What to take for candidiasis. Thrush (candidiasis in women)

Content

One of the most common infectious diseases today is candidiasis. It is caused by pathogenic fungi in the presence of favorable conditions for reproduction. It is important to know what remedies for thrush exist that are inexpensive and effective in order to start the fight against the disease in time when the first symptoms appear. In addition, for successful therapy, it is useful to study in more detail the features and causes of the development of the disease.

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 infection is a member of the microflora of the oral cavity and large intestine and does not harm health in small quantities. A sharp reproduction of pathogenic microorganisms begins under the influence of certain factors. To prevent the development of candidiasis, it is worth knowing the causes of the appearance of pathology.

Among the factors provoking thrush, it is worth noting the following:

  1. Weak immunity.
  2. Violation of metabolism (metabolic processes in the body).
  3. Treatment with antibiotics.
  4. Diabetes.
  5. The body of pregnant women (especially in the 3rd trimester).
  6. The body of newborn babies (a child can become infected with candidiasis during childbirth or during feeding).

Thrush symptoms

After infection with candidiasis, signs of the disease appear almost immediately. The main symptoms of a fungal infection are listed below:

  • burning sensation in the vagina in women;
  • pain during intercourse and urination;
  • curdled discharge in women;
  • plaque on the penis of white color in men.

Treatment of thrush

The disease is very unpleasant and dangerous, therefore, a set of measures is recommended to combat it. Even the best remedy for thrush is not able to permanently destroy microorganisms and prevent recurrence of the disease, without additional measures. Therapy for candidiasis should include the following steps:

  1. Identification of the causative agent of infection, determination of the susceptibility of the microorganism to a particular drug.
  2. Restoration of acidity and internal microflora of the body.
  3. Strengthening immunity.
  4. Therapy of concomitant hormonal disorders.
  5. Rejection of bad habits.
  6. Treatment of genital infections (if any).

Tablets

Most of the patients and patients, when symptoms of candidiasis are detected, prefer to fight the disease with pills. Among the advantages of this form of drugs, it is worth highlighting the following:

  1. Rapid effect of therapy.
  2. Oral drugs destroy fungal cells not only in the focus of infection, but also throughout the patient's body.
  3. 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 reproduction of pathogenic microorganisms. The speed of their assimilation is different, so the tablets are taken in different dosages. All medicines for candidiasis contain one of the active ingredients:

  1. Fluconazole. The component is part of such tablets as Mikomax, Diflucan, Flucostat. Apply drugs with fluconazole 150 mg once. As a rule, the dose is enough for a complete recovery.
  2. Natamycin- a component of Pimafucin antifungal tablets. Medicines based on this substance are prescribed in a course for several days. The patient should take 1 tablet per day.
  3. Nystatin is part of 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.
  4. Miconazole- the active ingredient in Mikatin, Miconazole, Funginazole. Therapy with tablets based on this substance is 3 days, 1 pc. per day.
  5. Ketoconazole component of the drug of the same name and Nizoral tablets. Every day they take medicines with this substance, 1-2 pcs. The course of treatment is calculated individually up to 5 days.

Popular thrush pills for women

An effective drug for systemic therapy of diseases caused by pathogenic fungi is Nizoral. It is produced on the basis of ketoconazole, a substance with a pronounced mycostatic and antifungal effect. 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.

The advantages of the drug:

  • does not enter the general circulation;
  • regulates the composition of the microflora of the vagina;
  • fights different types of pathogenic fungi;
  • effective for infections of varying severity.

Disadvantages:

  • causes an allergy in patients with hypersensitivity to components;
  • contraindicated in pregnancy, diseases of the liver, kidneys;
  • can provoke violations of the gastrointestinal tract, central nervous system, blood clotting.

Fluconazole - strong inexpensive capsules based on the component of the same name. After taking the medicine, it prevents the growth and reproduction of candidiasis pathogens. Mild forms of fungal infections are eliminated by these capsules after applying 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 body of a particular patient.

The advantages of the drug:

  • low cost;
  • rapid absorption of components into the blood;
  • active destruction of infectious agents;
  • rapid normalization of mucosal microflora;

Disadvantages:

  1. Capsules are contraindicated in pregnancy, lactation, kidney and liver diseases.
  2. The components of the drug can affect the work of the central nervous system, gastrointestinal tract.
  3. Against the background of therapy, the development of allergies is possible.
  4. Exceeding the recommended dose can cause mental disorders, hallucinations.

Mycosyst is another well-known oral remedy for candidiasis. The drug is produced in Hungary on the basis of fluconazole, it has a pronounced antifungal effect. Before using the tablets, it is important to study the contraindications, which the drug has a lot of. The treatment regimen is determined by the doctor after a complete examination of the patient.

The advantages of the drug:

  • fast action;
  • active destruction of various types of infectious agents;
  • prevention of recurrence of the disease.

Disadvantages:

  1. Tablets are not prescribed for breastfeeding, pregnancy.
  2. The active substances of Mycosyst can adversely affect the functioning of the central nervous system, gastrointestinal tract.
  3. The patient may develop an allergy to the components of the drug.
  4. Exceeding the dose provokes mental disorders.
  5. The medicine is not suitable for patients with impaired renal function, liver.

Clotrimazole - intravaginal tablets for thrush. The tool is made on the basis of the component of the same name, it is active against yeast-like fungi and other pathogens of genital infections. Each tablet contains 100 mg of clotrimazole. The agent acts on pathogenic microorganisms, prevents them from developing and multiplying. The course of application of tablets is calculated individually from 6 to 14 days.

The main advantages of Clotrimazole:

  • rapid excretion of potassium from the body;
  • active destruction of cells of pathogenic microbes and nucleic acids;
  • fight against inflammatory processes in the body.

Disadvantages:

  1. Tablets are not prescribed for people with hypersensitivity to the main or additional components.
  2. The drug is contraindicated in the first trimester of pregnancy, during lactation.
  3. You can not use the drug 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 tool has a wide spectrum of action, has a minimum number of contraindications, is not absorbed into the general bloodstream from the stomach. Pimafucin destroys the pathogens of candidiasis by acting on their cell membrane. The treatment regimen and dosage of the drug are set by the doctor.

The benefits of the drug:

  • a small number of contraindications;
  • effectiveness against various forms of candidiasis;
  • treatment of concomitant bacterial pathologies;
  • few side effects;
  • pills are not addictive;
  • effectiveness in the chronic form of candidiasis;
  • the possibility of therapy during pregnancy, lactation.

Disadvantages:

  • incompatibility of Pimafucin with alcohol;
  • you can not drink tablets with other antibacterial agents;
  • in the first days of treatment, there may be violations of the gastrointestinal tract.

Candles

In addition to systemic drugs with antifungal action, women are often prescribed suppositories for candidiasis to treat thrush. This form of medicine has its advantages:

  1. Suppositories are easy to use.
  2. The form is suitable for the treatment of thrush with deep localization in the vagina.
  3. There is a remedy in the form of suppositories for the prevention of infection (Ginezol).
  4. Most drugs are made on the basis of several components, which increases their effectiveness.

In addition to the visible advantages, this form has significant disadvantages:

  1. Candles act inside the body, not suitable for external use.
  2. Do not use this form of medicine during menstruation.
  3. As a rule, candles are part of complex therapy due to the inability to cure thrush alone.
  4. To achieve the desired result, patients must strictly adhere to the treatment regimen.

Local therapy of infectious and inflammatory diseases of the female reproductive system not only allows you to destroy pathogens, but also inevitably leads to an imbalance in the beneficial microflora of the vagina and a decrease in local immunity. If you do not make a quick recovery of lactoflora, activation of conditionally pathogenic microflora is possible, which will lead to an exacerbation of thrush or bacterial infections. For the same reason, antifungal therapy for vaginal candidiasis may not be effective enough. Therefore, after the first stage of treatment aimed at eradicating the infection, it is important to carry out the second stage - to restore the balance of beneficial microflora with the help of Lactoginal capsules. This is the only tribiotic drug registered in the Russian Federation. Laktozhinal quickly restores pH, vaginal microflora and protects against re-aggravation of bacterial vaginosis and thrush for a long time. Two-stage therapy has recently become the gold standard for the treatment of conditions accompanied by pathological discharge. Many experts believe that only this method can provide a pronounced and long-term therapeutic effect, strengthen local immunity, which serves as a prevention of subsequent exacerbations.

