Tablets from chronic thrush. How and what to treat thrush in women

First aid and excellent result

Pseudo-folk wisdom says: whoever is not familiar with a thrush is not a woman. But if you take the issue seriously, then this disease will not be so simple.

Candidiasis (thrush) affects all people, regardless of gender and age, since yeast-like fungi of the genus Candida are part of normal microflora mucous membranes. But the reproduction and growth of fungi is tightly controlled by the immune system, and these microorganisms coexist with humans, without giving themselves away. But any changes that “shatter” the immune system can provoke the uncontrolled growth of fungi and, accordingly, the symptoms of thrush. A provoking factor can be a course of antibiotic treatment, hypothermia, stress, changes in diet, and, in fact, anything that upsets the delicate balance of the microflora of the mucous membranes.

Speaking of the fact that everyone is susceptible to thrush, they really mean everyone, including men and children. But, since candidiasis is still more often diagnosed in women, let's talk about the best means oh, for the treatment of thrush it is with them.

The best candles for thrush

Pimafucin

Photo: www.farmshop.ru

Price packs of 3 candles - about 300 rubles.

The active substance is natamycin, which has an antifungal and antibacterial effect. The candle, dissolving, forms a foamy mass, which is evenly distributed over the mucous membrane. Due to this, natamycin has an effect on the entire surface of the mucosa, which is important in the treatment of "deep" candidiasis.

Advantages. The main advantage of Pimafucin is the possibility of its use for the treatment of thrush even in pregnant and lactating women. Given that pregnancy and postpartum period- "leaders" in the incidence of candidiasis, this advantage turns Pimafucin into an almost indispensable drug. In addition, the local use of the agent excludes the penetration of natamycin into the blood. This means that the list of contraindications is reduced to individual intolerance to any component of the drug.

Flaws. No shortcomings as such were identified, therefore, on a ten-point scale, Pimafucin was assigned 10 points.

Reviews. “In my opinion, these candles are the best remedy for thrush. And they help quickly, and you don’t need to run to the doctor every time for tests. People like me - "chronic" candidiasis - already know all the signs that the thrush has begun, and Pimafucin quickly relieves all symptoms.

Livarol

Photo: www.cosmo.ru

Packaging cost vaginal suppositories(5 pieces) about 300 rubles.

The active substance Livarol - ketoconazole - a substance with a pronounced antifungal action, which produces an effect not only on typical representatives of the microflora that provoke thrush, but also on rarer forms Candida.

Advantages. Ease of use and the need for a single injection per day makes this drug convenient for use both at home and on the road. The duration of treatment is 3-5 days for acute candidiasis, and 10 days for chronic forms (the number of recurrences of thrush is at least 4 times a year). In addition, Livarol is effective for staphylococcal and streptococcal lesions, which allows it to be used for mixed fungal-bacterial infections of the vaginal mucosa.

Flaws. Livarol is not recommended during pregnancy and lactation. Although this is not an absolute, but a conditional contraindication (if the benefit to the mother outweighs the risks to the fetus, the doctor may prescribe this drug), it still excludes Livarol from the list of the "best" remedies for thrush. And for this reason, on a 10-point scale, he is assigned a score of 8 points.

Reviews. “I gave preference to Livarol, because shortly before that I treated dandruff (fungal origin) with ketoconazole shampoo. The effect simply shocked me, so when I encountered thrush, I didn’t even think about it when I saw the familiar word “ketoconazole” on the package. I was not mistaken: already after the first candle, the itching and discomfort disappeared, I even had to write reminders to myself so as not to forget to complete the course of treatment.

Diflucan
best remedy for thrush

Photo: i0.tabletki.ua

Price a package containing 1 capsule is about 460 rubles.

The active ingredient in Diflucan is fluconazole. Fluconazole inhibits the growth and activity of fungi that cause thrush, and in a short time relieves the symptoms and manifestations of this condition.

Advantages. The main advantage of Diflucan is the ease of use and the minimum course of treatment. Drinking just 1 capsule, you can get rid of the symptoms of acute thrush and the discomfort that this condition causes.

Flaws. Unfortunately, convenience is not the main criterion, at least when it comes to Diflucan. This drug is contraindicated in pregnancy, lactation, kidney and liver pathologies and is prescribed only taking into account general condition patient's health. For this reason, Diflucan is difficult to attribute to thrush remedies that can be recommended as the best component of a home first-aid kit “for everyone”. The number of contraindications for this drug does not allow to evaluate it above 7 points.

Reviews. “The best pills for thrush, Diflucan has helped me more than once, and the help was really emergency. But these capsules did not fit my sister, her stomach rebelled a little - she has cholecystitis, apparently because of this. I think that the high price is the only drawback of Diflucan.”

Epigen Intim
best natural remedy for thrush

Photo: www.apteka84.kz

Price bottle of 60 ml. is about 1400 rubles.

The active substance, glycyrrhizic acid, is a component obtained from licorice root. The drug has an anti-inflammatory, antiviral, immunostimulating, antipruritic effect, and also accelerates regenerative processes in the mucous membrane.

Advantages. natural origin active ingredient The drug is its main advantage, which allows it to be prescribed in the treatment of thrush throughout the entire period of pregnancy, as well as in the case of candidiasis in children. In addition, with the help of Epigen Intim it is recommended to carry out the prevention of thrush, using the drug while taking antibiotics, during the recovery period after any disease, etc. A convenient form of release - a spray bottle - is another plus in favor of this remedy, thanks to which Epigen Intim can be easily and simply used in any environment, not only at home.

Flaws. The disadvantages include only the high cost of the drug, which, however, more than compensate for its advantages. We attribute Epigen Intim to the best remedies for thrush. Rating - 10 out of 10.

Updated: 26.08.2018 17:07:19

Expert: doctor - Boris Kaganovich

*Overview of the best in the opinion of the editors of the site. About selection criteria. This material is subjective, is not an advertisement and does not serve as a guide to the purchase. Before buying, you need to consult with a specialist.

Inclusion in the composition of the normal microflora does not imply intensive reproduction of the fungus. It can simply be detected using various tests, and even then in small quantities. In the same case, if the fungi begin to multiply intensively, then we are talking about mycosis, or a fungal infection. The term "thrush" reflects the visual picture of the development of the fungus on the mucous membranes. Against the background of bright red hyperemia, whitish spots with a bluish tint appear, resembling spilled milk or kefir.

Most often, in adults, thrush occurs as a marker of decreased immunity associated with other infections, and in women of childbearing age, thrush most often develops against the background of bacterial vaginosis, or gardnerellosis, when the protective properties of the vaginal mucosa are lost, and the acidic environment changes to alkaline .

