The most popular remedy for thrush. Effective and inexpensive drugs for thrush for women. The best products for intimate hygiene during treatment

Updated: 26.08.2018 17:07:19

Expert: doctor - Boris Kaganovich

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

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

In modern dermatovenereology and gynecology, there is a large number of various means for the treatment of thrush, or vaginal candidiasis. Consider the most popular and effective drugs for the elimination of candidal infections. exist as a means of local application, in the form of suppositories, ointments and gels, and preparations in tablets. The most common and sold are candles.

Rating of the best remedies for thrush

The best candles for thrush

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

Also, suppositories are most often produced not with one medicinal preparation, but with several components, which acts on the fungus more effectively than ointment. Therefore, in the event that the gynecologist prescribed a suppository to a patient with vaginal candidiasis, this can be considered the most effective way elimination of fungal infections. Sometimes the fat-soluble suppository base is replaced by another, in which case a topical form is obtained, which are called vaginal tablets.

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

What are the benefits of using suppositories to treat thrush?

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

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

Klion-D (metronidazole + miconazole)

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

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

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

Advantages and disadvantages

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

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

Livarol (ketaconazole)

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

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

Advantages and disadvantages

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

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

Betadine (povidone-iodine)

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

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

Suppositories with Betadine are indicated in the complex therapy of endometritis, vaginitis and bacterial vaginosis, with trichomoniasis, candidal colpitis, and also as a prophylaxis before surgery.

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

Advantages and disadvantages

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

Zalain (sertaconazole)

Advantages and disadvantages

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

Macmirror Complex (nystatin + nifuratel)

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

Advantages and disadvantages

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

The best ointments and creams for thrush

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

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

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

Pimafucin (natamycin)

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

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

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

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

Advantages and disadvantages

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

Candide (clotrimazole)

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

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

Advantages and disadvantages

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

Gynofort cream (butoconazole)

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

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

Advantages and disadvantages

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

The best pills for thrush

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

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

Diflucan (fluconazole)

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

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

Advantages and disadvantages

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

Orungal, Irunin, (itraconazole)

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

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

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

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

Advantages and disadvantages

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

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

Attention! This rating is subjective, is not an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

The pharmaceutical industry today offers a wide range of products for the treatment of vaginal candidiasis, for every taste and budget.

In addition to cost, drugs differ in composition, method and duration of use, the presence or absence of side effects, the possibility of use during pregnancy and lactation.

In this article, we will look at the most popular drugs for thrush in women.

Treatment of thrush with fluconazole or flucostat

Fluconazole is an antifungal drug a wide range actions, including it is active against Candida fungi. It is today one of the most effective and popular means in the treatment of vaginal candidiasis in women. It is used in the form of tablets for oral administration.

Unlike local antifungal drugs, in most cases does not require long-term treatment.

It is enough to take one tablet to suppress the activity of fungi and get rid of thrush.

The tablet can be taken regardless of the meal and time of day. After oral administration, fluconazole is rapidly absorbed into the blood and remains in the blood at a high concentration for 72 hours.

Thus, the effect of the drug will not keep you waiting. Within 1-2 days after taking the pill, you can forget about thrush. The exception is chronic candidiasis in women, which require more serious and long-term treatment under the supervision of a doctor.

Due to systemic action, fluconazole is contraindicated in women during pregnancy and lactation.

There are quite a lot of fluconazole preparations today, the following are the approximate prices of 1 capsule of some drugs at a dosage of 150 mg:

Flucostat - $ 5.5;
Mikosist - $ 7;
Diflucan - $ 11;
Fluconazole - $ 0.5.

What to choose, imported drugs such as diflucan and mycosyst, or domestic fluconazole and flucostat, it's up to you. They have the same active ingredient.

With all questions and doubts, it is best to consult a doctor to prescribe competent treatment, taking into account individual features and material opportunities.

Video: "Is a single dose of fluconazole preparations enough for thrush?"

