How to cure thrush quickly and reliably? This question worries many women who are faced with the unpleasant manifestations of this disease. Most often, without understanding the causes and mechanism of the pathology, women buy at the pharmacy medicines or use traditional medicine methods and try to get rid of the disease on their own. However, it can have a different course, and often requires persistent treatment over a long period of time with specially selected agents.

So what is thrush and how to treat it correctly?

Causes and clinical manifestations of the disease

Why do women begin to develop thrush, and what are the causes of its manifestation? unpleasant symptoms, requiring specific treatment? And is it possible to get rid of the disease on your own without turning to doctors? After all, often women, not fully understanding what candidiasis is, buy products at the pharmacy, based only on the advice of pharmacists or friends. Such amateur activity, unfortunately, most often leads to the transition of the pathology to a chronic or recurrent form, since the symptoms of thrush in a woman continue to develop, and drug treatment does not bring any results.

Fungi of the genus Candida, which are classified as opportunistic microorganisms, are always present in the body of any person. This microflora is the cause of the occurrence and manifestation of thrush, which requires treatment from a specialist. Usually Candida is in the body without showing its presence in any way and without causing concern to the woman. But with a decrease protective forces The body’s immunity loses control over the vital processes of the fungus, and it begins to actively multiply. This is how thrush develops, and its treatment requires preliminary special laboratory tests.

Excessive nervous or physical activity, hypothermia or overheating. The development of thrush can also be caused by previous colds or infectious diseases. And taking antibiotics or hormonal drugs creates favorable conditions for the life and reproduction of fungus. Because of hormonal imbalance There is a high probability of developing pathology with diabetes, obesity, and also during pregnancy. Increase the likelihood of developing thrush and bad habits: smoking tobacco, drinking alcohol. Unbalanced daily diet, consisting mainly of fatty and fried foods, and vitamin deficiency, which is also the cause of the development of pathology.

In order for the treatment of candidiasis in women to be effective, it is necessary to understand the causes and mechanism of development of the pathology.

The disease has its own characteristic manifestations. What does thrush look like in women? Most often, patients seek help when a white, cheesy coating appears in the vagina and vulva, accompanied by unpleasant sensations and itching. But there are other signs indicating that a woman is developing thrush that requires treatment. medications. These symptoms include:

• pain in the vagina when urinating, as well as during sexual intercourse;
• itching sensations in the genital area;
• burning sensation in the vulva and vagina.

In the absence of timely treatment, liquid or cheesy discharge appears over time, leaving a white coating on the mucous membranes and having an unpleasant odor.

General principles of treatment

Effective treatment of thrush in women is possible only with strict adherence to all the advice of the attending physician. Complex therapeutic measures includes not only taking medications, but also a diagnostic examination. Such an analysis will accurately answer the question of how to cure thrush quickly without developing complications and side effects.

General rules for the treatment of candidiasis include the following points:

• taking a smear for analysis. It is possible to determine exactly what and how to more effectively treat thrush in a particular woman only after a bacteriological study has been carried out. In the laboratory, the type of candida that caused the disease will not only be determined, but the resistance of the pathogen to drugs will be checked. This will allow the doctor to select the most suitable options for treating the woman. radical means from thrush;
• In case of thrush in women, her sexual partner is also treated in parallel, regardless of whether he has manifestations of the pathology or not. This measure will help avoid re-infection of the patient in the future. Therapy is selected individually for men and women and may differ. In order to quickly and effectively, you should not independently treat a man with the drug that the doctor prescribed to her, even if these are the most effective drugs from her point of view;
• medications should be taken at regular intervals. This approach will completely suppress fungal mycelium;
• medicines for thrush should be taken for as many days as prescribed by the attending physician, even if all manifestations of the disease completely disappear. Self-discontinuation of the drug ahead of time can lead not only to an exacerbation of candidiasis, but also to its transition to more severe and difficult-to-treat forms.

Treatment methods and the choice of medications are greatly influenced by the form of the disease. Candidiasis in women can be of three types: primary, recurrent and chronic. And before curing thrush in a woman, it is necessary to determine the course of the disease.

Primary thrush is diagnosed in cases where the woman has not previously had a single episode of the disease in her anamnesis. Almost all women who started specific therapy on time under the supervision of a doctor were quickly and reliably cured of thrush. In the absence of proper treatment, the pathology becomes chronic or recurrent.

