10 best remedies for thrush

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

Mushrooms occupy a separate kingdom among living beings, excellent from plants and animals. Many of them are parasites that use the human body either as a habitat, or in as a power source. And perhaps the first of the fungi that settle in the body of the newborn, are candida, or representatives of conditionally pathogenic fungi of the genus Candida, and most often it is a species of Candida flbicans. The term opportunistic means that healthy person with good immunity, this fungus is included the composition of the normal microflora of the intestine, oral cavity, vagina, and does not cause any inconvenience.

Entering normal microflora does not imply intensive reproduction of the fungus. It can simply be detected with using various analyzes, and even then in a small amount. IN in the same case, if the fungi begin to multiply intensively, then we are talking about mycosis, or fungal infection. The term “thrush” reflects the visual picture of the development of the fungus on the mucous membranes. Against the background of bright red hyperemia, whitish, with bluish tint spots reminiscent of spilled milk or kefir.

Most often, in adults, thrush occurs as a marker decreased immunity associated with other infections, while women of childbearing age, thrush most often develops on bacterial vaginosis, or gardnerellosis, when protective the properties of the vaginal mucosa are lost, and a change occurs acidic to alkaline.

In modern dermatology and gynecology, there is a large number of different remedies for the treatment of thrush, or vaginal candidiasis. Consider the most popular and effective drugs to eliminate candidiasis infection. Exist as a topical remedy, in the form of candles, ointments and gels, and tablets. Most common and candles are for sale.

Rating of the best remedies for thrush

Nomination a place Name of product price
The best candles from thrush 1 Klion-D (metronidazole + miconazole) 348 rub
2 Livarol (ketaconazole) 391 rub
3 Betadine (povidone iodine) 394 rub
4 Zalain (sertaconazole) 479 rub
5 Macmirror Complex (nystatin + nifuratel) 699 rub
The best ointments and creams for thrush 1 Pimafucin (natamycin) 344 rub
2 Candide (Clotrimazole) 249 rub
3 Gynofort cream (butoconazole) 645 rubles
The best pills for thrush 1 Diflucan (fluconazole) 427 rub
2 Orungal, Irunin, (itraconazole) 3 115 rub.

The best candles from thrush

Drugs administered in the form of suppositories intravaginally have their own advantages. This is, first of all, the possibility of treatment deeply underlying foci of fungal infection through deep introduction. In the event that the upper part of the vagina is affected, the cervix, the mouth of the fallopian tubes, and even the tubes themselves, which happens rarely, the use of suppositories is more effective than applying ointments and gels.

Also, candles are often issued with more than one therapeutic a drug, but with several components that affects fungus is more effective than ointment. Therefore, if a gynecologist prescribed a patient with vaginal candidiasis suppositories, this can be considered the most effective way to eliminate fungal infection. Sometimes a fat-soluble candle base is replaced by another, in this case, a topical form is obtained which called vaginal tablets.

The technology for the production of candles is such that with ordinary, at room temperature they are in solid form, but being inserted into the vagina, or rectum, upon reaching temperature 36 ° С begins to melt the material of the candle – in basically, it is a mixture of paraffin, with glycerin and gelatin.

What are the benefits of using suppositories for treatment thrush?

  1. Speed. After melting the candles begins active action of the released components, just one to two minutes after introduction;
  2. action in the local circulatory network of the pelvis. Medical substances can affect not only exclusively mucous membranes. Due to the well-developed capillary network inside the vagina, part of the active substances enter the bloodstream, but, unlike drugs administered orally, they do not pass through liver, and sometimes act in lower concentrations, and with greater effect;
  3. the vast majority of drugs introduced into in the form of suppositories do not enter the systemic circulation, and therefore patients with impaired renal excretory function thrush using suppositories is the method of choice;
  4. it is very important that many patients with pathology gastrointestinal tract, with gastric ulcer, with gastroduodenitis, can not tolerate drugs for oral use. Candles for thrush are deprived of these deficiencies, and can be applied to these individuals without restrictions.

For the treatment of thrush, various groups of suppositories are used to vaginal administration. Consider the most effective and affordable drugs, evaluate their advantages and disadvantages.

