General information about thrush
The disease is caused by a fungus of the genus Candida. Thrush (candidiasis) occurs in patients of all ages. The causative agent of the infection is a member of the microflora of the oral cavity and large intestine and does not cause harm to health in small quantities. A sharp proliferation of pathogenic microorganisms begins under the influence of certain factors. To prevent the development of candidiasis, it is worth finding out the causes of the pathology.
Among the factors that provoke thrush, it is worth noting the following:
- Weak immunity.
- Metabolic disorders (metabolic processes in the body).
- Treatment with antibiotics.
- Diabetes.
- The body of pregnant women (especially in the 3rd trimester).
- The body of newborn babies (a child can become infected with candidiasis during childbirth or during feeding).
Vaginal tablets
Some women prefer to use a dosage form such as vaginal tablets against candidiasis. They differ from suppositories in the method of administration - they need to be placed as deep as possible in the vagina, where they dissolve on their own. A well-known remedy is Candide B6 with clotrimazole. Its characteristics are:
- disrupts the synthesis of ergosterol in fungal cells, causing their lysis;
- affects all types of Candida fungi;
- active against dermatophytes, yeasts, molds, a number of cocci and trichomonas;
- rarely gives side effects - only a slight burning sensation, itching, which are the norm.
During therapy, it is important to observe mechanical contraception and simultaneously treat the sexual partner. If candidiasis occurs in parallel with trichomoniasis, Metronidazole is prescribed in addition to therapy. It is acceptable to use the drug in the 2-3 trimesters of gestation. The course of therapy is 1 tablet per day before bedtime for 6 days.
https://youtu.be/piQdHj87bcw
Symptoms of thrush
After infection with candidiasis, signs of the disease appear almost immediately. The main symptoms of a fungal infection are presented below:
- burning sensation in the vagina in women;
- pain during sexual intercourse and urination;
- curdled discharge in women;
- white plaque on the penis in men.
Epigen-intim and Livarol
External remedies against candidiasis are more popular among women, they are easier to use, and side effects are rare. A good product is Epigen-intim spray (980 rubles) - it cannot be called inexpensive, but it is very effective. It has the following actions:
- anti-inflammatory;
- immunostimulating;
- antiviral;
- antifungal;
- regenerating.
The medicine contains glycyrrhizic acid and a number of other substances - vitamins C, B9, malic and fumaric acids. The natural composition allows the drug to be used by pregnant and lactating women; it has no contraindications. The bottle nozzle is inserted into the vagina, 1-2 injections are made four times a day for 7-10 days.
The medicine Livarol is produced in the form of suppositories (700 rubles). The medicine contains ketoconazole, a strong antimycotic. The product changes the fat composition of the fungal cell, it does not survive. The drug is active against most types of fungi. Side effects may include itching and burning in the vagina. During pregnancy, lactation, and children under 12 years of age, suppositories should not be used. They are placed in the vagina twice a day for 5-10 days, and the thrush goes away. It is not advisable to treat thrush during menstruation.
Treatment of thrush
The disease is very unpleasant and dangerous, so it is recommended to use a set of measures to combat it. Even the best remedy for thrush is not able to permanently destroy microorganisms and prevent relapses of the disease, without additional measures. Therapy for candidiasis should include the following steps:
- Identification of the causative agent of infection, determination of the susceptibility of the microorganism to a specific drug.
- Restoration of acidity and internal microflora of the body.
- Strengthening the immune system.
- Treatment of concomitant hormonal disorders.
- Rejection of bad habits.
- Treatment of sexually transmitted infections (if any).
Types of drugs for thrush
To treat thrush in women, use:
- Polyene antibiotics . Such remedies for thrush for women include Nystatin. It is available in the form of tablets, suppositories or ointments. This is one of the first antifungal drugs that disrupts the cellular structure of the fungal membrane. Since the bioavailability of Nystatin is no more than 5%, suppositories are prescribed simultaneously with tablets for the treatment of thrush;
- Triazoles : Fluconazole, Flucostat, Diflucan. These thrush medications for women inhibit the synthesis of ergosterol. Since they are well absorbed and act for a long period, they are used in the form of capsules or tablets for oral administration;
- Imidazoles : Ketoconazole (Nizoral, Dermazole), Clotrimazole. Ketoconazole is available in the form of tablets, suppositories, ointments, creams or shampoos. It has a pronounced fungicidal effect. Clotrimazole is not used orally; it is used in the form of cream, ointment or suppositories;
- Macrolides : Pimafucin, Natamycin. Medicines for thrush in women are available in the form of cream, suppositories or tablets. Their main advantage is that when applied topically they are not absorbed into the systemic bloodstream, which allows the use of suppositories by pregnant and lactating women;
- Combined products : Terzhinan, Polygynax. In addition to the antifungal component, they contain anti-inflammatory agents.
