Clotrimazole for vaginal thrush. Clotrimazole cream
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Clotrimazole is an antifungal medicine.Side-effects are unlikely but may include mild skin irritation or itching.If your symptoms do not improve within seven days, speak with your doctor.Do not use more than two courses of clotrimazole within six months without speaking with a doctor for further advice. |
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Many women have an occasional bout of, It is due to an infection with a yeast fungus called Candida spp. Most cases of thrush are caused by the yeast called Candida albicans but other types of Candida spp. can also cause thrush. Common symptoms of vaginal thrush are itching, soreness, and redness around the outside of the vagina and a thick, creamy white, odourless vaginal discharge.
Clotrimazole works by killing the yeast fungus causing the infection. Clotrimazole is usually applied in two ways to treat thrush. A pessary or internal (intravaginal) cream is inserted high into the vagina to treat the infection. Then a cream (usually containing 2% clotrimazole) is applied around the outside of the vagina to relieve the itching and soreness.
Many of the products available are ‘combi’ packs – these contain either a pessary or internal cream, and also a cream for external use. Clotrimazole is available on prescription and you can also buy it at a pharmacy, without a prescription, if you have previously been diagnosed by your doctor as having vaginal thrush.
If you are pregnant. This is because you should only use medicines on the recommendation of a doctor while you are expecting a baby. Also, you may need to use clotrimazole for a longer period of time during pregnancy than is usually recommended.If you are under 16 or over 60 years of age.If you have had more than two episodes of thrush in six months.If you have a foul-smelling or blood-stained vaginal discharge, or if you have blisters or sores in the vaginal area.If you are in pain, feel sick, or have diarrhoea or a fever.If you have previously had a sexually transmitted infection, or if you have had a partner with a sexually transmitted infection.If you have ever had an allergic reaction to a medicine.If you are using or taking any other medicines. This includes medicines which are available to buy without a prescription, as well as herbal and complementary medicines.
Before starting this treatment, read the manufacturer’s printed information leaflet from inside the pack. It will give you more information about how to use the clotrimazole preparation you have been given.If you are using clotrimazole cream, apply the cream to the area around the outside of your vagina and back passage two or three times daily. Rub it in gently. Continue to use the cream until the itching and soreness due to the infection are gone.If you are using clotrimazole intravaginal cream (for example, Canesten 10% VC® or Canesten® Internal Cream), insert one applicatorful high into your vagina at bedtime. A single dose is usually sufficient to treat the infection. If you are having your period, ask your doctor when you should use the cream.If you are using a clotrimazole pessary, use the applicator to insert the pessary high up into your vagina at bedtime. Depending upon the strength of the pessary, a single dose is usually sufficient to treat the infection. If you are having your period, ask your doctor when you should use the pessary. If you are pregnant, do not use the applicator which is provided to insert the pessary, unless your doctor has recommended you to do so. Instead, use a finger to insert the pessary as high as possible.
Use clotrimazole exactly as your doctor tells you to, or as directed on the pack. Remember to complete the course of treatment as this will help to prevent the infection from coming back. If your symptoms do not improve within seven days, see your doctor for further advice.A pessary will dissolve overnight in the moisture in the vagina. If you have problems with vaginal dryness you may notice some undissolved pieces of pessary the following morning.Clotrimazole can damage the latex in condoms and diaphragms so do not rely on these forms of contraception. Use an alternative method of contraception (or do not have sex) for at least five days after using clotrimazole. Please also keep in mind that having vaginal sex while you have thrush could infect your partner.If after seven days your symptoms recur, you can buy a repeat course of clotrimazole from a pharmacy. If you have more than two occurrences of thrush during six months, you should speak with a doctor for further advice. An alternative treatment could be more suitable for you.
Clotrimazole is unlikely to cause any serious side-effects. It can occasionally cause some irritation when it is used at first. If you experience any other symptoms, speak with your doctor or pharmacist for further advice.