In modern dermatovenereology and gynecology, there is a large number of various means for the treatment of thrush, or vaginal candidiasis. Consider the most popular and effective drugs to eradicate candidal infection. There are both topical preparations, in the form of suppositories, ointments and gels, and preparations in tablets. The most common and sold are candles.

Rating of the best remedies for thrush

The best candles for thrush

Preparations administered in the form of suppositories intravaginally have their own advantages. This is, first of all, the possibility of treating deep-seated foci of fungal infection through deep injection. In the event that the upper vagina, cervix, orifices of the fallopian tubes and even the tubes themselves are affected, which is rare, then the use of suppositories is more effective than applying ointments and gels.

Also, candles are produced most often with more than one medicinal product, but with several components, which affects the fungus more effectively than the ointment. Therefore, in the event that the gynecologist prescribed a suppository to a patient with vaginal candidiasis, this can be considered the most effective way elimination of fungal infections. Sometimes the fat-soluble suppository base is replaced by another, in which case a topical form is obtained, which are called vaginal tablets.

The technology for the production of candles is such that at normal, room temperature they are in solid form, but when they are inserted into the vagina, or into the rectum, when the temperature reaches 36 ° C, the melting of the candle material begins - basically, it is a mixture of paraffin, with glycerin and gelatin.

What are the benefits of using suppositories to treat thrush?

1. Speed. After melting the candles, active action released components, already one to two minutes after administration;
2. action in the local circulatory network of the small pelvis. Medicinal substances are able to act not only exclusively on the mucous membranes. Due to the well-developed capillary network inside the vagina, some of the active substances enter the bloodstream, but, unlike drugs administered orally, they do not pass through the liver, and sometimes act in lower concentrations, and with greater effect;
3. the vast majority of drugs administered in the form of suppositories do not enter the systemic circulation, and therefore, in patients with impaired renal excretory function, the method of treating thrush with suppositories is the method of choice;
4. it is very important that many patients with pathology of the gastrointestinal tract, with peptic ulcer stomach, with gastroduodenitis, may not tolerate drugs for oral administration. Candles for thrush are devoid of these shortcomings, and can be used in these individuals without restrictions.

For the treatment of thrush, various groups of suppositories for vaginal administration are used. Consider the most effective and affordable drugs, evaluate their advantages and disadvantages.

Klion-D (metronidazole + miconazole)

The drug for thrush Klion-D is a unique complex that contains not only an antifungal drug, but also a remedy for the treatment of anaerobic infections. These are miconazole and metronidazole, which are contained in each tablet for injection deep into the vagina, 100 mg each. The remedy helps to treat not only thrush, but also trichomoniasis, various pathogenic protozoa, vaginal gardnerella and various opportunistic anaerobes, such as bacteroids, fusobacteria and other microbes.

Opportunistic anaerobic flora often joins in the development of alkalization of the vaginal environment, and makes it easier for more serious infections to penetrate and become chronic. Klion-D is indicated in the case of fungal and mixed vaginitis, in which not only the fungal flora multiplies, but also other microorganisms, for example, trichomonas. Klion-D is prescribed one tablet, which is pre-moistened with water and injected deep into the vagina once a day at night. The course of treatment is 10 days.

Klion-d vaginal tablets are produced by the Hungarian company Gedeon Richter, one pack of 10 pieces will cost 280 rubles.

Advantages and disadvantages

The advantage of this drug is a fairly affordable price, the possibility of treating not just thrush, but associated and complex vaginitis, with the presence of anaerobic microflora. This drug is quite effective, and has been used for a long time. Side effects include local allergic reactions, such as burning and pain, especially at the first injection, the impossibility of combining Klion-D with alcohol intake, and in case of an overdose, the development of symptoms such as leukopenia, or a decrease in the number of leukocytes in the general blood test.

But in the event that this drug is used according to the indications, and according to the instructions, then in most cases the symptoms of thrush disappear after a few days.

Livarol (ketaconazole)

Vaginal suppositories Livarol from thrush contain an effective fungicide ketoconazole. Each candle with a dosage of 400 mg, in a package of 5 or 10 candles. A large package is available at a price of 550 rubles, the drug is produced by the domestic pharmaceutical company Nizhpharm.

Livarol, like other antifungal suppositories, is indicated for endometritis as a cover so that the accompanying fungal flora is not activated, or if there is already underlying candidal vaginitis, or thrush. Livarol is used one suppository per day, on average, for 5 days, and in chronic forms of candidiasis - for 10 days. Manufacturers warn against ending treatment on their own when disturbing symptoms disappear, as this can lead to a chronic fungal infection.

Advantages and disadvantages

The advantage of ketoconazole is its high efficiency against opportunistic fungi, and the disadvantages include the development side effects associated with local irritation of the mucosa, itching and the manifestation of allergies.

Interaction with other drugs in Livarol is unknown, so it can be used together with tablets, and other local preparations without restrictions, due to the low resorptive capacity of ketoconazole.

Betadine (povidone-iodine)

Vaginal suppositories for thrush with betadine are sold in packs of 7 and 14 suppositories, each containing 200 mg of povidone-iodine. A package of 7 candles, which is produced by the Hungarian company Egis, can be bought for 300 rubles, and a double package of 14 candles for 485 rubles.

Everyone knows the bactericidal effect of iodine, but for intravaginal administration, of course, an alcohol solution is not applicable, so povidone-iodine is used. One suppository corresponds to approximately 20 mg of active iodine. Povidone-iodine destroys coli, Staphylococcus aureus, is active against protozoa, viruses and fungi. It is characteristic that iodine is not absorbed from the mucous membrane, that is, there is no resorptive effect.

Candles with Betadine are shown in complex therapy endometritis, vaginitis and bacterial vaginosis, with trichomoniasis, candidal colpitis, and also as a prophylaxis before surgery.

The drug is administered once a day, deeply intravaginally, preferably at bedtime. In acute endometritis, administration is recommended twice a day for 7 days.

Advantages and disadvantages

Betadine helps not only with thrush, as it is also available in the form of a solution, it is able to prevent the contamination of a clean wound with pathogenic flora, prevents the appearance of wound infection in surgical and burn patients, with open injuries. Also, Betadine in solution can also be used not only intravaginally, but also for disinfecting the skin around various probes, catheters and drains, for treating pressure sores and trophic ulcers. But Betadine is contraindicated in pregnancy and chronic kidney failure, with excessive sensitivity to iodine, and with pathology thyroid gland. Usually the drug is well tolerated, but sometimes there is an individual intolerance in the form of itching and allergies.