Tablets
Most women and patients, when symptoms of candidiasis are detected, prefer to fight the disease with pills. Among the advantages of this form of medicine it is worth highlighting the following:
- Quick effect of therapy.
- Oral medications destroy fungal cells not only at the site of infection, but throughout the patient’s body.
- A mild form of candidiasis can be cured with antifungal tablets, without the use of ointments or suppositories.
Tablet preparations for thrush are made on the basis of various components that affect fungal cells and stop the proliferation of pathogenic microorganisms. The speed of their absorption is different, so the tablets are taken in different dosages. All medications for candidiasis contain one of the active ingredients:
- Fluconazole . The component is included in such tablets as Mikomax, Diflucan, Flucostat. Use medications with fluconazole 150 mg once. As a rule, the dose is enough for complete recovery.
- Natamycin is a component of Pimafucin antifungal tablets. Medicines based on this substance are prescribed in a course of several days. The patient needs to take 1 tablet per day.
- Nystatin is included in the tablets of the same name. Medicines based on this component are taken 4 times every day, 1 pc. The course of therapy is calculated individually, up to 14 days.
- Miconazole is the active ingredient in Micatin, Miconazole, Funginazole. Therapy with tablets based on this substance is 3 days, 1 pc. per day.
- Ketoconazole is a component of the drug of the same name and Nizoral tablets. Take 1-2 medications containing this substance daily. The course of treatment is calculated individually for up to 5 days.
Popular anti-thrush tablets for women
Nizoral is an effective drug for systemic treatment of diseases caused by pathogenic fungi. It is produced on the basis of ketoconazole, a substance with a pronounced mycostatic and antifungal effect. The tablets affect the composition of the cell membranes of infectious agents, which leads to their death. The drug enters the bloodstream, so it quickly spreads throughout the body. Due to this, you can take pills, regardless of the location of the infection. The course of treatment with Nizoral is at least 5 days.
Advantages of the drug:
- does not enter the general bloodstream;
- regulates the composition of vaginal microflora;
- fights different types of pathogenic fungi;
- effective for infections of varying severity.
Flaws:
- causes allergies in patients with hypersensitivity to components;
- contraindicated during pregnancy, liver and kidney diseases;
- may cause disturbances in the gastrointestinal tract, central nervous system, and blood clotting.
Fluconazole is a strong, inexpensive capsule based on the component of the same name. After taking the medicine, it prevents the growth and reproduction of candidiasis pathogens. These capsules eliminate mild forms of fungal infections after using 1 pc. (150 mg). If the disease has become chronic, the treatment regimen is determined by the doctor, taking into account the individual characteristics of the individual patient’s body.
Advantages of the drug:
- low cost;
- rapid absorption of components into the blood;
- active destruction of infectious agents;
- rapid normalization of mucosal microflora;
- preventing relapse of the disease.
Flaws:
- Capsules are contraindicated during pregnancy, lactation, kidney and liver diseases.
- The components of the drug can affect the functioning of the central nervous system and gastrointestinal tract.
- During therapy, allergies may develop.
- Exceeding the recommended dose may cause mental disorders and hallucinations.
Mikosist is another well-known oral medicine against candidiasis. The drug is produced in Hungary on the basis of fluconazole and has a pronounced antifungal effect. Before using the tablets, it is important to study the contraindications, of which the drug has many. The treatment regimen is determined by the doctor after a complete examination of the patient.
Advantages of the drug:
- fast action;
- active destruction of various types of infectious agents;
- preventing relapse of the disease.
Flaws:
- Tablets are not prescribed during breastfeeding or pregnancy.
