Update: December 2018
- 11 best vaginal suppositories for treatment of thrush –
pros and cons of use
- Benefits and limitations of use суппозиториев при
- Thrush candles during pregnancy
Thrush suppositories are the most convenient method of local therapy.
candida vagina in women. Action vaginal suppositories
due to the deep penetration of the active antifungal
substances in the mucous membrane, with the causative agent being destroyed,
inflammation is eliminated, the symptoms of thrush in women are reduced.
The pharmaceutical industry offers a wide range
various antifungal drugs in gynecology – it’s like
suppositories for local treatment as well as medicines for
oral medications prescribed by the doctor for severe forms
candidiasis in chronic thrush in the complex
What candles from thrush better? There is one answer to this question –
These are the drugs to which Candida fungus is sensitive.
by the result of bacterial seeding and determination of resistance,
resistance or sensitivity of the pathogen to a specific
drug. As with chronic, often recurrent
thrush in women, treatment may not be effective due to
development of fungal agents of drug resistance
Uncontrolled, self-treatment of thrush, leads both
to the development of chronic candidiasis, and to the violation of microflora
vagina. Moreover, many women are actively practicing dangerous
douching for thrush, which is not permissible, since only
provokes further progression of the disease, even more
нарушая микрофлору vagina. Only attending physician based
history of the patient, the clinical picture, taking into account the sensitivity
возбудителя назначает адекватную схему therapy. Even with
the disappearance of symptoms, clinical recovery is considered
the absence of fungi according to laboratory data for the next 3
It is recommended to treat candidiasis for both partners.
since the thrush in men is not rarely asymptomatic and
the man is just a candida carrier.
In the absence of therapy from a regular partner, the effect is
ping-pong when a woman is exposed again after treatment
fungal attack during unprotected intercourse.
During therapy, you should either refuse to have sex,
either use condoms. Candles are inserted deep into the vagina.
overnight to improve drug absorption.
When a woman is diagnosed with candidal vagina, she will
the doctor should analyze the causes of thrush,
because without eliminating or minimizing the provoking factors,
thrush can occur again and again.
Very often candidiasis indicates the presence and other infections
sexually transmitted diseases (chlamydia, mycoplasmosis, gonorrhea,
trichomoniasis, etc.) as well as the development of bacterial vaginosis,
Gardnerella (discharge with the smell of fish).
Depending on the intensity of the symptoms, acute or
chronic process, treatment may differ in the course of therapy, in
in some cases it is enough to use 1 suppositories, and when
the chronic process is not enough and is required
- Vaginal suppositories cannot be used during menstruation, for
with the exception of Povidone-Yoda (iodoxide, Betadine) and Sertaconazole
- For 1 candle you can use the following suppositories – Zalain,
- По 3 свечки – Ливарол, Гино-певарил, Пимафуцин.
- By 5-14 candles – McMiror, Clotrimazole, Ginesol, Iodoxide,
Nystatin, Polygynax, Terzhinan, Irunin.
During the treatment should not wear synthetic, tight
underwear, you must follow all the rules of intimate hygiene,
change towels and linens daily, do not use chemicals,
scented pads, toilet paper, liquids for
intimate hygiene that only worsen the condition.
Since Candida candidiasis has various
active ingredients, they differ in terms of treatment, and
effectiveness, as well as contraindications and side effects.
The table shows a list – which candles can be used to treat thrush,
their active substance, analogues, brief instructions for use,
преимущества, limitations of use, сравнение цены. Application
any medication is possible only on prescription
(see also anti-inflammatory suppositories in gynecology).
The best candles from thrush – Livarol, Pimafutsin, Zalain,
Nystatin, Clotrimazole, Ломиксин, Макмирор – плюсы и минусы
Sertaconazole – Zalain
Залаин (цена 1 суп. 480-520 руб, цены
This is a derivative of benzothiophene and imidazole.
Use in pregnancy: sufficient data on
Ketoconazole – Livarol
Contraindications: hypersensitivity, 1 trimester
Itraconazole – Irunin
Irunin – vaginal tablets 10 pcs. 300-320 rubles
Противопоказания: 1 триместр of pregnancy, во 2-3
Nystatin + Nifuratel
Макмирор комплекс (цена 680 р. за 8 шт.)