Zalain (sertaconazole)

Advantages and disadvantages

It is necessary to use the remedy for thrush Zalain once, but if necessary, you can repeat the introduction of the suppository after a week. The undoubted advantages of Zalain include a single administration of the drug, the rare development of side effects, and the absence of overdose symptoms. However, during treatment, it is necessary to refrain from sexual contact within a few days after the administration of the suppository, but not due to the harmful effect of the drug on the partner, but due to the possibility of the spread of candidal infection. Also during menstruation, you can freely carry out treatment with this drug.

Macmirror Complex (nystatin + nifuratel)

These intravaginal suppositories for thrush are a complex antifungal, antimicrobial drug, as well as a remedy for protozoa. Quite often, a situation arises in which thrush is a concomitant infection, and most importantly, diseases such as trichomoniasis, chlamydia, and other infections have a destructive effect. Therefore, Macmirror is indicated, first of all, for the treatment of just such conditions. It contains nifuratel, as a derivative of nitrofuran, as well as the antifungal antibiotic nystatin. It is necessary to apply Macmirror daily at bedtime, inserting 1 suppository deep into the vagina for 7 days. Macmiror Complex is also produced in the form of a vaginal cream, which is used if necessary for the treatment of children. The Macmirror complex is produced by the Italian pharmaceutical company Doppel Pharmaceuticals, and the cost of packing 8 vaginal suppositories, 500 mg each, starts from 630 rubles. in summer 2018 prices.

Advantages and disadvantages

The positive effect is the effectiveness in trichomoniasis and chlamydia, higher compliance, that is, the possibility of using one remedy instead of several, use once a day, and the presence of a creamy form. The disadvantages of Macmirror include rare allergic reactions, which are most often represented by skin rashes, individual drug intolerance, as well as low efficiency against anaerobic microflora. Thus, it is necessary to use this drug locally only when infected with chlamydial infection, candidiasis and Trichomonas.

The best ointments and creams for thrush

In addition to intravaginal suppositories, tablets and suppositories, there is an extensive range of drugs for the treatment of vaginal candidiasis in the form of ointments and creams. They have their own advantages, different from candles. For example, ointment and cream, unlike suppositories, act very quickly when applied to the surface of the mucous membranes, since the absorption rate of ointments and creams is much greater than that of suppositories.

It is when using ointments and creams that the unpleasant symptoms of a fungal infection, such as rash, redness, swelling, and itching, decrease faster. Also, ointments and creams can be used in men, which cannot be said about vaginal suppositories. Commercially available creams and ointments occupy a more affordable price niche than intravaginal suppositories, and especially special intravaginal tablets. In addition, ointment and cream are much easier to use than tablets and suppositories. A woman, and even more so a man, does not need to take a special position, you do not need to use applicators for guidance, but you just need to distribute the ointment or cream on the surface of the vestibule of the vagina and in its anterior third, and men should apply on the glans penis and on the inner sheet foreskin.

Consider the most popular representatives for the treatment of vaginal candidiasis in the form of creams and ointments sold in Russian pharmacies.

Pimafucin (natamycin)

The active ingredient of Pimafucin is the active antifungal antibiotic natamycin. This tool is embedded in the cell membranes of fungal structures, while they begin to break down and lose their strength. The point of application of natamycin are sterol groups.

Pimafucin is able to treat not only candidiasis. In addition to thrush, other representatives of yeast fungi are also sensitive to it, and pathogens of dermatophytosis are less sensitive to it. Each gram of cream contains 20 mg of the active ingredient in the form of natamycin.

In addition to thrush, indications for the use of this cream include various candidal changes in the appendages of the skin (hair, nails), the remedy is used in the complex therapy of otitis externa, which was complicated by candidiasis, as well as various forms ah ringworm.

Usually the cream is applied in a strip 2 to 3 cm long, once a day, and rubbed in slowly. With an uncomplicated course of vaginal candidiasis, the duration of the course does not exceed 7 or 10 days. In addition to the cream, Pimafucin can be produced in the form of enteric tablets, as well as in the form of vaginal suppositories. Pimafucin is produced by the Italian pharmaceutical company Temmler, and one pack of cream weighing 30 g and a concentration of 2% natamycin can be purchased at a pharmacy for 271 rubles.

Advantages and disadvantages

Natamycin is a highly effective fungicide, and contraindications to its use are extremely limited, only with hypersensitivity to the components of the drug. Of the side effects, there is often mild irritation, or a slight burning sensation, which disappears on its own, and does not require discontinuation of the drug. In the event that Pimafucin is used together with tablets for thrush, and the treatment is carried out under the supervision of a gynecologist, then in 89% of cases there is either recovery or a stable clinical remission with cleansing of the mucous membranes.

Candide (clotrimazole)

Vaginal cream Candide, containing clotrimazole in an amount of 1%, is produced by the well-known Indian pharmaceutical company Glennmark Pharmaceuticals. A tube of cream weighing 20 g can have a cost of 203 rubles, the price range is from 203 to 290 rubles in August 2018 prices.

Each gram of the cream contains 10 mg of clotrimazole, a well-known fungicide. This cream interrupts the synthesis of the cell wall of fungi, which leads to their destruction. In addition to thrush, pathogens of various molds, multi-colored lichen and erythrasma are very sensitive to the action of clotrimazole. In addition to vaginal candidiasis, the ointment is used to treat other fungal diseases, while the cream has a slight antiprotozoal and antibacterial effect. It is necessary to apply the ointment on the mucous membranes of the genital organs after the toilet. Apply it in a thin layer, carefully and slowly rubbing. In the case of candidal vaginitis in women, Candide must be applied to the vaginal mucosa at least twice a day, morning and evening. In men, the drug is carefully rubbed into the glans penis and the inner layer of the foreskin after hygiene procedures, also, 2 to 3 times a day. The course of treatment is determined by a gynecologist or dermatovenereologist, but not less than 5 days, as part of complex therapy, and with monotherapy - at least a week.

Advantages and disadvantages

The disadvantage of Candida is a sufficient degree of addiction of pathogens of fungal infections to clotrimazole. Still, clotrimazole has been used for many years, and like all organisms that resist harmful substances, fungi gradually develop immunity to clotrimazole. But in uncomplicated cases, Candide quite effectively copes with thrush, especially in patients with good immunity. In this drug, contraindications for use are pregnancy, hypersensitivity to clotrimazole, and in women with topical application - the period of menstruation. Clotrimazole can also cause various side effects, of which most often patients report itching, urticaria, redness of the skin and a slight burning sensation. It must also be remembered that this drug should never be applied to the skin near the eyes.