- The active substances of Mikosist can negatively affect the functioning of the central nervous system and gastrointestinal tract.
- The patient may develop an allergy to the components of the medication.
- Exceeding the dose provokes mental disorders.
- The medicine is not suitable for patients with impaired kidney or liver function.
Clotrimazole - intravaginal tablets for thrush. The product is produced on the basis of the component of the same name and is active against yeast-like fungi and other causative agents of genital infections. Each tablet contains 100 mg of clotrimazole. The product acts on pathogenic microorganisms, preventing them from developing and multiplying. The course of use of tablets is calculated individually from 6 to 14 days.
The main advantages of Clotrimazole:
- rapid removal of potassium from the body;
- active destruction of pathogenic microbial cells and nucleic acids;
- fight against inflammatory processes in the body.
Flaws:
- Tablets are not prescribed to people with hypersensitivity to the main or additional components.
- The medicine is contraindicated in the first trimester of pregnancy and during lactation.
- The drug should not be used to treat children under 16 years of age.
Pimafucin is a drug for thrush with a pronounced fungicidal effect. The main component of the drug is natamycin. The drug has a wide spectrum of action, has a minimal number of contraindications, and is not absorbed into the general bloodstream from the stomach. Pimafucin destroys candidiasis pathogens by acting on their cell membrane. The treatment regimen and dosage of the drug are determined by the doctor.
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Advantages of the drug:
- a small number of contraindications;
- effectiveness against various forms of candidiasis;
- treatment of concomitant bacterial pathologies;
- few side effects;
- the tablets are not addictive;
- effectiveness in chronic forms of candidiasis;
- possibility of therapy during pregnancy and lactation.
Flaws:
- incompatibility of Pimafucin with alcohol;
- Do not take tablets with other antibacterial agents;
- in the first days of treatment, disturbances in the gastrointestinal tract may occur.
The best drugs for candidiasis
There is no best cure for candidiasis. You can’t call any tablets ideal or universal. All are effective when used correctly and appropriately. Tablets for thrush should be prescribed by a doctor. All systemic antifungal agents have a number of contraindications and side effects. They should not be taken by women with a diseased liver, kidneys, or heart. Such medications can cause nausea, vomiting, abdominal pain, bowel movements, and dizziness. Naturally, with a single dose, the risk of negative effects is minimal. However, if it is necessary to use increased doses or regular use of antifungals, there may be side effects. To reduce the likelihood of negative effects on the body, the doctor prescribes a biochemical blood test. Based on its results, the health of internal organs and the advisability of prescribing antifungal drugs are assessed.
https://youtu.be/Yt9KsUVi0ac
Fluconazole
Fluconazole
Drug of choice for thrush. For the treatment of vaginal candidiasis, a dose of 150 mg is prescribed. It can be taken as a course for 9 days (1 capsule, once every 3 days). After the main course, maintenance therapy is prescribed. A woman should take 150 mg of fluconazole monthly for 4 to 6 months in a row. The drug is prescribed only in extreme cases during pregnancy and only once during lactation. Preparations containing fluconazole - Mikomax (220-240 rubles, 150 mg per capsule), Flucostat (190-210 rubles), Diflucan (400-420 rubles).
Itraconazole
Itraconazole capsules
Prescribed if fluconazole cannot be used or the identified candida strain is resistant to it. To eliminate thrush in 1 day, take the drug 2 capsules (200 mg) 2 times a day. In the chronic form, itraconazole is prescribed 200 mg per day for 3 days. Maintenance dose – 200 mg once a month (from 3 to 6 months). Products based on itraconazole - Irunin (420-440 rubles for 6 capsules), Rumikoz (450-470 rubles), Kanditral (950-970 rubles, for 14 capsules). Itraconazole is contraindicated during pregnancy and lactation.
Candles
In addition to systemic drugs with antifungal action, women are often prescribed suppositories for candidiasis to treat thrush. This form of medication has its advantages:
- Suppositories are easy to use.
- The form is suitable for the treatment of thrush with deep localization in the vagina.
- There are products in the form of suppositories to prevent infection (Ginezol).
- Most drugs are made on the basis of several components, which increases their effectiveness.
