Instructions for use of Candida b cream - composition, indications, side effects, analogues and price. Instructions for use and review of Candida ointment During lactation pregnancy

Non-hormonal antimycotic antimicrobial drug.

Price from 257 rub.

Non-hormonal antimycotic antimicrobial drug.

Application- thrush, lichen, erythrasma.

Analogues- Candibene, Guine-Lotrimin, Clotrimazole. You can find out more about analogues, their prices, and whether they are substitutes at the end of this article.

Today we will talk about Candide cream. What kind of remedy, how does it affect the body? What are the indications and contraindications? How and in what doses is it used? What can be replaced?

What is the cream

Antimycotic drugs include the drug Candide cream.

Instructions for use describe in detail the effect of the active substance and the features of its use.

The product is produced for local and external use. Externally used to treat skin and nail lesions caused by various types of fungi. Intravaginally, Candide cream is used for thrush and vulvovaginitis caused by the corresponding pathogenic flora.

The drug produces a bacteriostatic effect against some cocci, except for enterococci, and gram-positive microbes.

The cream is dense in consistency, white, without a pronounced odor.

Before buying, you need to figure out what it is - Candide and how to properly apply the product.

Active substance

Medicinal action belongs to a substance from the group of imidazoles - a synthetic antifungal drug.

Its chemical name is 1-((2-chlorophenyl)diphenylmethyl)-1H-imidazole).

In drugs is in a concentration of 1%.

Compound

In addition to the active substance, Candide additionally includes the following components:

• sodium dihydrogen phosphate;
• soft white paraffin;
• propylene glycol;
• emulsion wax;
• sodium phosphate anhydrous;
• methylparaben;
• propylparaben;
• butylhydroxytoluene;
• prepared water;
• benzyl alcohol;
• mineral oil.

Pharmacological properties

The drug Candide stops the reproduction of certain types of microbes - corynebacteria, streptococci, staphylococci, gardnerella.

Antiprotozoal action is directed to Trichomonas.

The fungicidal and fungistatic effect of clotrimazole is manifested in relation to the pathogens of erythrasma and versicolor, dermatophytes, yeasts, molds, yeast-like fungi.

Pharmacodynamics and pharmacokinetics

The substance is poorly absorbed from the skin surface, its bioavailability is only 0.5%.

When used topically and intravaginally, the degree of absorption reaches 10%.

Clotrimazole accumulates in the stratum corneum of the epidermis and keratin of the nail plates. The therapeutic effect persists for several days after application.

The minimum concentration of the element stops the growth of pathogenic flora. The half-life is 4-5 hours.

Metabolism occurs in the liver, the excretion of inactivated products of metabolic processes is carried out with the help of the intestine.

Clotrimazole disrupts the synthesis of ergosterol and this leads to disruption of the structure and properties of the cytoplasmic membranes of pathogenic cells. Intracellular metabolic processes are disturbed, which leads to cell death.

At the same time, the active ingredient is involved in oxidative reactions, interacting with mitochondrial and peroxidase enzymes. As a result of the reaction, hydrogen peroxide is released in concentrations toxic to pathogens.

Indications

The instructions describe in detail what Candide helps for external and local use. These are all fungal diseases caused by pathogenic flora sensitive to clotrimazole:

• , feet, nails, mucous membranes of the mouth;
• urogenital diseases caused by trichomonas, gardnerella,;
• pyoderma;
• dermatophytosis;
• mycoses of the skin, unspecified.

Cream Candide is often used in gynecology for the treatment of genital infections, vulvovaginitis, vaginitis.

Men are prescribed a remedy for and balanoposthitis.

Contraindications

The drug is not indicated for the treatment of patients with allergies to clotrimazole or imidazole.

Method of application and dosage

It is applied externally to diseased areas, calculating the volume of a single dose in such a way that 5 mm of a column of the agent falls on a skin area of ​​75-100 cm 2. After application, the drug is rubbed with soft movements.

For thrush women, the drug should be administered using an applicator. It is screwed onto a tube and filled with cream. The dispenser is inserted into the vagina and the drug is administered.

Men with balanitis lay the cream behind the foreskin. Treatment of urogenital diseases is carried out simultaneously in both sexual partners.

Treatment of genital infections lasts 5-7 days.

The duration of the course of therapy differs depending on the type of pathogen and disease:

• pityriasis and multi-colored lichen - 2 weeks;
• dermatomycosis - 4 weeks;
• erythrasma - 4 weeks;
• pyoderma - 2 weeks.

From nail fungus Candide is used for 3-4 months. Before applying the product, the nail is removed in a hospital setting.

To prevent re-infection, treatment is continued for another 10-14 days with mycosis of the skin, feet and nails.

In childhood, during pregnancy and breastfeeding

The use of Candide during gestation is prohibited in the 1st trimester. In the last months of gestation, the use of an intravaginal applicator is not recommended.

During the lactation period, the use of drugs is limited - there is no data on the penetration of the active ingredient into breast milk.

Children are not prescribed drugs containing clotrimazole due to the lack of safety data in this age group.

Side effects

Rarely, burning and itching occurs at the application sites. In some cases, allergic reactions occur in the form of, rash, bullous and,

Name:

Candide (Candid)

Pharmacological
action:

antifungal drug with a wide range of activities.
The active ingredient in Candida is clotrimazole- is a derivative of imidazole. Its antifungal effect is due to a violation of the production of ergosterol, which is part of the fungal cell membrane. As a result of the action of clotrimazole, the permeability of the cell membrane changes, which leads to cell lysis. Small doses of the drug have a fungistatic effect, large doses have a fungicidal effect, including on non-proliferating cells. Fungicidal concentrations of clotrimazole are able to interact with peroxidase and mitochondrial enzymes, contributing to an increase in the concentration (up to a toxic level) of hydrogen peroxide, which, in turn, also leads to the death of fungal cells.

Candide active against mold, yeast-like fungi(Rhodoturola, Torulopsis, Candida) and dermatophytes(Microsporum, Epidermophyton, Trichophyton), the causative agent of erythrasma, pityriasis multicolor, as well as Aspergillus, Malassezia furfur, gram-positive bacteria (Staphylococcus spp., Corynebacterium minutissimum, Streptococcus spp.) and gram-negative (Gardnerella vaginalis, Bacteroides spp.), and Trichomonas vaginalis.
Absorption of clotrimazole with intravaginal administration ranges from 3 to 10% of the administered dose. For 48-72 hours, low concentrations of the drug in the blood and high in the vaginal secretion remain. Clotrimazole is metabolized to inactive metabolites in the liver.

Indications for
application:

Candide used in therapy:

Mycosis of nails;
- multicolored lichen;
- dermatophytosis of the head, legs, body;
- skin candidiasis;
- candidal vulvitis;
- candidal paronychia;
- candidal balanitis;
- candidiasis of the anus and external genitalia;
- erythrasma;
- fungal diaper dermatitis.

It is used in the treatment of genital infections caused by Candida or Trichomonas vaginalis fungi, and genital superinfections caused by clotrimazole-sensitive microorganisms.
Candide is prescribed for the rehabilitation of the birth canal in preparation for childbirth.

Mode of application:

A small amount of lotion, gel or cream rub into a dry and clean area affected skin 2-3 times a day. It is recommended to continue therapy with Candide after the disappearance of the symptoms of the disease for another 3-4 weeks to prevent relapses and complete mycological cure.
Candide in the form of a lotion (solution) recommended for use in extensive lesions of the skin and scalp.
Candide in the form of vaginal tablets injected deeply, intravaginally, in the supine position, with bent legs. Candide is prescribed once at bedtime, 500 mg.
When using Candida for the sanitation of the birth canal, it is enough to inject 500 mg of the drug (1 tablet) once.

special instructions

To prevent urogenital reinfection, simultaneous treatment of sexual partners is necessary.

With trichomoniasis, for more successful treatment, together with Candide, other drugs with a systemic effect (for example, metronidazole orally) should be used.