Effective candles in the treatment of thrush

Inexpensive but effective remedy for candidiasis Livarol has a lot of positive reviews. The drug is suitable only for those patients who first encountered thrush. 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, 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 walls of the vagina, normalization of microflora.

Disadvantages:

  • you can not use candles in the early stages of pregnancy;
  • the drug can provoke irritation of the vaginal mucosa;
  • low efficiency with repeated use.

Nystatin- an inexpensive remedy for thrush with a pronounced antifungal effect. It is used in the initial stages of candidiasis, is ineffective against pathogenic bacteria. A medicine is produced based on the polyene antibiotic levorin. The component is able to destroy the cells of the fungus and slow down their reproduction. Nystatin suppositories are prescribed to patients for the treatment of various forms of candidiasis or for the prevention of infection.

Advantages of the drug:

  • pronounced antifungal action;
  • efficiency even with re-infection;
  • elimination of unpleasant symptoms after the first day of therapy;
  • relatively low toxicity.

Disadvantages:

  • the medicine is not prescribed during pregnancy, violations of the liver;
  • suppositories can cause chills or dysbacteriosis;
  • lack of effectiveness of therapy for bacterial infection.

Polygynax- a drug with a combined action in the form of vaginal suppositories. The tool 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, prevent 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 tool:

  • easily tolerated;
  • suitable for prevention and treatment;
  • does not affect the microflora, is not active against lactobacilli;
  • quickly relieves the symptoms of the disease;
  • stabilizes trophic processes in the mucosa.

Disadvantages:

  • high price;
  • the possibility of developing irritation, burning;
  • the appearance of greasy stains on linen during therapy;
  • allergy in patients with hypersensitivity to components.

Terzhinan- a remedy for the treatment of gynecological pathologies of local application. To date, the drug has no structural analogues. Terzhinan contains neomycin, prednisolone, ternidazole, nystatin. Due to the powerful active ingredients, the remedy effectively fights infections of various etiologies. Candles are prescribed to patients with inflammatory processes in the vagina, vaginitis caused by bacteria, pathogenic fungi.

Advantages of the drug:

  • a wide range of activities;
  • rapid elimination of thrush of any severity;
  • normalization of the pH balance in the vagina;
  • mucosal restoration;
  • no side symptoms.

Disadvantages:

  • high price;
  • the possibility of developing allergies;
  • the possibility of a negative effect of the components of the drug on the fetus in pregnant women.

Ointments for thrush

It is difficult to choose a drug for the treatment of candidiasis on your own. When symptoms appear, be sure to contact a specialist and identify the causative agent of the infection. In addition to tablets and suppositories, patients may be prescribed remedies for thrush in the form of ointments. This option is used as part of complex therapy in conjunction with antifungal tablets. Ointments well relieve redness and itching in the focus of the disease.

Some of the benefits of this form include:

  • the possibility of using for external treatment of candidiasis of the genital organs, both in 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 with deep lesions (appendages or uterus of the patient);
  • a small amount of active ingredients in the composition;
  • duration of treatment.

The most famous antifungal agents in the form of ointments are the following drugs:

  • Ketoconazole;
  • Clotrimazole;
  • Pimafucin;
  • Nystatin.

Folk remedies for thrush

In addition to medications, you can fight candidiasis in men and women with the help of folk recipes. Home remedies are no less effective in solving this delicate problem, they relieve the symptoms of infection well, and help reduce the number of recurrences of pathology in the chronic form. As a rule, infusions, decoctions of herbs, douching or a special diet are used. Folk recipes should be combined with drug therapy.

Among the home methods of treating thrush, it is worth highlighting douching. The following medicinal fees apply for the procedure:

  1. Sage leaves - 20 g, rosemary - 20 g, oak bark - 40 g. Pour the herbs with water (3 l), boil for half an hour. Strain the finished broth, use for douching in the morning and evening until complete recovery.
  2. 3 art. l. St. John's wort pour 2 liters of water, boil for 30 minutes. Strain the resulting broth, use for douching 2 times a day. The course of treatment is up to 2 weeks.
  3. Connect 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. Insist 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, pour water, boil for 15 minutes. Leave the decoction for 12 hours, after which they drink 1/2 cup in the morning on an empty stomach. For preparation, you can use the following medicinal plants:

  • chamomile;
  • sage;
  • eucalyptus;
  • yarrow;
  • juniper.

Price

The cost of drugs for the treatment of candidiasis depends on the manufacturer, form of release, outlet. Below is a table with prices for medicines in Moscow:

Video

THERE ARE CONTRAINDICATIONS. CONSULT YOUR PHYSICIAN BEFORE USE.

Thrush is an infectious disease. The cause of its occurrence is a yeast-like fungus of the genus Candida. He loves a warm, humid environment, feels very good on the mucous membrane in the vagina, settles in the oral cavity and in the inguinal region in men. The reason for the appearance of thrush may be too low immunity. This disease does not cause much discomfort, in women it is accompanied by increased secretion of whites from the vagina, sometimes itching appears. Men may experience slight swelling, redness of the penis, discomfort during intercourse. Even if the disease does not cause much discomfort, it is better to start treating it right away, the attending physician will prescribe drugs for candidiasis.

Thrush symptoms:

  1. Unpleasant sensations in the vaginal area, itching, burning;
  2. Thick white discharge appears, intensifying during the period of ovulation;
  3. Discomfort during intercourse;
  4. Often there is swelling of the vaginal mucosa, which flows to the labia;
  5. Painful urination, burning.

How to treat thrush?

The list of remedies for thrush is quite extensive, which allows you to easily choose the drug according to the situation. Since this disease lends itself well to local treatment, suppositories are necessarily introduced into the therapeutic complex. Often, tablets are used in the treatment of thrush.

Despite the similarity of some drugs, in no case should you change one for another on your own. This can only be done by the attending physician.

  • Antifungal agents. These funds actively work against the fungus of the genus Candida.
  • Antibiotics. These funds fight not only with fungi, but also with most of the pathogenic microbes and bacteria.
  • Probiotics. Preparations based on live bacteria. They do not have the ability to destroy pathogenic bacteria. But they actively contribute to strengthening the immune system, helping to restore the body after an illness.
  • Immunomodulators. They do not fight bacteria, they work to strengthen general immunity.

This medicine for thrush is produced in the form of capsules for vaginal use. It is based on nystatin, neomycin sulfate and polymyxin B sulfate. The last two substances are antibiotics, due to which suppositories actively fight both gram-positive and gram-negative bacteria. Nystatin is an equally active component that has proven itself in the treatment of diseases caused by fungal strains of Candida, in particular thrush.

The list of contraindications for Polygynax is minimal. Of these, only breastfeeding and the first three months of pregnancy appear. Of the adverse reactions, the manufacturer notes the individual intolerance of the components.

Should be taken into Please note that during the entire course you can not use latex contraceptives. This may reduce the effectiveness of the drug.

For a full therapeutic course, it is enough to put one capsule per day for 12 days. In order to prevent a six-day course is sufficient. For convenience, the drug is produced in packs of 6 and 12 capsules. If during the course of treatment a woman began to menstruate, it is not necessary to interrupt the treatment, the capsules should be delivered to the end.

Analogues of this medicine for thrush are Natamycin, Nystatin. The price range of Polygynax starts from 350 rubles for a pack of 6 candles.

This antifungal drug for candidiasis is produced in the form of capsules, suspensions and solutions for intravenous administration, which makes it easy to build treatment. For the treatment of thrush, capsules are prescribed. The active substance is fluconazole, which negatively affects the growth of fungi. Available in dosages of 50, 100, 150 mg.

For successful treatment of thrush, it is enough to drink one capsule. Noticeable improvement will come in a day. Within a week, the last symptoms of the disease will go away. In chronic thrush, it is recommended to take the drug every month for six months. This will help avoid relapses.

Most often, Diflucan does not cause any adverse reactions, in some cases they are still possible. Sometimes a headache is noted, there are convulsions, allergic rashes on the skin are likely in case of intolerance to any component. There are violations of the digestive system, they are manifested in the form of nausea, vomiting. The drug can affect the indications of the cardiogram, the platelet count may decrease in the blood. It is also contraindicated during pregnancy.