Gynofort cream (butoconazole)

Gynofort vaginal cream, which is produced by the Hungarian pharmaceutical company Gedeon Richter, can be purchased at a retail pharmacy at a price of 600 rubles. for packaging in 5 grams of the drug in a special case. The active substance is butaconazole. Each gram of vaginal cream contains 20 mg of active ingredient. In addition to thrush pathogens, this drug is active against the causative agent of microsporia, trichophytes and epidermophytes, and even some gram-positive microorganisms with a thick cell wall.

But still, it is most preferable to use Gynofort for candidiasis. It, gradually accumulating in the cell membrane of the fungus, increases its permeability, which leads to the death of fungal cells. Cream for vaginal use is an emulsion, so the ability to adhere to the cells of the vaginal mucosa in butoconazole increases. This leads to an increase in bioavailability, and adherence to the surface itself is called bioadhesion. As a result, with a single application of this cream, it is able to be on the vaginal mucosa and have healing effect for at least 4 days. This drug is applied with an applicator once a day, at any time, regardless of the intake of other drugs.

Advantages and disadvantages

A big plus of the cream from thrush Ginofort is the ability to stay on the vaginal mucosa for a long time after a single application. The relative disadvantage of Gynofort is a rather high price, which starts from 600 rubles, and varies for the same package up to 770 rubles, as well as the possibility of irritation of the mucous membrane, after which it is necessary to stop treatment.

The best pills for thrush

In the treatment of any fungal disease, there are such indications when only one local therapy, with the use of suppositories, creams or ointments, will not be enough. In this case, oral preparations are needed for internal use, in capsules or tablets, which are able to create an effective concentration of an antifungal or fungicidal drug in the blood.

In the event that the use of antifungal capsules or tablets is combined with local treatment, then the thrush will be attacked "from two sides" both from the surface of the mucous or skin, and from the bloodstream. It is this combined method of treatment that allows you to most quickly cope with the manifestations of candidiasis in patients with compromised immunity.

Diflucan (fluconazole)

The drug Diflucan in capsules is produced by a pharmaceutical Pfizer, USA, and one capsule with a dosage of 150 mg costs 200 rubles. In addition, 4 capsules are produced at a price of 700 rubles. Diflucan is a highly effective drug for the treatment of genital candidiasis. The active substance is fluconazole, a modern fungicidal drug with a high degree of activity against both vegetative forms of the fungus and its spores.

The mechanism of action of the drug is to stop the synthesis by the fungal cell of the substances that make up its wall. Thus, the fungal cell becomes fragile, and quickly collapses. In addition to various forms of thrush, fluconazole is indicated for the treatment of cryptococcal infections, microsporia, and trichophytosis. In the event that candidiasis has become disseminated, and has moved from the mucous membranes to internal organs, then it is necessary to be treated under the supervision of specialists, and take at least 400 mg on the first day of treatment, which should be long. In the case of uncomplicated vaginal candidiasis, this drug is taken only once - one 150 mg capsule.

Advantages and disadvantages

The advantages of tablets from thrush Diflucan include the high chemical purity of the original substance, ideal compliance with uncomplicated forms of vaginal candidiasis, according to the "accepted and forgotten" type. But when treating with fluconazole, it is necessary to take into account the possibility drug interaction with various anticoagulants, azithromycin, benzodiazepines, cytostatics, contraceptives and diuretics, as well as a wide variety of antivirals and asthma medications. Therefore, treatment with fluconazole tablets must be performed only under the supervision of a physician.

Orungal, Irunin, (itraconazole)

Orungal, a drug manufactured by the well-known pharmaceutical company Janssen-Cilag, is one of the most expensive of all itraconazole preparations that exist on the domestic market. Compare for yourself: a package of 14 capsules of 100 mg will cost starting from 2300 rubles. for one package.

If we compare Orungal with other preparations of itraconazole, then the same package of Irunin will cost 690 rubles, Itrazol - 360 rubles, and itraconazole produced by Ratiopharm - only 285 rubles, this is an Indian drug. Thus, you can choose the drug to your taste for any cost, but, of course, the effect will be different.

Orungal, he effectively and proven fights not only with various symptoms candidiasis, both with lesions of the nails and skin, and with candidal stomatitis and vaginitis. Orungal is able to eliminate fungal sepsis, it fights sporotrichosis, it treats cryptococcal pneumonia, versicolor, and various other mycoses, including those with HIV infection. One capsule contains 100 mg of the active substance, and in case of banal vulvovaginal candidiasis, one capsule is swallowed whole immediately after a meal.

Treatment is carried out in the mildest cases with the use of 200 mg of the drug as a single injection, or therapy continues for 3 days with the use of 200 mg of Orungal twice a day. In severe and systemic forms of candidiasis, such treatment can last up to 7 months.

Advantages and disadvantages

The remedy for thrush Orungal is one of the few highly effective fungicides that is available in tablets. The image of Janssen-Cilag does not allow the release of products from low-quality or low-quality substances that have dubious effectiveness. But itraconazole also has contraindications: in addition to hypersensitivity, it is very important for the patient to understand that if he has symptoms of chronic heart failure or signs of left ventricular dysfunction, then treatment with this drug must be urgently stopped. In the event that itraconazole and Orungal are used without a doctor's prescription, taking into account contraindications, then sometimes, however, in rare cases, edema and symptoms of chronic heart failure occur. Orungal is also not used in patients with cirrhosis of the liver, in case of chronic renal failure and in childhood.

After the destruction of pathogenic microflora and fungi, cleaning the mucous membranes of the vagina and the uterine cavity from a fungal infection, it is necessary to restore the protective barriers of the vaginal mucus, the protective function of the cervix, eliminate the alkalization of the environment of the internal genital organs and increase acidity. It is known that lactic acid is secreted by vaginal lactobacilli, or Dederlein sticks. It is their disappearance that guarantees the free and unhindered introduction and reproduction of fungi. Therefore, after treatment of vaginal candidiasis, it is necessary to start using drugs - eubiotics, which contain strains of ready-made lactobacilli, as well as an auxiliary environment that facilitates their colonization.

Vaginal candidiasis (in other words, thrush) is one of the most common diseases. At least 75% of women during their lives at least once encountered this fungal infection of the genital organs.

Unfortunately, not only the incidence of candidiasis has recently increased. The recurrence rate has increased, and the resistance of the pathogen to standard therapy has increased. Therefore, the question of how to treat thrush in women is still relevant.

Candidiasis is a vivid example of a disease caused by opportunistic microflora. Cells of fungi of the genus Candida are on the surface skin and mucous membranes, not only in the vagina, but also in the oral cavity and intestines. But with a decrease in the body's defenses, this flora can cause the development of various clinical symptoms. In the vast majority of cases, candidiasis affects only the superficial layers of the vaginal epithelium. Its penetration into the depths restrains systemic immunity, but at the same time it is not able to get rid of the fungus. This fact is due to the recurrent course of the disease.