With simultaneous infection of the labia and adjacent areas (candidiasis vulvitis), local treatment with Candide cream should be additionally carried out.

During pregnancy, treatment with vaginal tablets should be carried out without an applicator.

In patients with hepatic insufficiency, the functional state of the liver should be periodically monitored.

If signs of hypersensitivity or irritation appear, treatment is stopped.

If there is no effect within 4 weeks, the diagnosis should be confirmed.

Side effects:

For outdoor use Candida in rare cases, local irritation occurs, which disappears on its own with continued treatment.

For intravaginal use Candida may cause burning, itching, vaginal discharge, swelling of the vaginal mucosa, headache, frequent urination, gastralgia, intercurrent cystitis, pain during intercourse, burning sensation in the partner's penis.

Contraindications:

- specific skin lesions (including tuberculosis, chicken pox, herpes simplex, measles, syphilis);
- skin reactions at the vaccination site;
- Hypersensitivity to the components of the drug.
– I trimester of pregnancy;
- the period of menstruation.

Carefully:
- period of breastfeeding.

Interaction
other medicinal
by other means:

When administered vaginally Clotrimazole reduces the activity of Amphotericin B and other polyene antibiotics. With simultaneous use with nystatin the activity of clotrimazole may decrease.

Pregnancy:

In clinical and experimental studies has not been installed that the use of the drug during pregnancy or breastfeeding has a negative impact on the health of the woman or the fetus (child). However, the question of the advisability of prescribing the drug should be decided individually after consulting a doctor.

Overdose:

The use of the drug in high doses does not cause any reactions and conditions that are life-threatening.

Symptoms(in case of unintended use of the drug inside): anorexia, nausea, vomiting, gastralgia, abnormal liver function; rarely - drowsiness, hallucinations, pollakiuria, allergic skin reactions.

Treatment: the appointment of activated charcoal, if necessary - symptomatic therapy; there is no specific antidote. in aluminum tubes of 20 g; in a pack of cardboard 1 tube.

Candide solution for external use 1% applications:

in plastic bottles of 20 ml, in a cardboard pack 1 bottle.

Candide Powder for external use application of 1% white, with a characteristic odor.
1 g of powder contains clotrimazole 10 mg;
in plastic bottles of 30 g, in a cardboard pack 1 bottle.

Candide Solution for local application 1% colorless, transparent, viscous.
1 ml of solution contains clotrimazole 10 mg;
excipients: propylene glycol - 495 mg; glycerin - 495 mg;
in dropper bottles of 15 ml, in a carton pack 1 bottle

The active ingredient of the drug is clotrimazole. It is an antifungal agent that is effective against Candida and some yeast-like fungi. Its mechanism of action is based on the cessation of reproduction of pathogenic fungi.

Clotrimazole belongs to antibiotics, but its antimicrobial activity is extremely low, so it is not used to treat bacterial lesions.

Additional substances are needed to make the process of using the drug more convenient. These are propylene glycol, liquid paraffin, wax and other substances used to create an ointment base. They have no medicinal effect.

Production form, pharmacological properties

The product is available in the form of an ointment, cream, powder, solution for external use, tablets and gel for vaginal use. Clotrimazole is also available as a drug for oral and intravenous administration, but under other trade names.

Candide under various trade names is for external use only - it is applied to the affected area to eliminate the fungus.

It should be used strictly according to the instructions, not allowing the use inside. It is also undesirable to use it on healthy skin - it can upset the balance of normal microflora (this is a rare side effect, but in the presence of other provoking factors it can play a role).

Pharmacodynamics

The action of the drug is due to its interference in the biochemistry of the fungal cell. Clotrimazole disrupts the synthesis of a vital protein of the fungal cell, which is not found in the human body. Depending on the dose, the drug either disrupts the reproduction of fungi, or causes their death. Candide cream is safe for humans - the protein it affects is not produced in the human body.

The drug is effective against the following types of fungi:

• dermatophytes;
• mold fungi;
• yeast-like fungi;
• causative agents of multi-colored lichen and erythrasma.

There is moderate activity against staphylococci and streptococci. This avoids bacterial complications during treatment.

Pharmacokinetics

The product is intended for external use only. When used on the skin, it is not absorbed into the bloodstream. The only undesirable effect is that the ointment can stain clothes or linen. If the drug is used intravaginally, slightly pronounced systemic effects are possible.

If the drug is absorbed (in a small amount), it is not metabolized in the liver and circulates unchanged in the blood. It is excreted through the kidneys in its pure form. The amount of absorbed substance is extremely small, and is usually not taken into account when applied externally. However, in the presence of an allergy, it may be sufficient for the development of a pathological reaction.

Indications for use

Cream Candide is used to treat candidiasis on the skin and mucous membranes.

It is mainly designed to combat fungal infections in various areas:

Candide ointment instructions for use calls it effective not only against candidiasis, which is indicated in the title, but also against most skin fungal infections. It is possible to use wound surfaces for candidiasis, but this must be done very carefully, since the drug can irritate damaged skin.

It is possible to use with combined fungal and bacterial lesions - the anti-staphylococcal activity of clotrimazole will help to avoid bacterial complications. Skin cream can be applied vaginally to combat female genital infections, but it is advisable to use a special dosage form for this - vaginal tablets or gel.

Contraindications

Clotrimazole can cause allergic reactions, so it should not be used in case of severe hypersensitivity to it. Also, it should not be used on recently vaccinated skin, especially if a skin reaction is noted. For any skin manifestations that are not associated with a fungal infection, Candide ointment cannot be used.

If the skin is affected by a specific inflammatory process - tuberculosis, syphilis, herpes and other infections - Candide will not bring benefits, but it can further disrupt the composition of normal microflora.

The tool can not be used in the 1st trimester of pregnancy. At a later date, this should be done strictly according to indications, if the benefit to the mother is higher than the possible harm. After childbirth, its use is possible in all areas except the breast, it is not necessary to interrupt feeding. It is unacceptable to use vaginal forms of the drug during menstruation - the effectiveness is sharply reduced.

Ointment Candide: instructions for use for men and women

Candide ointment instructions for use for women recommend using as follows:

Instruction for men - with thrush, you can use the usual Candide ointment for external use. It is applied to the mucous membrane of the genital tract in a thin layer, without rubbing. The frequency of application depends on the intensity of the lesion. The duration of the course of treatment is about 6 days.

In inflammatory processes on the skin, the drug is applied to the damaged area, it can be rubbed or applied under a bandage. Application frequency - at least 2 times a day and no more than 5 times. The duration of the course of treatment is 5 days or more. It is impossible to shorten the course - as with antibiotic treatment, resistance to therapeutic effects may develop.

If there is no improvement within 5 days, the drug is ineffective, and it should be replaced with another fungus remedy.

At what age can children be used, treatment features

The official instructions for use do not indicate the age at which the medicine can be used. However, Candide cream is not recommended for use in children under 12 years of age. In adolescence, it can be prescribed strictly according to indications, if the benefit is significantly greater than the harm.

Children of preschool and primary school age can use Candide cream in exceptional cases when it is necessary to get rid of the fungus on the skin. Dosage forms intended for intravaginal use are prohibited for children under 12 years of age. For children under 3 years of age, the drug is completely contraindicated.

Side effects

Candide ointment instructions for use recommend using only for topical use, so side effects appear mainly in the area of ​​​​application of the cream. The severity of side effects is minimal, this is the main advantage of Candide cream over other drugs. Rashes, itching and burning may occur on the skin.

The rash has the form of small red dots, less often - small bubbles with liquid. If the severity of allergic manifestations on the skin becomes so strong that it causes significant inconvenience to the patient, you should consult a doctor to select similar medicines.

With prolonged use, a violation of the microflora of the skin and the development of secondary bacterial infections, a change in skin tone, the appearance of areas of hypo- or hyperpigmentation are possible.

General adverse reactions are extremely rare. There may be a slight deterioration in well-being, dyspepsia, loss of appetite. As a rule, these phenomena are short-term and mild. If this is not the case, you should immediately stop using Candida and consult a doctor.