It should be borne in mind that oral contraceptives reduce the content of fluconazole in the blood, in this case, the dosage should be slightly increased. Diflucan can cause severe toxic hepatitis, so enzyme production should be closely monitored during the drug course.

Analogues of Diflucan are Difluzol, Medoflucan, Fluonazol, Flukonaz and others. The cost of one package of Diflucan starts from 430 rubles.

MIKOmax

This drug is classified as the best medicine for thrush, it is available in the form of capsules, syrup and solution. Capsules are prescribed for the treatment of thrush. The basis is fluconazole at a concentration of 50, 100 and 150 mg. For a complete cure, a single dose of one capsule is enough.

Do not prescribe this medicine for thrush to pregnant and breastfeeding women. Caution should be taken in patients with hepatic impairment. Of the adverse reactions, an allergic reaction most often occurs with intolerance to any of the components. In addition, general weakness, fever, constipation or diarrhea are noted. However, this happens extremely rarely. Therefore, MIKOmax is considered a completely safe remedy.

Analogues of this drug are Itraconazole, Irunin, Itrazol, Canditral and others. The cost in pharmacies starts from 200 rubles.

It's a cure for thrush available in the form of cream, suppositories and tablets. For the treatment of candidiasis, topical forms are most often used - suppositories and creams. The main component of the drug is natamycin, which has an antifungal effect. Quickly causes the death of pathogenic bacteria, restoring the microflora of the vagina.

The therapeutic course with candles should be carried out for 3-6 days, depending on the severity of the disease. Suppositories are inserted deep into the vagina at bedtime. Candles begin to melt and form a foamy structure, which has a healing effect. In order for the medicine to be distributed evenly, you should not get up for 20 minutes. In the event of menstruation, the therapeutic course should be stopped and restarted after they have ended. Sexual intercourse during treatment should be completely excluded.

If the candle-based course did not give the desired result, tablets are prescribed. You need to take them up to three weeks once a day.

A cream is used to treat candidiasis in men. Apply to affected areas at least once a day until complete recovery. Sexual intercourse at this time is possible, but only when using condoms.

Of the contraindications of this drug, only an allergic reaction caused by intolerance to individual components can be noted. At the beginning of the therapeutic course, nausea, diarrhea are sometimes noted, sometimes there is a slight burning sensation and itching. During treatment, these symptoms disappear.

In general, this drug is considered one of the most effective medicines for thrush. Its cheaper counterparts are Nystatin, Livarol, Clotrimazole. The price range of Pimafucin starts at 255 rubles per pack.

Terzhinan

Terzhinan contains several active ingredients: ternidazole, neomycin, prednisolone and nystatin. It owes its effectiveness in the fight against fungal bacteria of the genus Candide to the last component. Release the drug in the form of vaginal tablets.

The drug course lasts 20 days, at which time one tablet is inserted into the vagina every day before going to bed. For better dissolution, before administration, the tablet is slightly moistened in water, then inserted into the vagina as deeply as possible. The tablet dissolves and a foamy structure is formed.

The tablet can also be administered during the day, but after that it is imperative to lie down for at least 10 minutes so that the medicine is evenly distributed into the vagina. During the course of Terzhinan, yellow discharge is possible. If during the therapeutic course menstruation began, it is not necessary to stop treatment. Pregnancy is not a contraindication to Terzhinan, but the duration of treatment is determined by the attending physician.

Of the contraindications, only hypersensitivity to the components of the drug is noted. However, these tablets often cause adverse reactions. After the introduction, there may be a burning sensation, itching. During the therapeutic course, the healing processes of wounds may slow down. This is how the body reacts to the prednisolone contained in Terzhinan. After the end of treatment, all adverse reactions disappear.

Similar drugs for the treatment of thrush are Neotrizol, Polygynax and Meratin Combi. The cost of the drug fluctuates around 350 rubles.

This drug allows quite effective treatment for thrush. Available in several forms: vaginal tablets, cream, ointment, powder, gel, suppositories, which allows both partners to take a couple course. The drug is based on the active substance of the same name, which is highly active in the fight against pathogenic fungi, including the Candida genus.

Women in the treatment of thrush can use cream, gel, ointment and vaginal tablets. Use the ointment twice a day, rubbing it into the affected areas. Gel and ointment are used in the same way. Tablets should be administered twice a day for 3-6 days - depending on the severity of the disease. Before use, you need to hold the tablet in water for some time, and then insert it into the vagina as deeply as possible. It is not recommended to get up immediately after this, it is better to lie down for a while so that the drug is evenly distributed inside.

During menstruation, treatment cannot be carried out, so the course should be interrupted. Then you have to start all over again. During pregnancy, it is unacceptable to use pills in the first trimester.

Candles are also designed to be inserted into the vagina. You need to put them for 6 days, once before going to bed. During menstruation, it is also better not to carry out a therapeutic course. It is forbidden to use in the first trimester of pregnancy.

Men use cream, gel and ointment to treat thrush. The drug should be applied to the affected areas. Before applying, be sure to wash the penis with warm water and soap and dry it. Gently spread over the surface with light movements and allow to be absorbed. For this, you should not wear underwear for 10 minutes. Apply the drug twice a day for three weeks.

Analogues of this medicine for thrush are Clotrimazole-Acri, Amiclon, Imidil, Candibene, Candizol, Candide, Kanesten, Kanizon, Funginal, Funugitsip. The cost of Clotrimazole starts from 10 rubles

It is an exceptional preparation for topical use, as it is available in the form of a gel and spray. Glycyrrhizic acid, which is in the preparation and obtained from licorice root, can effectively treat fungal diseases, including candidiasis.

With thrush in women, the spray should be sprayed in 1-2 clicks using a special nozzle that is inserted into the vagina. Be sure to shake before use. In men, this spray also allows you to treat thrush. To do this, spray the medicine in a couple of clicks at a distance of 4-5 cm from the focus of inflammation. It is necessary to use for 7-10 days for both men and women 3-4 times a day.

The gel is not used for treatment, only for prevention purposes. Daily use allows you to avoid unpleasant moments from thrush in the future.

Of the contraindications, only individual intolerance, as side reactions, a slight itching and burning sensation, which quickly pass.

Analogues of this drug against thrush are Glycyram, Glycyrrhizic acid and Epigen Labial. The cost of Epigen-Intima starts from 950 rubles.

The main component of this Quite effective medicine for thrush is ketoconazole. The drug is intended only for use in women and is available in the form of vaginal suppositories. A big plus of Livarol is the fact that the drug allows you to treat not only a one-time thrush, but also its chronic form.

The therapeutic course is from 3 to 5 days, is reduced to the daily introduction of one candle into the vagina. After the procedure, you should definitely lie down for at least 10 minutes to allow the medicine to be distributed evenly over the entire surface, and not to leak out. In the case of chronic candidiasis, a ten-day course should be carried out.

There are few contraindications - individual intolerance and the first trimester of pregnancy. The list of adverse reactions is insignificant - a slight burning sensation, itching, nausea and dizziness rarely occur. A couple of days after the start of treatment, these symptoms disappear.

Most antifungal drugs for thrush can act as analogues, in particular Clotrimazole, Fluomizin, Pimafucin. The cost of the drug in pharmacies starts from 500 rubles per pack.

It is also a fairly effective drug for thrush, fluconazole acts as an active substance. The drug is produced in the form of capsules and an injection solution, the latter is not prescribed for the treatment of thrush.

The drug is taken orally, as a rule, for the treatment of thrush, a dosage of 100 and 150 mg is used. In the first days of the therapeutic course, it is possible to double the dosage.

The drug is categorically contraindicated during lactation, it can not be taken in case of lactose intolerance and lactase deficiency and glucose-galactose malabsorption. In case of an allergic reaction to any of the components, these tablets are also excluded. During pregnancy, the drug can be used, but only under the supervision of a doctor.

MYKOsyst can cause a number of adverse reactions, such as diarrhea, excessive gas formation, migraine, a change in taste, dizziness, and problems with the liver may occur. Allergic reactions are not excluded.

An overdose may occur as a result of an incorrectly prescribed dosage. It is characterized by hallucinations, nausea, vomiting, and diarrhea. To alleviate the patient's condition, it is necessary to wash the stomach, provoking vomiting, you can drink a laxative, which will speed up the withdrawal of the components.

