • If skin irritation or sensitivity develops or increases or if the condition persists or gets worse.

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Clinical Trial Experience of Gentian violet in the drug label.

Postmarketing Experience

  • There is limited information regarding Postmarketing Experience of Gentian violet in the drug label.

Drug Interactions

  • There is limited information regarding Drug interactions of Gentian violet in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): There is no FDA guidance on usage of Gentian violet in women who are pregnant.
Pregnancy Category (AUS):

  • There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Gentian violet in women who are pregnant.

Labor and Delivery

  • There is no FDA guidance on use of Gentian violet during labor and delivery.

Nursing Mothers

  • There is no FDA guidance on the use of Gentian violet with respect to nursing mothers.

Pediatric Use

  • There is no FDA guidance on the use of Gentian violet with respect to pediatric patients.

Geriatic Use

  • There is no FDA guidance on the use of Gentian violet with respect to geriatric patients.

Gender

  • There is no FDA guidance on the use of Gentian violet with respect to specific gender populations.

Race

  • There is no FDA guidance on the use of Gentian violet with respect to specific racial populations.

Renal Impairment

  • There is no FDA guidance on the use of Gentian violet in patients with renal impairment.

Hepatic Impairment

  • There is no FDA guidance on the use of Gentian violet in patients with hepatic impairment.

Females of Reproductive Potential and Males

  • There is no FDA guidance on the use of Gentian violet in women of reproductive potentials and males.

Immunocompromised Patients

  • There is no FDA guidance one the use of Gentian violet in patients who are immunocompromised.

Administration and Monitoring

Administration

  • Topical
  • Clean the affected area. Apply a small amount using a cotton-tipped applicator one to three times daily. Do not bandage.

Monitoring

  • There is limited information regarding Monitoring of Gentian violet in the drug label.

IV Compatibility

  • There is limited information regarding IV Compatibility of Gentian violet in the drug label.

Overdosage

  • There is limited information regarding Chronic Overdose of Gentian violet in the drug label.

Pharmacology

This image is provided by the National Library of Medicine.

Mechanism of Action

  • There is limited information regarding Mechanism of action of Gentian violet in the drug label.

Structure

There is limited information regarding Gentian violet Structure in the drug label.

Pharmacodynamics

  • There is limited information regarding Pharmacodynamics of Gentian violet in the drug label.

Pharmacokinetics

  • There is limited information regarding Pharmacokinetics of Gentian violet in the drug label.

Nonclinical Toxicology

  • There is limited information regarding Nonclinical Toxicology of Gentian violet in the drug label.

Clinical Studies

  • There is limited information regarding Clinical Studies of Gentian violet in the drug label.

How Supplied

There is limited information regarding Gentian violet How Supplied in the drug label.

Storage

  • Store at controlled room temperature. Will stain skin and clothing.

Images

Drug Images

{{#ask: Page Name::Gentian violet |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}

Package and Label Display Panel

This image is provided by the National Library of Medicine.
This image is provided by the National Library of Medicine.

{{#ask: Label Page::Gentian violet |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}

Patient Counseling Information

KEEP OUT OF REACH OF CHILDREN.

  • In case of accidental ingestion, seek medical help or contact a Poison Control Center immediately.

Precautions with Alcohol

  • Alcohol-Gentian violet interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

  • GENTIAN VIOLET®[1]

Look-Alike Drug Names

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

  1. "gentian violet solution".
  2. "http://www.ismp.org". External link in |title= (help)

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