The best remedy for thrush in women reviews. The best remedy for thrush in women: reviews and recommendations from doctors. But using candles also has its drawbacks.

There are not many women who have never encountered such unpleasant problem like a thrush. This disease is characterized by a recurrent nature: once it appears, candidal infection returns under favorable conditions. Thrush tablets for women suppress the growth of fungi, but to prevent reinfection, it is necessary to complete the treatment and not forget about prevention.

The Candida fungus, the causative agent of thrush, can affect the mucous membranes, skin and even internal organs of a person. The most common localization of candidiasis in women is the vagina and external genitalia. Thrush confidently takes first place among inflammatory diseases in gynecology. Fungi are a normal part of female microflora, but with a decrease in immunity, opportunistic organisms multiply beyond measure and cause vulvovaginitis.

For candidiasis, drugs are traditionally prescribed local action: suppositories, ointments, tampons. Antifungal components come into direct contact with the vaginal mucosa, destroying yeast colonies. However modern methods treatments are based on complex therapy: suppositories - as an adjuvant and oral tablets - as the main one.

Broad-spectrum drugs taken orally quickly suppress the infection in all foci at once, because it is no secret that candida often enters the genital tract from the intestines. Moreover, it is advisable not only for the woman to take antimycotics, but also for her partner.

The main groups of oral tablets for thrush

Anti-thrush tablets contain different active substances that differ in their spectrum and mechanism of action:

Polyene antibiotics are compounds with broad antifungal activity: natamycin, nystatin, levorin, amphotericin B. Based on these components, the drugs Nystatin, Pimafucin, Levorin, Fungizone are produced. This group The drug destroys the membranes of yeast cells, as well as protozoa (amoebas, trichomonas). Polyenes are prescribed for the treatment of thrush and its prevention during long-term antibiotic therapy.
Azoles are synthetic substances that inhibit the growth and reproduction of yeast-like fungi, dermatophytes and other pathogens of mycoses. Tablets for thrush use triazole derivatives: fluconazole, voriconazole, itraconazole. Ketaconazole, which is part of a number of antifungal drugs, is currently excluded from systemic therapy of candidiasis due to high toxicity and is used, like other imidazole derivatives, as local agents. The drugs Diflucan, Mikosist, Irunin, Nizoral and their numerous analogues are made based on azoles. These medicines are suitable for the treatment of acute and chronic thrush.

5 most popular tablets for thrush

Pharmacies sell dozens of medications for vulvovaginal candidiasis. Which tablets for thrush in women are better and more effective in a particular case should be determined by a gynecologist. The choice of drug and treatment regimen depends on many factors: how long ago the symptoms of candidiasis appeared, for the first time or repeatedly, how severe they are, what provoked them, the number of relapses of the disease per year, as well as existing contraindications.

Nystatin is a polyene antibiotic active against Candida fungi. Does not have systemic toxic effects, is practically not absorbed into digestive tract and can be used in children and, in urgent need, in pregnant women.

Directly in the treatment of thrush this drug is recent years rarely used because it is less effective than modern means. It is not prescribed for the treatment of chronic candidiasis - when long-term use Fungi develop resistance to nystatin, and it becomes more difficult to get rid of the disease.

But this medicine is best suited for the prevention of thrush during antibiotic therapy with penicillin and tetracycline drugs and after operations on the gastrointestinal tract. The standard course is 2 weeks with a dosage of 250,000 - 500,000 units 4 to 8 times a day.

Contraindications for Nystatin:

sensitivity to components;
severe liver pathologies;
pancreatitis;
peptic ulcer.

When receiving, the following are possible: side effects, such as allergies, dyspepsia, chills, vomiting. The cost of Russian and Belarusian Nystatin in tablets is within 100 rubles per package of 100 tablets.

Pimafucin is an antibiotic from the polyene group, contains the substance natamycin (100 mg), which has a fungicidal effect against most fungal pathogens. The tablets are absorbed in the intestines and are allowed for women during pregnancy and lactation.

The medicine is recommended for the treatment of chronic candidal vaginitis in combination with other antifungal agents, for example, suppositories of the same name. Oral administration of Pimafucin helps to sanitize foci of infection in the vagina and intestines. Treatment regimen: 1 tablet 4 times a day, duration – from 10 to 20 days.

The medicine is contraindicated in hypersensitivity to its components, rare side effects in the form of nausea and diarrhea do not require cessation of therapy and gradually disappear on their own. A package of Pimafucin (Dutch company Astellas) costs about 450 rubles; the minimum course requires 2 packs.

Nizoral - tablets based on an imidazole derivative - ketoconazole - act against different types fungi, including Candida. Analogs of the drug are Mycozoral, Ketoconazole, Oronazole, Fungavis. These medications are indicated for recurrent thrush when therapy with other drugs is ineffective.

Regimen for taking Nizoral: 2 tablets simultaneously with food, once a day, course duration - at least 7 days. Ketaconazole is toxic and has many side effects, prohibited for children, women during pregnancy and breastfeeding, as well as patients over 50 years of age. The tablets cannot be used simultaneously with hepatotoxic, antiarrhythmic, sleeping pills, antacids and a number of other drugs. The cost of packaging starts from 500 rubles for 10 pieces.

Irunin – antifungal agent latest generation based on itraconazole for the treatment of almost all types of mycosis. It has a fungicidal effect, destroying the cell membrane of fungi.

