Effective candles for the treatment of women from thrush. The most effective suppositories for chronic thrush The best suppositories for thrush and inflammation

Vaginal tablets and suppositories are intended for the treatment of genital candidiasis in women. Candles for thrush are cheap and effective drugs that allow you to quickly get rid of mild forms of the disease. The problem is that the yeast fungus is coming back, so you need to take care of prevention.

The causative agent of candidiasis is Candida albicans. It is an opportunistic pathogen that is a natural component of the vaginal microflora. In small quantities, Candida is not dangerous, but especially aggressive subspecies cause thrush. A woman begins to be disturbed by discharge and pain in the lower abdomen.

The main cause of candidiasis is the development of a yeast infection uncontrolled by the immune system against the background of hormonal imbalance, changes in the pH of the vagina. Under normal conditions, the growth of the fungus is inhibited by lactic acid bacteria.

The main reasons for changes in the microflora of the vagina are weak immunity and antibiotic treatment. Contribute to violations hormonal changes during menstrual cycle, due to pregnancy, stress.

Symptoms of thrush:

• mucous, whitish-gray or cheesy discharge from the vagina;
• redness and swelling of the mucous membrane of the vulva;
• pain during sexual intercourse;
• itching and burning.

Symptoms of candida infection are aggravated by urination, during sexual intercourse. In advanced cases, the vagina is covered with erosions and ulcers. A yeast infection can spread to the urinary tract. It is necessary to consult a gynecologist to accurately determine the disease.

Pros and cons of using candles

For the treatment of thrush at home, various medicines are used, folk remedies. "Candles" women call suppositories, tablets and capsules inserted into the vagina. They are convenient for local treatment of thrush. Antifungal drugs penetrate deeply into the mucous membrane, are not absorbed into the local bloodstream.

The disadvantages of using candles are most often manifested with uncontrolled treatment. Inflammation progresses, various complications appear. Thrush often occurs against the background of other sexually transmitted infections. In these cases, only the use of local remedies is not enough; complex treatment is necessary.

There are types of suppositories that are inserted into the vagina 1 time. This allows you to get rid of the symptoms, and when the process is resumed, a second application is required after a week. Other local preparations are intended for course therapy (3–14 days). In this case, the costs increase significantly.

The development of drug resistance in yeast fungi is a minus not only for suppositories, but also for other forms of drug release.

The best candles for thrush, which ones to choose?

Vaginal suppositories differ in composition and duration of use. For women, such characteristics as effectiveness, contraindications, safety, price are important. To choose the right one, you need to know which suppositories can treat thrush, compare the advantages and disadvantages of each drug.

Pimafucin

Candles based on the antifungal drug natamycin have a fungicidal effect. The advantage of the remedy is the possibility of treatment during pregnancy. Another plus is the brevity of the treatment course. Thrush symptoms go away within three days. The price of a package of the drug (3 suppositories) - from 230 rubles.

Zalain

Vaginal suppositories based on sertaconazole - fungal remedies. Candles are intended for the treatment of vulvovaginal candidiasis, they are used once at night. The effectiveness of the drug is also determined by the fact that relapses of thrush after therapy are very rare. Sertaconazole stops the growth of the fungus colony, increases the resistance of the mucosa to infection. Zalain suppositories are allowed to be used during menstruation, during pregnancy, if the benefit to the mother's body outweighs the possible risk to the fetus. The price of a package (1 suppository) is from 500 rubles.

Betadine

Popular vaginal suppositories about which most women respond positively. Active substance- povidone-iodine. The active ingredient has an antifungal and antibacterial effect. Candles Betadine are allowed in the first trimester of pregnancy.

In the acute form of thrush, one suppository is administered twice a day for a week. In total, one package of 14 pieces will be required for a course of therapy at a price of 500 rubles. The advantage of the remedy is the possibility of treatment during menstruation. The disadvantage is leakage when the base is melted.

Macmirror

it complex drug: antifungal, antibacterial and antiprotozoal. According to reviews, Macmirror candles are effective, easy to use thanks to a special shell. Of the minuses, leakage and a relatively high price are mentioned - 700 rubles for 8 pieces.