Clotrimazole (ointment and suppositories) for thrush

Clotrimazole, like fluconazole, is an antifungal drug with a fairly wide spectrum of action.

For the treatment of thrush, vaginal suppositories and ointment are used. More often, of course, candles are used for treatment in women, but the ointment is also actively used in gynecology, because. in some cases, in order to achieve the effect, in addition to using candles, it is necessary to apply ointment to the external genital organs and the skin of the perineum.

It is also important to remember that if thrush is found in a woman, her sexual partner must also be treated.

Men are prescribed clotrimazole in the form of an ointment.

Clotrimazole preparations are usually well tolerated and rarely cause adverse reactions, but women during pregnancy and lactation clotrimazole is contraindicated.

Candles vaginal clotrimazole No. 6 - the average price is $ 1.5.

Natamycin or pimafucin (candles) for thrush

The most important plus of natamycin is that this remedy is low-toxic, and therefore it can be used during pregnancy and lactation (and such women are just more vulnerable to candidiasis due to the effect of hormonal levels on the vaginal biocenosis).

For the treatment of thrush in women, 1 suppository is used at night for 3-6 days.

Accordingly, there are 2 forms of release of packages - 3 and 6 suppositories each:

Pimafucin (supp. vagin. N3) - the average price is $ 9;
Pimafucin (supp. vagin. No. 6) - the average price is $ 15.

Candles livarol from thrush

The active ingredient in Livarol is ketoconazole, an effective antifungal drug. Also, ketoconazole is effective against some bacterial agents, and therefore it can be prescribed for the treatment of fungal and bacterial diseases.

The course of treatment is usually 5 days. Candles are inserted deep vaginally at night. Rarely, adverse reactions may occur in the form of itching, burning, nausea and vomiting.

Contraindications for the use of livarol are the age of up to 12 years, hypersensitivity to clotimazole, the first trimester of pregnancy.

In the second and third trimesters of pregnancy, livarol is prescribed with caution.

When treating with Livarol, contact with latex products (condoms, contraceptive diaphragms) should be avoided.

Livarol (supp. vagin. 400 mg.) No. 5 - the average price is $ 9.

Candles terzhinan and nystatin for thrush

Terzhinan is a combination drug that has antifungal, antimicrobial, anti-inflammatory and antiprotozoal effects.

It consists of: ternidazole and nystatin - antifungal agents, neomycin - a broad-spectrum antibiotic, prednisone - has a pronounced anti-inflammatory and anti-allergic effect.

Due to the presence of two antifungal drugs, terzhinan is effective medicine from thrush in women.

Available in the form of vaginal tablets. The course of application is 10 days. You may experience a burning sensation and itching at the beginning of the use of terzhinan.

Contraindicated in case of individual sensitivity to the components of the drug, as well as in the first trimester of pregnancy.

For the treatment of thrush, you can also use regular nystatin in candles. But unlike other drugs, it has more contraindications for use are liver diseases, pancreatitis, peptic ulcer stomach and duodenum, pregnancy, hypersensitivity to the components of the drug:

Terzhinan (vagin. tab. N10) - the average price is $ 9;
Nystatin (supp. vag. 250 TED N10) - the average price is $ 1.4.

Hexicon candles for thrush

Hexicon is a local antiseptic. The active ingredient is chlorhexidine digluconate, which is active against various protozoa and bacteria (causative agents of chlamydia, ureaplasmosis, gonorrhea, syphilis, trichomoniasis, gardnerellosis), usually sexually transmitted.

Also chlorhexidine is good prophylactic after childbirth, abortion and other gynecological manipulations. But mushrooms, including Candida, are not sensitive to it. Therefore, the use of chlorhexidine in candidiasis is not advisable, because. it will not give the desired therapeutic effect. The appointment of hexicon is possible in the case of complex therapy of fungal-bacterial infections.