If a woman develops thrush, both partners should undergo a bacteriological examination before treating it.

In the recurrent form of the disease, exacerbations occur from 4 to 12 times during the year. As a rule, such a pathology develops due to untimely or inadequate treatment of the primary disease.

The chronic course of candidiasis is manifested by erased symptoms that do not attract the attention of a woman.

Local therapy

If candidiasis appears for the first time in women, then it is enough to undergo a course of drug therapy local action. Typically, the full course of treatment for thrush takes from ten days to two weeks. An important condition complete cure pathology is the timeliness and continuity of drug administration. At the same time, the drugs used make it possible to treat thrush not only quickly and reliably, but also inexpensively.

Also, local treatment of thrush is included in complex therapy for recurrent and chronic forms of the disease. For primary candidiasis in women, local treatment is carried out with vaginal tablets, suppositories, creams or gels, as well as solutions.

What topical medications can cure thrush in women? The following methods are most often successfully used:

• ointments Pimafucin, Candide, Zalain, Clotrimazole. Inserted into the vagina using a tampon 1 to 4 times a day for two weeks;
• suppositories with Ketoconazole, Sertaconazole, Fluconazole, Livarol, Nystatin are inserted into the vagina 2 - 4 times a day for 10 - 15 days;
• Miramistin, Canesten, Chlorhexidine, Sodium Tetraborate and others solutions will help to quickly cure thrush in girls. Drugs available in liquid dosage form, used for douching, as well as toileting the external genitalia;
• will also help to quickly cure thrush and vaginal tablets: Flucostat, Mikosist, Clotrimazole, Terzhinan.

The introduction of intravaginal products should be carried out only after careful hygienic treatment of the perineal area. The drugs are inserted into the vagina while lying on your back. Also, after the procedure, you should remain in a horizontal position for about half an hour. This will allow the medicine to penetrate into all the folds in the vagina and os of the uterus.

Local treatment will be highly effective only if equal time intervals are observed between procedures for introducing drugs into the vagina.

General treatment

How to properly treat advanced thrush? In a chronic or recurrent course, the disease can also affect other internal organs. In this case, fungal cells become resistant to fungicidal and fungistatic drugs. Therefore, before treating advanced thrush in women, the doctor will definitely conduct bacteriological examination smear to determine the resistance of the pathogen to various groups medicines. Before treating a chronic infection or in women, drugs are applied in a laboratory setting to a colony of fungus cultured from the patient. IN therapeutic purposes They use drugs from those groups whose active ingredients have shown the greatest aggression towards the pathogen.

If thrush is diagnosed in an advanced form, the treatment will pass quickly and effectively only under the condition of complex influence, in which local remedies supplemented with oral systemic drugs. This approach to therapy will not only locally suppress fungal colonies, but also destroy its spores throughout the body, restore the normal acid-base balance of the mucous membranes and dermis, and balance the amount beneficial microflora, as well as normalize work immune system.

How to treat candidiasis in women systemic drugs? Currently, the following groups of oral tablets are used for these purposes:

• containing fluconazole. This active substance contain products such as Fluconazole, Diflazon, Diflucan, Mikosist. In therapy, drugs containing 150 mg of active substance per tablet are used. The medicine is taken once. Therapeutic effect begins to be felt a few hours after taking the product;
• based on intraconazole. This line is represented by such drugs as Rumikoz, Irunin, Orungal, Intraconazole. The dosage of the medicine is selected by the doctor individually depending on the severity of the pathology. The course of treatment for thrush in women lasts from one week to one and a half months;
• containing ketoconazole as the main active ingredient. From this group, Ketoconazole, Nizoral, and Dermazole are most often chosen. The drugs are taken 1 - 2 tablets once a day. Duration of therapy is from 5 to 7 days.

Correctly selected specific drugs systemic therapy will allow you to treat thrush quickly and effectively, without causing the pathology to become chronic. Self-medication of such a seemingly simple disease can lead to increased resistance of fungi to agents with fungicidal and fungistatic properties, which will complicate radical treatment and will lead to serious complications.

Immune drug therapy

For women, treating thrush often presents an insoluble problem. Despite following all the doctor’s recommendations and taking medications, it can be quite difficult to get rid of the disease. Most often, such situations arise when agents that do not have a direct effect on the pathogen are neglected.