Polygynax

The composition of vaginal capsules for the treatment of thrush includes the antibiotics neomycin and polymyxin, the fungicidal agent nystatin. It is possible to use Poligynax capsules during menstruation, in the second and third trimesters of pregnancy. According to the reviews of women, after the first injection of the soft capsule, there is an improvement. Among the disadvantages are a relatively long period of treatment (12 days), the need for pre-soaking the capsule before administration. The price of the package is 580 rubles.

The inflammatory process fades due to the fact that the components of suppositories from thrush reduce the activity of fungi. Also, the choice of drug is affected by the strength of the manifestations of the disease. With severe itching, burning, swelling of the vulva, you must take antihistamines inside, apply topical anti-inflammatory creams.

Terzhinan

The vaginal tablets contain antifungals ternidazole and nystatin, antibiotic neomycin, corticosteroid prednisolone. The drug not only relieves thrush, but also has a pronounced anti-inflammatory and anti-allergic effect. Can be used during pregnancy and breastfeeding.

Among the disadvantages can be noted the need to moisten the tablet with water before insertion into the vagina. The course of treatment is quite long - from 10 to 20 days. The price of 6 tablets - from 360 rubles.

Candles from thrush during pregnancy

During the period of expectation of the child, any ailments and illnesses overshadow the condition of the woman. Treatment of thrush in pregnant women makes it difficult for unstable hormonal levels and a ban on the use of the most powerful drugs. Even antifungal agents and antibiotics used locally can adversely affect the body of the future mother and fetus.

All drugs are undergoing clinical trials, but pregnant women most often do not take part in studies. Therefore, doctors, by indirect evidence, make a conclusion about the possibility of using one or another remedy during pregnancy. The instructions for the drugs usually contain a recommendation to consult a gynecologist.

Candles from thrush during pregnancy:

• Irunin (in the second and third trimesters);
• Livarol (in the third trimester);
• Pimafucin;
• Natamycin;
• Terzhinan;
• Betadine.

The doctor decides on the appointment of suppositories for the treatment of milkiness in pregnant women. Previously, the specialist evaluates the benefits of the drug for the woman's body and the potential harm to the fetus. The clinical effect is noted 1-2 days after the start of the use of suppositories.

Top 5 Inexpensive Drugs

With mild forms of thrush discomfort may pass after the first introduction of a vaginal suppository. However, the risk of returning symptoms remains. In this case, it is undesirable to be treated with the same remedy, it is necessary to change it.

Effective and inexpensive candles for thrush, vaginal tablets (quantity, price in rubles):

1. Nystatin (10 suppositories, 32).
2. Clotrimazole (6 candles, 30-60).
3. Irunin (10 vaginal tablets, 320).
4. Klion-D (10 vaginal tablets, 350).
5. Ecofucin (3 suppositories, 350).

Vaginal suppositories with clotrimazole and nystatin are in great demand due to their affordable price. Treatment of thrush with such drugs can be effective in an undeveloped form of vaginal candidiasis. Of the shortcomings, it should be noted the resistance of fungi, so the funds have long been used in medical practice.

Rules for the use of suppositories against thrush

Before the introduction of suppositories or vaginal tablets, you should familiarize yourself with the contraindications and side effects drugs. It is also imperative to observe the duration of the course of treatment - this is necessary to completely get rid of the fungus and prevent relapse.

Before the introduction of the suppository, they are washed with a weak solution of potassium permanganate, the skin around the labia is washed with water and liquid soap for intimate hygiene.

The therapy will achieve its goal if both partners use remedies for candidiasis (there are antifungal creams for men). If the rule is not followed, the thrush returns, as re-infections occur during unprotected intercourse.

With mild symptoms, a vaginal suppository is used once, for example, Zalain, or Pimafucin suppositories are administered for three days in a row. In the future, you need to monitor intimate hygiene. Chronic candidiasis requires long-term treatment- about 3 weeks.

Prevention of candidiasis

Washing, sitz baths with infusion medicinal plants help preserve the microflora of the vagina, pH values ​​in the range of 4.5–5.5. It is recommended not to get involved in douching - they violate natural processes self-purification of the mucosa.

You can use for washing infusion of chamomile, succession or sage, decoction of oak bark. Or dissolve the pharmacy tincture of calendula in warm water. The procedure is performed once a day, preferably at bedtime. Herbs have antiseptic and anti-inflammatory effects, eliminate itching,

On sale there are products for intimate hygiene with lactic acid, which helps to preserve the natural composition of vaginal microorganisms. To avoid an imbalance in the intestinal microflora, on which the immune system depends, you should take dietary supplements with probiotics.

