Uy, totally understandable ang worry mo! So from what I've gathered sa amin, ang Neo-Penotran Forte is generally safe in pregnancy, maraming mums actually got prescribed yan ng OBs nila for infections, kahit 7 months pa lang, pero the spotting and discharge increase after insertion ay something to watch closely. A few of us noticed na may heavier discharge talaga pagkatapos mag-insert, kaya siguro that's partly the med doing its job releasing the infection, pero kung talagang madami ang dugo (beyond spotting), it's worth observing for the next few days like what your OB would suggest. Kung after 4 days hindi pa rin bumaba or lalo pang lumaki ang bleeding, I'd say don't hesitate to message your doctor agad, hindi worth the stress when you're 5 months along. The burning and itchiness might settle down after the first few nights, but honestly, since you're feeling off about it, best to ring up your OB or specialist para makasiguro lang na lahat okay with your situation specifically, ha? They'll know better kung mag-continue or adjust.