Pregnancy: allowed to use Contraindications:
Contraindications: hypersensitivity, categorically
Miconazole – Klion D, Neo-Penotran
Ginesol 7 (280-300 rubles), Gyno-dactanol, Daktarin, Mikozon
Contraindications: hypersensitivity, with caution when
Гино-певарил (3 шт. 420 р. 15 шт. 800 р.),
Contraindications: hypersensitivity, pregnancy (1
Natamycin – Pimafucin
Effect on the fetus: approved for use during pregnancy
Nystatin (30-60 руб) Комплексные
Contraindications: pregnancy of any period, individual
Povidone-Iodine – Iodoxide
Йодоксид (10 шт. 300 р.),
Contraindications: thyrotoxicosis, thyroid adenoma, with
Фентиконазол – Lomexin
Lomexin (фентиконазол, цена 1000
Contraindications: pregnancy, cannot be used during
Dekaliniya chloride – Fluomizin
Fluomizin – vaginal tablets 6 pcs. 560 rub. –
Contraindications: ulcerative lesions of the cervix and vagina,
In addition to suppositories, it is possible to use creams with
- Clotrimazole – Кандид (с аппликатором 80 руб), Clotrimazole крем
120 rub., Канизон 80 rub.
- Econazole – Экодакс крем 140 руб
- Изоконазол – Травоген крем 500-700 rub.
- Фентиконазол – Lomexin крем 600 rub.
- Бутоконазол – Гинофорт крем с аппликатором 600-700 rub.
In case of chronic recurrent thrush is required reception
antifungal drugs inside:
- Fluconazole 40-50 rubles (and more expensive counterparts Flucostat,
Mikomax, Mikosist, Diflucan)
- Tinidazole 30-70 rub
- Кетоконазол – Микозорал 460 руб
- Itraconazole – Irunin 320 руб, Итразол 380 руб, Орунгамин.
After antifungal therapy, the doctor may prescribe
preparations for the normalization of the vaginal microflora, that is, the creation
conditions for the growth of lactobacilli in the vagina:
- Vagilak 2 p / day (candles with bifidobacteria) 5-10 days.
- Laktozhinal, Atsilakt (lactobacilli) vaginal capsules of 1
- Для приема внутрь – Бификол 10 days.
Benefits and limitations of use суппозиториев при
Преимущества of use местных препаратов при candidiasis у
- With the introduction of the drug in the place of active reproduction of fungi,
the effect of local treatment appears much faster, especially
when using modern effective drugs such as
Livarol or Zalain.
- Modern antifungal agents can be used
- Because systemic absorption from local drugs is low,
the incidence of side effects is reduced, unlike
Disadvantages of local treatment:
- Local treatment gives the woman some inconvenience –
soils the linen, limits the sexual life.
- The positive effect of such therapy is possible only when
milder forms of thrush, when the course of the disease is more
severe, long-term, local therapy should be supplemented
using antifungal drugs in pills. therefore
often requires a repeat course of treatment after a certain time.
- When using combination antimicrobials such
like Terzhinan, Polygynax, a frequent side effect is
vaginal dysbacteriosis, which then requires additional
treatment, for example the use of candles with lactobacilli –
Lactonorm, acylact, lactobacterin, ecofemin or vagiflora.
Thrush candles during pregnancy
Очень часто у женщин во время of pregnancy из-за
the physiological decline in immunity occurs thrush, and many
drugs are either absolutely not allowed to use or reliable
no safety studies have been performed for the fetus. Among all
selection of local drugs, following candles from thrush for
of pregnancy разрешены к применению:
- Candles – Pimafutsin, Primafungin (active ingredient
- The combined drug – Makmiror complex (active
вещества Nystatin и Нифурател).
- Во 2-3 триместрах Clotrimazole, Nystatin (малая эффективность)
or the ancient means of Bura in glycerin (Sodium tetraborate in
glycerin), Pimafucin, Gyno-Pevaril, Ginofort (vaginal cream),
все эти препараты применяется во время of pregnancy с
caution if the potential risk to maternal health
exceeds the risk to the child.
- Some doctors prescribe a combination drug – Terzhinan
(prednisone, neomycin, ternidazole, nystatin), but in the instructions for
it states that from 2 trimester it can only be used when
assessment of potential benefits to the mother and harm to the fetus, since
has undesirable side effects and contains
hormonal drug – prednisone.