White curdled discharge, pain during intercourse and urination, itching, burning in the vagina in a woman are symptoms that require effective candles from the milkmaid. During treatment, it is necessary to take into account the possibility of using the selected medication: during menstruation, pregnancy and lactation.

Vaginal suppositories will help in the treatment of thrush

How to choose the right candles from thrush

The main rule for choosing suitable vaginal suppositories for a woman is to pre-delivery the material for bacterial culture - the procedure helps to determine the sensitivity of the fungus to the active ingredients of the medicines. When buying a drug, it is also necessary to pay attention to the cause of inflammation, the severity and form of the disease.

To select the right remedy for thrush, it is necessary to pass tests

Selection of a suppository on your own can lead to deterioration general condition and lead to the development of a chronic form of the disease. Incorrect, unsystematic treatment contributes to the violation of the vaginal microflora, the progression of the disease and the occurrence of relapses.

Benefits of using suppositories for thrush

The use of antifungal suppositories has positive aspects:

1. Getting a quick effect from the treatment. Itching, burning, discharge and redness are eliminated in a short time.
2. Direct impact. Suppositories eliminate the problem directly from the affected area of ​​the mucosa, regardless of the depth of the infection.
3. Minimal risk of side effects. Due to the weak absorption of active ingredients into the blood, there is no negative effect on the digestive tract and other internal organs.
4. Availability of disposables. Help to eliminate the cause of vaginal candidiasis after a single use.
5. simple and easy way treatment. Some drugs have an effective preventive effect.

Most suppositories include 2 components that simultaneously eliminate the cause of the fungus and restore the vaginal microflora.

There are also negative aspects of the use of such funds:

1. The use of combined action leads to vaginal dysbacteriosis.
2. Sexual contacts should be completely limited for the period of the entire treatment course.
3. Guaranteed achievement of a positive result in case of thrush at the initial stage. Identification of a severe degree of the disease implies the need to add additional drugs to the suppositories.
4. The possibility of only internal use and the inconvenience of using in the daytime. Candles can leak and stain laundry.

List of inexpensive and effective suppositories against thrush

In gynecology, vaginal medicinal candles are divided depending on the types of fungus, the active active ingredient and the duration of use.

Candidiasis (thrush) is an infectious-inflammatory and fairly common disease caused by opportunistic microorganisms - yeast-like fungi of the genus Candida.

Candles against thrush occupy one of the leading places in the treatment of thrush in women. Taking into account the fact that the treatment should combine both local therapy (ointments, suppositories) and systemic application antifungal drugs- it is important to determine which forms of medicines are more effective, and at the same time cheaper.

The best candles for thrush

The list of names of candles from thrush is quite wide, but among them it is worth paying attention to the best drugs according to reviews:

1. - especially often prescribed to pregnant women, since the remedy is harmless and does not give side effects.
2. - this drug is most often prescribed to a patient for whom thrush appears for the first time.
3. - quickly relieves the symptoms of thrush, but during treatment you can not drink alcohol.
4. Nistanin - very effective and inexpensive candles copes well with the problem when the patient is diagnosed chronic thrush which recurs from time to time.
5. Ginesol - more is an anti-relapse and prophylactic agent.
6. Gyno-Travogen Ovulum is effective against both fungi and mixed infections, and this medicine is also easily tolerated by patients.
7. - has a wide spectrum of action, but must be stopped for the duration of treatment sexual life.

As you can see, candles differ in terms of application and exposure time, therapeutic range and the presence of various active substances in their composition. The main active ingredients for thrush are: clotrimazole, isoconazole, natamycin and nystatin.

Pros and cons of using candles

Flaws :

1. They act directly only when administered, that is, they cannot be applied externally;
2. Candles for candidiasis cannot be used to treat thrush as part of monotherapy - a complex combination with other drugs is always necessary - tablets and creams;
3. It is necessary to strictly follow the treatment regimen to achieve a positive and desirable result.

Advantages :

1. When the drug is injected into the site of active reproduction of fungi, the effect of local treatment appears much faster, especially when using modern effective drugs such as Livarol or Zalain.
2. Since the systemic absorption of topical preparations is low, the incidence of side effects is significantly reduced, in contrast to oral therapy.
3. Modern antifungal agents can be used once.