In addition to visible advantages, this form has significant disadvantages:
- Suppositories act inside the body and are not suitable for external use.
- This form of medication should not be used during menstruation.
- As a rule, suppositories are part of complex therapy due to the inability to cure thrush alone.
- To achieve the desired result, patients must strictly adhere to the treatment regimen.
Effective suppositories for the treatment of thrush
An inexpensive but effective remedy for candidiasis, Livarol has a lot of positive reviews. The drug is suitable only for those patients who are experiencing thrush for the first time. With frequent use of Livarol, infectious agents become resistant to its action. Suppositories based on ketoconazole are produced. After entering the body, the drug disrupts metabolic processes in the cells of yeast fungi, streptococci, and dermatophytes, which leads to their death.
Advantages of Livarol:
- effective elimination of symptoms of acute candidiasis;
- a combination of antifungal and antibacterial action (in the absence of an antibiotic in the composition);
- effectiveness in the prevention of chronic forms of the disease;
- uniform distribution of the active substance along the vaginal walls, normalization of microflora.
Flaws:
- suppositories should not be used in the early stages of pregnancy;
- the drug may cause irritation of the vaginal mucosa;
- low efficiency with repeated use.
Nystatin is an inexpensive remedy for thrush with a pronounced antifungal effect. Used in the initial stages of candidiasis, it is ineffective against pathogenic bacteria. The medicine is produced based on the polyene antibiotic levorin. The component is able to destroy fungal cells and slow down their reproduction. Nystatin suppositories are prescribed to patients to treat various forms of candidiasis or to prevent infection.
Advantages of the drug:
- pronounced antifungal effect;
- effectiveness even with re-infection;
- elimination of unpleasant symptoms after the first day of therapy;
- relatively low toxicity.
Flaws:
- the medicine is not prescribed during pregnancy or liver problems;
- suppositories can cause chills or dysbacteriosis;
- lack of effectiveness of therapy for bacterial infection.
Polygynax is a drug with a combined effect in the form of vaginal suppositories. The product is considered effective due to the content of several active substances: neomycin sulfate, nystatin, polymexin. The components act on the cells of pathogenic fungi and bacteria, preventing the development and spread of infection. The drug is prescribed for infectious and inflammatory diseases of the genital organs: vulvovaginitis, fungal vaginitis and others.
Advantages of the product:
- easy to carry;
- suitable for prevention and treatment;
- does not affect microflora, is not active against lactobacilli;
- quickly relieves symptoms of the disease;
- stabilizes trophic processes in the mucosa.
Flaws:
- high price;
- the possibility of developing irritation and burning;
- the appearance of greasy stains on linen during therapy;
- allergies in patients with hypersensitivity to components.
Terzhinan is a drug for the treatment of gynecological pathologies for local use. Today the drug has no structural analogues. Terzhinan contains neomycin, prednisolone, ternidazole, nystatin. Due to its powerful active ingredients, the product effectively fights infections of various etiologies. Suppositories are prescribed to patients with inflammatory processes in the vagina, vaginitis caused by bacteria, pathogenic fungi.
Advantages of the drug:
- wide spectrum of action;
- rapid elimination of thrush of any severity;
- normalization of pH balance in the vagina;
- restoration of the mucosa;
- no side symptoms.
Flaws:
- high price;
- the possibility of developing allergies;
- the possibility of a negative effect of the components of the product on the fetus in pregnant women.
The best suppositories against thrush
It is best to treat thrush with suppositories (vaginal tablets or capsules). These drugs act at the source of infection, and therefore quickly and efficiently eliminate unpleasant symptoms. If you choose suppositories correctly (taking into account the sensitivity of the pathogen), the signs of thrush will subside on the second day of therapy. When using suppositories, the active substances penetrate the systemic bloodstream in minute quantities or are not absorbed at all. Hence the safety of the dosage form, even for women with chronic diseases of internal organs. Below are inexpensive but effective medications for thrush for intravaginal use (introduction into the vagina).