Overdose

Drug overdose is unlikely. When used correctly, it practically does not occur. If the cream is applied to the vaginal mucosa or the glans penis, absorption is somewhat faster, but overdose cases have also not been recorded.

Cases of overdose when taken orally are not registered, dyspepsia, severe nausea and headache are possible. Overdose treatment is not required.

Interaction

In combination with other antifungal agents, Candide ointment has a combined effect. Their effect is summed up and there is an increase in antifungal action. This increases the risk of side effects, as well as overdose. If two preparations containing clotrimazole are used, then a significant deterioration in the patient's condition is possible.

At the same time, the use of Nystatin or Amphotericin causes a mutual decrease in effectiveness. This effect is manifested regardless of the dosage forms in which both drugs are used.

If it becomes necessary to use other drugs in the form of ointments, then the interval of their application should be chosen so that they do not have to be done at the same time - this can lead to a mutual deterioration in effectiveness.

Terms of sale, storage

Candide ointment is sold in pharmacies without a doctor's prescription. The cardboard box contains a tube with the drug and instructions for use, which details how to use the drug. There is no special applicator for applying the ointment. The tube of ointment can be stored at room temperature, avoiding overheating and exposure to direct sunlight.

Do not freeze or refrigerate. It is necessary to limit access to the ointment to children and pets.

The shelf life is 3 years, the date of manufacture is indicated on the package of the drug. If the tube is damaged, it is undesirable to use the ointment. It is advisable to consult a doctor before use, despite the fact that a prescription is not required.

special instructions

Candide ointment instruction for use recommends using strictly for local treatment - application to the skin area affected by fungi. Special dosage forms in the form of vaginal tablets and gel are intended exclusively for use in the vagina, the gel can be applied to the mucous membrane of the penis.

The solution for the oral cavity can only be used for the treatment and prevention of candidal stomatitis. It is not allowed to use drugs in an inappropriate way. The instruction also recommends that you carefully consider age restrictions, follow the dosage regimen and the recommendations of your doctor in order to effectively cure the disease and avoid complications.

If you experience any unpleasant symptoms associated with treatment, you should consult a doctor. If there is a need to use any other drug along with Candide, you should consult a specialist for drug compatibility.

Analogues

Preparations containing the same active substance (clotrimazole):

These drugs have the same properties as Candide. They are applied topically to the affected area. All of them are sold without a prescription, but it is advisable to use them after consulting a doctor. The difference in price is due to the peculiarities of production, the presence of various additional substances.

Also, products containing other active substances with an antifungal effect are used. Which one to shave depends on the affected area, the type of fungus, the characteristics of the perception of certain drugs.

Against thrush in women and men are used:

• Nystatin suppositories and gel.
• Fluconazole suppositories and gel.
• Ketoconazole suppositories, gel, vaginal tablets.

The dosage and duration of the course of treatment is determined by the doctor. During the course of therapy, one should refrain from sexual activity, women need to carry it out after the end of menstruation and before the start of the next ones, men - at any time.

Against the fungus of the skin and nails are used:

• Exoderil cream, ointment, solution.
• Terbinafine cream, ointment, gel.
• Lamisil cream, ointment.
• Loceryl varnish.

The ointment is applied to the affected area, the time of application must be chosen so as to avoid erasing the ointment on clothes or shoes within half an hour after application. It is not necessary to use Candide and other similar agents at the same time - this can lead to a mutual decrease in effectiveness.

Prices in pharmacies in Moscow, St. Petersburg, regions

The actual cost of the drug in the pharmacy may differ from that indicated in the table. In most cities, it is possible to order Candide ointment online with delivery to a specified point or pickup. The cost of the medicine in this case is lower than when buying in pharmacies, but on the website it is indicated without delivery.

Ointment "Candide" - a synthetic substance directed against fungi, an excellent ointment for candidiasis, perfectly penetrating into the epithelium and destroying bacteria. Vigorously counteracts yeast-like, mold and yeast fungi, dermatophytes, etc.

When used against many varieties of candidiasis, this ointment is considered quite effective, experts say. Each package of Candide ointment contains instructions for use, which must be strictly followed. According to customer reviews, the ointment is well known and popular due to its availability and reasonable price.

Due to the wide spectrum of action, Candide ointment has the following indications for use against such diseases as: candidiasis of the mucous membranes of the genital organs and perineum; erythrasma; candidal paronychia, etc.

How much does the ointment cost, and is it on sale now? Now the ointment is manufactured under the Candide B brand; it can be purchased at all pharmacies, the price is from 420 rubles. for a tube with a capacity of 15 g. Due to this, the ointment is becoming more and more widely used.

Against the Candida fungus, not only the ointment is released, but also the Candide gel. There are other analogues.

When using Candide B ointment, you should also use the instructions for its use.

It should be noted that creams, drugs and other antifungal agents, like Candide ointment, despite their availability, should be used only after consulting a doctor.

Nystatin ointment is also an antifungal drug, but, unlike Candida, it has a more narrowly focused effect: it works mainly against fungi of the Candida family for both treatment and prevention.

The active substance in this ointment is the antibiotic nystatin, Vaseline and lanolin act as auxiliary agents, which help to evenly apply nystatin to the damaged surface.

Nystatin ointment also destroys fungal cells by acting on their membrane. In this case, the permeability of the membrane of fungal cells worsens, which leads to their death.

Often, Nystatin ointment is used to treat diaper rash in children and bedridden patients, and is also used against stomatitis that has developed as a result of thrush.

Depending on the form of release, Candide preparations have slightly different compositions. The cream or, in other words, the ointment contains clotrimazole, which destroys the membranes of fungal cells, as well as other additional substances.

The drug in the form of a solution includes clotrimazole, and in addition glycerol with propylene glycol.

Tablets consist of clotrimazole, as well as purified talc, starch and other substances.

A thin layer of cream is applied to dry and clean skin 2-3 times a day. To prevent recurrence of the disease, it is recommended to continue treatment with Candide after the disappearance of symptoms for 3-4 weeks. The affected area should not be bandaged or sealed with a plaster to avoid the greenhouse effect. The decision on how long the treatment with Candide will last should be made by a dermatologist. General recommendations for the use of the cream are as follows:

1. With inguinal epidermophytosis, microsporia of smooth skin and candidiasis, the duration of treatment is 2 weeks.
2. With epidermophytosis of the feet, therapy should continue for 4 weeks.

Cream treatment should be continued if the patient is a carrier of chronic fungal diseases. Therapy should not last longer than 4 weeks. If you need to repeat the course of treatment, you must wait 30 days. It is not recommended to self-administer Candid B. You must first visit a dermatologist. Only after receiving the results of skin scrapings for the fungus, the doctor will be able to develop an effective treatment plan.

The active substance Clotrimazole disrupts the synthesis of ergosterol, which is the active component of fungal cells and contributes to its further destruction. The drug affects a large number of strains of mycotic bacteria and is effective in the occurrence of multi-colored lichen.

Candide is not absorbed into the general circulation when applied to the skin, and when administered intravaginally, the concentration in the blood is observed after 3 days. The drug is metabolized in the liver and excreted from the body along with faeces.

The composition of the drug is based on the content of active and auxiliary components:

• Clotrimazole;
• Petrolatum;
• propylene glycol;
• Liquid wax;
• Paraffin;
• Alcohol;
• Hydrophosphate sodium;
• Purified water;
• Glycerol;
• Silicon dioxide;
• Lactose;
• Starch.

The drug is presented in the form of a white cream in aluminum tubes weighing 20 grams, a solution for external application in a vial of a viscous consistency with an active substance in the amount of 15 grams, powder with a capacity of 30 grams and vaginal suppositories in a carton.

Methods of using Candida depend on the form of release of the drug and do not cause any difficulties with their implementation.

Excessive use of the drug can lead to signs of poisoning, therefore, in this case, appropriate therapy should be carried out (taking adsorbents and gastric lavage).