Choosing candles for thrush: cheap and effective

What candles from thrush are better? There is one answer to this question - these are the drugs to which the Candida fungus is sensitive according to the result of bacterial seeding and determining the resistance, resistance or sensitivity of the pathogen to a particular drug.

Since in chronic, often recurrent thrush in women, treatment may not be effective due to the development of drug resistance in fungal agents.

So, what kind of candles can you buy at a pharmacy? Here is the complete list of titles:

• Nystatin.
• Ginezol.
• Gino-Dactanol.
• Klion-D.
• Macmirror.
• Gyno-Travogen Ovulum.
• Pimafucin.
• Terzhinan.

Below we will take a closer look at inexpensive, but at the same time effective candles that cope with. Also leave your feedback in the comments to choose the best drug together.

Nystatin

Effective against fungi, but not at all active against viruses and bacteria. Fungi from the genus Candida very rarely develop resistance to this drug, so Nystatin is the drug of choice in those patients whose thrush has passed into the chronic phase, due to the resistance of fungi to the drug.

It gives practically no side effects. However, prolonged use of the drug can lead to suppression of the activity of healthy microflora. In this case, after treatment for thrush, you will have to be treated for dysbacteriosis. Price 50 rub.

Candles from thrush pimafucin

Pimafucin is an affordable and effective drug that has a pronounced antifungal effect and is most active against thrush pathogens - microscopic fungi of the genus Candida. active ingredient candles is a macrolide antibiotic natamycin. The mechanism of action of this substance is based on blocking the synthesis of sterols that make up the cell membranes of the fungus.

In the treatment of vaginal candidiasis, suppositories are injected into the genital tract once a day. Average duration The therapeutic course may vary within 3-6 days. Pimafucin is approved for use by nursing mothers and pregnant women: contraindications to the use of suppositories are intolerance to the components of the drug and the menstrual period. Price 500 rubles.

This tool is recommended for exacerbation of candidiasis, suitable for use during menstruation. Betadine is an antiseptic drug widely used to treat vaginal infections in obstetrics and gynecology. Povidone-iodine, which is part of it, has a powerful antimycotic effect. Price 390 rubles.

The active ingredient in Livarol is ketoconazole. This drug, in addition to antifungal action, is active against certain types of staphylococci and streptococci. It is effective when a bacterial infection is mixed with candidiasis.

When using Livarol suppositories, the following side effects are possible: redness of the vaginal mucosa, itching and burning, an allergic reaction in the form of a rash, nausea. Livarol is suitable for those patients who have thrush for the first time. It is contraindicated in the first trimester of pregnancy, in the second and third it is used only on prescription, in rare cases. Price 480 rubles.

Suppositories are effective not only in the fight against candidiasis, but also in other vaginal infections. However, these suppositories should be used with extreme caution, as they have many side effects. You can use the product for no more than 5 days, it is unacceptable to use by pregnant women. Price 400 rubles.

Combined drug, a powerful antibiotic based on nystatin and neomycin.

Candles Polygynax, like Terzhinan, are very effective remedy in the fight against thrush, however, they are not widely used, as they cause violations of the natural microflora of the vagina, and also have a significant list of contraindications and side effects. Price 370 rubles.

Candles from thrush for pregnant women

Not a single medicine during a woman's pregnancy should be toxic, as this will affect the development of the fetus, therefore, if itching and white discharge occur, the doctor may prescribe pimafucin suppositories or a drug called Terzhinan to the expectant mother.

These medications are also used during breastfeeding, they are safe, do not cause allergies and dysbacteriosis.

Outcome

Treatment with any of the above names of drugs can only be prescribed by a specialist, even if they have no contraindications or severe side effects.

Candles for thrush is the most convenient way to locally treat vaginal candidiasis in women. The action of vaginal suppositories is due to the deep penetration of the active antifungal substance into the mucous membrane, while the pathogen is destroyed, inflammation is eliminated, and the inflammation is reduced.

The pharmaceutical industry offers a wide range of different - these are both suppositories for local treatment, and medicines for oral administration, which are prescribed by a doctor with severe forms candidiasis, with chronic course thrush as part of complex therapy.

What candles from thrush are better? There is one answer to this question - these are the drugs to which the Candida fungus is sensitive according to the result of bacterial seeding and determining the resistance, resistance or sensitivity of the pathogen to a particular drug. Since in chronic, often relapsing, it may not be effective due to the development of drug resistance in fungal agents.