Clotrimazole vaginal tablets
Clotrimazole suppositories
Contains the active ingredient of the same name. The tablets are inserted into the vagina with a finger or using a special applicator, 1-2 times a day. Thrush should be treated for 3-6 days. Before the procedure, it is better to moisten the tablet in clean water - this will facilitate the dissolution of the coating and speed up the manifestation of the effects. The drug is prescribed not only for candidiasis, but also for trichomonas vaginitis. The product should not be used in the first trimester of pregnancy. Before childbirth, it is possible to use 1 tablet of clotrimazole to prevent the child from contracting a fungus. The drug should not be used during menstruation. When using tablets, local manifestations of allergies are possible - redness of the mucous membranes, increased burning and swelling.
Nystatin vaginal suppositories
Nystatin is an antibiotic that is active specifically against candida. This is the oldest and cheapest drug used in gynecology for candidiasis. The product is produced in candles, 10 pieces per package. Use 1 suppository 2 times a day. The course of treatment is 10-14 days, depending on the symptoms. If necessary, treatment is extended. The drug is not absorbed into the blood, but there is no evidence of its safety during pregnancy. A package of nystatin suppositories costs 40-60 rubles.
Pimafucin
Pimafucin suppositories
A modern substitute for nystatin. The best cure for thrush today. Contains natamycin, a substance that can kill fungi. Microorganisms cannot develop resistance to it, so Pimafucin is considered the drug of choice for the treatment of candidiasis in women. Does not penetrate the bloodstream, approved for use at any stage of pregnancy. To treat candidiasis, use 1 suppository per day, at night. Therapy lasts 6 days. The drug is well tolerated and rarely causes sensitivity reactions. Costs 500-530 rubles for a package of 6 candles.
Livarol
Vaginal suppositories based on ketoconazole (400 mg of active substance). Used to treat acute and chronic forms. Rarely used during pregnancy, only if approved drugs are not suitable. Therapy for acute candidiasis lasts 3-5 days. Candles are used once a day. In the chronic form, treatment is extended to 10 days. The product costs 520-560 rubles per pack of 5 pieces. Treatment can be carried out even during menstruation. When using, you should avoid sexual intercourse, as Livarol reduces the effectiveness of barrier contraception.
Polygynax
Vaginal capsules Polygynax
The product is produced in the form of vaginal capsules. They contain 2 antibiotics (neomycin, polymyxin), as well as an antifungal component - nystatin. Capsules are prescribed for candidiasis combined with coccal infection and trichomoniasis. The drug is used once a day - inserted deep into the vagina with a finger. The course of treatment is 12 days. Prescribe with caution during pregnancy. Polygynax may be recommended to the expectant mother before childbirth to cleanse the birth canal of fungi and bacteria. The preventive course lasts 6 days. The product reduces the effectiveness of spermicides. The composition contains soybean oil, so the drug is contraindicated in women with allergies to soy and peanuts. The product costs 600-630 rubles.
Terzhinan
Vaginal tablets with a combined composition. In addition to the antifungal substance and antibiotics, it contains a hormonal component - a derivative of prednisolone. This substance quickly eliminates swelling, itching and other discomfort, and relieves inflammation well. The drug is used to treat thrush for 6-12 days. Use 1 vaginal tablet per day. Before administration, the tablet is moistened with water. An applicator is included in the kit. During pregnancy and before childbirth, it is prescribed if particularly necessary. 6 Terzhinan tablets cost 460-490 rubles.
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When treating thrush with medications, douching should be avoided. Traditional treatment methods using soda solution or herbal decoctions are effective only for mild forms of candidiasis and cannot guarantee complete destruction of the fungus. Treatment with suppositories and tablets will be more effective if you carefully observe personal hygiene (shower twice a day, clean underwear, timely replacement of pads). During therapy, you should adjust your diet - reduce the amount of sweets and fatty foods. With an integrated approach and following medical recommendations, one course of treatment can get rid of thrush forever.
Ointments for thrush
It is difficult to independently select a drug for the treatment of candidiasis. If symptoms appear, you should definitely consult a specialist and identify the causative agent of the infection. In addition to tablets and suppositories, patients may be prescribed anti-thrush medications in the form of ointments. This option is used as part of complex therapy together with antifungal tablets. Ointments are good at relieving redness and itching at the site of the disease.