How to quickly and effectively cure thrush with nonspecific drugs? To achieve high effectiveness of therapy for any pathology, first of all, the cause that led to the development of the disease should be eliminated. Trigger mechanism in sharp increase population of fungal microflora in the body is a malfunction of the defense forces. Therefore, to eliminate the cause of thrush in women, treatment is supplemented by a group of drugs that have a stimulating and modulating effect on the immune system. This approach to treatment will allow you to mobilize the body’s own forces to fight the fungus in all organs and systems, which will significantly speed up the healing process and prevent the development of complications.

Comprehensive treatment of all forms of thrush in women in mandatory includes taking immunomodulatory and immunostimulating drugs. In order to effectively treat thrush in women and create good reactivity of the body’s general and local defenses, it is better to take the following medications:

• Cycloferon. In addition to the immunomodulatory effect, it has an antimycotic and antibacterial effect. This drug is available in the form of liniment to restore local immunity and solutions for parenteral administration to influence general immunity.
• Viferon. Combined immunomodulator. Increases the concentration of α-interferon in the blood. Available in the form of suppositories or ointments for intravaginal administration.
• Genferon. Vaginal suppositories that enhance local immunity and have a disinfecting effect. Inserted into the vagina twice a day with an interval of 12 hours. The duration of treatment, depending on the severity of the pathology, ranges from 2 to 12 weeks.
• Polyoxidonium. Vaginal suppositories are used to increase local immunity; tablets and solutions for parenteral administration have systemic action on the body. The therapeutic course is 10 days.

Immune drugs have a number of contraindications for use. Therefore, when choosing drugs that affect the state of the body’s defenses, it is advisable to first consult with an immunologist.

Before treating thrush in girls, it is advisable to conduct an immunological examination to determine the gap in protective system. This will allow you to choose the most effective drug without impairing other indicators of the activity of protective blood cells. The dosage of these drugs is selected by the doctor individually, depending on the blood immunogram parameters.

Additional Methods

Treatment of a disease such as thrush in women also includes additional measures that increase the body's resistance, as well as creating conditions unsuitable for the functioning of fungal microflora. A big role in this is given to the daily diet, daily routine and lifestyle.

As auxiliary therapeutic measures When treating thrush, doctors strongly recommend spending as much time as possible on fresh air. Thus, part of the route to work and home can be walked on streets without heavy traffic. Leisurely walks before bed in a nearby park or square will also help strengthen the body's resistance to fungal aggression.

Since overwork contributes to a decrease in immunity, due attention should be paid to alternating periods of intense physical and mental activity and rest.

Comprehensive treatment of thrush also includes following a certain diet. The most favorable conditions for the functioning of fungal microflora acidic environment. Therefore from daily nutrition You should exclude foods that help lower the pH in the body and try to saturate your diet as much as possible with foods that contribute to the alkalization of internal environments.

So, you need to give up fatty, fried, canned and smoked dishes, alcoholic and sweet drinks, baked goods, as well as any food containing chocolate.

What foods can be consumed during the treatment of pathology?

• your daily menu should include as much as possible fresh vegetables and fruits, leafy greens, a variety of cereals, seafood, lactic acid products;
• Nuts, dried fruits, and citrus fruits will also be useful;
• You should also avoid dehydration. Therefore, you should drink at least two liters of clean water a day.

Bifidobacteria will also help the body defeat female candidiasis. Probiotic preparations such as Linex, Bifidumbacterin, Bifiform, Hilak and others will help saturate the body with them.

Strengthening the immune system will also help to take vitamin complexes, containing fat-soluble E and A and water-soluble B and C.

Rules during therapy

How to quickly cure thrush? In order for the treatment to be effective and quick, you should additionally adhere to simple rules:

• carry out hygiene procedures daily. In the morning and evening, toileting of the external genitalia and perineal area is mandatory. However, you should not use solid or liquid soap containing cosmetic additives and fragrances. During the period of treatment for candidiasis, it is best to use baby soap. After hygiene procedures you should wear clean underwear;
• also, for washing, you need to allocate a separate towel, which, in order to prevent reinfection, should be changed daily;
• In order for the treatment to be radical and thrush in women to no longer recur after a course of therapy, attention should be paid to underwear. Until complete recovery, you must abandon panties made of synthetic materials in favor of cotton ones. In this case, the underwear should fit tightly to the body, but not be tight, otherwise the disruption of blood flow will adversely affect the course of the disease;
• Treatment of thrush in women can be complicated by the use of daily sanitary pads, therefore, if signs of pathology appear, it is better to refuse them;
• It is also advisable to limit sexual contact throughout the entire duration of therapy.