The reasons for the development of thrush are:

• long, and even more so uncontrolled reception antibiotics;
• use of hormonal pills as a means of contraception;
• treatment with cytostatics, steroid drugs that have an immunosuppressive effect;
• radiation therapy for malignant neoplasms;
• metabolic disease;
• obesity;
• function disorders endocrine system(especially diabetes, dysfunction of the adrenal glands, thyroid gland, ovaries);
• avitaminosis as a result of disruption of work digestive system or malnutrition;
• dysbacteriosis;
• immunodeficiencies of various etiologies (for example, against the background of tuberculosis, AIDS, blood diseases);
• non-compliance with the rules of intimate hygiene;
• smoking;
• chronic psycho-emotional shocks;
• insufficient amount of "lubrication" during intercourse.

The choice of an effective remedy than to treat thrush in women is also based on the type of pathogen. As experience shows, in almost 90% of cases the vagina is affected by fungi of the genus Candida albicans, less often - Candida glabra. Against the background of diabetes, Candida tropicalis is sown.

Manifestations of vaginal candidiasis are usually specific, patients complain of:

• intense itching and burning in the vagina and vulva;
• abundant cheesy or white discharge, their number increases during menstruation;
• discomfort and discomfort during intercourse;
• swelling of the vaginal mucosa and labia;
• pain when urinating.

Treatment of vaginal candidiasis is aimed not only at eliminating the influence of the causative agent of the disease, but also at eliminating its main causes. Therefore, the approach to therapy should be comprehensive and phased. Thrush is not sexually transmitted, but during the treatment period it is recommended either to completely limit sexual relations with a partner, or to use condoms. Also, do not neglect disposable panty liners.

The general principles of therapy for candidiasis are:

• identification of aggravating factors and their elimination (if possible);
• exclusion of sexually transmitted infections (gonorrhea, trichomoniasis, chlamydia), exacerbation of the genital herpes virus, human papilloma;
• differential diagnosis with bacterial vaginosis;
• laboratory confirmation of candidiasis;
• selection of a medicinal product;
• restoration of normal microflora of the vagina.

Candidiasis is quite common in men, and it is characterized by an asymptomatic course. Therefore, it is better to pass the examination to both partners.

The question of how to treat thrush in pregnant women deserves special attention. Candidiasis occurs in approximately 30% of cases during childbearing. The high incidence of the disease is due to the overwhelming effect of progesterone on the immune system. Therapy of thrush in a pregnant woman is carried out under the supervision of a gynecologist.

This condition is a contraindication to the appointment of antibiotics with antifungal activity. The use of drugs such as Diflucan or the relatively inexpensive Clotrimazole is also not recommended (especially in the first trimester). Fluconazole capsules are excluded. The remedy for treating thrush in a pregnant woman is Pimafucin (democratic analogues are Ecofucin and Primafungin).

Doctors have nothing against such a method of treating candidiasis at home as douching with a solution of soda, a decoction of herb string or chamomile flowers (naturally, in the absence of contraindications), but they consider them ineffective, and reviews indicate a high relapse rate after such treatment. But it is better to refrain from such a recipe as washing the vagina with an infusion of garlic.

Medicines for thrush: therapy for uncomplicated and chronic forms of the disease

The principles of prescribing drugs for primary thrush differ from the treatment of the chronic form of the disease. In the second case, much attention is paid to diagnostics. A laboratory study is carried out, aimed not only at detecting candidiasis, but also at determining the exact type of yeast-like fungus and its sensitivity to antimycotic drugs.

There are two ways to use medicines for thrush. It is oral (i.e. in literal translation from Latin "through the mouth") and local. As a rule, during the primary episodes of candidiasis, the doctor prescribes creams or suppositories for insertion into the vagina. The advantage of this method of treatment is the absence of a systemic effect on the body, since the active substance of the drug is practically not absorbed into the bloodstream and remains only on the vaginal mucosa. This is especially important in the first trimester of pregnancy and for nursing mothers, because it is at this time that the risk of developing candidiasis increases.

The disadvantages of local treatment include the appearance of such side effects as contact dermatitis and violations of the microflora of the genital organs. In addition, the use of suppositories and creams contributes to the rapid development of resistance of pathogenic fungi to therapy. When using a medicine for thrush in the form of tablets, the course of treatment is significantly reduced.

Besides, active ingredients capsules also affect other possible foci of candidal infection in the body. Therefore, in chronic forms of fungal infections of the genital organs, many doctors prefer combination therapy.

It consists in the simultaneous use of a medicine for thrush both in the form of suppositories and in the form of tablets. Almost all experts associate vaginal candidiasis with digestive disorders, in particular, with dysbacteriosis. Therefore, taking probiotics is an integral component of the treatment of this fungal disease. As for the specific drug, they are all sold without a prescription.

You can opt for an expensive imported product (for example, Bio-Gaya, Lineks, Bifiform), or choose a cheaper, but effective Russian analogue(Acipol, Atsilakt, Bifiliz). There are also drugs to normalize the microflora of the vagina in the form of suppositories. These are Vaginorm, Bifidumbacterin and Lactobacterin. They are sometimes recommended during pregnancy for the prevention of candidiasis and vaginosis.

Preparations for thrush in women: an overview of popular remedies

All existing antifungal drugs for thrush can be divided into several groups. It:

1. Polyene antibiotics (Nystatin, Levorin, Amphotericin B, Natamycin).
2. Imidazole derivatives (Ketoconazole, Clotrimazole, Miconazole, Isoconazole, etc.).
3. Triazole derivatives (Fluconazole, Itraconazole).
4. Pyridones (Cyclopirox olamine).
5. Others (Nitrofungin, Decamine, etc.).

One of the first drugs for thrush in women was Nystatin. It has been widely used since the 1950s. But at present its use is limited.

First of all, this is due to its low bioavailability (it does not exceed 3-5%) and the development of resistance to it in almost all strains of Candida. Levorin and Amphotericin B are other representatives of polyene antibiotics. However, now they are also practically not prescribed for vaginal candidiasis due to low efficiency and high toxicity. A more modern and popular drug for thrush in women is Natamycin (Pimafucin). It acts on the cell membrane of the fungus, causing its death. The drug is not absorbed from the gastrointestinal tract, so it is only applied topically in the form of suppositories or creams.

Suppositories are inserted into the vagina at night, cream - 2-3 times a day for 6 days. Due to low toxicity and the absence of side effects, doctors believe that Pimafucin is best candles from thrush during pregnancy and lactation. Clotrimazole (Kandibene, Candide) when applied topically penetrates well into various layers of the skin, quickly reaching therapeutic concentrations.