Drugs containing itraconazole - effective tablets from thrush. The active substance accumulates in the walls of the vagina and continues to work after the end of therapy for another 2 days with a three-day course of administration, and 3 days with a one-day course. In the first case, patients take 1 capsule per day, in the second - 2 tablets 2 times immediately after meals.

The effectiveness of Irunin and its analogues (Orungal, Rumikoz, Itrazol) has reverse side in the form of many restrictions and side effects. These drugs are not prescribed to children, elderly patients, pregnant women, or breastfeeding women. Women reproductive age During treatment, careful precautions must be taken, since the toxic effects of itraconazole can cause fetal abnormalities.

Also, tablets are contraindicated for:

liver failure;
nephropathy;
lung pathologies;
hearing impairment;
taking medications that enhance the effect of itraconazole.

When treating thrush with Irunin, reactions from neurology, digestion, sensory organs, skin, hematopoietic and movement systems are possible, in women - menstrual irregularities. 6 capsules of Irunin can be bought for 400 rubles.

According to statistics, Diflucan is the most popular medicine for thrush in acute and chronic forms. 150 mg of fluconazole in its composition have a powerful fungistatic effect: quickly suppress the growth of candida and other fungi. In mild cases, 1 capsule is enough to get rid of the symptoms of vaginitis. For recurrent thrush, it is recommended to take 1 tablet every month for six months or more; if necessary, more frequent use is allowed.

Azole-based medications should be taken with water a large number water, and with weak acidity gastric juice- with sour drinks. Hypersensitivity, pregnancy, breastfeeding, heart disease, liver disease, kidney disease, and taking certain medications are contraindications to treatment with Diflucan.

The list of side effects:

dyspepsia;
change in taste sensations;
dizziness and headaches;
allergic reactions;
convulsions;
atrial fibrillation;
liver dysfunction;
hematopoietic pathologies.

One capsule of Diflucan 150 mg can cost from 450 rubles and more. Fluconazole products are also available in tablets with lower dosages for longer courses of treatment.

Inexpensive tablets against thrush

If you ask at the pharmacy good pills for thrush, most likely the pharmacist will offer the most expensive and advertised ones. Considering that many women suffer from unpleasant symptoms more than once a year, treatment costs can add up to quite a hefty sum.

However inexpensive tablets against thrush for women are no less effective, you just need to know which of them are suitable to replace the prescribed ones. Instead of the prescribed drug, you can buy a similar, but more affordable one. It is enough to ask your gynecologist about the name of the active substance, and the choice will expand significantly: generic antifungal drugs are no worse in quality than the original. In addition, prices for the same drug may vary significantly among different pharmaceutical companies, and domestic medicines cost several times less than imported ones.

So, in addition to the well-known Diflucan, pharmacies have other 150 mg capsules with the same composition:

Drug name	Manufacturer	Price, rub.
	Promed, Russia	15
	Vertex, Russia	28
	Kanofarma, Russia	47
	Stada, Germany	83
	Teva, Israel	169
	Sandoz, Switzerland	171
Mycoflucan	Dr. Reddiz, India	194
	Pharmstandard, Russia	201
Diflazon	KRKA, Slovenia	225
Mikosist	Gedeon Richter, Hungary	300

If the doctor has prescribed Pimafucin, there is no alternative to the tablet form of this drug, but you can look for a replacement for suppositories, which are almost always prescribed in addition: Ecofucin or Primafungin will be cheaper.

If you need to take a course of expensive Nizoral (RUB 1,500 for 30 tablets), you can save money if you buy:

Mycozoral – 590 rub. for similar packaging;
Fungavis – 200 rub. for 20 pieces;
Ketoconazole - 510 rub. (3 packs of 10 capsules).

Cheap tablets for thrush based on itraconazole are produced by the Russian company Biocom: 362 rubles. per pack 14 capsules. Other drugs with a similar dosage are 2 or even 3 times more expensive:

Irunin - 774;
Itrazol - 786;
Rumicosis - 954;
Orungal - 2300.

Treatment of thrush with tablets

Before treating thrush, you need to make sure that the symptoms of inflammation are caused by Candida fungi, and this is impossible without a visit to the gynecologist and a smear test for vaginal microflora. As a rule, candidiasis that occurs for the first time is eliminated with local remedies (suppositories Pimafucin, Livarol, Terzhinan and others). This therapy is not carried out during menstruation. In this, as well as in a number of other cases, the doctor may prescribe a capsule with fluconazole once and again after 72 hours.

Patients with chronic thrush usually themselves accurately determine the onset of relapse. Long-term experience of coexistence with this problem does not eliminate the need to visit a doctor. However, in such a situation, it is permissible to take medications on your own in order to nip the exacerbation “in the bud.”

Instructions for the use of tablets for thrush that recurs 4 or more times a year prescribe the following regimen:

150 mg of fluconazole on days 1, 4, 7 and 10;
1 capsule every month, preferably on the first day of the cycle.

During an exacerbation, the tablets are combined with local remedies: a suppository in the morning and at night for 10 to 14 days. The sexual partner should also undergo treatment at the same time.

Life after thrush: how to avoid recurrence

It is important not to stop therapy when symptoms disappear - the prescribed course must be completed to the end to avoid repeated illness. Since most antifungal drugs systemic action toxic, it is not recommended to drink them without good reason.

Also, with untreated thrush and indiscriminate use of antimycotics, fungi develop resistance to the drugs. Each relapse becomes more and more difficult to treat, and sooner or later an effective drug may stop working altogether. In such cases, you should not experiment with all medications sold in pharmacies. It is better to get tested and find out exactly what active substance the pathogens are sensitive to.