Candide is freely available and sold without a prescription. The shelf life of the drug is 4 years. After the expiration of time, the use is strictly prohibited! Storage conditions at a temperature of 2-25 degrees in a dry, dark place out of the reach of children.

The main active ingredient of the drug is clotrimazole. The preparation "Candide" (cream and ointment), in addition to it, contains anhydrous beclomethasone dipropionate - 25 mcg, benzyl alcohol, white petrolatum, paraffin oil, cetomacrogol emulsion wax, methyl parahydroxybenzoate and propylene glycol.

Ointment and cream "Candide" are produced in aluminum tubes with a volume of 20 g, which are placed in cardboard boxes along with instructions for use. According to the reviews of patients using the cream, the period for which it is completely absorbed into the skin is very short. This allows you to do any business almost immediately after application. The ointment has a slightly more oily texture, so it is better to use it before bedtime.

• yeast-like fungi, including Candida, Rhodotorula, Torulopsis glabrata;
• molds and lichen pathogens Pityriasis versicolor;
• dermatophytes, including Trichophyton, Epidermophyton and Microsporum;
• streptococci and staphylococci;
• bacteria Gardnerella vaginalis, Trichomonas vaginalis and Bacteroides.

Due to such a wide spectrum of activity, the Candide preparation, the instructions for which contain a fairly wide list of fungi and bacteria, can be used for the following diseases:

1. Multicolored lichen.
2. Dermatophytosis of the skin of the scalp, legs and body.
3. Candidal lesions of the skin and nails.
4. Candidiasis of the mucous membranes of the genital organs and perineum.
5. Erythrasma.
6. Candidal paronychia.

Before using the product, it is recommended to clean the surface of the skin from any existing contaminants, including natural secretions - sweat and fat. After the area affected by the fungus is completely cleaned, a Candide cream or ointment is applied to it. Instructions for use advises doing this 2-3 times a day.

The duration of treatment is about 2 weeks, however, experts draw attention to the fact that after the disappearance of the main symptoms of the disease, which include redness, itching, discoloration of the skin and others, treatment should be continued for 10-15 days to prevent relapses.

In addition to the main points in using Candide cream or ointment, the instructions for use contain a number of additional recommendations. So, in the presence of a trichomonas infection, in addition to external dosage forms, it is important to use drugs with a systemic effect, for example, Metronidazole. This will allow you to most effectively fight the infection. In addition, when symptoms appear in one of the partners, it is necessary to undergo treatment and the second in order to avoid re-infection.

Cream and ointment "Candide" should not be applied to areas of skin with existing violations of their integrity: cuts, scratches, abrasions. Before starting the application, it is important to ensure that even minor wounds are healed.

With the localization of a fungal infection in the genitals in women, in addition to cream and ointment, it may be necessary to use vaginal forms of the Candide preparation: tablets or washing solution.

There are also such forms of the drug as Candid-B6 and Candid-B

Dosage and duration of treatment depend on the form of Candida.

Composition and form of release

Colorless, transparent, viscous liquid.

Solution for topical application, 1%. 15 ml in a PE bottle with a built-in PE dropper stopper, screwed with a plastic stopper. 1 vial placed in a cardboard box.

According to the instructions, the simultaneous use of clotrimazole with amphotericin B, nystatin reduces the effect of the drug. Doctors are allowed to combine drugs with systemic antibiotics and antimicrobial agents, plus forms for external and intravaginal use. Before using any combination of drugs, you should consult your doctor.

The drug is produced in forms convenient for use in various types of fungal infections:

• vaginal suppositories;
• powder for interdigital spaces;
• skin gel;
• solution for the oral cavity, nail surface;
• eye drops;
• vaginal tablets.

In addition to clotrimazole, the composition includes paraffin, petroleum jelly and other additional components that ensure the creation of a creamy emulsion. The cream is produced in an aluminum tube with a volume of 20 grams. The agent is a homogeneous substance of white color.

Candide B is an augmented version of the drug. In addition to clotrimazole, it contains beclomethasone. Thanks to this ingredient, the cream received anti-inflammatory and antihistamine properties. Candide B is used for complicated fungal infections characterized by additional symptoms.

Some mistakenly believe that there is a certain Candide D. But in fact there is no such kind of cream. It comes in two forms, described above.

The medicine "Candide", from which it helps with candidal pathologies of any type, is an effective antifungal medication. Its active element enters all skin layers, has a destructive effect on bacterial cells.

The agent is active against yeast and mold fungi Candida, torulopsis, rhodoturola, as well as individual gram-positive and -negative microorganisms gardnerella, bacteroids, corynebacterium, staphylococci, streptococci, dermatophytes (trichophytes, microspores, epidermophytes).

• solution 1%;
• gel 2%;
• powder for external use 10 mg;
• vaginal tablets or candles "Candide" 500 mg;
• cream 1%;
• "Candide B" - cream;
• vaginal tablets "Candide B6" (analogue of suppositories) 100 mg.

The cream is a homogeneous mass of white color. It is sold in tubes of 20 g. The solution has a liquid viscous structure, transparent. It comes to pharmacies in bottles of 15 g. Powder (powder) is also sold in plastic bottles of 30 g.

Cream "Candide", from which it helps with candidiasis, includes the active element clotrimazole in its composition. The solution contains the same active ingredient. Tablets, suppositories (candles) "Candide" include clotrimazole, starch, talc, silicon dioxide and other components.

The therapeutic effect of the drug "Candide" for external use in the form of a cream or ointment is based on the specific effect of the main components on the cell wall of the fungi that caused damage to the skin or mucous membranes. Anhydrous beclomethasone, in turn, acts on tissues exposed to foreign organisms: relieves inflammation, reduces redness and itching, pain, swelling and other symptomatic manifestations of candidiasis.

According to experts, the drug "Candide" is one of the few drugs that quickly destroy the fungus even on the feet and in the thickness of the nail plate.

The product is available in the form of an ointment, cream, powder, solution for external use, tablets and gel for vaginal use. Clotrimazole is also available as a drug for oral and intravenous administration, but under other trade names.

It should be used strictly according to the instructions, not allowing the use inside. It is also undesirable to use it on healthy skin - it can upset the balance of normal microflora (this is a rare side effect, but in the presence of other provoking factors it can play a role).

Candide is effective against yeasts and molds

The action of the drug is due to its interference in the biochemistry of the fungal cell. Clotrimazole disrupts the synthesis of a vital protein of the fungal cell, which is not found in the human body. Depending on the dose, the drug either disrupts the reproduction of fungi, or causes their death. Candide cream is safe for humans - the protein it affects is not produced in the human body.

The drug is effective against the following types of fungi:

• dermatophytes;
• mold fungi;
• yeast-like fungi;
• causative agents of multi-colored lichen and erythrasma.

There is moderate activity against staphylococci and streptococci. This avoids bacterial complications during treatment.

Clotrimazole is an imidazole derivative, a broad-spectrum antifungal agent.

The antimycotic effect is associated with a violation of the synthesis of ergosterol, which is part of the cell membrane of fungi, which causes a change in its structure and properties and leads to cell lysis.

Dermatophytes, yeast-like fungi (genus Candida, Torulopsis glabrata, Rhodotorula), mold fungi, as well as the causative agent of multi-colored lichen Pityriasis versicolor and the causative agent of erythrasma are sensitive to clotrimazole.

It has an antimicrobial effect against gram-positive (staphylococci and streptococci) and gram-negative bacteria (Bacteroides, Gardnerella vaginalis), as well as against Trichomonas vaginalis.

The mechanism of action of various forms of the drug is based on the ability of the active substance clotrimazole to prevent the synthesis of nucleic acids and proteins that make up the cell membranes of harmful fungi. The membranes are destroyed, the cells die.

A low dosage of clotrimazole stops the growth and development of microorganisms. The drug concentration of more than 20 μg / ml has a fungicidal effect, that is, it destroys the fungus.