Among the advantages of this form it is worth highlighting the following:
- the possibility of using for external treatment of genital candidiasis in both women and men;
- low price of drugs compared to drugs in the form of suppositories or tablets;
- rapid elimination of symptoms of infection, reduction of pain;
- ease of use;
- a small number of contraindications and side effects.
Disadvantages of antifungal ointments:
- lack of effect in deep lesions (appendages or uterus of the patient);
- a small amount of active components in the composition;
- duration of treatment.
The most well-known antifungal agents in the form of ointments are the following drugs:
- Ketoconazole;
- Clotrimazole;
- Pimafucin;
- Nystatin.
How to get rid of the disease
Treatment with the only tablet advertised is appropriate only for the first episode of candidiasis, accompanied by mild symptoms. If thrush appears repeatedly or greatly bothers a woman, she cannot do without the help of a doctor.
At the appointment, the gynecologist will conduct a standard examination and take smears from the vagina and cervical canal. Their microscopic examination will help confirm or refute the fungal origin of the problems. The analysis will also be able to detect other infections, if any.
As part of laboratory diagnostics, cultural seeding is carried out - placing the detected microorganisms in a nutrient medium. Based on its results, a strain (variety) of candidobacteria is identified, and their sensitivity to antifungal substances is also determined. Treatment with specific drugs reduces the risk of chronic infection and speeds up recovery.
Treatment of acute form
For acute symptoms of thrush, a single oral use of antifungal tablets is prescribed. Most often, treatment lasts 1 day. The antimycotics used provide a prolonged effect - they remain in the vaginal mucosa for 24-32 hours. Hence the complete elimination of the fungus even with a single dose. In parallel with the tablets, suppositories are prescribed.
Candles Zalain
If this is the first case of thrush, and the symptoms are not very pronounced, only local dosage forms (suppositories or vaginal tablets) are sufficient. The doctor may prescribe powerful drugs, the treatment of which involves the introduction of just 1 suppository into the vagina (Zalain, Lomexin), or the use of suppositories in a course (from 3 to 14 days).
Treatment of the chronic form
Chronic thrush is treated with tablets and suppositories at the same time. Tablets are prescribed in a shock course, followed by monthly maintenance doses (often on the 1st day of the cycle). This approach ensures the prevention of relapses of candidiasis. Suppositories are often prescribed in one or two courses with a short interval.
To fully eliminate the disease, it is very important to find its cause. The woman will be advised to change hygiene products, stop using tampons, scented pads, and synthetic underwear. If medications are the provocateur, they are discontinued; internal chronic diseases are treated with specific drugs. In some cases, the final stage of therapy is suppositories to normalize the composition of the vaginal microflora (Fermalak, Vaginorm S, Laktozhinal).
Folk remedies for thrush
In addition to medications, you can fight candidiasis in men and women using folk recipes. Home remedies are no less effective in solving this delicate problem, they relieve symptoms of infection well, and help reduce the number of relapses of chronic pathology. As a rule, infusions, herbal decoctions, douching or a special diet are used. Traditional recipes need to be combined with drug therapy.
Among the home methods for treating thrush, douching is worth highlighting. The following medicinal fees are applied for the procedure:
- Sage leaves – 20 g, rosemary – 20 g, oak bark – 40 g. Pour water (3 l) over the herbs and boil for half an hour. Strain the finished broth and use for douching in the morning and evening until complete recovery.
- 3 tbsp. l. St. John's wort pour 2 liters of water, boil for 30 minutes. Strain the resulting broth and use it for douching 2 times a day. The course of treatment is up to 2 weeks.
- Combine 3 parts of oak bark and 2 parts of linden flowers. Take 4 tbsp. l. collection, pour boiling water in an amount of 250 ml. Leave for 15 minutes. Use the douche in the morning and evening as needed.
In addition to douching, you can try herbal decoctions. To make an infusion, take 2 tsp. collection, add water, boil for 15 minutes. Leave the decoction for 12 hours, after which you drink 1/2 glass in the morning on an empty stomach. The following medicinal plants can be used for preparation:
- chamomile;
- sage;
- eucalyptus;
- yarrow;
- juniper.