If chronic thrush is activated while taking antibiotics, hormones, or immunosuppressants, Nystatin can be used for prevention simultaneously with therapy, after consulting with a doctor.

To prevent candidiasis in the future, you need to avoid provoking factors:

hypothermia;
improper hygiene;
use of aggressive detergents;
douching;
wearing tight underwear, synthetics;
excess carbohydrate consumption;
promiscuous connections.

In fact, vaginal dysbiosis leads to thrush, so strengthening general and local immunity is mandatory item in prevention. Fungal infection attacks female body at a time when it is weakened due to illness, pregnancy, acclimatization, hormonal imbalance or stress.

If candidiasis persists, you need to reconsider your lifestyle: move more, follow a low-carbohydrate diet, stop using intimate hygiene soap and shower gel - there are special products for this.

It would do no harm for women with thrush to be attentive to their body’s reaction to certain factors. This helps to understand what exactly triggers the symptoms of candidiasis and avoid such situations. For example, the day before the patient was cold, ate sweets, swam in a chlorinated pool or had contact with a new partner, and in the morning she discovered itching and curdled discharge from the vagina.

If thrush continues to recur regularly, you should, in addition to the gynecologist, be examined by other specialists:

Take a blood sugar test. Candida feeds on glucose, and its high level may indicate a hidden course of diabetes.
Check the level and ratio of sex hormones.
Cure intestinal dysbiosis.
Restore normal microflora vagina. Treatment with topical probiotics can only be carried out outside of an exacerbation of thrush.

IN healthy body With strong immunity opportunistic candida are suppressed naturally without taking tablets for thrush.

Thrush is caused by Candida fungi, opportunistic microorganisms. A certain amount of them is present in the vaginal microflora all the time. Until the physiological norm is exceeded, the disease is in a “dormant” state. When certain conditions are created, the fungus begins to actively multiply, provoking the development of pathology. Effective treatment thrush requires integrated approach and should be carried out under the supervision of a specialist.

Systemic drugs

System antifungal drugs are available in the form of capsules or tablets and are intended for oral administration. Their active substances are absorbed from the intestines into the blood, penetrating all cells of the body. They are necessary for a general effect on all possible foci of infection and on fungi located in the thickness of the vaginal walls.

Rapid treatment of thrush is carried out by two groups of drugs: with fungistatic and fungicidal effects. Medicines of the first type destroy the synthesis of new membranes in fungi, stopping the reproduction process. A more effective method of treatment is the use of fungicidal tablets - they damage the fungus and destroy it.

The duration of treatment depends on the drug and the concentration of candida in the microflora. After just 1-2 days of taking the medicine, it is possible to get rid of the unpleasant symptoms of thrush, but you cannot stop therapy. Premature cancellation of the course will provoke a re-exacerbation.

Systemic remedies for thrush are used for frequent relapses of the disease, and if local treatment doesn't bring desired result. Such medications have a significant number of side effects. They are toxic and should not be used during pregnancy and lactation.

Diflucan

A fast and effective broad-spectrum antifungal agent. The drug is very strong, and the entire “course” of treatment consists of taking one tablet. The active ingredient is fluconazole, which stops the reproduction and growth of fungi.

Not only pregnant and lactating women will have to stop taking the drug. The list of contraindications includes diseases associated with the kidneys and liver. Diflucan is not compatible with other medications. If thrush is caused by diseases that require “their own” treatment, it is necessary to select another fast-acting remedy against thrush.

Mycomax

The active ingredient is fluconazole, which inhibits the growth of fungi. This drug also has quick help for thrush: one capsule containing 150 mg of the drug is enough. It is advisable to take the medicine on an empty stomach. The substances are quickly absorbed and equally effective against candidiasis oral cavity and genitals.

In case of frequent relapses of the disease, prophylactic use of the drug is possible - one capsule once a month. The duration of such therapy lasts up to a year. Side effects are rare when taken. Individual intolerance to the components of the medication is dangerous due to the occurrence of an allergic reaction.

Itraconazole

The active substance of the same name disrupts the synthesis of new fungal cells, stopping the reproduction process. Available in the form of capsules (take after meals) and syrup (take before meals). Average duration course - 7 days. The activity of the drug remains for 2-4 weeks after the end of therapy.

Adverse symptoms occur with an overdose or individual intolerance components of the drug. The patient experiences headache, nausea, itching and hives. When alarming symptoms allergies, you need to choose another drug.

Nystatin tablets quickly and effectively treat thrush: the active substance stops the proliferation of fungi and creates a barrier around them that prevents microorganisms from feeding. This provokes their rapid death. You need to take one capsule every three days, the duration of the course is determined individually.

If you use Nystatin frequently, you should not use it: the fungus gets used to the substance and stops responding to it. When used according to the instructions, it works almost instantly.

Flucostat

Oral use of the product allows you to remove pathogenic fungi throughout the body, which significantly reduces the likelihood of relapse. At the initial stage of the disease, a one-time dose is sufficient; a noticeable effect will appear after 12-20 hours. Chronic thrush requires more long-term use- up to 14 days.

Contraindications include lactase deficiency and individual intolerance to the components of the drug. If not correct use Possible side effects include hives, liver problems, dizziness and nausea.

Local therapy

Local medications are used to treat the vagina - vaginal suppositories and tablets, gels, ointments and solutions. Such drugs do not have a systemic effect on the body. The active substances affect the vaginal mucosa, do not penetrate into the blood and are not excreted in breast milk. This makes it possible to carry out treatment during pregnancy and lactation.