Uncontrolled, self-treatment of thrush leads both to the development of chronic candidiasis and to a violation of the vaginal microflora. Moreover, many women actively practice, which is not acceptable, as it only provokes further progression of the disease, further disrupting the vaginal microflora. Only the attending physician, based on the patient's history, clinical picture, taking into account the sensitivity of the pathogen, prescribes an adequate treatment regimen. Even with the disappearance of symptoms, clinical recovery is considered to be the absence of fungi according to laboratory data for the next 3 months.

Rules for the use of suppositories against thrush

In the absence of therapy from a permanent partner, a ping-pong effect occurs when a woman, after treatment, is again subjected to a fungal attack during unprotected intercourse.

During therapy, you should either refuse sexual intercourse or use condoms. Candles are inserted deep into the vagina at night to improve the absorption of the drug.

When a woman is diagnosed with vaginal candidiasis, she should be analyzed together with her doctor, because without eliminating or minimizing provoking factors, thrush can occur again and again.

Very often, candidiasis indicates the presence of other sexually transmitted infections (mycoplasmosis, gonorrhea, trichomoniasis, etc.) as well as the development of gardnerellosis ().

Depending on the intensity of the symptoms, acute or chronic process, the treatment may differ in the course of therapy, in some cases it is enough to use 1 suppository, and in the chronic course of the process this is not enough and longer treatment is required.

• Vaginal suppositories cannot be used during menstruation, with the exception of Povidone-Iodine (Iodoxide, Betadine) and Sertaconazole (Zalain).
• For 1 candle, you can use the following suppositories - Zalain, Lomexin
• 3 candles each - Livarol, Gino-pevaril, Pimafucin.
• 5-14 suppositories each - Macmirror, Clotrimazole, Ginezol, Yodoxide, Nystatin, Polygynax, Terzhinan, Irunin.

During treatment, you should not wear synthetic, tight underwear, you must follow all the rules of intimate hygiene, change towels and linen daily, do not use chemicalized, flavored pads, toilet paper, intimate hygiene liquids, which only worsen the condition.

The best candles for thrush - Livarol, Pimafucin, Zalain, Nystatin, Clotrimazole, Lomixin, Macmirror - the pros and cons of using

Sertaconazole - Zalain Zalain(price 1 soup. 480-520 rubles, prices 2018) It is a derivative of benzothiophene and imidazole. Use in pregnancy: Sufficient data on potential harm for the fetus and during feeding is not. But given the single method of application and the lack of systemic action of Zalain - during pregnancy, lactation, it is possible to use it in a situation where the intended benefit to the woman is higher than the possible risk to the child. Contraindications: Hypersensitivity Side effects: that do not require discontinuation of the drug, allergic reactions. Mode of application: 1 suppository from thrush is inserted into the vagina at night once, if symptoms persist after a week, re-use is possible. Before use, wash the external genitalia with neutral soap. May be used during menstruation. Advantages and disadvantages: The advantage of using Zalain from thrush is the one-time administration of the drug, high efficiency, the ability to use during menstruation, the disadvantage is the high price.

Ketoconazole - Livarol Livarol (price 430 rubles for 5 pcs. 600-800 for 10 pcs.) Ketoconazole 230-400 rubles. Contraindications: hypersensitivity, 1st trimester of pregnancy, in the 2nd-3rd trimester with caution. Side effects: irritation, redness of the vaginal mucosa, itching. Skin rash, urticaria. Application: In the supine position, it is injected into the vagina deeply, 1 suppository for 3-5 days, with the chronic nature of thrush for 10 days. Pros and cons: The advantage is the rapid effect, almost no allergic reactions. It is prescribed most often at the first time the diagnosis is established, with frequent or prolonged use, drug resistance occurs in the pathogen.

Itraconazole - Irunin Irunin - vaginal tablets 10 pcs. 300-320 rub. Contraindications: 1st trimester of pregnancy, in the 2nd-3rd trimester with caution, hypersensitivity, lactation Side effects: itching, burning, skin rash that does not require discontinuation of the drug. Application: at night for 7-14 days. Pros and cons: An effective remedy for recurrent thrush and resistance to other antifungal agents, the disadvantage is that it cannot be used in the 1st trimester.