If an allergic reaction occurs to this drug or for other reasons it is impossible to take it, you can choose antifungal drugs for candidiasis from its analogues, for example, Fluconazole, Mycoflucan, Diflucan, Mycomax, Flucostat, Flucosan and others. The cost of MYKOsyst in pharmacies starts from 315 rubles per pack.

Quite a popular antimycotic drug for candidiasis. It is based on chlorhexidine, which has an antiseptic and disinfectant effect, while actively fighting pathogenic flora. It has several forms of release: suppositories, vaginal tablets, solution, gel.

Candlestick rate calculated for 10 days. During this time, one candle should be placed twice a day. After the introduction of the suppository, you should be in a horizontal position for another 10-15 minutes so that the medicine has time to spread over the surface. After three weeks, the course should be repeated.

The gel is used most often in men. It should be applied to the affected area twice a day.

The solution is injected into the vagina with a special nozzle and sprayed inside 5-10 ml. To prevent the drug from leaking out, the nozzle should not be pulled out immediately, it is better to lie down in this state for 2-3 minutes. You can treat the solution and the penis of men during thrush. To do this, a solution is sprayed onto the affected surface. For effectiveness, do not wash after this for at least two hours.

The therapeutic course based on vaginal tablets lasts 7-10 days. The daily norm is 1-2 tablets - depending on the severity of the disease. Before you enter the tablet inside, it should be held for some time in boiled water at room temperature. Then enter deeper. You should lie down for at least 10 minutes. Tablets can also be used as a prophylactic against thrush and genital infections. To do this, insert the pill into the vagina no later than two hours after unprotected sex.

A contraindication for the appointment of Hexicon may be individual intolerance to the components. Of the adverse reactions, itching and burning most often occur, this symptom disappears on its own after the course is stopped.

Analogues of this drug against thrush are Amident and Chlorhexidine. The cost of Hexicon in pharmacies starts from 53 rubles.

Not the most effective cure for thrush, but quite effective. The drug is based on clotrimazole, which is an active antimicrobial agent. The drug is available in the form of a solution, vaginal tablets and cream.

In the form of vaginal tablets used at night. The drug should be injected as deeply as possible so that it covers a large area when dissolved. The course should be carried out for 6 days.

Of the contraindications - individual intolerance, in addition, this drug should be used with caution during breastfeeding and completely excluded in the first trimester of pregnancy. As adverse reactions, itching, swelling, headache, vaginal discharge, painful sensation during intercourse may appear.

Antifungal drugs such as Antifungol, Imidil, Candizol, Amiklon, Kanesten, Clotrimazole, Candibene are considered analogues of Candida. The cost of Candida in a pharmacy starts from 83 rubles.

Conclusion

There is a huge list of drugs intended for the treatment of candidiasis. Which medicine should be used in this particular case can only be decided by a doctor based on tests. Prescribing drugs on your own is fraught with a woman's health.

Thrush is one of the most common gynecological diseases. In most cases, it is not dangerous, but without treatment, the disease can become advanced and even chronic. Given that the symptoms of thrush are extremely unpleasant (they include burning and itching of the genital organs, abundant white discharge, irritation of the genital organs, etc.), it is better to treat the disease immediately after detection. It is also worth considering that thrush is a contagious disease. It is caused by the Candida fungus, which takes root well on any mucous membranes - for example, in the oral cavity.

Thrush is treated mainly with antifungal drugs.. Usually, such drugs have a fairly wide spectrum of action, and therefore they need to be selected with special attention - it is important that the medicine is both effective and safe. A specific drug should be prescribed by a doctor after examination and consultation. We can only list the most popular and effective remedies for thrush.

The list below is based on customer reviews, as well as recommendations from doctors. However, once again, we note that a physician should prescribe a specific medicine- taking into account how the disease proceeds, as well as what individual characteristics the patient has.

Polygynax

Polygynax is a complex antifungal and antibacterial drug that is available in the form of intravaginal capsules. Polygynax is very effective in the treatment of thrush, and most importantly, this remedy has a mild effect and is relatively safe. Among the side effects of Polygynax are only allergic reactions to the components of the drug. They occur very rarely, and if they occur, the use of the drug is stopped.

Polygynax has not so many contraindications. Chief among them is the first trimester of pregnancy. In the second and third trimesters, as well as during breastfeeding, Polygynax is prescribed by a doctor individually. As a rule, in such cases, the drug is allowed if the potential benefit of treatment outweighs the risks associated with it.

Polygynax is available in packs of 6 and 12 capsules. As a rule, a pack of 6 capsules is enough for a full course of treatment. The cost of such a package of Polygynax is about 270 rubles.

Diflucan

Diflucan is a broad-spectrum antifungal agent. The drug is available in tablets for oral administration. The main advantage of Diflucan is the ease of treatment: to get rid of thrush, it is enough to take one tablet of the drug orally. The active substance of Diflucan is fluconazole, which inhibits the growth of fungi. Fluconazole "works" not only against Candida, a thrush-causing fungus, but also against many other fungi.

It is important to note that Diflucan is a very strong drug. Contraindications include pregnancy and lactation, diseases and disorders of the liver and kidneys. Diflucan is also incompatible with certain drugs.

The drug is generally well tolerated, side effects are very rare. The cost of the drug is about 400 rubles. for 1 pack of tablets.

MIKOmax

MIKOmax is another drug based on fluconazole. The medicine is available in several forms, including capsules, syrup, solution. With thrush, a single dose of capsules at a dosage of 150 mg is sufficient.

MYKOmax should not be used during pregnancy and while breastfeeding. Of the side effects, the most common is an individual allergic reaction to the components of the drug. However, even cases of allergies are very rare - MIKOmax is a relatively safe drug. The cost of MIKOmax in capsules is from 200 rubles.

Festive video recipe:

Pimafucin

Pimafucin is available in the form of vaginal suppositories, cream and tablets. The main active ingredient of the drug is a broad-spectrum antifungal antibiotic natamycin. It is very effective and well tolerated - so much so that Pimafucin is prescribed even for pregnant and lactating women.

The drug has almost no contraindications (with the exception of the individual tolerance of its components). In addition, it practically does not give side effects: these include nausea and pain in the stomach that occur in very rare cases when taking pills, as well as burning and irritation when using local preparations. In general, Pimafucin is one of the safest and at the same time effective drugs for the treatment of thrush. The cost of tablets for oral administration is about 370 rubles, vaginal suppositories - about 150 rubles, topical creams - about 250 rubles.

Terzhinan

Terzhinan is quite old, but at the same time a very effective drug. It has a combined, antimicrobial and antifungal effect, providing an effective treatment for thrush. Terzhinan is available in vaginal tablets, the main active ingredient is ternidazole. Terzhinan is used 1 tablet 1 time per day at bedtime. The average course of treatment is 10 days.

The drug is not prescribed in the first trimester of pregnancy. In the second and third trimesters, as well as during breastfeeding, the medicine is prescribed by a doctor. Otherwise, Terzhinan has no contraindications, and local reactions (burning, redness) are very rarely noted from side effects. The cost of Terzhinan is from 220 rubles. for packing.

clotrimazole

This drug is available in the form of tablets, cream, ointment, powder. For the treatment of thrush, it is the cream that is most often used, which is recommended to be applied 2-3 times a day throughout the course of treatment. The average duration of treatment is about 4 weeks. In practice, it is recommended to continue using the cream for 1-2 weeks after the symptoms of thrush disappear. Clotrimazole is a very well-known antifungal drug that has a wide spectrum of action.

This remedy is relatively safe, but it is not prescribed in the first trimester of pregnancy. At a later date, as well as during lactation, it is recommended to use clotrimazole with caution - the decision to prescribe the drug should be made by the doctor. The drug has no other contraindications, and of the side effects - only very rare individual allergic reactions to the cream, which can manifest as itching, burning and redness. The cost of Clotrimazole in the form of a cream is about 50-70 rubles.

Epigen-Intim

Epigen-Intim belongs to the group of antiviral drugs and is a solution for topical use. The medicine has an anti-inflammatory, immunostimulating, antiviral effect, effectively fights against fungal diseases. Epigen-Intim is prescribed during pregnancy and lactation, the drug has no contraindications. The solution does not give side effects, except for very rare allergic reactions, which manifest themselves in the form of burning, redness, etc. The cost of the Epigen-Intim solution is about 600 rubles.