Candide accumulates in the skin - the epidermis and reticuloderm, penetrates into the nail keratin.

Beclomethasone, one of the components of the ointment, relieves inflammation and skin allergies, reduces symptoms in the form of erythremia, swelling, as well as itching, irritation and pain.

At low concentrations, it has a fungistatic effect, at high concentrations it has a fungicidal effect, leading to an increase in the amount of hydrogen peroxide and the subsequent death of fungi.

With vaginal application, the maximum absorption of clotrimazole reaches 10% of the dose, which after a maximum of 3 days leads to small amounts in the blood and a high concentration in the secret of the vagina.

There is no data on whether clotrimazole penetrates into the mother's milk during breastfeeding, so applying the ointment to the mammary glands is strictly prohibited.

Pharmacokinetics and pharmacodynamics

When applied topically, the adsorption of clotrimazole from the mucous membranes is negligible.

The product is intended for external use only. When used on the skin, it is not absorbed into the bloodstream. The only undesirable effect is that the ointment can stain clothes or linen. If the drug is used intravaginally, slightly pronounced systemic effects are possible.

If the drug is absorbed (in a small amount), it is not metabolized in the liver and circulates unchanged in the blood. It is excreted through the kidneys in its pure form. The amount of absorbed substance is extremely small, and is usually not taken into account when applied externally. However, in the presence of an allergy, it may be sufficient for the development of a pathological reaction.

Indications for use

Candide is used to treat fungal diseases

• Mycosis of the feet and any areas of the skin.
• Multicolored and pityriasis versicolor.
• Candida balanitis and vulvitis.
• Candidal lesions of the genitals and anus.
• Diaper type dermatitis.
• Candidal paronychia.
• Mycosis, accompanied by various complications.
• Erythrasma.
• Candidiasis caused by molds and yeasts, dermatophytes and other types of pathogens.
• Stomatitis of candidal origin (in this case, only the drug is used in the form of a solution).

Candida is in some cases used for the sanitation of the birth canal. Tablets (candles) are used to treat infections of the genitals, which are caused by microorganisms that are sensitive to the active substance.

During the 2nd and 3rd trimesters, prior consultation is required before using Candide.

The drug is easily tolerated by patients, so it has practically no contraindications. Absolute contraindications are: individual intolerance to the components and the 1st trimester of pregnancy. During the 2nd and 3rd trimesters, a preliminary consultation is necessary before using the product. At this stage of pregnancy, the drug, as a rule, does not have a negative effect on the body of the woman and the fetus.

With caution, the drug is used during lactation. Vaginal tablets are not used during menstruation, while other forms of the drug are allowed during this period.

Olga, 41 years old

Candide used in the form of candles and gel. Candles caused a slight burning sensation, so I decided to switch to gel. He helped get rid of thrush in just a week, without causing side effects. It seemed to me more convenient to use it than candles.

Maria, 35 years old

I used Candide cream for the treatment of mycosis of the feet. I liked that the drug is quickly absorbed and instantly relieves itching. The treatment took 3 weeks, after which another week was applied as a prophylaxis. The skin of the feet seemed to be renewed, became smooth, and the fungus completely disappeared.

Oksana, 32 years old

Candide was recommended to me by a doctor for the treatment of multi-colored lichen. It was a complex therapy, I used Candide as an additional remedy. I can say that it did not cause any side effects. After application, the skin immediately becomes softer. Used it for a month. Now I apply 1-2 times a week to avoid recurrence.

Candide ointment is actively used for various diseases of a fungal nature. So, it is recommended to use it for fungal infections of the skin and mucous membranes, candidiasis of the genital organs, erythrasma, multi-colored lichen, dermatophytosis, diaper dermatitis of fungal origin, vulvitis, vulvovaginitis.

The cream is almost universal, it can be used for both women and men. Use in childhood is also allowed.

Ointment from the fungus Candide has a number of contraindications, which should be paid attention to. These include:

• first trimester of pregnancy;
• menstruation;
• breast-feeding;
• individual intolerance to any component of the drug.

During breastfeeding, you can not apply the cream on the chest. As for the second and third trimester, the decision on the need to use the ointment should be made by the doctor. He evaluates the benefits for the mother and the possible harm to the unborn child, after which he prescribes the appointment.

The ointment has no other contraindications. Therefore, it is used to treat fungal infections quite often.

Currently, on the Internet you can find a lot of reviews about the Candide preparation from people who have already experienced it. They write both positive and negative information. Before using the drug, you should read the opinions of other people in order to understand whether it is worth using it.

In general, most of the reviews are positive. People say that with the help of the ointment they were able to easily get rid of the fungal infection. Women say that the remedy is excellent for thrush, and it is inexpensive compared to other drugs. The cream must be applied inside, and the thrush passes quickly enough.

Also, mothers share their experience of using the cream for dermatitis in children. For example, one girl found redness under her diaper, after which the doctor recommended the use of Candide ointment. The problem was fixed fairly quickly.

The cream is easy to use, for which it is praised. It is enough just to distribute it over the damaged area, and then rub it thoroughly. Negative reactions are usually not observed, few people complain about side effects.

There are also negative reviews. So, some people think the price is high. Indeed, there are cheaper analogues. But Candide ointment is highly effective.

Also, some patients write that the cream simply did not help them. They say that they used it according to the instructions, but they practically did not see the result. Such cases must be considered individually. Sometimes the drug may be ineffective, and only a specialist will understand the situation.

According to the instructions, Candide is used to treat fungal lesions of the skin and mucous membranes: ringworm, dermatophytosis, trichophytosis, epidermophytosis, microsporia, candidiasis, stomatitis, interdigital fungal erosion, fungal paronychia; mycoses complicated by secondary pyoderma; candidal vulvitis, vulvovaginitis, balanitis, trichomoniasis; pityriasis and multi-colored lichen, erythrasma, as well as for the rehabilitation of the birth canal immediately before childbirth.

Candide is not recommended for hypersensitivity to the components of the drug. In addition, the use of the drug in the first trimester of pregnancy is prohibited. In the second and third, drug treatment is prescribed at the discretion of the doctor if the benefit of the drug for the mother is greater than the potential risk to the fetus.

For lactating women, according to the instructions, Candide is also contraindicated. If there is a need for treatment with the drug, breastfeeding should be stopped.

Long-term treatment with this antifungal agent on large areas of the skin is contraindicated. Carefully appoint Candide to patients with liver failure. In this case, constant monitoring of the functional state of the liver is necessary.

Candide is available in the form of: creams (vaginal and for external use), solution and ointment (for external use), vaginal tablets.

There are contraindications for specific forms of the drug. For example, Candide ointment is not recommended to be used alone for: irregular or abnormal vaginal bleeding, vaginal or vulval ulcers, vaginal discharge of blood clots or pus with an unpleasant odor.

Candide ointment and solution are also contraindicated in case of skin lesions, wounds or blisters.

Candidal stomatitis.

Hypersensitivity to the components of the drug.

In a place protected from light, at a temperature not exceeding 25 ° C.

Keep out of the reach of children.

Do not use after the expiry date stated on the packaging.

Children and newborns

The solution treats the oral cavity for children with stomatitis. With candidiasis and other fungal pathologies, Candide is also prescribed. With thrush in newborns, which is formed after feeding, the solution is applied to the affected areas of the body and mouth. Processing is carried out three times a day. Positive changes are observed within a few days.

According to the instructions for patients under 16 years of age, a doctor should prescribe Candide. In case of burning, itching and other skin reactions, it is necessary to wash off the cream. It is strictly forbidden to apply the cream and additionally use occlusive dressings. This will lead to the penetration of beclomethasone into the blood and inhibition of the function of the adrenal cortex in children.

There is no experience in the use of line drugs in children, therefore, before prescribing, it is worth considering the possible risk to the body. It is known that long-term use of clotrimazole in a child leads to an increased risk of adrenal suppression. Be sure to get your doctor's permission before using any dosage forms of the drug and do not try to prescribe them yourself.