Used intravaginally once a day in the form of tablets of 100 mg for 6-12 days or 500 mg for 1-6 days. The medicine is also available in the form of a 1% cream. Sometimes after use, redness and slight itching in the vagina may occur. Suppositories with ketoconazole Livarol are a drug for thrush.

The course of treatment is from 3 to 5 days, depending on the course of the disease, while the method of application differs little from other antifungal agents for topical use - 1 suppository once a day. Special mention should be made of the complex medicinal product Neo-Penotran. It consists of two components - the fungicidal miconazole and the antimicrobial metronidazole.

Suppositories are administered using a disposable fingertip deep into the vagina, one at night for two weeks or twice a day (morning and evening) for 7 days. Neo-Pentran is also suitable for the treatment of recurrent and resistant to other therapies of candidiasis, however, the course of therapy lasts twice as long - 2 suppositories per day for two weeks.

As for the cost, the price of these drugs for thrush ranges from:

• Pimafucin. A package of three suppositories costs 350 rubles, a cream costs 325 rubles.
• Clotrimazole. The price of vaginal tablets (6 pieces of 100 mg) is up to 30 rubles, creams - from 80 to 150 rubles, depending on the manufacturer. An analogue of Candide in the form of capsules for insertion into the vagina can be purchased for 80 rubles.
• Livarol. Despite the fact that this drug is domestically produced for thrush, it does not belong to the budget segment. The price for a package of 5 suppositories of 400 mg is 500 rubles.
• Neo-Penotran. The cost of 14 suppositories in a standard dosage (500 mg of metronidazole + 100 mg of miconazole) is 850 rubles, Neo-Penotran Forte (750 mg + 200 mg, respectively, in a box of 7 suppositories) - 1020 rubles. An analogue of the drug Klion - D is cheaper - 400 rubles, however, it contains 100 mg of metronidazole, but this does not particularly affect the treatment of thrush.

Priority in the systemic treatment of candidiasis is given to Fluconazole (Diflucan, Mikosist, Forkan, etc.). The drug at the cellular level inhibits the synthesis of sterols necessary for the life of fungi.

When taken orally, it is well and almost completely absorbed from the digestive tract, the maximum concentration is reached on average an hour after application.

The half-life is up to 30 hours, which in many cases allows you to drink only one tablet (150 mg) to completely get rid of candidiasis. These thrush capsules are well tolerated and side effects are very rare. But with recurrent forms of the disease, a single dose of 150 mg is not enough.

In this dosage, the drug should be drunk three times with an interval of 3 days. Doctors recommend taking it for the prevention of vaginal candidiasis, 1 capsule on the first day of each menstrual cycle for 6 months. Fluconazole analogues under others trade names lots of. Their cost is also different.

The cheapest is domestic Fluconazole (40 - 50 rubles per package containing 1 capsule of 150 mg). Slovak Fluconazole is a little more expensive - up to 80 rubles. The price of one tablet of Flucostat is 200 rubles. But Diflucan is considered the most expensive (but it should be said that, according to reviews, this drug for thrush is also the most effective). Its cost is 970 rubles for 4 tablets.

An effective remedy for thrush: traditional medicine recipes

Almost all doctors have an ambiguous attitude towards non-traditional treatment of candidiasis. But the reviews on the forums indicate that effective remedy from thrush you can cook yourself.

• Dilute a little in half a liter of warm water laundry soap, 5 drops of iodine, 1 tsp. apple cider vinegar and 1 tsp. soda. Use the solution for daily douching.
• Take 100 g of dry wormwood and sift it. The resulting powder should be consumed orally (directly in dry form, washed down with water 4-5 times a day), and from the rest, prepare a decoction at the rate of 1 tsp. per liter of hot water. Insist until cool, strain and apply for douching.
• For intimate hygiene, it is also advised to use a decoction of iris roots (1 tbsp per glass). Please note that garden flowers will not work, you need a "wild" plant, the people call it "cockerels".

In the process of treating candidiasis, many women ask if such treatment is necessary for a sexual partner. As mentioned above, thrush is not transmitted during sex, this is a disease often caused by problems with the immune system or digestion. Nevertheless, a man should be examined even in the absence of external symptoms. Usually fluconazole is used for treatment in a standard dosage.

To possible complications candidiasis should primarily include the risk of infection spreading to the skin of the perineum and inner thighs or to the cervix, which is undoubtedly more dangerous. This is especially true for women with immunodeficiency. Such an infection is fraught with complications of pregnancy and difficulties with conception and childbirth in the future. Therefore, it is better to choose an effective remedy for thrush and stop the symptoms of the disease in the initial stages.

Candidiasis is a group of diseases caused by fungi of the genus Candida, in almost 90% of cases - Candida albicans. characteristic feature candidiasis is the presence white plaque curdled consistency on the mucous membrane of the affected organ, which is why the disease is popularly called thrush.

Causes of the disease

Mushrooms of the genus Candida are classified as conditionally pathogenic flora, which is present on the mucous membranes of the oral cavity, intestines, vagina, and also on the skin. But against the background of the weakening of the body, the fungi become active and then the person begins to be disturbed by the symptoms of the disease that have arisen. Factors contributing to the development of the disease include:

1. Immunodeficiency states;
2. Changes in the physiological state of the body -;
3. Endocrine diseases: adrenal insufficiency,;
4. Taking certain medications:, cytostatics, glucocorticosteroids,;
5. The presence of chronic infectious diseases in the body;
6. Improper hygiene - douching, constant wearing of panty liners;
7. Wearing synthetic underwear, tight trousers;
8. Malnutrition - an abundance of simple carbohydrates in the diet and a lack of vitamins and minerals.

Signs of thrush

Candidiasis develops in different organs. There are such forms of the disease:

• oral candidiasis;
• skin candidiasis;
• Urogenital;
• Visceral;
• Generalized.

Most often, thrush is called the urogenital form. According to the duration of the disease, there are:

• Acute urogenital candidiasis (disease duration up to two months);
• Recurrent (more than four cases per year);
• Chronic (disease duration more than two months).

Symptoms of thrush in women

Many women are familiar with thrush, its symptoms are so distinctive that it is not difficult to determine the presence of the disease. Vaginal candidiasis is characterized by the appearance of itching in the vagina, aggravated after sleep, sexual intercourse, and taking water procedures. Also, women are concerned about curdled, whitish discharge from the genital tract. The discharge may be thick or more liquid, white or grayish, and have a sour smell. On the eve of the vagina is the external opening of the urethra, so the fungi easily penetrate there. This is accompanied by the appearance during urination. If Candida albicans enters the cervix, candidal endocervicitis develops.