Nystatin + Nifuratel (price 680 rubles for 8 pcs.) Pregnancy: approved for use Contraindications: hypersensitivity Side effects: very rarely itching, skin rash Application: Intravaginally, 1 suppository 8 days before bedtime. Advantages and disadvantages: The main advantage in the possibility of therapy during pregnancy, the disadvantage is the high price.

(30-60 rubles 6 pcs), Candide B6 (70 r), Antifungol, Kanesten, Candizol, Yenamazol 100, Candibene. Contraindications: hypersensitivity, it is strictly forbidden to use in the 1st trimester of pregnancy, while breastfeeding Side effects: burning, itching, vaginal discharge, abdominal pain, headache, cystitis, frequent urination, pain during intercourse. Mode of application: within 6 days, 1 suppository deep into the vagina at night. Advantages and disadvantages: The advantage is that these are inexpensive suppositories against thrush, the disadvantage is frequent side effects, the rapid development of resistance in fungal agents.

Miconazole - Klion D, Neo-Penotran Ginezol 7 (280-300 rubles), Gino-dactanol, Daktarin, Mikozon (cream). Combined preparations, which include, in addition to miconazole, also metronidazole. Klion-D 100 (price 330 rubles ..), Neo-Penotran (14 pieces 700 rubles), Metromicon-Neo (14 pieces 300-350 rubles) Contraindications: hypersensitivity, with caution in pregnancy 2-3 trimester, lactation (suspend feeding during treatment) in diabetes mellitus, liver dysfunction, herpes Side effects: only at the beginning of treatment, a feeling of discomfort, burning, itching, nausea, diarrhea, abdominal pain is possible. Mode of application: within 6-7 days at night, 1 suppository., you can not take alcohol during treatment. Pros and cons: fast effect, wide spectrum of activity, does not cause dysbacteriosis, effective in frequent relapses thrush, the disadvantage is the danger of use during the bearing and feeding of the child.

Econazole gyno-pevaril(3 pieces 420 rubles 15 pieces 800 rubles), Ifenek Contraindications: hypersensitivity, pregnancy (1 tr.), since it penetrates into the systemic circulation, in 2-3 with caution, when feeding, breastfeeding should be stopped. Side effects: local irritation, rash, itching. Application: suppositories of 50 mg. within 14 days, even after the disappearance of symptoms, the course must be completed. Candles 150 mg. - within 3 days, if after 7 days the culture test gives positive result, the course of treatment should be repeated. Advantages and disadvantages: effective suppositories for thrush.

Natamycin - Pimafucin Effect on the fetus: approved for use during pregnancy Contraindications: increased individual sensitivity Side effects: mild irritation Mode of application: within 3-6 days, 1 suppository. Advantages and disadvantages: the advantage of Pimafucin from thrush is the lack of effect on the fetus, so it is prescribed during pregnancy.

(30-60 rubles) Complex preparations containing nystatin: Polygynax (nystatin, neomycin, polymyxin B, price 6 pcs. 350 rubles, 12 pcs. 600 rubles), Terzhinan (prednisolone, neomycin, ternidazole, nystatin - 6 pieces 360 rubles, 10 pieces 450 rubles), but their use is fraught with the development of dysbacteriosis. Contraindications: pregnancy of any term, individual sensitivity Side effects: chills, diarrhea, abdominal pain, vomiting, nausea Mode of application: 2 r / day (morning and evening) for 10-14 days. Pros and cons: The disadvantage of nystatin suppositories against candidiasis is a long course, use 2 times a day, the presence of serious side effects. The advantage is that they are cheap, candida does not develop resistance to nystatin, so it is often prescribed for chronic, recurrent candidiasis.

Povidone Iodine - Iodoxide (10 pieces 300 rubles), Betadine(price 7 pieces 400 rubles, 14 pieces 500 rubles) Contraindications: thyrotoxicosis, adenoma thyroid gland, with caution in renal failure, with individual sensitivity, during pregnancy is not recommended, contraindicated in the 1st trimester, in the 2nd-3rd trimester and during lactation - with caution. Side effects: allergic manifestations, local hyperemia Mode of application: In acute vaginitis 2 r / day for a week, 1 suppository, with chronic 1 r / day for 2 weeks, regardless of the phase of the menstrual cycle. Pros and cons: the possibility of use during menstruation, is used in complex treatment for bacterial vaginosis.