Keep all medicines out of the reach and sight of children.Store in a cool, dry place, away from direct heat and light.
| If you suspect that someone has swallowed some of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty. This medicine is for you. Never give it to other people even if their condition appears to be the same as yours. Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you. If you have any questions about this medicine ask your pharmacist. |
Clotrimazole for vaginal thrush. Clotrimazole cream
Contents
How long does the Canesten pessary take to dissolve?
How long do Canesten Pessaries take to dissolve? – It is recommended that Canesten Pessaries are inserted at night high up inside the vagina using the applicator, so that they can dissolve inside the vagina while you are asleep. It is not uncommon for you to notice parts of the dissolved pessary coming out of your vagina over the next few days following commencing treatment, this is normal and does not mean the treatment is not working.
How long after a pessary can I go to the toilet?
Frequently Asked Questions during Treatment at Wales Fertility institute Frequently asked questions How do I determine which day is day 1 of my period? Day 1 is when you have red bleeding and need to use sanitary protection. If this bleeding occurs after midday, then the following day is classed as day 1. If you are only spotting this is not counted as day 1.
- Do I need to bring anything with me to my scan appointments?
- It is very important that you bring this treatment guide with you to every scan appointment and for your egg collection and embryo transfer as the nurses will write important information for you to follow.
- Do I have to have counselling?
- Yes, if you are having treatment that involves donated eggs, sperm, embryos or surrogacy to help you explore the implications.
- I am already seeing a counsellor can I continue seeing them?
- Yes, having support during treatment is strongly encouraged.
- Should I take Folic Acid?
- Yes, it is very important that you take folic acid, if you become pregnant it is important to continue taking this until 12 weeks of pregnancy.
- What sort of diet should I have?
Diet i.e. the mixture of food and drink you consume has a powerful influence on your health and wellbeing in the short, medium and long term. The Public Heath England in association with the Welsh Government Eat Well Guide (2018) recommends that you:
- Eat at least 5 portions of a variety of fruit and vegetables every day.
- Base meals on potatoes, bread, rice, pasta or other starchy carbohydrates; choosing wholegrain versions where possible.
- Have some dairy or dairy alternatives (such as soya drinks); choosing lower fat and lower sugar options.
- Eat some beans, pulses, fish, eggs, meat and other proteins (including 2 portions of fish every week, one of which should be oily).
- Choose unsaturated oils and spreads and eat in small amounts.
- Drink 6-8 cups/glasses of water a day.
- If consuming foods and drinks high in fat, salt or sugar have these less often and in small amounts.
Can I take painkillers during the treatment? Paracetamol is safe to take at all stages of treatment as long as you are not allergic to it. Ibuprofen should not be used at any time during the treatment.
- Is it normal to have increased vaginal mucus during my treatment?
- Yes, it is normal for you to see an increase in clear vaginal discharge during your treatment.
- I notice that some of the pessary leaks out – is this normal?
Yes, enough of the drug in the pessary is absorbed. To aid absorption try to lay down for 20 minutes after inserting pessaries vaginally. If used rectally then you should not open your bowels for an hour after inserting the pessary, if you do then another dose is required.
Do I take my pessary on the day of embryo transfer? Yes, however please take the pessary on the morning of your transfer rectally. Following the transfer please continue vaginally or rectally at your preference. What can I take to alleviate constipation? Please drink plenty of fluid and consume foods which have a high fibre content daily i.e.
Bran Flakes. Prune juice can help but if you are still constipated despite this then Lactulose is safe to use at any time during the treatment. This can be bought over the counter at any chemist. Please try to avoid stimulant laxative such as Senna. Will the embryos fall out if I stand or go to the toilet? No.
Neither standing, walking, running, coughing, sneezing or going to the toilet will cause your embryo to fall out. How long should I be resting after the embryo transfer? Medical research shows that implantation and pregnancy rates are not affected by rest. After the embryo transfer you are safe to go home.