With vaginal candidiasis, the skin of the external genitalia is secondarily affected. Swelling and redness of the labia are observed. Scratches, microcracks, vesicles and even ulcers form on the skin, which cause discomfort.

A lot of inconvenience can be caused by thrush in women, the symptoms of the disease also appear during intercourse. This factor limits the sexual life.

Thrush usually occurs during the premenstrual period. And during menstruation, the symptoms become less pronounced.

Manifestations of thrush in men

Thrush in men, the symptoms of which are described below, is not a rare event. Mushrooms of the genus Candida normally exist on the mucous membrane of the male genital organs. In healthy men, these inhabitants do not cause discomfort. But under the influence of adverse factors, candidal balanoposthitis can form - inflammation of the glans penis and foreskin.

Candida balanoposthitis is accompanied by the following symptoms:

When the urethra is involved in the pathological process, not only increase, but also burning during urination are observed. White discharge is determined in the urine. In addition, a man can observe thick white discharge with long threads in the morning.

Thrush in newborns

Newborns become infected with Candida during the passage of an infected birth canal. In addition, a sick mother can infect the baby during feeding if there are cracks on the nipples.

Thrush in newborns most often develops in the form of oral candidiasis. Symptoms of thrush in newborns usually appear on the 5-14th day. A whitish cheesy coating appears on the mucous membrane of the cheeks, tongue, and pharynx. Deposits are easily removed with a spatula, and under them there is reddening of the mucous membrane or even bleeding. If left untreated, a whitish coating can move to the back of the throat.

In the initial stages, candidiasis of the oral mucosa does not affect the general well-being of the baby. But gradually the baby becomes restless. During feeding, he is naughty, then clings to his chest, then quits eating. This is probably due to the fact that the act of sucking causes pain in the baby's mouth.

When the mucous membrane of the genital organs is affected, candidal vulvovaginitis is observed in girls, and balanoposthitis in boys.

Also, candidiasis in newborns may be accompanied by damage to the skin. Red, edematous areas with small vesicles and pustules appear on the body, after opening of which erosion occurs. In turn, erosion merge and form a large area of ​​skin lesions. Nail plates are also often involved in the pathological process.

The defeat of the skin by Candida fungi can proceed according to the type of diaper dermatitis. When an airtight film (diaper) and moist, warm skin come into contact, red plaques with clearly defined edges appear on the body, which form when nodules and vesicles merge.

In rare cases, thrush in infants can be complicated by damage to internal organs.

Diagnosis of the disease

Laboratory diagnostics allows you to confirm the diagnosis of candidiasis. During the examination, the doctor takes smears from the mucous membrane of the affected organs and sends them to the laboratory. Microscopic examination of the smear determines the presence of mycelium. However, this diagnostic method does not give any information about which type of fungus caused the disease.

Also produce a cultural sowing of the fungus on nutrient media. If Candida fungi are found in an amount of 10,000 CFU / ml, then the person has candidiasis. The grown colonies of fungi are affected by antifungal drugs of various groups, thereby determining the sensitivity or resistance of fungi to a particular drug.

Approaches to the treatment of thrush

If during laboratory research fungi of the genus Candida were identified in smears, but nothing bothers the person, there are no complaints, which means that we are talking about asymptomatic carriage and treatment is not necessary.

Medical treatment

Therapy is carried out in the presence of signs of candidiasis, confirmed by diagnostic studies. In the fight against thrush, antifungal drugs are used. medicines, which can be divided into two groups: drugs of local and systemic action.

Local drugs are presented in the form of suppositories, ointments, vaginal tablets. The most popular among them:

• Containing ketoconazole - Livarol, Mycozoral;
• Containing clotrimazole - Kanesten, Candibene;
• Containing natamycin - Pimafucin;
• Containing feticonazole - Lomexin;
• Containing sertaconazole - Zalain;
• Containing econazole - Ifenek;
• Containing imidazole - Ginofort, Mikogal, etc.

Application of such dosage form does not have a systemic effect on the body, but acts locally in the area of ​​​​inflammation. But this method of treatment will be effective if the patient has a mild and uncomplicated thrush, systemic drugs in this case may not be prescribed.

In cases of recurrent or severe candidiasis, antifungal drugs of systemic action are prescribed in the form of tablets, injection solution.

The most relevant groups of antifungal agents:

1. Polyene preparations (levorin, nystatin);
2. Imidazole series (clotrimazole, ketoconazole);
3. Triazole series (itraconazole, flucanosole);
4. Others (nitrofungin, griseofulvin, iodine preparations and others).

After completing the main course of treatment with antifungal drugs, eubiotics should be used to normalize the microflora. For example, Bifidumbacterin or Acilact suppositories for ten days. Also, patients with candidiasis are prescribed multivitamins and, if necessary, immunomodulating agents.

Note: methods traditional medicine will only help reduce discomfort, but completely get rid of thrush with their help will not work.

If a person is very worried about thrush, home treatment will slightly alleviate the symptoms of the disease. So, the use of decoctions from plants can reduce inflammation. For example, a decoction has not only anti-inflammatory, but also healing, soothing effects.

To prepare the broth, pour three tablespoons of chamomile and two tablespoons of cuff grass into the dishes, pour seven hundred milliliters of boiling water, cover with a lid on top. After half an hour, you can strain the infusion. The resulting broth should be poured into a bath filled with about ten liters of warm water. The duration of the bath is fifteen minutes, after which it is necessary to gently dry off.

Potentilla white has similar effects. Three tablespoons of the plant are poured with seven hundred milliliters of boiling water. When the broth has cooled, it is filtered and used to treat the affected areas or to wash.

Prevention of relapses

After treatment, it is important to prevent recurrence of the disease. To do this, you need to deal with the treatment of existing diseases (hypothyroidism, diabetes mellitus, STDs), eliminate foci of chronic infection.

Equally significant is the adherence to the rules of personal hygiene, the use of special intimate gels instead of soap. It is better to give preference to comfortable underwear made from natural fabrics.

Nutrition should be complete, varied. You need to limit the intake of simple carbohydrates. Compliance with these simple recommendations will help to avoid recurrence of thrush in the future.

Grigorova Valeria, medical commentator

What to take with thrush so that the disease does not return? One drug is not enough, it is necessary to eliminate the cause of the disease, increase immunity and normalize the microflora in the body.

Candidiasis is a common disease in gynecology. If the disease is not treated, it can develop into a chronic form and there will be serious complications. Thrush is not a sexually transmitted disease, but can be transmitted sexually. Reproducing, Candida fungi affect the genitals, skin, mucous membrane of the oral cavity.