Possible side effects include disruption of the vaginal microflora and contact types of dermatitis. Pathogenic fungi quickly “get used” to the drugs and with regular use the drug loses its effectiveness. The course of local treatment for chronic thrush lasts longer than with systemic therapy.

Pimafucin

An antifungal antibiotic available in the form of a cream or vaginal suppositories which are considered one of the most effective ways treatment of thrush. The active substance is nitamycin, which penetrates into the deep layers of the mucosa and destroys the fungi present there. The drug affects pathogenic microorganisms, practically without affecting the natural microflora of the vagina.

Therapy can be started at any stage of the disease. Symptoms weaken after the first dose. In most cases, one package of medication is sufficient (it includes three vaginal suppositories). Introduce one suppository after hygiene procedures before bed.

Epigenes

Epigen spray is not an independent drug, but is used in complex therapy. The composition includes glycyrrhizic acid, which enhances the effect of antifungal medications. Additional benefits include eliminating unpleasant symptoms and accelerating the healing process of irritated mucosa.

Using a special nozzle, Epigen is sprayed inside the vagina 3-4 times a day. Must be emptied first bladder so that any remaining liquid does not come out when going to the toilet. After use, the nozzles are washed with soap and dried.

Livarol

The active substance is ketoconazole, effective against any fungal diseases. The product is used for acute or chronic candidiasis, as well as for the prevention of infections caused by fungus. During therapy, it is necessary to abstain from drinking alcohol, and sexual intercourse is possible only with barrier contraception- Your partner may develop an allergy.

In case of relapse or chronic thrush, the course of treatment is 10 days, with acute form- a candle for five days. To facilitate insertion, the spark plug may be moistened with water; special lubricants are prohibited from being used.

Pimafukort

Release forms: gel and ointment for external use. The advantages include ease of use, low number of side effects and gentle action; to the minuses - negative impact on the liver and low efficiency with deep fungal infection. Both men and women can use Pimafucort.

The ointment is applied to the affected area 2-4 times a day, depending on the severity of the symptoms. At acute stage the course lasts 1-2 weeks, therapy for chronic candidiasis lasts up to one month. Symptoms disappear within the first days of treatment.

Candide

Candide is used to correct vaginitis, candidiasis, mycoses and oral thrush, even in young children. The active substance is clotrimazole, which destroys pathogenic microorganisms. As an additional component, there is liquid paraffin that protects the skin and emulsion wax, which reduces the likelihood of an allergic reaction.

Available in the form of a 1% solution, vaginal tablets, 2% gel (introduced into the vagina using a special applicator) and 1% cream, suitable for external treatment of problematic mucous membranes. Side effects after use rarely occur, symptoms of the disease disappear on the first day of use.

Hexicon

You can purchase a solution, vaginal tablets or suppositories. The main active ingredient is active ingredient Chlorhexidine bigluconate. Suitable for therapy during pregnancy and lactation, but during this period you must be careful not to overdose the drug. Contraindications include dermatitis or individual intolerance to the components.

Suppositories or tablets are inserted deep into the vagina 1-2 times a day for 7-10 days. The solution is effective on initial stages or as prophylactic. Symptoms disappear quickly, but it is necessary to complete the recommended course to the end.

Polygynax

A combination medication based on the antibiotics polymyxin and neomycin. They destroy vital processes pathogenic microorganisms, living on the surface of mucous membranes. An additional substance is nystatin, which specifically affects the fungi that cause thrush.

When suppositories are used correctly, there are virtually no side effects. You need to insert one suppository into the vagina for 6-12 days - the duration is determined by the total clinical picture. Frequent use fraught with addiction.

Miramistin

Broad-spectrum antibacterial solution, effective against infections and bacteria. You can find a spray, solution or ointment on sale. The product contains no toxic or artificial substances, which makes it safe even during pregnancy.

Miramistin quickly relieves the main symptoms of the disease, promotes fast healing mucous membrane and normalizes the natural microflora of the vagina. After hygiene procedures, it is necessary to treat the genitals with a napkin soaked in the solution. It is allowed to use a tampon with gel applied to it.

Aids

One of the reasons for the appearance of thrush is a decrease in immunity. During the treatment period, experts recommend taking immunomodulators and vitamin-mineral complexes. If systemic medications are used, the risk of disrupting the natural microflora of the intestines or vagina increases. Pro- and prebiotics help speed up the normalization process.

To maintain immune system fit:

Duovit;
Vitrum;
Centrum;
MultiTabs;
Orthomol Immun.

It is also necessary to adjust the power system. You will have to give up fatty, fried, salty and white baked goods. Sweets pose the greatest danger: they create favorable environment for the proliferation of fungi both in the oral cavity and in the vaginal microflora. Fruits, vegetables, herbs and low-fat varieties meat and fish.

To treat thrush, you should take pills in a timely manner

Thrush in women is one of the most common diseases. Most often, this disease does not pose a serious danger. Despite this, treatment of candidiasis should be carried out on time. Otherwise the disease becomes chronic course. To eliminate the possibility of complications, you should take anti-thrush pills in a timely manner. Treatment of the disease should be prescribed by a doctor after receiving the results of the diagnosis.

Poor nutrition and low physical activity can

Candidiasis is quite insidious disease, which can occur not only in women, but also in men and children. Even in healthy people, a small amount of the causative agent of thrush, a fungus belonging to the genus Candida, is present in the body. The amount of pathogenic microflora increases when predisposing factors begin to affect the body:

Weakening of the immune system. Unbalanced diet, stress, low physical activity.
Antibacterial therapy. Antibiotics suppress beneficial microflora, which is fraught with the proliferation of pathogenic or opportunistic microorganisms.
Metabolic disorders, pregnancy and diabetes.