Klion-D (metronidazole + miconazole)

Rating: 4.9

Klion-D

The drug from thrush Klion-D is a unique complex, which contains not only an antifungal drug, but also an agent for the treatment of anaerobic infections. These are miconazole and metronidazole, contained in each tablet for administration deep into vagina, 100 mg each. The tool helps to treat not only thrush, but also trichomoniasis, various pathogenic protozoa, vaginal gardnerella and various opportunistic pathogens anaerobes such as bacteroids, fusobacteria and others microbes.

Conditionally pathogenic anaerobic flora often joins in case of the development of alkalization of the vaginal environment, and facilitates more serious infections penetration and the process of chronicity. Shown Klion-D in the case of fungal and mixed vaginitis, in which not fungal flora only propagates, but also others microorganisms, for example, trichomones. Klion-D is assigned one at a time a tablet that is pre-wetted with water and injected deep in the vagina once a day at night. A course of treatment is 10 days.

Klion-d of a Hungarian company produced vaginal tablets “Gideon Richter”, one package of 10 pieces will cost 280 rubles.

Advantages and disadvantages

The advantage of this drug is a fairly affordable price, the possibility of treating not just thrush, but associated and complex vaginitis, with the presence of anaerobic microflora. This the drug is quite effective and applied fairly long. Side effects include local allergies. reactions such as burning and pain, especially when first introduced, the impossibility of combining Klion-D with alcohol, and with overdose – the development of symptoms such as leukopenia, or a decrease in the number of white blood cells in a general blood test.

But in the event that this drug is used according to indications, and according to the instructions, then in most cases the symptoms of thrush disappear after a few days.

Livarol (ketaconazole)

Rating: 4.8

Livarol

Vaginal suppositories Livarol from thrush contain an effective ketoconazole fungicide. Each candle with a dosage of 400 mg, in a package of 5 or 10 candles. Large packaging is available at a price of 550 rubles., the drug is produced by a domestic pharmaceutical company Nizhpharm.

Livarol, like other antifungal suppositories, is indicated for endometritis as a cover, so as not to concomitant fungal flora has intensified, or in the case if underlying candidiasis vaginitis or thrush already exists. Livarol is used one candle a day, on average, for 5 days, and in chronic forms of candidiasis – within 10 days. Manufacturers warn against self-termination of treatment with the disappearance of disturbing symptoms, as this may lead to chronic fungal infection.

Advantages and disadvantages

The advantage of ketoconazole is its high efficiency in against conditionally pathogenic fungi, and the disadvantages include development of side effects associated with local irritation mucous membranes, itching, and allergies.

Interactions with other drugs in Livarol unknown, therefore, it can be used with tablets, and other local drugs without restrictions, due to the low the resorptive ability of ketoconazole.

Betadine (povidone iodine)

Rating: 4.7

Betadine

Vaginal suppositories for thrush with betadine are sold in packs of 7 and 14 candles, each of which contains 200 mg povidone iodine. Hungarian packaging for 7 candles Egis company, you can buy for 300 rubles, and doubled, in 14 candles – for 485 rubles.

Everyone knows the bactericidal effect of iodine, but for intravaginal administration, of course, alcohol solution is not applicable, therefore, povidone iodine is used. One candle corresponds to approximately 20 mg of active iodine. Povidone iodine destroys E. coli, Staphylococcus aureus, active against protozoa, viruses and mushrooms. It is characteristic that iodine is not absorbed from the mucous membrane, that is, there is no resorptive action.

Suppositories with Betadine are indicated in the treatment of endometritis, vaginitis and bacterial vaginosis, with trichomoniasis, candidiasis colpitis, as well as prophylaxis before surgery intervention.

The drug is administered once a day, deeply intravaginally, preferably before bedtime. In acute endometritis recommended administration twice a day for 7 days.

Advantages and disadvantages

Betadine helps not only with thrush, the way he available in the form of a solution, it is able to prevent contamination of a clean wound with pathogenic flora, prevents the appearance of wound infection in surgical and burn patients, with open injuries. Betadine in solution may also be used. Toluo intravaginally, but also to disinfect the skin around various probes, catheters and drains, for the treatment of pressure sores and trophic ulcers. But Betadine is contraindicated in pregnancy and chronic renal failure, with excessive sensitivity to iodine, and with pathology of the thyroid gland. The drug is usually tolerated. good, but sometimes there is individual intolerance in the form of itching and allergies.