Hexicon (suppositories. vagina. 16 mg N10) - the average price is $ 6.

Miramistin with thrush

Miramistin is antiseptic preparation local application. The spectrum of its action is very wide. Miramistin is active against many gram-positive and gram-negative bacteria, including spore-forming and antibiotic-resistant strains.

Due to this, Miramistin is actively used in various areas medicine - surgery, gynecology, otorhinolaryngology, dentistry. It is also effective against fungi, including the genus Candida.

For the treatment of thrush, the vagina is irrigated with Miramistin solution using a spray nozzle. In addition to irrigation, applications with Miramistin solution and intravaginal plugging can be used. The course of treatment is usually 5-7 days.

The safety of the drug allows it to be used by women during pregnancy and lactation.

Miramistin (solution local 0.01% - 100 ml) - the average price is $ 3.7.

Sodium tetraborate for thrush

Another remedy for treating thrush is sodium tetraborate or borax. It has the ability to remove the Candida fungus from the human mucosa, as well as inhibit its reproduction.

But this drug does not have fungicidal activity, i.e. it does not kill the fungus. Therefore, it is usually prescribed in complex therapy with a drug that has a fungicidal effect.

Available in the form of a solution in glycerin. For treatment, a tampon soaked in borax is inserted into the vagina. The tampon must be left for 20-30 minutes and then removed. Duration of application averages 7 days. This method of treating thrush, of course, is cheap, but it will cause a lot of trouble for a woman.

Sodium tetraborate (Bura) solution in glycerin 20% - the average price is $ 1.

Despite the fact that today all preparations for thrush can be freely bought in pharmacies and begin treatment on your own, it is still better to first seek the advice of a competent specialist in order to avoid chronic candidiasis acquired through uncontrolled self-medication in the future.

Almost all women are familiar with the signs and symptoms of thrush. Unpleasant sensations, discharge and a feeling of discomfort bring a lot of inconvenience. To prevent development chronic form diseases, it is necessary to treat candidiasis.

Ketoconazole - one of the remedies for thrush

stress, nervous tension, malnutrition, lack of personal hygiene, weakening of the body and a drop in immunity, taking antibiotics and hormonal drugs are the main causes of thrush. When the first symptoms appear, you should consult a doctor to prescribe a course of medications that prevent further development diseases.

Types of drugs

There are two groups of drugs against thrush in women, differing in the method of influencing the body:

drugs local action(candles, ointments and creams);
means of systemic treatment (impact on the causative agent of the disease through gastrointestinal tract).

Depending on the active substance, which are present in the preparations against thrush in women, there are:

triazole derivatives;
imidazole derivatives;
polyene antibiotics;
imidazoledioxalane derivatives.

You can effectively treat candidiasis with pills and suppositories. In the chronic course of the disease, complex therapy is necessary, combining the administration of drugs and the use of local funds.

Clotrimazole is a topical drug

Local preparations

The first group of drugs against thrush in women is used in the initial stages of the disease, as well as in mild form. The main component acts in a gentle mode, enters the body minimum concentration medicinal substances. Effective drugs local action for symptoms of thrush:

Ketoconazole (cream and suppositories). The active substance (ketoconazole) has an antifungal effect on the infectious agent. The cream is distributed to the affected areas of the vaginal mucosa 2-3 times a day. The course of treatment is 5-14 days. Candles are inserted inside 1 time per day for 7-14 days.
Clotrimazole (vaginal tablets, gel, cream). The main component is an imidazole derivative. The action is based on a violation of the synthesis of ergosterol (a specific substance of the fungus of the genus Candida). As a result, the growth of cell membranes completely stops, pathogenic bacteria die. The gel (cream) is injected into the vagina at a dose of 5 g daily. The course of treatment for the acute form of the disease is 3 days, for the chronic course - 14 days. Vaginal tablets are administered into the vagina at a dosage of 500 mg once. At a lower dosage (100 and 200 mg), treatment is carried out for 7 and 3 days, respectively.
Nystatin is a topical antibiotic with the main active antibacterial substance of the polyene series. Affects the membrane of bacteria, as a result of which they die. Tablets are inserted vaginally 2 times a day. The ointment is applied to the affected areas 2 times a day. The course of treatment is 10 days.
Pimafucin with active component groups of polyenes - macrolide. Causes damage to the cell membrane, which leads to the death of bacteria. Candles are used (1 time per day vaginally for 3-6 days) and cream (up to 4 times a day for 10-14 days).
Klion-D - candles with a combined composition of metronidazole and miconazole. Suppositories are administered vaginally once a day for a week.
Terjian - candles with complex composition components: ternidazole, neomycin, nystatin, prednisolone. Candles are administered 1 time per day for 10 days. They have antifungal, antimicrobial and anti-inflammatory effects. Due to the composition, they are considered the most effective medicine against thrush.
Ginezol - prophylactic suppositories with antifungal properties based on miconazole. Apply daily 1 time per day for a week.
Candles livarol based on ketoconazole, which have antifungal properties. Apply vaginally 1 piece a day at night. Suppositories are inserted as deeply as possible for an extensive effect on the affected tissues of the vagina. You can treat no more than 5 days.
Hexicon is a local antiseptic. The drug is based on chlorhexidine biglucon, which has antifungal action broad spectrum to eliminate the symptoms of the disease. It is used for 10 days, 1 candle per day.
Miramistin - antiseptic solution local use. The drug is used for irrigation of the genital organs (using a special nozzle) and for the preparation of tampons. It takes 7 to 10 days to treat the disease.
Borax (sodium tetraborate) - stops the growth of the fungus in the microflora of the vagina and promotes the removal of pathogenic bacteria from the body. The drug does not have fungicidal activity, therefore it is not able to destroy the cell membrane of microorganisms. It is used only in addition to antifungal agents and to eliminate the main symptoms. For the treatment of thrush, gauze swabs are prepared, on which a liquid solution is applied. The tampon is inserted vaginally for 20-30 minutes. The course of treatment does not exceed 7 days.

Treatment for thrush in women with local preparations will only be effective when simultaneous reception antifungal tablets and antimicrobials. Some local medicines eliminate only the symptoms of the disease.

Ginezol is used to prevent thrush

Treatment with pills

Systemic drugs act on pathogenic microorganisms through the gastrointestinal tract. The course of treatment is noticeably reduced, compared with the use of local suppositories and ointments. On average, therapy against the disease in women takes 1-3 days. The active substance has a detrimental effect on the fungus not only in the microflora of the vagina, but throughout the body.

Depending on the active ingredient in the composition of the tablets, there are several groups of drugs against thrush in women.

Diflucan, flucostat, fluconazole, mycomax, difluzol. The active substance is fluconazole. A single dose of 150 mg is required.
Ketoconazole, Nizoral. The active substance is ketoconazole. It is necessary to take one tablet per day for 3-5 days.
Nystatin with the active ingredient nystatin. The course is designed for 10-14 days, 1 tablet is taken at least 3 times a day.
Pimafucin based on natamycin. Tablets are taken at 100 mg for 3-5 days.
Miconazole, funginazole, miconazole-based miconazole. The dosage is 250 mg per day for three consecutive days.

Due to the rapid absorption into the blood, the active substance instantly penetrates to the affected areas of the body, eliminating all the symptoms of thrush. The most commonly used preparations based on fluconazole with a single dose of tablets.

Thus, the concentration of medicinal substances in the blood will be minimal for women, but detrimental to pathogenic fungi. To avoid reinfection, it is necessary to simultaneously treat two sexual partners.

A variety of drugs for thrush can eliminate the symptoms of the disease, stop growth pathogenic microorganisms in the vagina, normalize acid-base balance. Competent treatment prescribed by a doctor contributes to the rapid recovery of a woman.