The official instructions for use do not indicate the age at which the medicine can be used. However, Candide cream is not recommended for use in children under 12 years of age. In adolescence, it can be prescribed strictly according to indications, if the benefit is significantly greater than the harm.

Children of preschool and primary school age can use Candide cream in exceptional cases when it is necessary to get rid of the fungus on the skin. Dosage forms intended for intravaginal use are prohibited for children under 12 years of age. For children under 3 years of age, the drug is completely contraindicated.

Overdose

An overdose of the drug for external use was not observed. When taking the drug inside, severe poisoning is possible. Intoxication is carried out with activated charcoal, since there is no specific antidote for clotrimazole. Before starting treatment, you must carefully read the instructions.

With the external use of the drug "Candide" overdoses are extremely rare. In case of accidental ingestion of a cream or ointment into the gastrointestinal tract, phenomena such as nausea, vomiting, malfunctions of the liver and other internal organs may occur. From the nervous system, symptoms such as drowsiness or hallucinations may be noticed.

Reviews of people who used the Candide remedy mention that at the beginning of therapy, side effects such as slight flushing of the skin, irritation and burning may occur. With continued treatment, these symptoms, according to respondents, disappear. Rarely, in the treatment of candidiasis localized on the mucous membranes of the genital organs, phenomena such as frequent urination, cystitis, pain during intercourse, swelling of the mucous membranes, copious discharge from the urethra or vagina, and headaches may occur. However, patient reviews of the drug very rarely talk about such symptoms.

When applied topically, an overdose of Candide is unlikely and does not lead to situations that threaten human life and health. With prolonged use of the cream in children or with an occlusive dressing in adults, the risk of suppression of the function of the adrenal cortex increases, therefore, during treatment, the vital signs of these organs should be monitored.

Acute overdose with topical application of Candide is unlikely and does not lead to a life-threatening situation.

An overdose of the drug is unlikely. When used correctly, it practically does not occur. If the cream is applied to the vaginal mucosa or the glans penis, absorption is somewhat faster, but overdose cases have also not been recorded.

Cases of overdose when taken orally are not registered, dyspepsia, severe nausea and headache are possible. Overdose treatment is not required.

With very long-term use of beclomethasone on large areas of the skin, adrenal insufficiency or its complete suppression may develop. A similar situation can be provoked by using the cream in conjunction with occlusive dressings. If an overdose is suspected, the drug is canceled and symptomatic therapy is carried out.

With local use, no cases of overdose have been identified. With intravaginal use, an overdose may be manifested by nausea, vomiting and headaches.

In case of accidental ingestion of the drug, it is recommended to take activated charcoal and, if necessary, wash the stomach.

Interaction

With simultaneous use with amphotericin B, nystatin, the activity of clotrimazole may decrease.

External use does not affect drugs taken orally against other pathogens that demonstrate sensitivity to them. Together with nystatin, natamycin, dexamethasone, the activity of clotrimazole, which is included in the ointment, is reduced, which requires an increase in its dosage.

When applied vaginally, on the contrary, clotrimazole reduces the effect of some polyene antibiotics, such as amphotericin B.

Together with highly concentrated propyl ester of parahydroxybenzoic acid, clotrimazole enhances its effect.

In combination with other antifungal agents, Candide ointment has a combined effect. Their effect is summed up and there is an increase in antifungal action. This increases the risk of side effects, as well as overdose. If two preparations containing clotrimazole are used, then a significant deterioration in the patient's condition is possible.

At the same time, the use of Nystatin or Amphotericin causes a mutual decrease in effectiveness. This effect is manifested regardless of the dosage forms in which both drugs are used.

If it becomes necessary to use other drugs in the form of ointments, then the interval of their application should be chosen so that they do not have to be done at the same time - this can lead to a mutual deterioration in effectiveness.

Interaction with other drugs with the active substance nystatin - Nystatin, Natamycin, Amphotericin - leads to a decrease in the effectiveness of clotrimazole.

It is undesirable to drink alcohol while taking Candide

Clotrimazole inhibits the action of drugs such as Nystatin, Natamycin and Amphotericin B. No interactions have been identified with other medicines.

The results of the study also showed that it is highly undesirable to drink alcohol while taking Candide.

Terms of dispensing from pharmacies

You can buy Candid B at a pharmacy only on prescription. It is necessary to store the cream in a dark place at a temperature not exceeding 25 ° C. The shelf life of the drug from the date of issue is 36 months.

Candide ointment is sold in pharmacies without a doctor's prescription. The cardboard box contains a tube with the drug and instructions for use, which details how to use the drug. There is no special applicator for applying the ointment. The tube of ointment can be stored at room temperature, avoiding overheating and exposure to direct sunlight.

The shelf life is 3 years, the date of manufacture is indicated on the package of the drug. If the tube is damaged, it is undesirable to use the ointment. It is advisable to consult a doctor before use, despite the fact that a prescription is not required.

Candide can be purchased at a pharmacy without a doctor's prescription. Tablets and solution do not lose their qualities for 3 years, cream - 2 years.

Conditions for the release of Candide ointment are free. You don't need to write a prescription to buy it. Tablets and solutions have a shelf life of 3 years, and the cream can be stored no more than 2.

Without recipe.

You can buy Candide without a prescription, it is stored away from light and children at a temperature of no more than 25 degrees. The expiration date is three years from the date of issue.

special instructions

Candide ointment instruction for use recommends using strictly for local treatment - application to the skin area affected by fungi. Special dosage forms in the form of vaginal tablets and gel are intended exclusively for use in the vagina, the gel can be applied to the mucous membrane of the penis.

The solution for the oral cavity can only be used for the treatment and prevention of candidal stomatitis. It is not allowed to use drugs in an inappropriate way. The instruction also recommends that you carefully consider age restrictions, follow the dosage regimen and the recommendations of your doctor in order to effectively cure the disease and avoid complications.

If you experience any unpleasant symptoms associated with treatment, you should consult a doctor. If there is a need to use any other drug along with Candide, you should consult a specialist for drug compatibility.

If Candide is used, the instructions for use require the study of special instructions. Some of the excerpts say that:

• the solution is used only as an oral treatment;
• intravaginal forms cannot be used during menstruation;
• to prevent reinfection, it is also desirable for the sexual partner to undergo a course of treatment;
• drugs are not used in ophthalmology;
• with trichomoniasis, for successful treatment, therapy is combined with the use of systemic drugs, for example, Metronidazole;
• with the simultaneous manifestation of candidiasis on the vulva of the labia and adjacent areas, it is allowed to combine the intravaginal forms of the drug with the cream;
• during pregnancy, the applicator cannot be used to administer the gel and tablets;
• in the treatment of Candida patients with liver failure should monitor the functional parameters of the liver;
• if signs of hypersensitivity or local irritation appear on the skin and genitals, therapy is canceled;
• if there is no effect from the drugs within a month, the diagnosis should be reconsidered;
• medicines do not affect the concentration of attention and the speed of psychomotor reactions, so they can be used when driving vehicles and dangerous mechanisms.

Candide is not used in ophthalmology and is not applied to the eye area. When using the drug, it is necessary to control liver parameters, since changes in the composition of the blood are possible.

If allergic manifestations occur, the application of the drug should be stopped, and in case of a prolonged absence of positive dynamics (4 weeks or more), you should consult a doctor for advice.

The drug is used only on intact skin. The appearance of thrush involves the therapy of both partners to avoid re-infection. Candida is not prohibited when driving a car or operating other devices that require concentration.

The cost of the drug ranges from 250-400 rubles, depending on the form of release of the drug. With contraindications to the use of Candida, close analogues of the drug can be used. List of main synonyms of the original.