To quickly cure thrush in women so that the disease does not return, you need not only to complete a full course of specific and additional treatment, but also follow all doctor’s recommendations regarding personal hygiene and lifestyle.

Ketoconazole has a fungistatic effect. And when applied topically high concentration 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 cryptococcus 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 the frequency of 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 the cell membranes of the fungus. 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

The active ingredient of Livarol is 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 known drugs from 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 may lead to the disease developing into chronic form.

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. At frequent relapses 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.

Your doctor will help you choose the best remedy for thrush in women!

Treatment of chronic thrush during pregnancy and breastfeeding with drugs

The causes of thrush include changes 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, and therefore does not penetrate into systemic blood flow and does not pass into 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 medications to take for this.

Vaginal candidiasis (in other words, thrush) is one of the most common diseases. At least 75% of women have encountered this fungal infection of the genital organs at least once during their lives.

Unfortunately, in lately Not only has the incidence of candidiasis increased. The rate of relapses has increased, and the resistance of the pathogen to standard therapy has increased. Therefore, the question of how to treat thrush in women still remains relevant.

Candidiasis - shining example diseases caused by opportunistic microflora. Cells of fungi of the genus Candida are present on the surface skin and mucous membranes, not only in the vagina, but also in the oral cavity and intestines. But with a decrease in the body’s defenses, this flora can cause the development of various clinical symptoms. In the vast majority of cases, candidiasis affects only the superficial layers of the vaginal epithelium. Its deep penetration inhibits systemic immunity, but at the same time it is not able to get rid of the fungus. This fact determines the recurrent course of the disease.

The reasons for the development of thrush are:

• long-term, and even more so uncontrolled use of antibiotics;
• use of hormonal pills as a means of contraception;
• treatment with cytostatics, steroid drugs that have an immunosuppressive effect;
• radiation therapy for malignant neoplasms;
• metabolic disorders;
• obesity;
• functional disorders endocrine system(especially diabetes mellitus, adrenal dysfunction, thyroid gland, ovaries);
• vitamin deficiencies as a result of malfunction digestive system or malnutrition;
• dysbacteriosis;
• immunodeficiencies of various etiologies(for example, against the background of tuberculosis, AIDS, blood diseases);
• non-compliance with rules intimate hygiene;
• smoking;
• chronic psycho-emotional shocks;
• insufficient amount of “lubrication” during sexual intercourse.

The choice of an effective remedy to treat thrush in women is also based on the type of pathogen. Experience shows that in almost 90% of cases the vagina is affected by fungi of the genus Candida albicans, less often by Candida glabra. In the background diabetes mellitus inoculate Candida tropicalis.

Manifestations of vaginal candidiasis are usually specific, patients complain of:

• intense itching and burning in the vagina and external genitalia;
• copious curdled or white discharge, their amount increases during menstruation;
• discomfort and discomfort during sexual intercourse;
• swelling of the vaginal mucosa and labia;
• pain when urinating.

Treatment of vaginal candidiasis is aimed not only at eliminating the influence of the causative agent of the disease, but also at eliminating its main causes. Therefore, the approach to therapy should be comprehensive and step-by-step. Thrush is not sexually transmitted, but during the treatment period it is recommended or completely limited sexual relations with a partner, or use condoms. Also, do not neglect disposable panty liners.

The general principles of candidiasis therapy are:

• identification of aggravating factors and their elimination (if possible);
• exclusion of sexually transmitted infections (gonorrhea, trichomoniasis, chlamydia), exacerbation of the genital herpes virus, human papilloma;
• differential diagnosis with bacterial vaginosis;
• laboratory confirmation of candidiasis;
• selection of a medicinal product;
• restoration of normal vaginal microflora.

Candidiasis is quite common in men, and it is characterized by an asymptomatic course. Therefore, it is better for both partners to undergo the examination.