When is treatment needed?

You should take anti-candidiasis pills when the amount of Candida fungus in the body increases. This is accompanied by a number of characteristic signs.

The presence of thrush is indicated by certain symptoms:

If symptoms of thrush appear, treatment must be started.

the appearance of whitish discharge with a consistency reminiscent of cottage cheese;
swelling and hyperemia in the mucous membranes;
pronounced itching and burning in the mucous membranes of the vagina.

At the earliest stages of candidiasis progression, you can use remedies traditional medicine or medications intended for external application. With the progressive course of the disease, you should use only effective tablets for thrush that have a systemic effect.

How is advanced or chronic candidiasis treated?

Which pills are best to take should be determined by a specialist

Candidiasis in women is treated with antifungal drugs. These products have a fairly wide spectrum of action. That is why asking the question “What to take for thrush?” follows the doctor. Only a specialist can select the most effective and safe drug. Any pill for thrush can not only help, but also harm. That's why drug therapy must be prescribed correctly.

Medication systemic therapy prescribed according to the stage of the disease and individual characteristics the patient's body. It’s not enough to know what the tablets for thrush are called. It is necessary to have an idea of what effect they have, to know contraindications and possible adverse reactions. Only a competent approach to treatment can quickly cope with candidiasis and eliminate the likelihood of developing complications of the disease.

List of medications used for candidiasis

Tablets

"Diflucan"

Diflucan is an effective drug for the treatment of thrush

A highly effective drug with a wide spectrum of action. It is available in the form of oral tablets and is intended for oral administration in order to destroy pathogenic microflora throughout the body. The main advantages of this medicine are that it can be used to treat thrush in a single dose. You need to take one tablet to defeat candidiasis once and for all.

The active component on the basis of which Diflucan is developed is fluconazole. The effectiveness of the active substance is aimed at suppressing fungal microflora various types. The drug can be used at any stage of candidiasis.

You need to pay attention to the fact that Diflucan has enough strong action, therefore it is not recommended for use by pregnant women and during lactation. Absolute contraindication is kidney and liver dysfunction. Particular caution should be taken when taking the drug in combination with other medications.

In general, Diflucan is well tolerated. Emergence adverse reactions rarely happens. Average price for the drug is 400 rubles.

"MIKOmax"

For the treatment of candidiasis, a single use of MICOMax is sufficient.

A drug against thrush, developed on the basis of an active ingredient such as fluconazole. Medication"MICOMax" is available in the form of oral capsules. To cure candidiasis, you should use the drug once (dosage is 150 mg).

It is not recommended to take MICOMax for pregnant women or during breastfeeding. Side effects include allergic manifestations, which most often arise in response to individual intolerance to the components included in the drug.

The drug is well tolerated, as adverse reactions are extremely rare. Many experts prescribe it to pregnant women. The cost of the drug "MICOMax" varies within 200 rubles.

"MIKOsyst"

"Mikosist" quickly eliminates candidiasis and prevents relapse

A medicine that helps against thrush better than local drugs. The tablets contain an active substance such as fluconazole. The drug against thrush has a pronounced effect, but despite this it practically does not cause adverse reactions and has no contraindications. These capsules are the best among similar drugs, as they allow you to quickly eliminate candidiasis and prevent its relapse.

Despite the fact that MIKOsist has a gentle effect, it is not recommended to take it during pregnancy and lactation. The use of these tablets for thrush is unacceptable if the functions of such internal organs like kidneys and liver. The drug you are taking may cause adverse reactions. gastrointestinal tract: stomach discomfort, digestive dysfunction and nausea. From the central side nervous system abnormalities such as migraines and dizziness are observed. The development of allergic reactions is possible. That is why you should definitely consult a doctor before using the drug.

You should take the medicine at the same time to avoid the possibility of reducing the dosage. The cost of the drug "MIKOsist" ranges from 300 to 350 rubles.

Vaginal tablets and suppositories

"Terzhinan" provides fast and safe treatment thrush

An effective, time-tested medicine against vaginal candidiasis. "Terzhinan" gives a persistent antifungal effect. This drug provides fast and safe treatment. Terzhinan is produced in the form of tablets intended for insertion into the vagina. The active substance is ternidazole. If you follow the dosage recommendations, Terzhinan does not have any negative impact on the body. It is recommended to use 1 suppository per day, before bedtime. The course of drug antifungal therapy lasts from 5 to 10 days, which depends on the stage of progression of thrush.

"Polygynax" has high efficiency against candidiasis

A complex drug with antibacterial and antifungal effects. "Polygynax" is available in capsules for vaginal use. It is highly effective against candidiasis, despite the fact that it has a gentle effect on the body. Among the adverse reactions, only allergies can be distinguished, which occurs mainly if there is an individual intolerance to the components.

It is not recommended to use the drug "Polygynax" during pregnancy (1st trimester). For lactation in the 2nd and 3rd trimester, use vaginal capsules allowed only after the recommendations of a specialist. An experienced doctor prescribes the drug when potential benefit for a woman higher than possible risks for a child.

Vaginal capsules "Polygynax" are available in 6 and 12 pcs. in packaging. For a course of treatment for untreated thrush, a small package is sufficient, the cost of which varies between 270 rubles.