1. Antifungol. An effective analogue of Candida antifungal action. The main substance Clotrimazole has a depressing effect on various strains of fungi. The drug is intended for the treatment of dermatophytosis, mycoses of various etiologies, gynecological pathologies, thrush. Contraindications: pregnancy, breastfeeding, allergic manifestations. The price is 200–250 rubles.
2. Ketoconazole. An inexpensive analogue of the original in the form of tablets, vaginal suppositories and creams. Indications for use: ringworm, epidermophytosis in the groin, feet, nails, pityriasis versicolor, seborrheic dermatitis. The drug should be excluded in case of allergies and open wounds on the skin. The price is 200–210 rubles.
3. Lomexin. One of the best and most effective Candida analogues presented as vaginal capsules, cream and ointment. The medicine is intended for the treatment of bacterial fungal infections of the skin, vulvovaginal candidiasis, vaginal trichomoniasis. The drug is not recommended during pregnancy, breastfeeding, menstruation, allergies, children's age category. The price is 400–450 rubles.
4. Metrogyl plus. A cheap substitute for the original in gel form. The combination of Metronidazole and Clotrimazole provides the antifungal effect of the drug. The scope of the drug is the treatment of bacterial vaginosis, fungal infections, vulvovaginal candidiasis. Contraindications: epilepsy, leukopenia, liver dysfunction, pregnancy (first trimester), allergic manifestations. The price is 200–250 rubles.

When replacing or choosing a suitable Candida analogue, you should seek advice from your doctor!

Candide is intended for topical use in the oral cavity only.

To achieve maximum results, you must follow special instructions:

1. Do not apply the product to the area around the eyes.
2. If signs of hypersensitivity appear, therapy is stopped.
3. With vaginal candidiasis, it is recommended to use the gel in conjunction with suppositories.
4. Do not apply the drug to open wounds.
5. Periodically monitor the condition of the liver.

Primary and secondary infections caused by gram-negative bacteria are maintained in warm, humid conditions, including occlusive dressings. Therefore, the affected area is cleaned with soap before applying the cream. The drug should not get into the eyes and mucous membranes. This may lead to an allergic reaction. During therapy with Candide, patients should observe the following instructions:

• With the development or spread of infection, stop the cream and start antimicrobial therapy.
• Apply the product to a small area of ​​​​skin and do not use occlusive dressings. Violation of this rule can provoke systemic absorption of beclomethasone.
• The duration of therapy should not exceed 1 month, because. clotrimazole and beclomethasone suppress the function of the adrenal glands.

During pregnancy and lactation

Candide should not be used during the 1st trimester of pregnancy. During the 2-3 trimesters, the drug will not harm the woman and the fetus.

During breastfeeding, treatment with Candide is not recommended. It may be prescribed if the benefits outweigh the possible risks.

The medicine should not treat the mammary glands while breastfeeding. The instruction does not contain information about the negative effect of the drug when applied topically. Doctors do not prescribe a remedy in the 1st trimester of pregnancy. At a later date, the use of the drug is permissible.

The use of the drug during pregnancy or lactation is allowed in cases where the intended benefit to the mother outweighs the risk to the fetus or infant.

In the second and third trimester, treatment with Candida b6 is prescribed if the harm to the fetus is less dangerous than the disease of the mother.

During pregnancy and breastfeeding, the instruction allows the use of the drug only if the benefit to the mother exceeds the risk to the fetus or newborn. Intravaginal forms of drugs are contraindicated in the first trimester of pregnancy. According to experiments, high doses of clotrimazole cause embryotoxic effects. It is not known whether the active substance is excreted in breast milk.

During childbearing, doctors try to avoid prescribing any drugs with clotrimazole and glucocorticoids. It is allowed to use the cream during pregnancy if the benefit to the mother outweighs the risks to the fetus. Candide is used for a maximum of 5-6 days and small areas of skin are treated with it. It is not known whether clotrimazole passes into breast milk, so the drug should not be used while breastfeeding.

Analogues

Similar to Candide ointment are such pharmacological products as Imidil, Antifungol, Clotrimazole, Candizol, Kanesten, Amiclone, etc. But they consist only of clotrimazole.

There are several analogues of Candide ointment, which have a similar effect. They are also used to treat fungal infections.

One of the well-known analogues is Candiderm cream. It, in fact, is an improved version of Candide ointment. It consists of clotrimazole, beclomethasone, gentamicin. It not only fights fungi, but also has an antibacterial and anti-inflammatory effect.

The drug helps well in diseases that are complicated by a secondary infection. Usually used for adults. If we are talking about a child under 16 years of age, then the treatment must be supervised by a specialist. The advantage of the tool is its complex effect. Candiderm helps well even with complicated infections, which Candide can sometimes not cope with.

Clotrimazole is another analogue of the cream, which includes the component of the same name. It is effective against fungal infections. It is used to eliminate foci of disease on the skin and mucous membranes. It must be applied to thoroughly washed and dried skin areas with problems. The advantage of the drug is its low price compared to analogues.

Kanesten is another analogue of Candide ointment, available without a doctor's prescription. It is used for fungal infections. The drug inhibits the growth of fungi and destroys the membrane of their cells, which leads to rapid death.

Analogues of the drug Candide differ in composition, but have an identical principle of action.

The average cost of the drug Candide is 80-100 rubles. The tool has many substitutes, the most popular of which are:

• Candizol.
• Imidil.
• Amiclon.
• Antifungol.
• Candibene.
• Kanesten.
• Clotrimazole.

The cost of analogues varies on average from 80 to 150 rubles. The drugs listed above differ in composition, but have an identical principle of action.

The closest analogue of Candida is Clotrimazole. It can be purchased in the form of ointment, suppositories and gel. The average price of funds is 150 rubles. This antifungal drug is often used in the treatment of candidiasis. Another substitute for Candida is Canison. The active substance of this drug is clotrimazole. The following analogues of Candid B can be purchased at the pharmacy:

• Kanesten;
• Candiderm;
• Rederm.

Preparations containing the same active substance (clotrimazole):

These drugs have the same properties as Candide. They are applied topically to the affected area. All of them are sold without a prescription, but it is advisable to use them after consulting a doctor. The difference in price is due to the peculiarities of production, the presence of various additional substances.

Also, products containing other active substances with an antifungal effect are used. Which one to shave depends on the affected area, the type of fungus, the characteristics of the perception of certain drugs.

Against thrush in women and men are used:

• Nystatin suppositories and gel.
• Fluconazole suppositories and gel.
• Ketoconazole suppositories, gel, vaginal tablets.

The dosage and duration of the course of treatment is determined by the doctor. During the course of therapy, one should refrain from sexual activity, women need to carry it out after the end of menstruation and before the start of the next ones, men - at any time.

Against the fungus of the skin and nails are used:

• Exoderil cream, ointment, solution.
• Terbinafine cream, ointment, gel.
• Lamisil cream, ointment.
• Loceryl varnish.

The ointment is applied to the affected area, the time of application must be chosen so as to avoid erasing the ointment on clothes or shoes within half an hour after application. It is not necessary to use Candide and other similar agents at the same time - this can lead to a mutual decrease in effectiveness.

There are many analogues of Candida in terms of the active ingredient clotrimazole. There are also indirect substitutes for the drug, acting similarly in terms of therapeutic effect. Analogues of the drug include medicines with clotrimazole in the composition:

• Clotrimazole;
• Canison;
• Candibene;
• Travocort;
• Biphon;
• Bifunal;
• Kanespor;
• Mycospor;
• Dermazol;
• Ketozoral.

1. "Imidil".
2. "Candide-B6".
3. "Clotrimazole".
4. "Canesten".
5. "Lotrimin".
6. "Yenamazol".
7. Factodin.

Also, doctors can prescribe drugs for replacement:

1. "Kandibene".
2. "Canison".
3. "Amiclon".
4. "Antifungol".
5. "Candisol".

Terms of dispensing from pharmacies

The actual cost of the drug in the pharmacy may differ from that indicated in the table. In most cities, it is possible to order Candide ointment online with delivery to a specified point or pickup. The cost of the medicine in this case is lower than when buying in pharmacies, but on the website it is indicated without delivery.

Without recipe.