Special attention The question deserves is how to treat thrush in pregnant women. Candidiasis occurs in approximately 30% of cases during pregnancy. The high incidence of the disease is due to the suppressive effect of progesterone on the immune system. Treatment of thrush in a pregnant woman is carried out under the supervision of a gynecologist.

This condition is a contraindication to the prescription of antibiotics with antifungal activity. The use of drugs such as Diflucan or the relatively inexpensive Clotrimazole (especially in the first trimester) is also not recommended. The use of Fluconazole capsules is excluded. The remedy for treating thrush in a pregnant woman is Pimafucin (the affordable analogues are Ecofucin and Primafungin).

Doctors have nothing against this method of treating candidiasis at home, such as douching with a soda solution, a decoction of string grass or chamomile flowers (of course, in the absence of contraindications), however, they consider them ineffective, and reviews indicate high frequency relapses after such treatment. But it is better to refrain from such a recipe as washing the vagina with garlic infusion.

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Medicines for thrush: therapy for uncomplicated and chronic forms of the disease

The principles of prescribing medications for primary thrush differ from the treatment of chronic forms of the disease. In the second case, much attention is paid to diagnosis. Conduct laboratory test, aimed not only at identifying candidiasis, but also at determining the exact type of yeast-like fungus and its sensitivity to antimycotic drugs.

There are two ways to use medications for thrush. This is oral (that is, literally translated from Latin “through the mouth”) and local. As a rule, when primary episodes candidiasis, the doctor prescribes creams or suppositories for insertion into the vagina. The advantage of this method of treatment is the absence of a systemic effect on the body, since the active substance of the drug is practically not absorbed into the bloodstream and remains only on the vaginal mucosa. This is especially important in the first trimester of pregnancy and for nursing mothers, because it is at this time that the risk of developing candidiasis increases.

To the disadvantages local treatment include the occurrence of side effects such as contact dermatitis and disturbances of the microflora of the genital organs. In addition, the use of suppositories and creams contributes to the rapid development of resistance of pathogenic fungi to therapy. When using medication for thrush in tablet form, the course of treatment is significantly shortened.

Besides, active ingredients capsules also affect other possible foci of candidiasis infection in the body. Therefore, in chronic forms fungal infection genital organs, many doctors prefer combination therapy.

It consists of the simultaneous use of medication for thrush, both in the form of suppositories and tablets. Almost all experts associate vaginal candidiasis with digestive disorders, in particular with dysbiosis. Therefore, taking probiotics is an integral component of the treatment of this disease. fungal disease. As for the specific drug, they are all sold without a prescription.

You can choose an expensive one imported vehicle(for example, Bio-Gaya, Linex, Bifiform), or choose a cheaper but effective one Russian analogue(Acipol, Atsilakt, Bifiliz). There are also drugs for normalizing vaginal microflora in the form of suppositories. These are Vaginorm, Bifidumbacterin and Lactobacterin. They are sometimes recommended during pregnancy to prevent candidiasis and vaginosis.

Drugs for thrush in women: a review of popular remedies

All existing antifungal drugs for thrush can be divided into several groups. This:

1. Polyene antibiotics (Nystatin, Levorin, Amphotericin B, Natamycin).
2. Imidazole derivatives (Ketoconazole, Clotrimazole, Miconazole, Isoconazole, etc.).
3. Triazole derivatives (Fluconazole, Itraconazole).
4. Pyridones (Ciclopirox olamine).
5. Others (Nitrofungin, Decamine, etc.).

One of the first drugs for thrush in women was Nystatin. It has been widely used since the 50s of the twentieth century. But at present its use is limited.

First of all, this is due to its low bioavailability (it does not exceed 3-5%) and the development of resistance to it in almost all Candida strains. Another representatives of polyene antibiotics are Levorin and Amphotericin B. However, now they are also practically not prescribed for vaginal candidiasis due to low efficiency and high toxicity. More modern and popular drug for thrush in women is Natamycin (Pimafucin). It affects cell membrane fungus, causing its death. From gastrointestinal tract the medicine is not absorbed, so it is used only topically in the form of suppositories or cream.

Suppositories are inserted into the vagina at night, cream - 2-3 times a day for 6 days. Due to its low toxicity and lack of side effects, doctors believe that Pimafucin is the best suppository for thrush during pregnancy and lactation. When applied topically, Clotrimazole (Candibene, Candide) penetrates well into various layers of the skin, quickly reaching therapeutic concentrations.