Thrush and its treatment
Candidiasis (thrush) can affect the genitals, oral cavity, and in people with severely weakened immunity, even internal organs and lungs. In women, candidiasis usually appears in the area of the vaginal mucosa, and its cause is the overly active proliferation of opportunistic fungi of the genus Candida. A similar malfunction in the body can be caused by a decrease in immunity, which is provoked by taking antibiotics, stress, poor nutrition, etc.
Thrush can be treated at home. To do this you need:
- choose the right drug;
- take the medicine regularly, without skipping or shortening the course;
- after therapy, restore the vaginal microflora.
https://youtu.be/QDn-NjewttI
In case of mild pathology, local remedies are sufficient - vaginal tablets, suppositories. If thrush has become chronic, occurs with severe symptoms, or often recurs, systemic antimycotics in tablets and capsules should be prescribed.
During pregnancy, candidiasis therapy is carried out only with approved medications - Pimafucin, Ecofucin, Primafungin.
Pregnant and lactating women should not use drugs based on clotrimazole - they are quite toxic. Diflucan is strictly excluded in the first trimester; later it can be used under the supervision of a doctor. Expectant mothers are not prohibited from using folk remedies - douching with chamomile (1 spoon of flowers per glass of water), with soda (teaspoon per liter) in a course of 3-5 procedures.
Price
The cost of drugs for the treatment of candidiasis depends on the manufacturer, release form, and outlet. Below is a table with prices for medicines in Moscow:
Drug name | Release form | Cost in rubles |
Pimafucin | Suppositories No. 3 | 235 |
Pills | 450 | |
Cream | 270 | |
Fluconazole | Capsules | 25 |
Livarol | Vaginal suppositories | 450 |
Flucostat | Capsules No. 7 | 360 |
Clotrimazole | Ointment | 22 |
Features of medicines
Almost always, the gynecologist prescribes antifungal therapy, which is aimed at eliminating the causative agents of the disease. Pharmacies offer a huge selection of antimycotic agents (antifungals), which vary in effectiveness, chemical composition and cost depending on the manufacturer.
There are also cheap analogues of medications produced by well-known manufacturers. They are absolutely identical in composition, the only difference is in price. Some are afraid to buy cheap medicines (usually domestically produced), citing the fact that the quality suffers greatly and does not reach the analogues presented.
What is thrush?
Poor diet and low physical activity can
Candidiasis is a rather insidious disease that can occur not only in women, but also in men and children. Even in healthy people, a small amount of the causative agent of thrush, a fungus belonging to the genus Candida, is present in the body. The amount of pathogenic microflora increases when predisposing factors begin to affect the body:
- Weakening of the immune system. Unbalanced diet, stress, low physical activity.
- Antibacterial therapy. Antibiotics suppress beneficial microflora, which is fraught with the proliferation of pathogenic or opportunistic microorganisms.
- Metabolic disorders, pregnancy and diabetes.
Combination drugs
Effective drugs for thrush often have a combined effect. For local treatment, tablets or suppositories are prescribed that can eliminate not only the fungal infection, but also the concomitant infection.
These products may contain an antibiotic, an anti-protozoan agent, or a glucocorticoid hormone. Among the medications that give the strongest effect are Klion-D, Terzhinan and Polygynax.
Neo-Penotran Forte
During the treatment of fungal thrush, Neo-Penotran Forte may be prescribed. The medication is available in the form of suppositories and has an antimicrobial, antimycotic effect. Thanks to the special composition, the symptoms of the disease are eliminated in a short time.
Contraindications for use include the first trimester of pregnancy, kidney disease and individual intolerance to the components.
Polygynax
The drug has antimycotic and antibacterial effects. Available in the form of capsules that are inserted into the vagina. It is often used in the fight against thrush in women. The product is considered conditionally safe. Side effects include an allergic reaction. When it appears, stop using the medicine.
A contraindication to the use of Polygynax is the first trimester of pregnancy. At later stages and during lactation, the doctor prescribes it only in cases where the benefits of therapy outweigh the risks associated with it.
Terzhinan
This is a combined medication with antimycotic and antimicrobial effects. It is for this reason that the use of the drug in the fight against thrush gives good results. The product is available in the form of intravaginal tablets, the main active ingredient in which is ternidazole.
The course of treatment is one and a half weeks. Only one tablet is inserted into the vagina per day.