Zalain (sertaconazole)

Rating: 4.6

Zalain

Sertaconazole is a highly effective fungicide derivative simultaneously imidazole and benzothiophene. He has a high activity against vaginal candidiasis, as well as staphylococci and streptococci. This drug increases permeability of cell membranes of fungal structures, which destroys parasite cells. Each intravaginal suppository contains 300 mg sertaconazole nitrate. It is necessary to use the drug after the toilet external genitalia once a day, before bedtime, deeply intravaginally. It is most convenient to use candles lying on back.

Advantages and disadvantages

It is necessary to apply the remedy for thrush Zalain once, but if necessary, you can repeat the introduction of a candle after a week. TO the undoubted advantages of Zalain include a single introduction drug, rare development of side effects, lack of symptoms overdose. However, during treatment it is necessary during several days after the introduction of the suppository, abandon the genital contacts, but not due to the harmful effect of the drug on the partner, and in connection with the possibility of the spread of candidal infection. Also, during menstruation, you can freely treat this drug.

Macmirror Complex (nystatin + nifuratel)

Rating: 4.5

Macmirror Complex

These intravaginal suppositories from thrush represent a complex antifungal, antimicrobial drug, and also a remedy against protozoa. Quite often this a situation in which thrush is a concomitant infection, and the most important destructive effects are such diseases, like trichomoniasis, chlamydia, and other infections. Therefore macmirror It is indicated primarily for the treatment of just such conditions. In his the composition includes nifuratel, as a derivative of nitrofuran, as well as antifungal antibiotic nystatin. Use Macmirror is necessary daily before bedtime, injecting 1 suppository deep into the vagina within 7 days. Macmirror Complex is also produced in the form of vaginal cream, which is used if necessary for treating children. Macmirror complex of Italian is produced pharmaceutical company “Doppel Pharmaceuticals”, and the cost Packs of 8 vaginal suppositories of 500 mg each, starting from 630 rub in summer 2018 prices.

Advantages and disadvantages

A positive effect is the effectiveness of trichomoniasis and chlamydia, higher compliance, that is, the possibility applying one remedy instead of several, applying once per day, as well as the presence of a creamy form. The disadvantages of MacMyror rare allergic reactions, which are most often represented by skin rash, individual drug intolerance, as well as low effectiveness against anaerobic microflora. Therefore apply this medicinal locally needed exclusively for infection chlamydial infection, candidiasis and trichomonads.

The best ointments and creams for thrush

In addition to intravaginal suppositories, tablets and suppositories there is an extensive range of drugs for the treatment of vaginal candidiasis in the form of ointments and creams. They have their own benefits other than candles. For example, ointment and cream, in contrast from candles, act very quickly when applied to the surface mucous membranes, since the rate of absorption of ointments and creams significantly more than candles.

It is when using ointments and creams that they decrease faster unpleasant symptoms of a fungal infection, such as a rash, redness, swelling, and itching. Ointments and creams can also be used. in men, which cannot be said about vaginal suppositories. Commercially available creams and ointments occupy a more affordable a price niche than intravaginal suppositories, and especially special ones intravaginal tablets. In addition, ointment and cream use much easier than pills and candles. A woman, let alone a man no need to take a special pose, no need to use applicators for management, and you just need to distribute the ointment or cream on the surface of the vestibule and in its anterior third, and men should be applied to the glans penis and to the inside leaf of the foreskin.

Consider the most popular representatives for treatment vaginal candidiasis in the form of creams and ointments sold in Russian pharmacies.

Pimafucin (natamycin)

Rating: 4.9

Pimafucin

The active substance Pimafucin is an active antifungal antibiotic natamycin. This tool is built into cell membranes of fungal structures, while they begin collapse and lose their strength. Natamycin application point are sterol groups.

Pimafucin is able to treat not only candidiasis. Except thrush, to other representatives of yeast are sensitive to it, and pathogens of dermatophytosis are less sensitive to it. In each gram of cream contains 20 mg of active substance in the form natamycin.

In addition to thrush, the number of indications for the use of this cream various candidal changes in the appendages of the skin (hair, nails), the tool is used in the treatment of external otitis media, which was complicated by candidiasis, as well as in various forms dermatomycosis.