Can I exercise following embryo transfer? Yes, however we do advise low impact exercise. Low impact exercises are exercises that do not put a lot of stress on your body for example walking or cycling. Can I go to work? You will need the day of egg collection and the following day off work.
- Can I climb the stairs?
- Yes, it is fine to climb the stairs.
- Can I do housework?
- Yes, it is fine to do housework.
- Can I have a bath or shower?
- Yes, it is fine to have a shower however, we would not recommend having a bath or using a hot tub following embryo transfer.
- Can I drink alcohol after embryo transfer?
- Experts are still unsure exactly how much – if any – alcohol is safe for you to have if pregnant, so the safest approach is not to drink at all.
- Can I fly after embryo transfer?
Yes, but you will need to try and keep active – move around where possible and stretch your calf muscles. Make sure you keep well hydrated and avoid alcohol. We generally suggest that after a positive pregnancy test and before your 6-week scan that you avoid long-haul flights until we know for sure that the pregnancy is developing correctly as there is always a small risk of ectopic pregnancy which may not always cause symptoms.
- Can I have intercourse after embryo transfer?
- Yes, there is no evidence to suggest that intercourse can cause problems but this should be avoided if there is a history of bleeding.
- Are there any foods which I should avoid after embryo transfer?
- Yes, the NHS guide on foods to avoid in pregnancy advises to avoid consuming:
- Mould-ripened soft cheeses with a white coating on the outside, such as brie and camembert. Soft blue cheeses such as Danish blue, Gorgonzola and Roquefort. Any foods made from unpasteurised milk, such as soft goats’ cheese
- Raw or undercooked meat, liver and liver products, all types of pâté, including vegetarian pâté and game meats such as goose, partridge or pheasant.
- Raw or partially cooked eggs that are not British Lion, duck, goose or quail eggs, unless cooked thoroughly until the whites and yolks are solid.
- Too much caffeine. You can have caffeine, but no more than 200mg per day. For example, there is 100mg in a mug of instant coffee, 75mg in a mug of tea (green tea can have the same amount of caffeine as regular tea), 40mg in a can of cola, less than 10mg in a 50g bar of plain milk chocolate.
Can I take a pregnancy test before the date that I have been advised? The urine pregnancy test will only give a reliable reading if done on the date given to you by the nurse on the day of embryo transfer. If performed earlier, it may give you a false reading.
- What should I do if I have some bleeding after embryo transfer? A little bleeding whilst you are waiting to do your pregnancy test or in early pregnancy can be common, please continue with your medication, you must do a urine test on the date given to you.
- If you are concerned or are experiencing any pain, please call the nursing team for advice.
What happens if I have a negative test? Please call us, we understand that this will be a difficult call for you to make which may take you a few days however please get in touch as we are here to support you. We can also arrange counselling if you feel this would be of benefit at this time.
You will be advised to stop your medication. If we do not hear from you will give you a courtesy call to check how you are and if you need anything. Will I be referred to the GP with a positive pregnancy result? Please call us with the results of your pregnancy test, we will arrange a scan appointment at WFI for approximately 3 weeks after you have a positive test.
If everything is fine, you will then be discharged from our care and you will need to go to your GP to organise ante natal care. Do I need to inform you of the outcome of the pregnancy? We have an obligation to the HFEA to inform them of all outcomes following IVF/ICSI treatment in the UK.
What happens if Canesten pessary does not dissolve?
However, if you notice pieces of undissolved pessary, speak to your doctor or a pharmacist, as the treatment may not have worked properly. If your vagina and vulva are itchy and sore, Canesten Cream should also be used. The symptoms of thrush should disappear within three days of treatment.
Why is my Canesten tablet not dissolving?
How should I use this medication? – Clotrimazole vaginal cream or tablets should be inserted high into the vagina once daily (preferably at bedtime) using the applicator(s) provided for 1, 3, or 6 days, depending on the specific product being used. Insert the applicator gently and deeply into the vagina, then slowly depress the plunger to release the tablet or instill the cream.