Use intravaginally once a day in the form of tablets of 100 mg for 6-12 days or 500 mg for 1-6 days. The medicine is also available in the form of a 1% cream. Sometimes redness and slight itching in the vagina may occur after use. Suppositories with ketoconazole Livarol are a drug for thrush.

The course of treatment is from 3 to 5 days, depending on the course of the disease, while the method of application differs little from others antifungal agents For local application- 1 candle once a day. Special mention should be made of the complex drug Neo-Penotran. It contains two components - the fungicidal miconazole and the antimicrobial metronidazole.

Suppositories are inserted using a disposable fingertip deep into the vagina, one at night for two weeks or twice a day (morning and evening) for 7 days. Neo-Pentran is also suitable for the treatment of recurrent and resistant to other treatment candidiasis, but the course of therapy lasts twice as long - 2 suppositories per day for two weeks.

As for the cost, the price of these drugs for thrush ranges from:

• Pimafucin. A package of three suppositories costs 350 rubles, cream - 325 rubles.
• Clotrimazole. The price of vaginal tablets (6 pieces of 100 mg each) is up to 30 rubles, cream - from 80 to 150 rubles, depending on the manufacturer. An analogue of Candida in the form of capsules for insertion into the vagina can be purchased for 80 rubles.
• Livarol. Despite the fact that this drug for thrush is domestically produced, it does not belong to the budget segment. The price for a package of 5 suppositories of 400 mg is 500 rubles.
• Neo-Penotran. The cost of 14 suppositories in a standard dosage (500 mg metronidazole + 100 mg miconazole) is 850 rubles, Neo-Penotran Forte (750 mg + 200 mg, respectively, 7 suppositories in a box) - 1020 rubles. The analogue of the drug Klion - D is cheaper - 400 rubles, but it contains 100 mg of metronidazole, but this does not particularly affect the treatment of thrush.

Priority in systemic treatment candidiasis is given to Fluconazole (Diflucan, Mikosist, Forkan, etc.). The drug for cellular level inhibits the synthesis of sterols necessary for the life of fungi.

When taken orally, it is well and almost completely absorbed from digestive tract, the maximum concentration is achieved on average an hour after application.

The half-life is up to 30 hours, which in many cases allows you to take only one tablet (150 mg) to completely get rid of candidiasis. These thrush capsules are well tolerated and cause very few side effects. But for recurrent forms of the disease, a single dose of 150 mg is not enough.

At this dosage, the drug should be taken three times with an interval of 3 days. Doctors recommend taking it for the prevention of vaginal candidiasis, 1 capsule on the first day of each day. menstrual cycle for 6 months. Analogs of Fluconazole under others trade names so many. Their prices also differ.

The cheapest is domestic Fluconazole (40 - 50 rubles per package containing 1 capsule of 150 mg). Slovak Fluconazole is a little more expensive - up to 80 rubles. The price of one Flucostat tablet is 200 rubles. But Diflucan is considered the most expensive (but it should be said that, according to reviews, this drug for thrush is also the most effective). Its cost is 970 rubles for 4 tablets.

An effective remedy for thrush: traditional medicine recipes

Almost all doctors have an ambiguous attitude towards alternative treatment candidiasis. But reviews on the forums indicate that effective remedy you can prepare it yourself for thrush.

• In half a liter warm water dilute a little laundry soap, 5 drops of iodine, 1 tsp. apple cider vinegar and 1 tsp. soda Use the solution for daily douching.
• Take 100 g of dry wormwood and sift it. The resulting powder should be consumed orally (directly in dry form, washed down with water 4-5 times a day), and from the remaining part prepare a decoction at the rate of 1 tsp. per liter hot water. Leave until cool, strain and use for douching.
• For intimate hygiene, it is also recommended to use a decoction of orris roots (1 tablespoon per glass). Please note that garden flowers are not suitable, you need a “wild” plant, popularly called “cockerels”.

In the process of treating candidiasis, many women ask the question whether it is necessary similar treatment sexual partner. As mentioned above, thrush is not transmitted during sex; it is a disease often caused by problems with the immune system or digestion. However, a man should undergo examination even in the absence external symptoms. Typically, fluconazole is used for treatment in a standard dosage.