In Moscow, you can buy Candide candles for 80, gel for 120, cream for 265, solution for 300, powder for 356 rubles. The price of the drug in Kyiv varies from 51 to 156 hryvnia, depending on the form of release. In Minsk, the medicine can be purchased by prior order; pharmacies offer analogues. You can buy gel 2% 30 g in Kazakhstan for 570 tenge.

The cost of one tube of Candide ointment is approximately 300 rubles. This price refers to a 20 gram tube. The cost may vary depending on the city and pharmacy where the drug is offered. Also, if the buyer has a discount card or other reason for a discount, then the tool will cost him much less.

Method of application and dosage

A thin layer of cream, ointment or Candida solution cover the affected areas of the skin (previously washed and dried) and mucous membranes. Then carefully rub the drug.

Candide gel and ointment are applied two to three times a day, Candide solution - three or four. Treatment with the solution is longer and even after the symptoms disappear, you need to continue to apply it for two to four weeks to prevent recurrence of the disease in the future. The solution is used either on hairy areas of the skin, or with a large area of ​​​​damage.

Candide cream is used to treat genital infections. About five grams of the drug (one full applicator) is injected deep into the vagina before going to bed. The recommended course is six days. Treatment should be carried out in such a way that the drug does not coincide with the time of menstruation. That is, Candide cream is used either before the onset of menstruation or after it.

A positive effect from the use of the drug will be obtained only if both partners are treated with Candide at the same time. Absorption during vaginal application of Candide cream or ointment is low - only three to ten percent of the administered drug. The main part of the drug is excreted in the bile, the rest - by the kidneys.

Vaginal tablets are inserted into the vagina, as deep as possible. There may be a single injection, in this case, the dose of Candida is five hundred milligrams, or two hundred milligrams for three days, or one hundred milligrams for six to seven days.

Tablets are administered once a day (usually in the evening, before going to bed). For best results, the external genitalia is also treated with Candide cream, solution or ointment. If as a result of treatment it was not possible to obtain the desired effect, the course may be repeated.

Sanitation of the birth canal is carried out by a single injection of Candida tablets (500 milligrams). For most diseases, the course of treatment lasts about four weeks, but the use of the drug does not end there. To consolidate the result, treatment is continued for another fourteen days.

In the treatment of certain diseases, a different procedure for using Candida is provided. So, erythrasma is treated from two to four weeks, multi-colored lichen - one to three weeks, candidal vulvitis or balanitis - one to two weeks, urethritis - six days.

The course of treatment of genital infections - 6 days. Before going to bed, an applicator with Candide b6 cream or Candide b6 vaginal tablets is inserted into the vagina. During menstruation, therapy is not carried out. Both partners should be treated.

Oral candidiasis is treated with a solution of the drug with cotton swabs several times a day. Treatment is continued until the symptoms are completely eliminated.

For each drug of the Candide line, there is a separate instruction for use. So, cream (erroneously called ointment) and powder are used for external application to the skin. Gel and tablets (vaginal suppositories) are administered intravaginally, drops of the solution are used to treat the oral cavity. Depending on the severity of the disease, the course and dosage regimen will differ.

Cream Candide

According to the instructions, Candide cream or ointment is applied to pre-washed and dry affected skin areas up to 2-3 times / day. The product is lightly rubbed and left until absorbed. Treatment of candidiasis continues for 2-4 weeks after the disappearance of the clinical manifestations of the disease, to ensure mycological cure and prevent recurrence of the infection.

Locally, 10-20 drops (1/2-1 ml) are applied to the affected areas of the mouth with a cotton swab 3-4 times a day. Improvement usually occurs on the 3-5th day of treatment, however, treatment should be continued until the clinical manifestations of the disease are completely eliminated.

Candidiasis, or fungal infection of the skin, mucous membranes of the oral cavity and genital organs, the skin of the feet and many other parts of the body, is considered the most common disease. The variety of tools that help fight a fungal infection cannot be imagined without the Candide drug, the use of which helps to cope with a large number of types of fungus. This drug is considered one of the most affordable. This applies, first of all, to the fact that it is dispensed without a doctor's prescription. In addition, everyone can buy Candide, the price of which ranges from 280-420 rubles per pack. In addition, the drugs of this brand have long been familiar to everyone who has ever encountered a fungal infection of the skin, mucous membranes or nails of the hands and feet, and have proven themselves on the positive side.

Composition of the drug, description

The main active ingredient of the drug is clotrimazole. The preparation "Candide" (cream and ointment), in addition to it, contains anhydrous beclomethasone dipropionate - 25 mcg, benzyl alcohol, white petrolatum, paraffin oil, cetomacrogol emulsion wax, methyl parahydroxybenzoate and propylene glycol. In addition, the composition of the cream and ointment includes propyl parahydroxybenzoate, butylhydroxytoluene, sodium dihydrogen phosphate and anhydrous sodium phosphate. All components allow the use of the drug "Candide" for patients even with sensitive skin.

Ointment and cream "Candide" are produced in aluminum tubes with a volume of 20 g, which are placed in cardboard boxes along with instructions for use. According to the reviews of patients using the cream, the period for which it is completely absorbed into the skin is very short. This allows you to do any business almost immediately after application. The ointment has a slightly more oily texture, so it is better to use it before bedtime.

Pharmacological properties of the drug "Candide"

The therapeutic effect of the drug "Candide" for external use in the form of a cream or ointment is based on the specific effect of the main components on the cell wall of the fungi that caused damage to the skin or mucous membranes. Anhydrous beclomethasone, in turn, acts on tissues exposed to foreign organisms: relieves inflammation, reduces redness and itching, pain, swelling and other symptomatic manifestations of candidiasis.

According to experts, the drug "Candide" is one of the few drugs that quickly destroy the fungus even on the feet and in the thickness of the nail plate.

Indications for the use of cream or ointment "Candide"

• yeast-like fungi, including Candida, Rhodotorula, Torulopsis glabrata;
• molds and lichen pathogens Pityriasis versicolor;
• dermatophytes, including Trichophyton, Epidermophyton and Microsporum;
• streptococci and staphylococci;
• bacteria Gardnerella vaginalis, Trichomonas vaginalis and Bacteroides.

Due to such a wide spectrum of activity, the Candide preparation, the instructions for which contain a fairly wide list of fungi and bacteria, can be used for the following diseases:

1. Multicolored lichen.
2. Dermatophytosis of the skin of the scalp, legs and body.
3. Candidal lesions of the skin and nails.
4. Candidiasis of the mucous membranes of the genital organs and perineum.
5. Erythrasma.
6. Candidal paronychia.

Contraindications to the use of the drug

Regarding contraindications to the use of the drug "Candide", the instructions for use contain the following instructions:

• it is not recommended to use the product in the presence of an allergic reaction to any of the components that make up its composition;
• use ointment and cream with caution in the first trimester of pregnancy;
• Do not use the drug during menstruation.

In all other cases, the Candide drug (ointment and cream) can be used without fear, including for the treatment of candidiasis in children and adolescents.

Cream and ointment "Candide": how to use

Before using the product, it is recommended to clean the surface of the skin from any existing contaminants, including natural secretions - sweat and fat. After the area affected by the fungus is completely cleaned, a Candide cream or ointment is applied to it. Instructions for use advises doing this 2-3 times a day.

The duration of treatment is about 2 weeks, however, experts draw attention to the fact that after the disappearance of the main symptoms of the disease, which include redness, itching, discoloration of the skin and others, treatment should be continued for 10-15 days to prevent relapses.

Overdose, side effects

With the external use of the drug "Candide" overdoses are extremely rare. In case of accidental ingestion of a cream or ointment into the gastrointestinal tract, phenomena such as nausea, vomiting, malfunctions of the liver and other internal organs may occur. From the nervous system, symptoms such as drowsiness or hallucinations may be noticed. There is no specific antidote, so experts recommend taking activated charcoal and administering therapy appropriate to the symptoms that appear. For large volumes of the drug that have entered the gastrointestinal tract, it may be necessary to