- A thin layer of the topical cream or vaginal cream can be applied to the vaginal area for relief of external symptoms 1 to 2 times daily as needed, as long as symptoms persist, for up to 7 days.
- Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications.
If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor. If you see undissolved pieces of the vaginal tablet the next day, the tablet may not have been inserted deeply enough or it may not have dissolved completely.
If this is the case, you may wish to consider switching to the vaginal cream to complete the treatment. Treatment with clotrimazole should not continue while you are menstruating. Choose a form of this medication that will allow you to complete your treatment before menstruation begins. Do not use tampons, douches, or vaginal spermicides while using clotrimazole.
It is important to use this medication exactly as prescribed by your doctor or recommended by your pharmacist. Continue to use this medication for as long as directed by your doctor or pharmacist, even if you start to feel better. If you miss a dose, use it as soon as possible and continue with your regular schedule.
If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. Store this medication at room temperature between 15°C and 30°C, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Can I pee with a pessary in?
Sizing and Preparation – Every vagina is different and requires a correctly fitted pessary to work well. The pessary should not only be comfortable but should not interfere with your ability to urinate. It should not fall out if you bear down or strain.
- Therapeutic pessaries are fitted in a healthcare provider’s office.
- To get the correct size, the healthcare provider will first perform a pelvic exam and try several different sizes until the right one is found.
- The largest size you can wear comfortably is usually the best choice.
- If a pessary is fitted correctly, the healthcare provider’s finger should pass easily between the pessary and the vaginal wall.
If a pessary is used to treat stress urinary incontinence, you may be asked to cough when the pessary is inserted and removed. The correctly fitted pessary will not fall out. There are factors that can interfere with the proper fit, including:
Previous pelvic surgeryObesityVaginal deformityHaving given birth multiple timesVaginal length of less than 2.75 inches (7 centimeters)A wider-than-normal introitus (vaginal opening)
The cost of a pessary is usually covered by health insurance, at least in part, if medically indicated. Most silicone pessaries last for around five years if used and cared for appropriately.
How do I know if Canesten pessary is working?
However, if you notice pieces of undissolved pessary, speak to your doctor or a pharmacist, as the treatment may not have worked properly. The symptoms of thrush should disappear within three days of treatment. If no improvement is seen after seven days you must tell your doctor.
Can my partner feel a pessary?
What’s it like having a pessary? – If you have a pessary that is the right size and in the right position, you won’t be able to feel it and you’ll be able to do all your normal activities. It’s also okay to have sex with a pessary and your partner should not be able to feel it. A pessary that is the wrong size can fall out but it cannot end up anywhere else in your body.
How long does thrush pessary take to clear?
The treatment is easy to use at home and irritating thrush symptoms should begin to disappear within 2 days. Canesten ® helps you feel comfortable again so you can get on with your life.
Is it normal for clotrimazole tablet to come out?
My Account Area – 1. Name of the medicinal product Clotrimazole 500mg Vaginal Tablet 2. Qualitative and quantitative composition Each tablet contains clotrimazole 500mg. Excipient with known effect: Each tablet contains 657mg of lactose. For the full list of excipients, see section 6.1.3.
- Pharmaceutical form Vaginal tablet White, oblong, uncoated tablets with “500” debossed on one side & plain on the other.4.
- Clinical particulars 4.1 Therapeutic indications Clotrimazole vaginal tablets are indicated for the treatment of candidal vaginitis.4.2 Posology and method of administration Posology The treatment consists of one vaginal tablet to be inserted at night, using the applicator provided.
Method of administration One 500mg tablet should be placed into the holder of the applicator. The applicator should be inserted as high as possible into the vagina. This is best achieved when lying back with legs bent up. The plunger is slowly pushed in as far as it will go depositing the tablet in the vagina.
The applicator should then be removed from the vagina and disposed of carefully, out of the reach of children. A second treatment may be carried out if necessary. Clotrimazole vaginal tablets need moisture in the vagina in order to dissolve completely, otherwise undissolved pieces of the tablets might crumble out of the vagina.