Possible complications of candidiasis include, first of all, the risk of infection spreading to the skin of the perineum and inner thighs or to the cervix, which is undoubtedly more dangerous. This is especially true for women with immunodeficiency. Such an infection is fraught with pregnancy complications and difficulties with conception and childbirth in the future. Therefore, it is better to choose an effective remedy for thrush and stop the symptoms of the disease at the initial stages.

Thrush or vaginal candidiasis is a type of fungal infection caused by microscopic yeast-like fungi from the genus Candida. The most common type is Candida albicans. One should take into account the fact that all representatives of this genus are opportunistic microorganisms, which is not due to the presence of natural inhabitants of the mucous membrane itself, but to their mass reproduction or colonization of pathogenic strains.

One of the main causes of thrush is a decrease in immunological status. Depending on the degree of Candida activity and the stage of the disease, may be used various shapes medications. In this article we will try to figure out which medications are best to choose for the treatment of thrush.

Effective tablets for thrush for women

Treatment of thrush with drugs in the form of tablets has an undeniable advantage, which is determined by the systematic nature of the action, and average term treatment does not exceed three days. In addition, the use of tablets helps eliminate the fungus throughout the body and is not local in nature.

The main active ingredients included in antifungal drugs are:

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

Which suppositories are best for thrush?

belong to the category of the most convenient means for local therapy of vaginal candidiasis. Deep penetration of the active active substance of an antifungal nature into the layers of the vaginal mucosa contributes to the effective destruction of the pathogen and the elimination inflammatory process, which has a beneficial effect on reducing the feeling of discomfort.

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

To the most effective candles from thrush include:

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

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

Read also: for menstrual irregularities.

Ointments and sprays for thrush

The modern pharmaceutical industry presents a fairly limited number of antifungal drugs, produced in the form of ointments and sprays. The following medications in the form of ointments and creams for thrush deserve special attention:

• Ginofort;
• Nystatin;
• Miconazole;
• Pimafucin;
• Clotrimazole;
• Nizoral;
• Fluconazole;
• Candide.

It should be remembered that such drugs are extremely rarely prescribed as primary ones. More often antifungal creams, ointments and sprays are used in complex therapy, which is due to their low activity in case of massive infection by yeast-like fungi of the genus Candida.

Diet for thrush in women

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

One of the most powerful antibacterial agents garlic is of natural origin.

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

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

Treatment of thrush with folk remedies

Natural natural ingredients, including herbal teas, berries and minerals are quite often used as a supplement to pharmacological drugs. From traditional drugs traditional methods Treatments for thrush compare favorably with more soft action, well tolerated, practically complete absence side effects and safety. By method of influence folk remedies from thrush are divided into the following categories:

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

Let's summarize:

• In the treatment of vaginal candidiasis, many various means, which include tablets, capsules, suppositories, ointments, sprays, creams and folk remedies. The main task of all these agents is to provide antifungal and anti-inflammatory effects. When choosing a method of treating thrush, it should be taken into account that folk remedies can only complement medications, but not replace them.
• The full course of treatment must be completed by two sexual partners, even in the absence clinical manifestations. In addition, the purpose correct scheme treatment that promotes the fastest and full recovery, should be entrusted to doctors. Self-medication of candidiasis provokes the transition acute form diseases into chronic ones.

Thrush is one of the most unpleasant and common diseases affecting the female genital tract, caused by a fungus of the genus Candida. This fungus is even in the vagina healthy women, but does not cause disease. Only if the girl’s immunity is weakened or the acid-base balance of the genital tract is seriously disturbed can the fungus become pathogenic and begin to multiply. Manifestations of this disease include strong burning sensation, pain during sexual intercourse, as well as white cheesy discharge from the vagina. It is imperative to treat the disease, since candidiasis can even cause infertility.

Action Plan

If you find signs of thrush, you should consult a gynecologist. To confirm the diagnosis, you need to take a smear of vaginal discharge. With results laboratory analysis you will know that the causative agent of your illness is Candida fungus. You must be sure that it is thrush that needs to be treated, and not something else. venereal disease. Complex therapy must be selected; a specialist may prescribe several medications for you different groups. This is done to achieve the following results:

• destroy existing fungus (antifungal drugs);
• support weakened immunity (adaptogens, mild immunostimulants);
• eliminate external factors, affecting the appearance of thrush (drugs for restoring acid-base balance, funds for the partner).