Signs of illness

Candidiasis can develop in women who have not given birth, children and men, more often appears in women of childbearing age. There are many reasons for the reproduction of a fungal infection. This disease causes discomfort, spoils sexual life, negatively affects everyday life.

To identify thrush, you need to know the symptoms of the disease:

• Itching, burning in the genitals, the mucous membrane will become inflamed, causing discomfort, they intensify after washing, urinating. It is necessary to dry the organs to reduce these symptoms.
• Pain after sexual intercourse brings discomfort. Ulcers form in the affected area, which causes acute pain.
• Inflammation and swelling of the genitals.
• Vaginal discharge appears, similar to curd mass, when the fungus multiplies strongly.
• A rash may appear, bubbles with liquid, when they burst, ulcers, erosions form. This causes pain.
• Deterioration in health. Discomfort causes irritation, nervousness, insomnia. At night, the symptoms are worse, and itching increases after a long walk, during menstruation.
• Thrush can affect other organs. If the infection spreads to bladder, urination becomes more frequent, body temperature may rise.

In the presence of such signs, it is necessary to consult a doctor for help, and not to self-medicate.

Causes of the disease

The main reason for the reproduction of fungi is a decrease in the immune system, violations of the microflora of the vagina. This Candida fungus is in every body, with reduced immunity, it begins to multiply.

There are many factors that contribute to the development of candidiasis:

• Infectious diseases cause a decrease in the body's defense against fungal infection.
• Hormonal disorders are more common during pregnancy, before menstruation.
• The use of oral contraception.
• Prolonged use of antibiotics.
• Violations of the intestinal microflora, while bacteria can enter the genital area.
• Climate change, adaptation to water.
• The use of flavored products for hygiene, panty liners. They can cause an allergic reaction by breaking the mucous membrane.
• Improper nutrition, excessive consumption of sweets, baking with yeast.
• Avitaminosis adversely affects the skin, mucous membranes.
• Excess weight.
• Physical fatigue.
• Regular stressful situations.
• Diabetes.

All these factors can adversely affect the state of the body, which leads to the reproduction of a fungal infection. In the absence of proper treatment, thrush can spread, affecting other organs, which leads to serious problems.

Therefore, if there are symptoms of candidiasis, it is better to contact a gynecologist who, after the examination, will prescribe drug therapy.

Diagnosis and drug treatment of candidiasis

When examined on a gynecological chair, the doctor will be able to make a preliminary diagnosis. A swab from the vagina will help determine the presence of harmful bacteria, their composition. Microscopic examination will help to identify the Candida fungus, the number of immune cells.

Sometimes it is recommended to do a microflora culture medium, which determines the type of fungus and its reaction to certain medications. These studies will help select proper treatment thrush and prevent recurrence.

With candidiasis, antifungal drugs are prescribed, they are divided into two groups: local and systemic action.

Systemic drugs are taken orally, more often these are tablets, capsules. Active substances are absorbed into the blood and affect the entire body. The disadvantage is the many side effects have increased toxicity. Such funds are not recommended for pregnant women to drink when feeding a child. breast milk. Systemic drugs are recommended for the chronic form of the disease, when candidiasis bothers more than four times a year.

All tablets should be taken after consultation with your doctor to prevent serious consequences.

To get rid of thrush, it is important to determine the cause of the disease, the doctor must:

• Determine the sensitivity of the causative agent of the fungus to the antifungal agent.
• Eliminate disturbances in the microflora, normalize acidity, balance beneficial bacteria.
• Boost immune system then the body will help fight the infection.
• Normalize the hormonal system in the body.

In the treatment of thrush, the patient must refrain from sexual intercourse, alcohol, taking antibiotics, and cancel contraceptive contraception.

What effective medicines should be taken for vaginal candidiasis? This question worries many women who are faced with the problem of fungus. Tablets are a common method of treatment, because they are easy to use, do not require time. They relieve the symptoms of the disease in a few days, relieve infection in all organs.

AT modern medicine the most effective are:

• Fluconazole, it is enough to drink 150 milligrams of the remedy if the disease is mild.
• Ketoconazole should be drunk 1-2 tablets per day, a course of 5 days.
• Natamycin, drink one at a time, for at least three days, depending on the severity of the disease
• Miconazole, drink in the morning, for three days.
• Nystatin take four tablets per day, the course of treatment is about ten days.

It is important to note that all antifungals the doctor prescribes, he determines the dosage and duration of treatment.

Polygynax, is a complex antifungal, antibacterial agent, the release form is capsules. Gently, safely affects the body, does not cause side effects, with the exception of individual intolerance to the active substance that is part of the drug.

Diflucan is a broad spectrum tablet. It is enough to drink one tablet and the woman will get rid of the discomfort. But this strong remedy, therefore, it is forbidden for pregnant women, breastfeeding also, it is not recommended for patients with hepatic, renal insufficiency.

Pimafucin is produced in the form of a cream, tablets and vaginal suppositories. Active substance safe, so it can be taken by pregnant women, during lactation. This safe, effective remedy helps to get rid of vaginal candidiasis.

Terzhinan is taken in the form of vaginal tablets, taken at night, for a course of ten days.

Livarol is produced in candles, this remedy will help to cope with chronic form diseases. The course of therapy is from five to ten days. You can not use in the first trimester of bearing a child, while feeding a child, you can use the drug.

Hexicon is a disinfectant antiseptic, it is safe remedy can be used by pregnant, lactating mothers. It will relieve the symptom of candidiasis, prevent the reappearance of the disease. Vaginal suppositories do not cause side effects, except for allergic reaction to the active substance.

All drugs will help get rid of the fungal infection, but the doctor should prescribe drug therapy after examining the patient.

To achieve a quick result in the treatment of candidiasis, it is important not only to drink pills, to use other antifungal agents, you need to monitor your lifestyle. By eliminating the factors that provoke the reproduction of a fungal infection, you can get rid of thrush forever.

To do this, you must follow the advice of specialists, additional measures that will help to avoid the recurrence of the disease:

• Eat right, refuse sweet, rich products, fatty, fried foods. Daily diet should include fresh vegetables, fruits, dairy products. Garlic and pepper have antifungal properties, so do not neglect them.
• Give preference to underwear made from natural fabrics, while panties should not constrain the genitals, high humidity provokes the growth of bacteria.
• Properly engage in intimate hygiene, the genitals should be clean, wipe dry with a personal towel. Refuse scented pads, gels, soaps, do not visit common pools, baths, saunas.
• Treatment of thrush should be carried out by both partners. After the course drug therapy, re-take tests for the presence of a fungus.
• Try to avoid constant stress, depression, it contributes to the spread of infection. Also do not conduct disorderly sexual life, frequent change of partners leads to infectious diseases.