Pieces of undissolved tablets may be noticed by women who experience vaginal dryness. To help prevent this it is important that the tablet is inserted as high as possible into the vagina at bedtime. Treatment should not be performed during menstrual period due to the risk of the tablets being washed out by the menstrual flow.
The treatment should be finished before the onset of menstruation. Do not use tampons, intravaginal douches, spermicides or other vaginal products while using this product. Vaginal intercourse should be avoided in case of vaginal infection and while using this product because the partner could become infected.
Children: Not for use in children under 16 years of age.4.3 Contraindications Hypersensitivity to the active substance or to any of the excipients listed in section 6.1 4.4 Special warnings and precautions for use Medical advice should be sought if this is the first time the patient has experienced symptoms of candidal vaginitis.
Before using Clotrimazole vaginal tablet, medical advice must be sought if any of the following are applicable: • more than two infections of candidal vaginitis in the last 6 months. • previous history of sexually transmitted disease or exposure to partner with sexually transmitted disease. • pregnancy or suspected pregnancy.
• aged under 16 or over 60 years. • known hypersensitivity to imidazoles or other vaginal antifungal products. Clotrimazole vaginal tablet should not be used if the patient has any of the following symptoms where upon medical advice should be sought: • irregular vaginal bleeding.
- Abnormal vaginal bleeding or a blood-stained discharge.
- Vulval or vaginal ulcers, blisters or sores.
- Lower abdominal pain or dysuria.
- Any adverse events such as redness, irritation or swelling associated with the treatment.
- Fever or chills.
- Nausea or vomiting.
- Diarrhoea.
- Foul smelling vaginal discharge.
Patients should be advised to consult their physician if the symptoms have not been relieved within one week of using Clotrimazole vaginal tablet. Clotrimazole vaginal tablet can be used again if the candidal infection returns after 7 days. However, if the candidal infection recurs more than twice within six months, patients should be advised to consult their physician.
When used in pregnancy, the pessary should be inserted without using an applicator (see “Pregnancy”).4.5 Interaction with other medicinal products and other forms of interaction Laboratory tests have suggested that, when used together, this product may cause damage to latex contraceptives. Consequently the effectiveness of such contraceptives may be reduced.
Patients should be advised to use alternative precautions for at least five days after using this product. Concomitant medication with Clotrimazole vaginal tablet and oral tacrolimus (FK-506; immunosuppressant) might lead to increased tacrolimus plasma levels and similarly with sirolimus.
Patients should thus be closely monitored for signs and symptoms of tacrolimus or sirolimus overdosage, if necessary by determination of the respective plasma levels.4.6 Fertility, pregnancy and lactation Fertility: No human studies of the effects of clotrimazole on fertility have been performed; however, animal studies have not demonstrated any effects of the drug on fertility.
Pregnancy: There are limited amount of data from the use of clotrimazole in pregnant women. Animal studies with clotrimazole have shown reproductive toxicity at high oral doses (see section 5.3). At the low systemic exposures of clotrimazole following vaginal treatment, harmful effects with respect to reproductive toxicity are not predicted.
- Clotrimazole can be used during pregnancy, but only under the supervision of a physician or midwife.
- During pregnancy, the vaginal tablet should be inserted without using an applicator.
- Breast-feeding: There are no data on the excretion of clotrimazole into human milk.
- However, systemic absorption is minimal after administration and is unlikely to lead to systemic effects.
Clotrimazole may be used during lactation.4.7 Effects on ability to drive and use machines This medication has no or negligible influence on the ability to drive or use machinery.4.8 Undesirable effects Frequency not known. As the listed undesirable effects are based on spontaneous reports, assigning accurate frequency of occurrence for each is not possible.