"Livarol"

"Livarol" can be used already on initial stages thrush

Suppositories are intended for the treatment of thrush in the initial stages of disease progression. The drug is highly effective, despite its gentle effect on the body. A long course of therapy gives positive result during treatment chronic form candidiasis. The drug "Livarol" can be used to treat pregnant women (2-3 trimester) and nursing mothers.

A course of therapy with vaginal suppositories at vaginal form thrush is at least 5 days. For chronic candidiasis, therapy is extended to 10 days. The cost of suppositories varies between 300 rubles for 5 pcs.

Hexicon also restores the vaginal microflora

The antifungal agent quickly eliminates the causes and symptoms of vaginal candidiasis, and restores the beneficial microflora of the vagina. The medicine has an antiseptic and disinfectant effect. It is completely safe, so it can be used to treat women during lactation and pregnancy.

Vaginal suppositories are widely used in the preparatory period for childbirth and as a prophylactic against candidiasis in the presence of predisposing factors. Among such effects are allergic reactions that occur in the presence of individual intolerance to the components of the drug.

The cost of Hexicon vaginal suppositories is 250 rubles. The package is enough for a full course of treatment.

"Pimafucin"

"Pimafucin" has various shapes release

It is produced in the form of suppositories, tablets and ointments. It contains such an active component as nitamycin, an antifungal antibacterial substance with a wide spectrum of effects. The medicine is well tolerated, so it is prescribed to lactating women and during pregnancy.

The medicine has virtually no contraindications for use, apart from individual intolerance. "Pimafucin", if the recommendations for use are followed, does not cause adverse reactions. Occasionally, nausea and pain in the stomach are observed. When Pimafucin is applied topically, burning and redness of the mucous membrane may occur.

The cost of "Pimafucin" in tablet form is 370 rubles, in the form of suppositories - 150 rubles and in the form of cream - 250 rubles.

Local preparations against thrush

"Epigen-Intim"

"Epigen Intim" is prescribed to patients for whom tablets are contraindicated

The drug has pronounced antiviral and antifungal activity. With its help, you can quickly suppress the activity of pathogenic microorganisms and eliminate inflammatory process, normalizing the vaginal microflora.

The drug is prescribed for the treatment of thrush caused by Candida fungus for pregnant women and nursing mothers, as well as for those patients who have contraindications to the use of more effective antifungal agents. The medicine has no contraindications and does not cause adverse reactions. IN in rare cases allergic reactions are observed, which is associated with the presence of individual intolerance to the components that are included in the composition. This manifests itself in the form of redness of the genital mucosa and burning sensation.

The cost of the solution for topical use is 600 rubles. One package is enough for a full course of treatment.

Treatment of thrush with tablets should be carried out under the supervision of an experienced doctor. The specialist will select a number of additional measures that will increase the effectiveness of the medications used. Only a doctor can advise which pills are most effective. There is no point in going to the pharmacy without consulting a specialist and naming any drug you come across, since similar treatment may be not only ineffective, but also dangerous to a woman’s health.

Before purchasing the most effective drug consult a doctor

Among a large selection of tablets against candidiasis, a specialist will select the most effective ones, for each case individually, based on the results of the research. It is not enough to take a drug for thrush to forget about its symptoms forever. For complete cure for candidiasis, it is necessary to approach treatment comprehensively.

To treat thrush, it is best to take pills and place suppositories in the vagina. This way the drugs help much better. You should not hope that a drug taken once will heal you. Regardless of the name of the drug, it should be used correctly. Do not exceed the dosage or skip doses of the medicine.

The only remedy for thrush and diseases caused by Candida fungi, recommended by our subscribers!

Today there are a lot various drugs for the treatment of thrush. More and more antifungal tablets, creams, gels and suppositories are appearing. But which means to choose if there are so many of them? To do this, you need to know the names of drugs for thrush and understand how they are taken.

What are the medications for thrush?

There are many medications against thrush, so you need to understand what groups of drugs exist and how they affect the body.

Antifungal agents for thrush are divided into 2 groups depending on the methods of use:

Local medications for thrush include creams, tablets, suppositories and suppositories. Local remedies have their advantages: they are safe, they are not addictive, they are capable of creating a high concentration active substance, have few adverse reactions. But there are also disadvantages. For example, if the localization of the fungus is in the gastrointestinal tract, then local antifungal drugs will be ineffective. Medicines of this effect (cream, gel, suppositories and tablets) are administered deeply in a lying position in the vagina 1 day, preferably before bedtime. If the drug is prescribed to be used 2 times a day, the procedure is performed in the morning and before bedtime. Treatment lasts about 7 days; in the chronic form, therapy takes more than long term. As a rule, when mild form local treatment for candidiasis is quite sufficient.
Systemic remedies against candidiasis are drugs for thrush that need to be taken orally in tablets (capsules). Active enzymes are absorbed and dissolved in the blood. The advantages of such drugs are that the effect extends to other localizations of infection (gastrointestinal tract), as well as to fungi that are found on the mucous tissues of the vagina. The disadvantages are that they have many adverse reactions and have increased toxicity, as well as hepatotoxicity. As a rule, such medicines contraindicated during pregnancy and lactation. An exception may be the low-toxic, but also ineffective Pimafucin. Systemic medications are used if local treatment does not help, or candidiasis is recurrent and appears more than 4 times a year.

According to the mechanism of action on pathogenic fungi, antifungal drugs are:

fungicidal effects - directly affect the fungus and provoke their death. Often these are medications local character, when they are used, a high concentration of the drug occurs and this is enough to destroy fungi.
fungistatic effects - suppress the active reproduction of the fungus, destroying the synthesis of their individual substances, which is necessary for the formation of the cell membrane. New fungi will no longer form, but existing ones will not die.