Most women at least once in their lives have encountered such a phenomenon as thrush. The disease in a mild form does not cause significant harm to health, it can be easily cured with antifungal agents. However, chronic candidiasis can cause significant damage in the form of weakening immune system and even violations reproductive function women.

In this article, we will talk about how to quickly get rid of thrush, what drugs exist for this, and how long it takes to recover from this disease.

In what shortest time can thrush be cured? To date, pharmacology offers a large selection of drugs that can overcome candidiasis in 3 days. However, this does not mean that you should go to the pharmacy and buy a "miraculous" pill. In fact, at the first signs of candidiasis, it is worth contacting a gynecologist, who, based on big picture disease, will make a choice in favor of a particular medication.

The chronic form of the disease indicates the wrong treatment of women at the very beginning of the disease.

The doctor will take a swab from the vagina, which will help determine which bacteria and fungi multiply in the body. According to the result of the analysis, he will determine the method of treatment for thrush. On the this moment there are funds that help restore the female microflora for a period of 1 to 5 days. Fast and effective treatment of thrush is possible with initial stage illness.

What drugs and prescriptions to use?

Medicine distinguishes 2 types of medicines that help overcome thrush.

Important! In order to quickly and permanently cure thrush, you need to use both types, using one method will not be able to help you effectively get rid of the disease.

To quickly cope with thrush, you need to comprehensively approach this issue - use local remedies, oral medications and folk recipes.

Means of local action

For quick treatment candidiasis in women, it is necessary to use the following local remedies, which give an instant effect, quickly relieve itching and burning in the genitals. They have minimal side effects. If the thrush has not become chronic, has arisen for the first time or appears no more than 1 time per year, then it can be cured with the following drugs:

Systemic treatment of thrush

Topical agents have proven to be highly effective, but it will be difficult to consolidate the achieved result without oral drugs that have a complex effect. The tablets used to treat thrush are highly effective, they cure in 90% of cases, as they transfer the active substance with blood directly to the focus of the fungal infection. Many systemic drugs based on fluconazole. If thrush in women has light form, then he prescribes a single dose of medication.

The most widely used means:

Important! You can’t self-medicate, because instead of getting rid of thrush, there is a risk of acquiring a chronic form of the disease, which is much more difficult to cure.

Thrush or vaginal candidiasis is a type of fungal infection that is provoked by microscopic yeast-like fungi from the genus Candida. The most common type is Candida albicans. It should be taken into account that all representatives of this genus are conditionally pathogenic microorganisms, which is due not to the presence of natural inhabitants of the mucosa itself, but to their mass reproduction or colonization of pathogenic strains.

One of the main causes of thrush is represented by a decrease in immunological status. Depending on the degree of Candida activity and the stage of the disease, can be used various forms medicines. In this article, we will try to figure out which medicines for the treatment of thrush are better to choose.

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Effective pills for thrush for women

Treatment of thrush with drugs in the form of tablets has an undeniable advantage, which is determined by the systemic action, and the average duration of treatment does not exceed three days. In addition, the use of tablets contributes to the elimination of the fungus throughout the body and is not of a local nature.

Main active substances included in antifungal drugs are:

fluconazole, which is Diflucan, Flucostat, Diflusol and Mycomax. Tablets and capsules must be taken once at a dose of 150 mg;
ketoconazole, on the basis of which Ketoconazole and Nizoral. The course of treatment with the drug does not exceed five days, and the dosage depends on the severity of the course of the disease and can be 1 or 2 tablets daily;
nystatin, which gave the name to the drug of the same name Nystatin. The active substance is 500 thousand units for each tablet. The duration of treatment can be two weeks, during which one tablet should be taken three times a day;
natamycin, with the use of which a modern drug is produced. The drug is used at a dosage of 100 mg for five days;
miconazole, as part of preparations Funginazole and Mikatin. One tablet is taken daily for three days.