Immune system disorders: Anaphylactic reaction, angioedema, hypersensitivity. Vascular disorder: syncope, hypotension. Respiratory, thoracic and mediastinal disorders: dyspnea. Gastrointestinal disorders: abdominal pain, nausea Skin and Subcutaneous Tissue Disorders : Rash, urticaria, pruritus. Reproductive system and breast disorders : Vaginal exfoliation, vaginal discharge, vaginal haemorrhage, vulvovaginal discomfort, vulvovaginal erythema, vulvovaginal burning sensation, vulvovaginal pruritus, vulvovaginal pain.
General disorders and administration site conditions: application site irritation, oedema, pain. Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product.
Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.4.9 Overdose No risk of acute intoxication is seen as it is unlikely to occur following a single vaginal or dermal application of an overdose (application over a large area under conditions favourable to absorption) or inadvertent oral ingestion.
There is no specific antidote. In the event of accidental oral ingestion, gastric lavage is rarely required and should be considered only if clinical symptoms of overdose become apparent (e.g. dizziness, nausea or vomiting). Gastric lavage should be carried out only if the airway can be protected adequately.5.
- Pharmacological properties 5.1 Pharmacodynamic properties Pharmacotherapeutic group: Gynaecological anti-infectives and antiseptics – imidazole derivatives ATC Code: G01A F02 Mechanism of action Azoles (e.g.
- Clotrimazole) are usually recommended for the local treatment of vulvovaginal candidosis that is characterized by vulvovaginal symptoms such as itching, burning, discharge, redness, swelling and soreness.
Clotrimazole acts against fungi by inhibiting ergosterol synthesis. Inhibition of ergosterol synthesis leads to structural and functional impairment of the fungal cytoplasmic membrane. Clotrimazole has a broad antimycotic spectrum of action in vitro and in vivo, which includes dermatophytes, yeasts, moulds etc.
Under appropriate test conditions, the MIC values for these types of fungi are in the region of less than 0.062-8.0 μg/ml substrate. The mode of action of clotrimazole is fungistatic or fungicidal depending on the concentration of clotrimazole at the site of infection. In-vitro activity is limited to proliferating fungal elements; fungal spores are only slightly sensitive.
Primarily resistant variants of sensitive fungal species are very rare; the development of secondary resistance by sensitive fungi has so far only been observed in very isolated cases under therapeutic conditions.5.2 Pharmacokinetic properties Pharmacokinetic investigations after vaginal application have shown that only a small amount of clotrimazole (3-10% of the dose) is absorbed.
Due to the rapid hepatic metabolism of absorbed clotrimazole into pharmacologically inactive metabolites the resulting peak plasma levels of clotrimazole up to 72 hours after vaginal application of a 500mg dose were less than 10 ng/ml, demonstrating that clotrimazole applied intravaginally is rapidly metabolised and does not lead to measurable systemic effects or side effects.
Binding of clotrimazole to blood serum proteins is about 98% in the undiluted serum, due to its highly hydrophobic properties. Clotrimazole is metabolised in the liver via oxidation and degradation of the imidazole cycle (desamination, O-desalkylation).
Thus inactive hydroxy derivatives occur. These agents are mainly excreted via the gallbladder with the faeces. The elimination half-life of clotrimazole is 3.5-5 hours.5.3 Preclinical safety data Non-clinical data reveal no special hazard for humans based on studies of repeated dose toxicity, genotoxicity and carcinogenicity.
Clotrimazole was not teratogenic in reproductive toxicity studies in mice, rats and rabbits. In rats high oral doses were associated with maternal toxicity, embryotoxicity, reduced foetal weights and decreased pup survival. In rats clotrimazole and/or its metabolites were secreted into milk at levels higher than in plasma by a factor of 10 to 20 at 4 hrs after administration, followed by a decline to a factor of 0.4 by 24 hrs.6.
Pharmaceutical particulars 6.1 List of excipients Adipic acid Microcrystalline cellulose Pregelatinised maize starch Sodium hydrogen carbonate Stearic acid Lactose Polysorbate Magnesium stearate Maize starch Colloidal silicon dioxide 6.2 Incompatibilities None known.6.3 Shelf life 5 years.6.4 Special precautions for storage Store at room temperature below 25°C.