Livarol

Livarol - vaginal suppositories that provide effective and safe treatment for thrush. The big advantage of Livarol is the fact that the drug gives good treatment results, including in chronic thrush. Livarol can be used during pregnancy except for the first trimester. Also, the drug can be prescribed during breastfeeding.

The duration of treatment for thrush with Livarol is 5 days. In the chronic form of the disease, the treatment course is doubled and is 10 days. The cost of Livarol is about 300 rubles. for a pack of 5 candles.

MYKOsyst

MYKOsyst is another drug based on fluconazole. It comes in the form of capsules for oral administration and has a pronounced antifungal effect. MYKOsyst is not prescribed for pregnant and lactating women, as well as for children under 6 months of age. Also, the drug is not recommended for those who have impaired kidney function. In very rare cases, MYKOsyst can cause side effects from the gastrointestinal tract (nausea, stomach pain, digestive system upset), central nervous system (headaches, dizziness), and allergic reactions. However, in general, MYKOsyst is a relatively safe and at the same time effective drug. The cost of MYKOsyst is about 300-350 rubles.

Hexicon

Hexicon belongs to the group of disinfectants and antiseptics. It is completely safe and can be used to treat thrush, including in pregnant and lactating women. Hexicon has a pronounced therapeutic effect, helping to quickly cope with thrush, as well as preventing the recurrence of the disease. Hexicon is a vaginal suppository, which, among other things, can be used in preparation for childbirth for sanitation. Hexicon does not give side effects, except for very rare individual allergic reactions to the components of the drug. The cost of Hexicon candles is about 250 rubles.

Thrush or candidiasis in women- a disease caused by fungi of the genus Candida. If these microorganisms have developed on the mucous membrane of the vagina and external genital organs, then they speak of vaginal candidiasis.

This disease affects not only women of childbearing age who are sexually active, but also young girls and those who have reached respectable years. The reason is simple: candidiasis occurs not only after contact with a sick sexual partner. It can be the result of active reproduction of Candida, which used to be part of the normal microflora.

With candidiasis, women complain of abundant cheesy discharge from the vagina and itching in the genital area. According to statistics, 70% of gynecologist patients who come with such problems are diagnosed with thrush. This disease is not a sexually transmitted disease. Compared to them, it is less dangerous and much easier to treat.

The disease affects women on all continents, regardless of age and wealth. Moreover, the incidence in hot countries is higher. Statistics say that city dwellers suffer more from candidiasis. 30-40% of women have had thrush during pregnancy. During this period, the risk of getting sick increases by 2-3 times.

75% of the fair sex suffered candidiasis, and most of them repeatedly. Since this disease has an unpleasant property to return. So in 5% the diagnosis is recurrent candidiasis. In this case, exacerbations occur 4 or more times a year.

In recent years, the number of cases of thrush has steadily increased. This is due to the uncontrolled use of antibiotics and a decrease in the level of immunity. If you do not treat thrush in time, then from a small ailment it can turn into a serious problem when fungi affect most of the internal organs.

The composition of the normal microflora of the vagina and external genitalia

The genital organs of girls begin to be colonized by microorganisms within a few hours after birth. This is the moment when the microflora begins to form. From the first day of life, various types of bacteria constantly live in the vagina and on the external genitalia. There are more than 60 of them. Usually these microorganisms do not cause disease and do not harm the body.

This set varies depending on the woman's age, the phase of the menstrual cycle, pregnancy, and the presence of a permanent sexual partner. Periodically, pathogenic bacteria enter the vagina. But if their number is not large, then representatives of the microflora and immunity cells destroy these microorganisms.

The vagina contains:

  • lactobacilli
  • bifidobacteria
  • enterococci
  • clostridia
  • coagulase-negative staphylococci
  • coliform bacteria
  • candida

Most of the microorganisms in the body of a healthy woman are various types of lactobacilli and bifidobacteria - up to 90%. They provide an optimal level of acidity pH up to 3.8–4.5 (in adult women). If their number falls, then the vaginal environment becomes slightly alkaline and the pH exceeds 6. This leads to the multiplication of pathogenic bacteria and the development of inflammatory processes.

In almost 80% of cases, Candida is present in the microflora of a woman. They are represented by single inactive round cells and do not form filaments of mycelium (pseudo-mycelium).

Normal microflora in a woman's body performs important functions:

  • Releases beneficial enzymes that provide the necessary acidity
  • Promotes the formation of vitamins
  • Supports the tension of local immunity
  • Prevents the penetration of foreign bacteria that can cause disease.

The microflora of the vagina has a balanced composition. At the same time, some bacteria regulate the number of others. So lactic acid bacteria produce acid, which inhibits the excessive reproduction of Candida. Therefore, normal fungi contained in the vagina do not cause thrush.

Causes of thrush

Why thrush occurs is one of the most common questions in women. After all, this problem is very common. Unpleasant sensations arise at the most inopportune moment. This fungal disease nullifies intimate relationships and spoils everyday life.

You can get candidiasis from a sexual partner. Especially if a man has obvious signs of this disease or he is a carrier of fungi. However, this reason is far from the most common. Much more often, thrush occurs as a result of a decrease in immunity and a violation of the natural balance of the microflora of the genital organs.

There are many factors that provoke the development of vaginal candidiasis in women.

  • Decreased body defenses as a result of chronic diseases or after infections.
  • Hormonal shifts during pregnancy and before menstruation.
  • Hormonal changes at menopause.
  • The use of hormonal contraceptives.
  • Long-term use of antibiotics, corticosteroids and cytotoxic drugs.
  • Intestinal dysbacteriosis, while fungi can be introduced into the vagina.
  • climate change, which entails adaptation to new conditions, the composition of water.
  • Use of intimate hygiene products: intimate gels, soaps, shower gels containing a lot of alkali and fragrances.
  • Using panty liners. They violate the access of air to the genitals, increases humidity.
  • Deodorized tampons and pads cause allergic reactions and disrupt the condition of the mucosa.
  • Wearing underwear made of synthetic fabrics, narrow and tight. The most common culprit for thrush is thongs.
  • Food rich in confectionery and carbohydrate dishes, strong coffee, carbonated drinks, yeast baked goods, spicy and fatty delicacies, ketchup and mayonnaise.
  • Avitaminosis entails a decrease in the body's resistance and a deterioration in the condition of the skin and mucous membranes.
  • Obesity- Favorable conditions for the reproduction of fungi are created in the folds of the body.
  • Metabolic disorders. A prime example is diabetes mellitus. It not only weakens local immunity, but also increases the amount of carbohydrates in cells, which is a good breeding ground for microorganisms.
  • Smoking causes vasospasm and disrupts blood circulation, including in the genitals.
  • Sexual intercourse with a dry vagina and other actions that can lead to the appearance of microtraumas on the genital mucosa. Through them, Candida can penetrate deep into the tissues.
  • chronic stress, strong mental and physical stress, overwork, lack of sleep.

The action of these factors leads to the fact that the number of lactobacilli that create a protective microfilm is reduced. They secrete less lactic acid, and an alkaline environment forms in the vagina. Fungi and other bacteria penetrate the cells of the mucous membrane and thin skin of the external genitalia. There they begin to multiply actively, feeding on glycogen and destroying host cells. In the absence of treatment, the inflammatory process gradually spreads.


What are the symptoms of thrush and what are they associated with?

  1. Pain during intercourse.
    Most often, Candida reproduction begins on the vaginal mucosa. They destroy the upper epithelial cells, gradually affecting the deeper layers. In this case, the smallest lesions resembling sores are formed. The mucous membrane of the vaginal walls becomes inflamed and painful. Therefore, during intercourse, a woman experiences pain and other unpleasant sensations.

  2. Swelling of the genitals.
    Inflammation causes the walls of the vagina to swell. This is due to the fact that small vessels on the surface of the mucosa expand. In this way, the body tries to eliminate the toxins released by Candida. Blood circulation is enhanced, and the tissue of the genital organs is saturated with fluid that has escaped through the walls of the capillaries.

  3. White coating and cheesy discharge.
    Gradually, the number of fungi increases and colonies grow. They look like a whitish coating on the genitals. An inflammatory process begins, which is accompanied by abundant discharge from the vagina. They look like white curdled masses or curdled milk. These are mainly fungal mycelium, leukocytes and damaged mucosal cells.