The cream is usually applied in a strip of 2 to 3 cm in length, once per day, and rubbed in slow motion. In uncomplicated course vaginal candidiasis course duration does not exceed 7 or 10 days. In addition to cream, Pimafucin in the form of enteric tablets as well as vaginal suppositories. Launches Pimafucin Italian Pharmaceutical Temmler company, and one package of cream weighing 30 g and concentration 2% natamycin can be purchased at the pharmacy for 271 rubles.

Advantages and disadvantages

Natamycin is a highly effective fungicide, and contraindications to its use are extremely limited, only only with increased sensitivity to the components of the drug. Of side effects mild irritation is often noted, or a slight burning sensation that goes away by itself and does not require cancellation the drug. In the event that Pimafucin is used together with pills for thrush, and treatment is monitored gynecologist, then in 89% of cases there is either recovery, or persistent clinical remission with cleansing mucous membranes.

Candide (Clotrimazole)

Rating: 4.8

Candide

Candide vaginal cream containing 1 clotrimazole %, produced by a well-known Indian pharmaceutical company Glennmark Pharmaceuticals. A tube of cream weighing 20 g can have the cost is from 203 rubles, the price range is from 203 to 290 rubles in prices August 2018

Each gram of cream contains 10 mg of clotrimazole, known fungicide. This cream interrupts the synthesis of the cell wall of fungi, which and leads to their destruction. Except thrush, to action clotrimazole is very susceptible to pathogens of various molds, multi-colored lichens and erythrasma. In addition to vaginal candidiasis, ointment used to treat other fungal diseases, while the cream has a light antiprotozoal and antibacterial effect. Apply ointment to the mucous membranes of the genitals after the toilet. Apply it in a thin layer, carefully and slowly. rubbing. In case of candidal vaginitis in women, Candide is necessary apply to the vaginal mucosa at least twice a day, morning and evening. In men, the drug is carefully rubbed into the glans penis and inner sheet of the foreskin after hygiene procedures, also, 2 to 3 times a day. A course of treatment determined by a gynecologist or dermatovenerologist, but not less 5 days, as part of complex therapy, and with monotherapy – at least weeks.

Advantages and disadvantages

Candida’s disadvantage is a sufficient degree of addiction causative agents of fungal infections to clotrimazole. After all Clotrimazole has been used for many years, and like all organisms that resist harmful substances, fungi gradually develop to clotrimazole immunity. But in uncomplicated cases, Candide is quite effectively copes with thrush, especially in patients with good strained immunity. This drug has contraindications to use is pregnancy, hypersensitivity to clotrimazole, and in women with local application, the period menses. Clotrimazole can also cause various side effects. effects, of which most often patients note itching, urticaria, redness of the skin and a slight burning sensation. It is also necessary to remember that this medication should never be applied to the skin near eye.

Gynofort cream (butoconazole)

Rating: 4.7

Ginofort

Gynofort vaginal cream, which is produced by the Hungarian Gideon Richter pharmaceutical company, available at retail pharmacy for the price of 600 rubles. per package of 5 grams the drug in a special case. The active substance is butaconazole. Each gram of vaginal cream contains 20 mg active substance. In addition to pathogens of thrush, this drug active against the causative agent of microsporia, trichophytes and epidermophytes, and even some gram-positive microorganisms with a thick cell wall.

But still, it is preferable to use Ginofort precisely with candidiasis. It is gradually accumulating in the cell membrane fungus, increases its permeability, which leads to the death of fungal cells. Cream for vaginal use is an emulsion, therefore the ability to adhere to the cells of the mucous membrane Butoconazole’s vagina increases. This leads to an increase bioavailability, and adhesion to the surface itself is called bioadhesion. As a result, with a single application of this cream it is able to be on the vaginal mucosa and exert therapeutic effect for at least 4 days. This drug is applied using the applicator once a day, at any time, regardless of taking other medications.

Advantages and disadvantages

The big plus of the cream from thrush Ginofort is the ability his long stay on the vaginal mucosa after single use. The relative disadvantage of Gynofort is a rather high price that starts from 600 rubles., and fluctuates for the same package up to 770 rubles., and the possibility of irritation of the mucous membrane, after which it is necessary stop treatment.

The best pills for thrush

In the treatment of any fungal disease, there are indications when only one local therapy, using suppositories, creams or ointments will not be enough. In this case need oral preparations for internal use, in capsules or tablets that are able to create an active concentration antifungal, or fungicidal drug in the blood.