Store in the original package.in order to protect from moisture.6.5 Nature and contents of container Original package contains 1 vaginal tablet with a disposable applicator. Each vaginal tablet is packed in an aluminium foil blister.6.6 Special precautions for disposal and other handling The vaginal tablet is to be taken out of the aluminium package and inserted into the holder of the disposable applicator.
The disposable applicator is to be inserted into the vagina as high as possible. By carefully pushing the inner plunger as far as it will go, the tablet is placed in the vagina. After usage, the disposable applicator is to be removed from the vagina and safely disposed of, out of the reach of children.
Any unused medicinal product or waste material should be disposed of in accordance with local requirements.7. Marketing authorisation holder Tillomed Laboratories Ltd 220 Butterfield Great Marlings Luton LU2 8DL United Kingdom 8. Marketing authorisation number(s) PL 11311/0042 9.
Is one Canesten pill enough?
In general, a single dose treatment will be sufficient for Candida vaginitis. The CANESTEN 1 Vaginal Tablet should be inserted, preferably at night, into the vagina as deeply as possible (see instructions for use of applicator).
How far up does a pessary go?
Insert the folded pessary into the vagina (long ways) as far back as you can. It will open up into its normal shape when you let go on the ring. Use your index finger to make sure the rim is behind the pubic bone. If you are left handed, place your right foot up on a chair, low stool, or toilet.
Can you shower after pessaries?
You may remove your pessary more often at night if desired and to have sex. pessary will need to be removed. You may bathe and shower as usual.
What happens after inserting Canesten?
Side effects from the pessary or internal cream If you are using clotrimazole pessaries or internal cream, common side effects include: discomfort or swelling in or around your vagina. pain or a burning or stinging feeling after putting the pessary in.
Is it OK to use Canesten pessary twice?
How does clotrimazole work? Clotrimazole works by killing the fungus (yeast) that is causing the infection. Clotrimazole kills fungus by causing holes to appear in its cell membrane and the contents leak out. This kills the fungus and treats the infection.
When will I feel better? External symptoms such as itching and discharge should get better within 3 days. Talk to a doctor if your symptoms do not get better or get worse. If internal symptoms such as pain or soreness do not go away within 7 days, talk to a doctor. You may need a longer course of treatment or a stronger medicine.
If your vaginal thrush improves within 7 days but then comes back after 7 days, you can use another pessary or internal cream. Are there any long-term side effects? Do not use clotrimazole for more than 14 days unless a doctor tells you to. The fungal infection may become resistant to clotrimazole which means it will no longer work properly.
econazolemiconazole ketoconazole fenticonazole
These are available as creams and pessaries for treating thrush. You will need a prescription from a doctor for these medicines. There is also an antifungal medicine called fluconazole which is available as a capsule that you swallow. You can buy it from a pharmacy for treating thrush of the vagina or penis.
Ask a doctor or pharmacist what medicine is best for you. Is thrush a sexually transmitted infection (STI)? No, thrush is not an STI, but it can sometimes be passed on by having sex. It’s best to avoid having sex until thrush has cleared up. Clotrimazole cream can damage the latex used in contraceptives such as condoms and diaphragms.
Will it affect my contraception? It’s best to avoid sex until thrush has cleared up. Clotrimazole cream can damage the latex used in condoms and diaphragms. This can mean your contraception will not work as well as it should. Clotrimazole will not stop other types of contraception from working, including the combined pill or emergency contraception,
Wash daily and dry the affected area properly after washing.Avoid using perfumed soaps or deodorants.Avoid hot baths and perfumed bath oils.Wear cotton underwear.Avoid wearing tights or tight underwear.Avoid sex until thrush has cleared up.
Page last reviewed: 2 November 2022 Next review due: 2 November 2025
How long does thrush pessary take to clear?
The treatment is easy to use at home and irritating thrush symptoms should begin to disappear within 2 days. Canesten ® helps you feel comfortable again so you can get on with your life.