  4. Itching and burning.
    Candida feed on glycogen stores in cells. When this carbohydrate is broken down, acids are formed. Just they cause itching and burning in the vagina and irritate the skin of the genital organs damaged by Candida, while the woman feels severe discomfort. These symptoms are worse after urinating or washing. Therefore, every time the skin in this area must be dried. Preferably with soft paper towels, so as not to further injure.

  5. Rash with thrush.
    The inflammatory process in thrush also extends to the vestibule of the vagina, large and small labia. On the skin of the genital organs, the epidermis is stratified as a result of the activity of fungi, and small burgundy pimples-vesicles with liquid contents inside are formed - vesicles. After a day or two, they burst and small erosions and crusts form in their place.

  6. Spread to nearby skin areas.
    Signs of candidiasis: redness, small rash, itching, white plaque formation can also occur in the perineum, on the skin of the intergluteal and inguinal folds. More often this form of the disease occurs in women who are overweight.

  7. Deterioration of the general condition.
    Itching, constant discomfort and unpleasant sensations cause nervousness, bouts of bad mood, as well as sleep disturbance. The latter is due to the fact that the burning sensation intensifies at night. Unpleasant symptoms increase after a long walk and during menstruation.

  8. Urethritis and cystitis in thrush.
    Frequent urination and the appearance of pain indicates that Candida has penetrated the urinary system and caused urethritis and cystitis. Another sign that the inflammatory process has spread to other organs is the appearance of aching pains in the lower abdomen. In this case, an increase in temperature is possible. If you notice such symptoms, then be sure to consult a doctor and do not self-medicate.

Diagnosis of thrush

If you notice signs of thrush in yourself, contact your gynecologist. This is especially necessary if the appearance of discomfort was preceded by unprotected sexual contact. The fact is that the symptoms of candidiasis are in many ways similar to the manifestations of dangerous sexually transmitted infections. In addition, the mucous membrane damaged by fungi becomes vulnerable to pathogenic bacteria. Therefore, taking only antifungal drugs is not enough. A visit to a specialist is mandatory if signs of thrush reappear soon after treatment. Otherwise, the disease can become chronic.

In order to clarify the diagnosis, the doctor takes a smear of the contents from the vagina. Flora smear (gynecological smear, bacterioscopy) necessary to determine the composition of the microflora and the presence of pathogenic bacteria. Ideally, the analysis should be 90% lactobacilli. Gardnerella and Candida can be in single copies. And such microorganisms as Trichomonas, should not be.

In the laboratory, a sample of the contents of the vagina is examined under a microscope and the number of immune cells of leukocytes and bacteria, the presence of pseudomycelium Candida are determined.

In some cases, carry out culture of microflora on special nutrient media. As a result, it is possible to determine which of the 150 Candida species caused inflammation, to which drugs these microorganisms are most sensitive. This must be done if a woman suffers from recurrent thrush.

Also an informative method of research is colposcopy - examination of the vagina with a special device called a colposcope. The doctor applies Lugol's solution to the walls of the vagina. If after that small inclusions in the form of semolina are clearly visible on them, then this indicates the presence of thrush.

If necessary, the doctor prescribes an additional study for sexually transmitted infections, a stool test for dysbacteriosis, an immunogram, an analysis aimed at detecting diabetes mellitus - a glycemic profile with a load.

In the event that the gynecologist believes that chronic diseases provoke thrush, he will advise you to contact a therapist, endocrinologist or immunologist.

How to treat thrush

Local therapy of infectious and inflammatory diseases of the female reproductive system not only allows you to destroy pathogens, but also inevitably leads to an imbalance in the beneficial microflora of the vagina and a decrease in local immunity. If you do not make a quick recovery of lactoflora, activation of conditionally pathogenic microflora is possible, which will lead to an exacerbation of thrush or bacterial infections. For the same reason, antifungal therapy for vaginal candidiasis may not be effective enough. Therefore, after the first stage of treatment aimed at eradicating the infection, it is important to carry out the second stage - to restore the balance of beneficial microflora with the help of Lactoginal capsules. This is the only tribiotic drug registered in the Russian Federation. Laktozhinal quickly restores pH, vaginal microflora and protects against re-aggravation of bacterial vaginosis and thrush for a long time. Two-stage therapy has recently become the gold standard for the treatment of conditions accompanied by pathological discharge. Many experts believe that only this method can provide a pronounced and long-term therapeutic effect, strengthen local immunity, which serves as a prevention of subsequent exacerbations.

How to treat thrush during pregnancy?

Treatment must necessarily take place under the supervision of a gynecologist. He prescribes drugs that are not toxic, are little absorbed into the blood, do not harm the child and have the maximum therapeutic effect. Almost always, this local treatment is Pimafucin suppositories. The drug causes the destruction of the walls of the fungal cell and leads to its death. This tool can be used both in the first weeks and immediately before childbirth.

Another drug allowed during pregnancy is Terzhinan. It contains the antifungal antibiotic Nystatin. But besides this, it contains substances that fight bacteria. You can supplement the treatment with a complex of vitamins to maintain immunity.

Drugs in tablets that have a systemic effect on the body are usually not used.

During pregnancy, it is better to refrain from douching. With the pressure of the liquid, you can bring the infection into the uterine cavity. This procedure can only be prescribed by a doctor in exceptional cases. Instead of douching, it is better to use a weak soda solution, decoctions of chamomile and calendula for washing.


What suppositories are effective for the treatment of thrush?

Candles and vaginal tablets for the treatment of thrush are topical treatments. They are prescribed when the lesions are not deep and there are no complications. Here is a list of the most effective remedies for thrush. The active ingredient is indicated in the arches.

  • Pimafucin (Natamycin) - the least toxic. Can be used during pregnancy. Causes the death of various fungi. Candles are used before bedtime. They quickly relieve symptoms, but treatment must be continued for another 2-3 days after improvement. The average course is 3-6 days.

  • Antifungol, Yenamazol 100, Candibene, Kanesten, Canizon, (Clotrimazole) its components dissolve the Candide shell. Candles or vaginal tablets are inserted into the vagina 1 time per day at bedtime. The course of treatment is 6-7 days.

  • Gino-Travogen Ovulum (Isoconazole) disrupts the permeability of the cell wall of fungi. It has an antifungal and anti-inflammatory effect. Quickly eliminates itching. It is used to treat forms of fungi that are resistant to other agents. A suppository (candle) is inserted deep into the vagina at bedtime once a day. The course of treatment is 3 days.

  • Ginezol 7, Gino-Daktarin, Klion-D 100 (Miconazole) - destroys fungi and some bacteria. Treatment is carried out for 14 days. One suppository deep into the vagina at bedtime.

  • Polygynax, Terzhinan (Nystatin) - these vaginal tablets must be moistened before insertion into the vagina.

    Use one before bed for 10 days.

    It should be noted that slight itching and other discomfort may occur for up to two weeks after treatment.

What pills are effective in the treatment of thrush?

Treatment of thrush with pills has several advantages. You will get rid of unpleasant symptoms in 1-3 days. While the treatment with suppositories, vaginal tablets and gels takes an average of a week. Taking tablets provides a comprehensive treatment of fungi in all organs. Therefore, the likelihood of recurrence of thrush is reduced. If the course of the disease is mild, then one drug will be enough. In another case, you will need to take several antifungal agents of different groups. To enhance the effect and get rid of itching, additional local treatment is prescribed in the form of creams or suppositories.

There are several types of drugs designed to fight fungi. They have different mechanisms of action, but they all lead to the death of Candida and the destruction of their mycelium.

Here is a list of substances that destroy fungi and preparations based on them:

  • Fluconazole (Diflucan, Mikosist, Medoflukon, Forkan) - a single dose of 150 mg of the drug is enough.

  • Ketoconazole (Ketoconazole, Nizoral) - 1-2 tablets per day. Course 5 days.

  • Natamycin (Pimafucin) - 1 tablet for 3-5 days.

  • Miconazole (Miconazole, Mikatin, Funginazole) - take 1 tablet for three days.

  • Nystatin (Nystatin) - 1 tablet 4 times a day. The duration of treatment is 10-14 days.

These drugs should not be taken to treat thrush in pregnant women. To prevent exacerbations of candidiasis in the future, it is desirable that both sexual partners undergo treatment.