Only complex therapy will give tangible results. Entrust the dosage of medications and the course of treatment to a gynecologist.

Drugs for thrush are available in the following dosage forms:

• tablets (based on fluconazole);
• vaginal suppositories (based on clotrimazole or other antifungal substances);
• ointments (intended for men or pregnant women).

Medicines

There are many medications to kill fungal infections; your doctor will tell you the name of the drug. The most common of them:

• Nystatin. Available in the form of suppositories, the active ingredient of the medicine of the same name. One of the very first drugs against the fungus that causes thrush. The price is inexpensive, it is sold in all pharmacies. Since the drug was released a long time ago, pharmacists did not take into account that it also suppresses normal microflora vagina. The medicine should not be used by women with pancreatitis, liver problems, or those who are expecting a child.
• Ketoconazole is another representative of vaginal suppositories. It has a complex effect of suppressing the growth of fungi in the body. Inexpensive, but has a complex of unpleasant side effects associated with dizziness and nausea. The drug is contraindicated for pregnant women. An analogue of the drug is Livarol, taken in a course of five or 10 days.
• Clotrimazole. Available in both tablet form and vaginal suppositories. The cheapest and most effective drug. Clotrimazole is an imidazole derivative that kills all microflora, including beneficial bacteria. After it, it is necessary to pay attention to the restoration of microflora. Improved medications based on clotrimazole are produced: Candide-B6, Candibene, Nizoral.
• Fluconazole. The drug is produced in tablets with the active ingredient of the same name. It is suitable for the treatment of chronic thrush. Based on fluconazole, the following products were produced: MIKOmax, MIKOsist, Diflucan, Fucis. Most of these medications work great against fungus, eliminating it in one day. But the treatment does not end there, because what lies ahead is recovery from the illness and prevention of thrush.
• Suppositories Ginezol based on miconazole nitrate. They effectively fight candidiasis, but have a negative effect on the fetus. The same active ingredient is included in the vaginal antifungal capsules Miconazole, Klion-D and Gino-Dactanol.
• Polygynax is another remedy for thrush that has not been found wide application due to side effects and harm to the body.

What to do if thrush occurs during pregnancy? After all, many drugs are strictly contraindicated in this situation. However, if such a problem occurs, there are antifungal medications, which can be taken by pregnant women.

In medicinal and for preventive purposes Betadine based on povidone-iodine is used. Vaginal suppositories are placed even during menstruation and in obstetric practice.

• Pimafucin suppositories, the components of which are not absorbed into the blood. The drug is expensive, but it helps preserve the health of the child and the expectant mother.
• Terzhinan - drug in tablets wide range actions, but it can be used during pregnancy.
• Hexicon, which is based on the antiseptic chlorhexidine digluconate, can be purchased as a gel, solution or suppository. External use allows the product to be used even during childbirth.

If you have been diagnosed with candidiasis, warn your sexual partner about it. Also, during treatment, avoid unprotected sexual intercourse. If a man also develops symptoms, after confirming the diagnosis, he may be prescribed local antifungal therapy. Most often these are ointments:

1. Ketoconazole.
2. Nizoral, Mycozoral.
3. Imidil.
4. Dermazol.

Usually the course of treatment takes a week. In extreme cases, a single dose of thrush tablets may be prescribed.

Homemade recipes cannot cure thrush. Nevertheless, there are several recipes that relate to intimate hygiene. Such actions should be carried out exclusively in combination with medications. For hygiene procedures, decoctions of chamomile and calendula are prepared, 2% soda solution, compresses made from eucalyptus infusion, tea tree oil.

If you really want to use traditional medicine, it is better to prepare decoctions that increase immunity. Echinacea, rose hips, hemlock, aloe juice are substances that act as immunostimulants.

To stop the spread of fungal infection in the body, you can mix honey with onion juice (five tablespoons each) and add 10 tablespoons lemon juice. You need to take one tablespoon of this mixture three times a day before meals.

Maintenance treatment consists of caring for intimate areas and selecting hygiene products. Prevention of thrush also includes diet therapy (limiting the consumption of sweets, chocolate, marinades and alcohol), avoiding uncontrolled intake antibiotics, hygiene rules. If candidiasis has become chronic, compliance with all rules of prevention is mandatory. There should be several drugs of choice against fungus, both for internal and external use.