The most appropriate treatment- These are complex therapeutic measures.

Local medications for candidiasis

Local antifungal medications are divided into 5 groups.

Antifungal drugs – azoles

They are able to block the synthesis of ergosterol, the main component of the fungal cell membrane. Without it, its integrity is compromised and the fungi die.

These include:

Butoconazole;
Clotrimazole;
Fenticonazole;
Isoconazole;
Ketoconazole;
Miconazole.

These drugs have an identical mechanism of action and have approximately the same effectiveness.

Polyene antibiotics

They are rarely used for treatment and are ineffective.

These include:

Natamycin;
Nystatin (rarely used in modern times - not effective).

Povidone-Iodine

These are iodine compounds. Contraindications: pregnancy and thyroid dysfunction. May affect the formation of the thyroid gland in the fetus.

Combination drugs that contain antibiotics and hormones

These include:

Klion D;
Terzhinan;
Polygynax.

It is not advisable to take antibiotics for thrush, as they affect the normal microflora in the vagina.

Borax in glycerin 5–10%

This is an ineffective medicine for thrush in women.

Systemic drugs for candidiasis

Systemic antifungal drugs are divided into 3 groups.

Azoles of systemic influence

Fluconazole. If the form of candidiasis is mild, then it is enough to drink Fluconazole 150 milligrams 2 times a day with a break of 3 days. For recurrent thrush, after 2 doses, 150 milligrams are prescribed once every 7 days for six months. There is another scheme: you need to drink 150 milligrams for 2 weeks, once every 3 days.
Ketoconazole. Dosage: 200 milligrams per day or 400 milligrams once a day with meals. The course of therapy is 7 days. Tablets have only a fungistatic effect, but with local therapy, gel, cream and suppositories create a concentration of 1% - this is quite enough to cope with the disease.
Inraconazole is a medicine for thrush in women. You need to drink 200 milligrams 2 times 1 day or 200 milligrams 1 time per day for 3 days. For chronic candidiasis - 200 milligrams 2 times a day for 7 days, and then for 6 cycles - 200 milligrams on the first day of menstruation.

Polyene antibiotics

Natamycin – low effectiveness;
Nystatin is ineffective;
Amphotericin B is an effective treatment for thrush, used only for very dangerous fungal infections, and is considered very toxic.

When using such drugs, care must be taken to protect the liver from their toxic effects.

Candida Clear (caprylic acid)

She belongs to the group fatty acids. Caprylic acid inhibits the proliferation of yeast-like fungi and maintains healthy flora in the gastrointestinal tract. The product is non-toxic.

Treatment regimens for candidiasis in women

General treatment depends on the course and causes of the disease.

Newly appeared candidiasis and its light form. In such cases, topical preparations usually help: gel, creams, suppositories, tablets with ketononazole. For example: Livarol (vaginal tablets) 400 milligrams - 1 suppository per day for 5 days. Pimafucin - 1 suppository for 7 days. Possible one-time appointment Fluconazole orally. Sometimes you need to repeat the dose after 3 days. Do not forget about the toxicity of the drug.
Recurrent candidiasis, which occurs more than 4 times a year. In this case it applies complex treatment. Local medications for thrush in women - gel, cream, tablets, suppositories. They are prescribed 2 times a day for 2 weeks. Along with local therapy, systemic medications are prescribed: Fluconazole tablets orally for 10 days, then 1 capsule per week for six months. For example, Livarol (400 milligram vaginal tablets) is used 1 suppository 2 times a day for 10 days. In parallel, Fluconazole is prescribed, the regimen is indicated above.

Comprehensive treatment for both partners

If one of the partners has candidiasis, treatment is recommended for both of them as preventive measures. If a woman is found to have recurrent candidiasis, the man must be examined. If fungus is present, treatment must be carried out.

For the treatment of a couple, they are prescribed: Fluconazole for both - 150 milligrams, for the man - once, for the woman, repeat the dose after 3 days. It is also necessary to use local medicines. Suppositories with (clotrimazole) - for women. Cream, gel with clotrimazole - for men. The duration of therapy depends on the form of thrush. During treatment, it is better to refuse intimacy, then therapy will definitely help.

What you need to pay attention to before treating candidiasis

Before starting treatment with medications for thrush, you need to remember their contraindications and adverse reactions, will take care of protecting the liver and kidneys from the effects of drugs. Sometimes taking such drugs is unjustified or inappropriate, so the possible risks should be weighed.

Before you start taking medications for thrush, you need to consider:

Has the woman recently taken antibacterial tablets or hormonal drugs or contraceptives? They can cause a decrease in immune function and disrupt the normal microflora in the vagina.
Does a woman consume too many carbohydrates, which have a beneficial effect on the active proliferation of the fungus?
Doesn't a woman spend too much time? frequent douching? It promotes leaching beneficial microorganisms from the vagina.
Doesn't it exceed normal indicators blood sugar level? You need to get tested. Thrush often indicates early stage diabetes mellitus. Proper nutrition and diet can have a positive effect on the treatment process.

Remember that drugs for thrush in women should be prescribed by the attending physician, who will compare the pros and cons, as well as the effectiveness of the chosen drug. He will explain in detail at what time and in what doses to take the medicine. Dear women, remember that only correct treatment will help eliminate the problem forever.

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Ketoconazole has a fungistatic effect. And when local application high concentration of the drug.