What candles from thrush are better?

belong to the category of the most convenient means for local therapy of vaginal candidiasis. Deep penetration of the acting active substance antifungal nature in the layers of the mucous membrane of the vagina contribute to the effective destruction of the pathogen and the elimination inflammatory process, which has a beneficial effect on reducing the feeling of discomfort.

The intensity of symptoms, as well as the presence of a process at an acute or chronic stage, influence the choice of a course of therapy. Quite often, a single use of suppositories against thrush is sufficient, however, in the presence of a chronic form of the disease or a deeply rooted process, a longer course of use of vaginal suppositories is required for treatment.

To the most effective candles from thrush include:

Zalain or Lomexin- many consider them the best candles from thrush, since the standard course of treatment is only one suppository;
Livarol, Pimafucin or Gino-pevaril- the standard course of treatment is three suppositories;
Macmirror, Ginezol, Clotrimazole, Iodoxide, Polizhmnaks, Nystatin, Terzhinan and Irunin- the standard course of treatment varies from five to fourteen suppositories.

Vaginal suppositories are not indicated for use during menstruation. The exceptions are suppositories based on Povidone-Iodine, which is part of Iodoxide and Betadine, as well as Sertaconazole, represented by Zalain.

See also: in violation of the menstrual cycle.

Ointments and sprays for thrush

Modern pharmaceutical industry represents a rather limited number of antifungal drugs produced in the form of ointments and sprays. special attention deserve the following medicines in the form of ointments and creams for thrush:

Gynofort;
Nystatin;
Miconazole;
Pimafucin;
Clotrimazole;
Nizoral;
Fluconazole;
Candide.

It should be remembered that such funds are extremely rarely assigned as the main ones. Most often, antifungal creams, ointments and sprays are involved in complex therapy, due to their low activity in case of massive damage by yeast-like fungi from the genus Candida.

Diet for thrush in women

If vaginal candidiasis occurs or worsens, you should pay attention to the use of certain foods that are characterized by the presence of antifungal and antibacterial properties. In addition, an excellent addition to drug treatment is the use of products that increase immunity.

One of the strongest antibacterial agents natural origin is garlic.

It is especially important to include the following foods in your daily diet:

natural yoghurts and kefir;
fresh or stewed vegetables;
green spices in the form of dill and parsley;
steamed lean meat;
meat by-products and seafood;
vegetable fats;
some types of berries and fruits;
cereals in the form of cereals.

Treatment of thrush with folk remedies

Natural natural ingredients, including herbal preparations, berries and minerals are quite often used as a supplement to pharmacological preparations. from traditional drugs folk methods treatments for thrush compare favorably with more mild action, good tolerance, practically total absence side effects and safety. By way of influence folk remedies from thrush are divided into the following categories:

anti-inflammatory drugs, represented by chamomile, calendula, St. John's wort, celandine, yarrow, succession and oak bark. Decoctions of these herbs are used not only for douching and bathing, but also inside;
antipruritics, which include chamomile and string;
bactericidal and fungicidal agents, in the form of celandine and garlic, which are used for vaginal douching;
wound healing agents, with regenerative properties. Such qualities are inherent in yarrow, calendula, chamomile and St. John's wort;
general tonic and immunostimulating agents, which category includes some berries and herbal adaptogens.

Summing up:

During treatment vaginal candidiasis many different means are used, which include tablets, capsules, suppositories, ointments, sprays, creams and folk remedies. The main task of all these funds is to provide antifungal and anti-inflammatory action. When choosing a method for treating thrush, it should be borne in mind that folk remedies can only supplement drugs, but not replace them.
The full course of treatment should be completed by two sexual partners, even in the absence of clinical manifestations. In addition, the appointment of the correct treatment regimen, which contributes to the most rapid and complete recovery, should be entrusted to doctors. Self-treatment of candidiasis provokes the transition acute form disease into a chronic one.