In the event that the use of antifungal capsules or tablets combined with local treatment, then the thrush will be be attacked “from both sides” as from the surface mucous membrane or skin, and from the bloodstream. Exactly such a combined method of treatment allows you to quickly cope with candidiasis in patients with compromised immunity.

Diflucan (fluconazole)

Rating: 4.9

Diflucan

Diflucan capsule preparation is made by pharmaceutical Pfizer, USA, and one 150 mg capsule costs 200 rub. In addition, 4 capsules are available at a price of 700 rubles. Diflucan is a highly effective drug for the treatment of genital candidiasis. Active ingredient – fluconazole, modern fungicidal preparation, with a high degree of activity against, both vegetative forms of the fungus and its spores.

The mechanism of action of the drug is to stop synthesis fungal cell substances that make up its wall. So thus, the fungal cell becomes fragile, and quickly collapses. In addition to various forms of thrush, fluconazole is indicated for treating cryptococcal infection, microsporia, and trichophytosis. In if candidiasis has assumed a disseminated character and has passed from the mucous membranes to the internal organs, then it is necessary be treated under the supervision of specialists, and take at least 400 mg a The first day of treatment, which should be long. In the case of uncomplicated vaginal candidiasis this drug is taken just once – one 150 mg capsule.

Advantages and disadvantages

The advantages of tablets from Diflucan thrush include high chemical purity of the original substance, perfect compliance in regarding uncomplicated forms of vaginal candidiasis, by type “accepted and forgot.” But in the treatment of fluconazole the possibility of drug interaction with various anticoagulants, azithromycin, benzodiazepines, cytostatics, contraceptives and diuretics, as well as a variety of antiviral drugs and medicines for asthma treatment. Therefore, treatment with fluconazole tablets is necessary be sure to perform only under the supervision of a physician.

Orungal, Irunin, (itraconazole)

Rating: 4.8

Orungal

Orungal, a drug manufactured by a renowned pharmaceutical Janssen-Cilag is one of the most expensive of all Itraconazole preparations that exist on the domestic market. Compare for yourself: a pack of 14 capsules of 100 mg will cost starting from 2300 rub. for one package.

If we compare Orungal with other itraconazole drugs, then the same package of Irunin will cost 690 rubles., Itrazola – 360 rubles, and itraconazole produced by Ratiopharm – only 285 rubles., it is an indian drug. Thus, you can choose to your taste a drug for any cost, but, of course, the effect will be different.

Orungal, he effectively and provenly fights not only with various symptoms of candidiasis, both with lesions of the nails and skin, and with candidal stomatitis and vaginitis. Orungal is able to eliminate fungal sepsis, it fights sporotrichosis, it is treated cryptococcal pneumonia, versicolor, other various mycoses, including with HIV infection. One capsule contains 100 mg of active substance, and with banal vulvovaginal candidiasis, one capsule is swallowed whole immediately after eating.

Treatment is carried out in the most mild cases with the use of 200 mg of the drug as a single administration, or therapy lasts for 3 days with 200 mg Orungal twice a day day. In severe and systemic forms of candidiasis, such treatment may last up to 7 months.

Advantages and disadvantages

Orungal thrush remedy is one of the few highly effective fungicides, which is available in tablets. Janssen-Cilag does not allow funds to be issued from low-quality or low-quality substance that has dubious effectiveness. But itraconazole also has contraindications: in addition to hypersensitivity, it is very important for the patient understand that if he has symptoms of chronic heart insufficiency or signs of left ventricular dysfunction then treatment with this drug must be urgently stopped. In that case, if itraconazole and Orungal are used without a doctor’s prescription, taking into account contraindications, sometimes, however, in rare cases, arose edema and symptoms of chronic heart failure. Also Orungal is not used in patients with cirrhosis, in case of chronic renal failure and childhood.

After the destruction of pathogenic microflora and fungi, cleaning mucous membranes of the vagina and uterine cavity from fungal infection, it is necessary to restore the protective barriers of the vaginal mucus, protective function of the cervix, eliminate alkalization of the environment internal genitalia and increase acidity. It is known that lactic acid is secreted by vaginal lactobacilli, or coli Dederlein. It is their disappearance that guarantees free and unimpeded introduction and reproduction of fungi. Therefore after treatment for vaginal candidiasis must begin to apply preparations – eubiotics that contain strains of ready-made lactobacilli, as well as an auxiliary environment that facilitates their check in.


Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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