How to treat thrush at home?

Treatment of thrush almost always occurs at home. Ideally, it should be done after consulting a doctor. Traditional medicine has many benefits. They have no side effects, are non-toxic and completely safe. However, in terms of the speed of treatment, they significantly lose to drugs.

  • Washing and douching with soda solution are used to relieve itching and prevent bacterial complications. In 0.5 liters of warm boiled water, you need to dissolve 1 teaspoon of baking soda. Repeat the procedure 2 times a day.

  • Such a composition has a strong antifungal and anti-inflammatory effect. Take 5 tablespoons of the collection from equal parts of oak bark, pharmacy chamomile, nettle and knotweed. Pour in a liter of water and bring to a boil. Cool, strain and use for douching in the morning and evening.

  • Tampons with sea buckthorn oil heal erosion on the mucous membrane and relieve inflammation. Soak a swab from several layers of gauze with pharmaceutical sea buckthorn oil and insert overnight.

  • Garlic oil tampons effectively get rid of Candida. To prepare the product, it is necessary to peel and chop 5 large cloves of garlic and pour 50 ml of refined vegetable oil. Leave for 3 hours, mix and strain. Soak a tampon with this product and insert it into the vagina for 2 hours. If there is a strong burning sensation, then the procedure must be stopped. Garlic phytoncides are a very powerful remedy. Therefore, it is recommended to eat a few cloves daily.

  • To restore the normal microflora of the vagina, tampons with bifidumbacterin are used. Dilute an ampoule of this drug in a tablespoon of refined vegetable oil. Soak a tampon and insert into the vagina for 1 hour. American doctors recommend lubricating the mucosa with pure natural yogurt without flavorings. It can be a pure culture of lactobacilli, which are sold in a pharmacy.

  • If you do not have an allergy to honey, then you can dilute it with water in a ratio of 1:10 and lubricate the affected areas of the mucosa.

  • For washing, use tar soap or brown laundry soap. Its components prevent the growth of microorganisms.

In order for the thrush not to return after a while, it is necessary to continue the procedure for another 2-3 days after the symptoms of the disease disappear. Folk remedies are best used as an addition to the treatment prescribed by the doctor.

What drugs should be used to treat thrush?

To get rid of thrush forever, one drug is not enough. It is necessary to reduce the number of Candida to normal levels, to cure the damage to the mucous membrane that arose as a result of the disease. After that, you can begin to normalize the microflora in order to increase the number of lactobacilli. It also needs to strengthen the immune system.

Therefore, for the complex treatment of thrush, various groups of drugs are used.

Antifungals (antimycotics) destroy the bulk of Candida. These are funds based on Fluconazole, Clotrimazole, Iconazole, Ketoconazole. In the form of suppositories and creams for local treatment of the genital organs, as well as in the form of tablets and capsules for oral administration.

Antibiotics to treat thrush fight not only with Candida, but also with some bacteria that join during candidiasis. They are also available for topical and general treatment.


  • macrolide antibiotics: Pimafucin, Natamycin

  • Triazole antibiotics: Flucostat, Mikosist

  • Polyene antibiotics: Nystatin, Levorin

Combination drugs are drugs that contain several types of antibiotics. It also contains the hormone prednisolone for quick relief from itching, pain and inflammation. These are funds in the form of ointments and vaginal tablets Terzhinan, Neo-Penotran, Polygynax.

Probiotics normalize the composition of the microflora of the vagina and the level of acidity. They also often contain components to restore the mucous membrane of the vagina and external genitalia. These are vaginal tablets and suppositories with a complex of lacto and bifidobacteria: Gynoflor, Ecofemin, Vaginorm C and Vagilak, as well as Bifidumbacterin, Lactobacterin.

Immunomodulators or immunocorrectors prescribed to strengthen general immunity. Its task is to restrain the growth of Candida after the treatment is discontinued. These are oral tablets Likopid and rectal suppositories Viferon, Methyluracil.

Is fluconazole effective for thrush?

Modern antifungal drugs allow you to get rid of thrush in one day. In most cases, a single dose of Fluconazole 150 mg capsule is sufficient to eradicate the fungal infection. If a woman suffers from recurrent thrush, then it will be necessary to take one capsule once a week or a month for 6-12 months. The doctor selects the scheme individually.

For a quick recovery, it is desirable to combine systemic treatment with Fluconazole capsules and local treatment: suppositories with antifungal and anti-inflammatory drugs, the use of creams and douching.

Various pharmaceutical companies produce preparations based on Fluconazole: Diflazon, Diflucan, Mikosist, Medoflucon, Forkan, Flucostat. The active substance of these drugs disrupts the metabolic processes in fungi, which leads to their death. The drug is well absorbed into the blood and enters all organs, where it accumulates in the required amount. Thus, these drugs rid the body of any diseases caused by fungi.

With vaginal candidiasis after taking Fluconazole, a woman usually notices a significant improvement within a day. But full recovery occurs in 3-4 days. If a week after taking the drug you continue to be disturbed by the manifestations of thrush, then you need to re-consult a doctor.

There are several reasons why taking a Fluconazole capsule has not worked. This can happen if the fungi have developed resistance and are not sensitive to it. Other drugs may reduce the effectiveness of fluconazole while taking it. For example, the antibiotic Rifampicin. In some cases, a single dose is not enough. It is required to take one more capsule on the third and on the seventh day of treatment.
It must be remembered that Fluconazole has contraindications and serious side effects. Therefore, it must be taken on the recommendation of a doctor.

What are the traditional methods of treating thrush?

For the treatment of thrush in women, traditional medicine recipes are successfully used. They have significantly fewer contraindications and side effects than traditional medicines. However, even natural ingredients can cause an allergic reaction. Douching is generally not recommended for pregnant women. Keep this in mind during treatment.

St. John's wort is an excellent remedy against thrush due to its astringent, anti-inflammatory and antiseptic properties. The high content of phytoncides guarantees getting rid of bacteria and fungi of the Candida genus. A decoction of St. John's wort is used for douching. To prepare it, take 3-4 tablespoons of herbs, pour boiling water in the amount of 1.5-2 liters. After that, let the medicine brew for 1.5-2 hours. It is necessary to douche with this infusion 4 times a day.

have long been used infusion of sage and raspberry leaves rich in estrogens and anti-inflammatory components.

How to use: mix sage with raspberry leaves in equal proportions - 2 tablespoons of each herb. Then pour the mixture with a liter of boiling water. We expect 20 minutes for brewing, then we filter the infusion through a sieve or gauze. Let the product cool down to room temperature. It is used for douching 2-3 times a day. For greater effectiveness, you can add 2 tablespoons of apple cider vinegar per liter of product.

Oak bark- an effective way to get rid of thrush. The decoction has a strong antimicrobial effect, soothes inflammation and protects the genital mucosa from deep damage. To prepare a decoction, you need to take three parts of oak bark, one part of a string and one part of lavender. To prepare, pour one tablespoon of a mixture of herbs with 150 ml of boiling water. Let it brew for 2 hours. After this, the broth must be filtered and poured into it the same amount of boiling water. Douche with this composition 2 times a day.

Cranberry and viburnum- universal assistants in the fight against thrush. The polyphenols contained in these berries stop the growth of yeast fungi, alleviate manifestations and strengthen the body. Juices from cranberries or viburnum will prevent the development of thrush. But the main requirement is the use of only unsweetened juice. The presence of sugar has the opposite effect and the fungus develops even more intensively.

You need to drink juices 3 times a day, 2 tablespoons. You can add the same amount of water. For douching, take 1 tablespoon of strained juice in a glass of warm water.

Answers to frequently asked questions:

Can you get pregnant with thrush?

A woman who has an exacerbation of thrush can become pregnant. The processes that occur during candidiasis and the acid secreted by fungi can slightly impair the viability of spermatozoa. But if their number is large, and the mobility is high, then fertilization will still occur.

It is desirable that the woman at the time of pregnancy was absolutely healthy. But still, this disease does not pose a serious danger to the fetus. Unlike, for example, rubella.

Is it possible to have sex with thrush?

With thrush, sex is not recommended. This is due to the fact that with vaginal candidiasis, the mucosa becomes swollen and covered with erosions. During sex, she is traumatized. This contributes to the penetration of fungi into deeper layers and the attachment of a bacterial infection. In addition, during and after sexual intercourse, pain and itching in the genitals increase.