Fenticonazole - Lomexin (fenticonazole, price 1000 mg. 1 pc. 400 rub. 600 mg. 2 pcs. 600 rub) Contraindications: pregnancy, can not be used during menstruation, with individual intolerance to the components of the suppository. Side effects: mild symptoms of irritation that go away on their own and do not require discontinuation of the drug, allergic reactions - rash, urticaria, erythema Mode of application: capsule 600 mg. are administered once, according to indications, if symptoms persist, it can be used for 3 days. Capsules 1000 mg. introduced within 2 days. Advantages and disadvantages: effective remedy, can not be used during pregnancy.

Dequalinium chloride - Fluomizin Fluomizin - vaginal tablets 6 pcs. 560 rub. - antiseptic in gynecology (bacterial vaginosis, candidal vaginitis, sanitation before childbirth and operations) Contraindications: ulcerative lesions of the cervix and vagina, girls before the onset of sexual activity, pregnancy 1-2 trimester - there is no data on the safety of use Side effects: symptoms of irritation, allergic reactions - rash, urticaria, erythema Mode of application: capsule at night, for 6 days, stop treatment during menstruation, continue after.

In addition to suppositories, it is possible to use creams with antifungal drugs:

• Clotrimazole - Candide (with an applicator 80 rubles), Clotrimazole cream 120 rubles, Canison 80 rubles.
• Econazole - Ecodax cream 140 rub
• Isoconazole - Travogen cream 500-700 rubles.
• Fenticonazole - Lomexin cream 600 rub.
• Butoconazole - Gynofort cream with applicator 600-700 rub.

In chronic recurrent thrush, oral antifungal drugs are required:

• Fluconazole 40-50 rubles (and more expensive analogues Flucostat, Mikomax, Mikosist, Diflucan)
• Tinidazole 30-70 rub
• Ketoconazole - Mycozoral 460 rub
• Itraconazole - Irunin 320 rubles, Itrazol 380 rubles, Orungamine.

After antifungal therapy, the doctor may prescribe drugs to normalize the vaginal microflora, that is, creating conditions for the growth of lactobacilli in the vagina:

• Vagilak 2 r / day (candles with bifidobacteria) 5-10 days.
• Laktozhinal, Atsilakt (lactobacilli) vaginal capsules for 1 to 10 days.
• For oral administration - Bificol 10 days.

Advantages and disadvantages of using suppositories for thrush

Benefits of using topical preparations for candidiasis in women:

• When the drug is injected into the site of active reproduction of fungi, the effect of local treatment appears much faster, especially when using modern effective drugs such as Livarol or Zalain.
• Modern antifungal agents can be used once.
• Since the systemic absorption of topical preparations is low, the incidence of side effects is reduced, in contrast to oral therapy.

Disadvantages of local treatment:

• Local treatment gives a woman some inconvenience - soils underwear, limits her sexual life.
• The positive effect of such therapy is possible only with mild forms of thrush, when the course of the disease is more severe, prolonged, local therapy must be supplemented by the use of . Therefore, it is often necessary to repeat the course of treatment after a certain time.
• When using combined antimicrobial drugs, such as Terzhinan, Polygynax, a frequent side effect is vaginal dysbacteriosis, which then requires additional treatment, for example, the use of suppositories with lactobacilli - Lactonorma, Atsilakt, Lactobacterin, Ecofemin or Vagiflora.

Candles from thrush during pregnancy

Very often in women during pregnancy, due to a physiological decrease in immunity, thrush occurs, and many drugs are either categorically impossible to use, or there have been no reliable safety studies for the fetus. Among the entire selection of local preparations, the following suppositories are approved for use:

• Candles - Pimafucin, Primafungin (active ingredient Natamycin).
• Combined drug - Macmirror complex (active ingredients Nystatin and Nifuratel).

In the 2-3 trimesters Clotrimazole, Nystatin (low efficacy) or the ancient Borax in glycerin (Sodium tetraborate in glycerin), Pimafucin, Gino-Pevaril, Gynofort (vaginal cream), all of these drugs are used during pregnancy with caution if there is a potential risk maternal health outweighs the risk to the baby.

• Some doctors prescribe combination drug- Terzhinan (prednisolone, neomycin, ternidazole, nystatin), but the instructions for it indicate that from the 2nd trimester it can only be used when assessing the potential benefit to the mother and harm to the fetus, as it has undesirable side effects and contains hormonal drug- prednisolone.