To treat thrush, one Ketoconazole suppository is inserted into the vagina before bedtime.. Depending on the severity of the disease, treatment can be continued from 3 to 10 days.

In case of complicated or chronic disease, Ketoconazole tablets are taken orally, 0.2 g twice a day or 0.4 g once a day with food. The course of treatment is on average 7 days.

Analogs of Ketoconazole are Dermazol and.

This article is often read with:

Flucostat

The main active ingredient is fluconazole, which is a triazole derivative. It inhibits the synthesis of sterols in the cells of fungi from the genus Candida or cryptococci that are sensitive to the drug.

The drug is rapidly absorbed and its half-life is up to 30 hours.. To treat thrush, it is most often used once in a dosage of 150 mg. To reduce frequent relapses of the disease with more than 3 episodes per year, take 1 capsule (150 mg) of Flucostat once a month. The duration of therapy can be from 6 to 12 months, depending on the severity of the disease. In some cases, the frequency of administration can be increased.

Diflucan

Diflucan contains fluconazole. This triazole derivative inhibits the synthesis of ergosterol in cell membranes ah mushroom. The drug is used to treat thrush, including the chronic form of the disease.

In order to get rid of the disease, a single dose of Diflucan is required at a dose of 150 mg.. In severe cases of the disease, the drug is taken on the 1st, 3rd, 7th day and an additional one capsule on the first day of menstruation.

In the chronic form of the disease, Diflucan is taken 150 mg once a month. The number of appointments can be increased if necessary. It is not recommended to take the drug during pregnancy and lactation.

Livarol

Active ingredient Livarol is a ketoconazole. It belongs to the group of imidazoles and has a pronounced antifungal effect. The drug is used to treat acute and chronic forms of candidiasis in women, as well as for diseases caused by mixed infections.

In order to get rid of thrush, a suppository is placed in the vagina. once a day before bed. Treatment lasts from 3 to 10 days, depending on the form of the disease and the frequency of its relapses.

Pregnant women can use the drug in the second and third trimester, as prescribed by a doctor.

Irunin

The active ingredient is itraconazole (an antifungal substance from the triazole group). It negatively affects the cell membranes of fungi, causing their death. The drug has a wide spectrum of action and effectively copes with yeasts and molds, as well as dermatophytes.

To treat thrush, 100 mg of the drug is prescribed twice a day for one day. You can also use 100 mg once a day for 3 days.

In order to get rid of the disease, you can use vaginal tablets. They are inserted into the vagina once a day before bedtime. Treatment is continued for 7 to 14 days, depending on the severity of the infection.

Clotrimazole

Clotrimazole is one of the most well-known drugs for candidiasis in women. It belongs to imidazole derivatives and has a fungistatic effect. The drug disrupts the biosynthesis of ergosterol in the membrane of the fungus, thereby destroying it.

Clotrimazole is not taken orally. It is produced in the form of a cream or vaginal tablets of 0.1 g.

To treat thrush with clotrimazole, 1 tablet is inserted into the vagina at night.

The effect of using the drug becomes noticeable within 3 days, but treatment must be continued, since premature cessation can lead to the disease becoming chronic.

Analogues of Clotrimazole are -, Kanespor.

Lomexin

The active ingredient of Lomexin is fenticonazole. It has both fungicidal and fungistatic effects.

It inhibits the production of ergosterol, which is part of the cell membranes of fungi, disrupting the ability of fungal cells to reproduce.

The drug is produced in the form of capsules of 600 and 1000 mg or cream. It acts only locally, so the capsules are not taken orally, but inserted into the vagina.

To treat thrush, 1 capsule may be enough, which is placed before bedtime. If necessary, another capsule of Lomexin is administered after 3 days.

In most cases, thrush in women is complicated by other diseases, so in order to get rid of it, you need to see a doctor and get tested.

Treatment of chronic thrush

In order to get rid of chronic thrush, it is first necessary to restore the functioning of the immune system. To do this you need to conduct healthy image life, eat right and consult a doctor on time in order to prevent the occurrence of other chronic diseases.

For chronic thrush, fluconazole is used(Diflucan, Difluzol, Mikosist).

This drug is taken 150 mg on the 1st, 3rd and 5th day of exacerbation of the disease, as well as on the first day of the onset of menstruation. For frequent relapses of the disease, 150 mg of Fluconazole is prescribed once a month for 4 to 12 months.

For chronic thrush, Intraconazole can be prescribed, which should be taken 200 mg 2 times a day for 3 days.

Additionally, drugs are prescribed in the form of suppositories: Pimafucin, Zalain, Polygynax, Nystatin.

The best remedy A doctor will help you choose for thrush in women!

Treatment of chronic thrush during pregnancy and breastfeeding with drugs

The causes of thrush include changes in hormonal levels and weakened immunity that accompany pregnancy and lactation.

One of the most effective and safe means are candles. The active ingredient of the product is the polyene antibiotic natamycin, which disrupts the integrity of the cell membranes of the fungus.

When applied topically, the drug is not absorbed through the skin and mucous membranes, therefore it does not penetrate the systemic bloodstream and does not enter the breast milk. They are inserted deep into the vagina before bed. Use 1 suppository per day for 3 to 9 days, depending on the severity of the disease.

In the second and third trimester of pregnancy, you can use Terzhinan, Livarol or Clotrimazole suppositories.

Before using medications for thrush during pregnancy or breastfeeding, you should consult a doctor.

Now you know how to treat thrush in women and what popular drugs for this purpose accept.