Is it possible to douche with thrush?

You can douche with thrush. This helps to cleanse the walls of the vagina from fungi and cheesy plaque. Various medicines can get rid of itching and inflammation. Most often, a weak soda solution, decoctions of chamomile and calendula are used.


Is it possible to use kefir or cottage cheese with thrush?

Kefir or cottage cheese contain a large number of lactic acid bacteria, which normally make up the bulk of the microflora. With thrush, their number decreases sharply. Therefore, the use of such products restores balance and will be very beneficial. It is necessary to include fresh kefir and natural yoghurts with a short shelf life and a minimum sugar content in the diet. They provide the most benefit.

Prevention of thrush in women

Prevention of candidiasis is based on the general strengthening of immunity. It is also necessary to strictly observe personal hygiene, the meaning of which is to maintain the normal microflora of the vagina. Gynecologists recommend using high acidity gels for washing, which include lactic acid and with a minimum amount of flavors.

Wear natural fabrics that allow your skin to breathe. But tight skinny jeans provoke the development of the disease.

You can get infected with thrush in pools and baths, where there are a lot of people and bleach affects the skin. If you notice such a tendency in yourself, then avoid visiting these places.

Eat more vegetables, fruits and dairy products. This will help keep the number of lactobacilli normal. Avoid uncontrolled use of medicines and do not forget about preventive visits to the doctor.

THERE ARE CONTRAINDICATIONS. CONSULT YOUR PHYSICIAN BEFORE USE.

Content

One of the most common infectious diseases is thrush. Its development provokes the Candida fungus. The disease affects the mucous membranes, occurs in children, women and men. The symptoms of the infection are very unpleasant, so it is worth starting therapy immediately after the first signs of infection are detected.

Cure for thrush

There are several ways to treat this unpleasant disease. Choosing drugs for thrush is recommended taking into account numerous factors. The disease can develop in men, women, or a child, affecting the mucous membranes in the mouth, nose, or genital area. Given the clinical picture, you can use:

  • drug treatment;
  • douching with infusions of medicinal herbs;
  • antifungal drugs for local treatment (ointments, creams, sprays).

It is recommended to discuss the effectiveness of a particular treatment method with a doctor. All antifungal medications are divided into local and internal. Ointments and creams for chronic thrush and advanced forms of diseases are ineffective, but they help get rid of itching and relieve irritation. If you believe the reviews, then the most effective is complex therapy, which combines local drugs against thrush and antimycotic capsules with home remedies.

Medicines for thrush in women

At home, vulvovaginal candidiasis and other types of this disease are treated with decoctions of herbs, creams and tablets that contain antimicrobial ingredients. Almost all medicines for thrush for women have a wide spectrum of action, so you need to choose them carefully so as not to harm your health. Before starting therapy, you should consult your doctor.

An important stage of treatment is the determination of sensitivity to antifungal drugs. At the initial stage, it is better to choose local means of combating thrush, and for chronic genital candidiasis, a course of special tablets (nitroimidazoles) is needed. Women should be especially responsible for treatment during pregnancy and breastfeeding.

Popular drugs for the treatment of candidiasis in girls:

  1. Vaginal capsules with fenticonazole Lomexin.
  2. Candles Miconazole, Pimafucin, Neotrizol.
  3. A single dose of Fluconazole (a cheap analogue of Flucostat).

Remedies for thrush in men

This disease can develop not only in women, but also in men, however, its treatment has features. How to get rid of candidiasis? It is necessary to make a choice in favor of drugs with a strong effect for topical application. Use special antifungal gels, ointments and creams twice a day until signs of infection disappear. Doctors sometimes recommend that patients take pills by mouth. To alleviate the condition, you can pay attention to folk remedies (soda solution, infusions of useful herbs, and more). Additionally, patients are shown a diet.

What drugs to treat thrush in men:

  • Econazole;
  • Lamisil;
  • Iconazole;
  • Clotrimazole solution;
  • Natamycin.

Remedy for thrush in children

When babies get sick, it is especially important for parents to choose the best remedy for thrush. In modern pharmacies, there are several common drugs that differ in price and form of release. How to treat candidiasis in a child? You can consider an antifungal agent for the treatment of thrush in children from the list presented:

  1. Miramistin has a wide range of activities. The remedy is available in the form of an ointment or a medicinal solution. The composition is applied in a small layer on the damaged area.
  2. Candide- an effective tool, according to the reviews of parents. Babies are prescribed it in the form of a solution, which is used to treat the affected area. Take no more than 3 times every day, the course is up to two weeks.
  3. Nystatin- an antibiotic produced in the form of tablets. It can be prescribed for advanced and severe form. The composition sometimes causes allergies.

Topical antifungals

If the disease is mild, then local treatment with solutions, sprays, ointments is recommended, and it is worth taking antibacterial tablets in severe cases. The fact is that antibiotics adversely affect the bladder, liver and kidneys. The following are popular antifungal drugs for topical thrush:

  1. Kanesten- antibacterial gel, cream, vaginal tablets.
  2. Nystatin ointment- an effective tool with a low cost.
  3. Miconazole- this remedy is included in the top of the most popular drugs for the local treatment of thrush.
  4. Levorin- Another effective topical remedy with an acceptable cost.

Candles from thrush

When candidiasis bothers women, suppositories are the most convenient treatment. The substances of the drug during therapy with vaginal suppositories actively penetrate the mucous membrane, relieve inflammation, discomfort and itching. The most popular are Lomexin, Zalain, Diflucan suppositories for thrush. The course of treatment lasts, depending on the location of the infection - up to 14 days. This method of therapy is not recommended for use during menstruation, except for suppositories based on Povidone-Iodine: Betadine or Sertaconazole.

Vaginal tablets for thrush

Often, suppositories are confused with vaginal tablets due to the similar method of application. A doctor should prescribe treatment with such drugs. The use of vaginal tablets is effective even with advanced forms of the disease. Capsules are introduced with an applicator or fingertip, pre-wetting with water. The use of tablets during pregnancy is allowed. The most popular drugs are listed below:

  1. Klion-D 100- price - about 400 rubles.
  2. Terzhinan- a remedy containing nystatin, ternidazole, prednisolone. The cost of a package of 6 pieces is 330-380 rubles.
  3. Irunin- the price is about 300-350 rubles per pack.

Creams for thrush

If, upon detection of the first signs of the disease, local treatment is started, then the neglected form can be avoided and irritation can be removed. Cream against thrush for women is suitable even for therapy during lactation and pregnancy. The most popular tools are listed below:

  • Pimafucin;
  • Candide
  • Triderm;
  • Zalain.

Spray from thrush in women

In addition to ointments, creams and suppositories, aerosols can be used to treat candidiasis in the intimate area. Spray from thrush is a safe treatment option, suitable for the initial stage of the disease. The most popular are the following aerosol preparations:

  • Hasiko;
  • Panavir;
  • Candiston;
  • Epigen.

Capsules from thrush

Advanced and chronic forms of this disease require serious treatment with antimicrobial agents. Popular oral tablets for thrush are listed below:

  1. Pimafucin- a well-known antibiotic that does not cause allergies, can be used in the treatment of candidiasis in pregnant women.
  2. Diflucan- very effective broad-spectrum capsules. Contraindicated in pregnancy, kidney and liver diseases.
  3. Flucostat- pills with a quick effect. Improvement is noted after taking one capsule.

Folk remedies for thrush

In addition to the medical method of treatment, it is worth considering numerous homemade recipes. For example, it is useful to replace hygiene products for thrush with a decoction of chamomile or string. However, the most popular way of folk therapy is douching. For him, decoctions of St. John's wort, a solution of soda or manganese are used. Treatment of thrush at home with folk remedies is more gentle and safe. At the first signs of infection, localization of the fungus can be avoided if therapy is started in a timely manner.

The price of funds from thrush

The cost of popular antifungal drugs in Russian pharmacies

Name

Price in rubles

Release form

Terzhinan

Tablets number 6

Tablets number 10

Polygynax (Niastan)

Capsules number 6

Capsules number 12

Clotrimazole (Kandibene, Kanisten)

vaginal tablets

Isoconazole

Pimafucin (Natamycin)

suppositories

Miconazole (Klion D-100, Ginezol)

suppositories