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

Causes of the disease

• Pregnant.
• Diabetics.
• People who have recently had any infectious disease.
• People with disturbed hormonal balance.

Symptoms

• The so-called "fishy" smell, very unpleasant, aggravated after intercourse.
• Painful intercourse ( when inserted into the vagina of the penis).
• Pain when urinating.

It is desirable that there is no re-infection with candida, to conduct parallel treatment of your sexual partner.

Treatment of the disease

• Combined topical preparations.
• antifungal drugs ( taken internally and externally).
• Antimicrobials of local action.

Intravaginal preparations were previously prescribed only by a doctor, since the use of these drugs was accompanied by serious side effects.

Now antifungal drugs ( antimycotic) drugs of a new generation, which are very convenient and easy to treat. But they cannot completely exclude the possibility of a recurrence of the disease. Candida can develop resistance to some of them. In this case, the treatment will not bring any benefit at all.

Such resilience can be developed:

• Due to incomplete course of treatment ( started to heal and then quit).
• due to low dosage which did not kill the infection, but gave it the opportunity to adapt and become resistant to the drug).
• Due to improper self-treatment.

Vaginal suppositories used for treatment

With diagnosed vaginal candidiasis, the following vaginal suppositories are used:

• Livarol.
• Ketoconazole.
• Macmirror.
• Nystatin.
• Ginezol.
• Gino-Dactanol.
• Betadine.
• Klion-D.
• Gyno-Travogen Ovulum.
• Pimafucin.
• Polygynax.

Some features of vaginal suppositories

Ketoconazole - effective drug, is used for any fungal diseases, superficial and systemic. It has a number of side effects.

Macmirror has a wide spectrum of action. Enhances the action of Nystatin when used simultaneously. At the time of use of this drug, it is desirable to stop sexual activity. Treatment with Macmirror is carried out in parallel for both sexual partners.

Nystatin effective against fungi, but not at all active against viruses and bacteria. Mushrooms of the genus Candida very rarely develop resistance to this drug, so Nystatin is the drug of choice in those patients in whom thrush has passed into the chronic phase, due to the resistance of fungi to the drug. It gives practically no side effects. However, prolonged use of the drug can lead to suppression of the activity of healthy microflora. In this case, after treatment for thrush, you will have to be treated for dysbacteriosis.

Ginezol has a wide range of action, very often used as a prophylactic and anti-relapse agent against thrush. It is desirable to conduct simultaneous treatment with Ginesol in both sexual partners. Pregnant women are prescribed this drug with caution, since the active substance can have a toxic effect on the fetus.

Gino-Dactanol is an effective antimycotic drug. Does not inhibit the growth of healthy microflora.

Betadine used for the treatment of vaginal infections, for preoperative and postoperative treatment of the vagina during obstetric operations. The preparation contains Povidone-iodine. This antiseptic has a wide range of antimycotic action. Candles Betadine can be used even during menstruation.

When using the drug Klion-D the symptoms of thrush disappear very quickly.
It does not affect the natural microflora of the vagina.
Important note: you can not use Klion-D simultaneously with alcohol.

Gyno-Travogen Ovulum treats not only fungal, but also mixed infections. Patients tolerate this drug well.

Pimafucin does not give complications in the form of allergic reactions, and this is its huge plus. This medicine is often prescribed to pregnant women.

Candles such as Polygynax and Terzhinan- used with caution, as these drugs have significant side effects and can disrupt the natural microflora.

In pregnant women

For the treatment of chronic forms of candidiasis, preparations containing the substance Fluconazole are shown. But this drug is not suitable for pregnant women.

In men

• Redness and swelling of the head.
• Curdled plaque that appears on the head.
• Pain during intercourse, itching sensation.

In children

Another reason for the development of candidiasis may be a weakened the immune system, which is not able to resist candida. In infants, candidiasis can be transmitted from a nursing infected mother through milk.

Most often, candidal stomatitis occurs in children ( in this case, the pathogen affects the oral mucosa). This happens when Small child trying to put everything in his mouth and taste it. Children wipe the affected areas of the oral mucosa with cotton balls dipped in Levorin solution, Pimafucin, or Nystatin. The solution can be made independently by crushing the tablet and adding the resulting powder to boiled water.

In general, this disease is rare in children. Sometimes young girls develop candidiasis directly on the labia, but these are rare cases.

How to use suppositories?