The treatment regimen of thrush "Fluconazole": purpose, features of admission, dosage, composition, indications and contraindications

In the article, we will consider the treatment regimen for thrush with Fluconazole.

Experts say that about 75% of women in some periods of life suffer from acute forms of candidiasis, about 15% of women suffer from chronic candidiasis. The most popular means of controlling thrush is Fluconazole.

About candidiasis

Candidiasis develops as a result of an active increase in the number of yeast species of the Candida genus. In all healthy adults, they are part of the normal microflora, present on the mucous membranes and skin, without causing any discomfort. But some factors can cause an active increase in their number, as a result of which unpleasant symptoms of candidiasis develop.

Causes

The main causes of increased fungal growth are:

1. The use of antibacterial drugs and some types of contraception.
2. Weakened immunity.
3. Diseases of the internal organs in a chronic form.

Thrush is not a sexually transmitted disease. Candidiasis vulvovaginitis can develop in a woman, regardless of whether she leads a sexual life or not.

Symptoms of pathology

Vaginal candidiasis in acute form is manifested by the development of the following unpleasant symptoms:

1. Profuse discharge of a curdled character, having an unpleasant odor.
2. Genital irritation.
3. Soreness when touching the external genitalia.
4. Small rashes in the genital area.
5. Itching, burning in the vagina, which can not be eliminated using hygiene procedures.
6. Swelling of the external genitalia.
7. Increased urination, which is accompanied by pain.
8. Soreness, discomfort during sexual intercourse.
   

However, similar symptoms also accompany bacterial vaginosis, trichomoniasis and some other pathologies transmitted through sexual contact.

The treatment regimen for thrush “Fluconazole” in women should be selected only after consulting a gynecologist, a laboratory test, and making an accurate diagnosis.

Chronic vaginal candidiasis is characterized by the development of erased symptoms.

Causes of Relapse

The disease recurs for the following reasons:

1. Non-observance of personal hygiene.
2. Unbalanced diet.
3. Use of low-quality linen.
4. Prolonged dysbiosis.
5. Decrease in local, general immunity.
6. Uncontrolled use of antibiotic drugs.
7. Hormonal disorders provoked by replacement therapy, pregnancy, diseases of the endocrine system.
8. Mechanical, traumatic lesions of the genital mucous membranes.
9. Stress, mental, physical strain.

The chronic form of the disease

Most often, candidiasis becomes chronic, if the acute form was not completely treated, not completely. Therapy of chronic candidiasis takes a longer period of time than acute. However, in this case, the use of "Fluconazole" remains relevant.

The right therapeutic tactics will be made possible by conducting bacteriosis in order to identify the pathogen and determine the level of its sensitivity to antifungal drugs.

The treatment regimen for thrush in men with Fluconazole may vary slightly.

Candidiasis in men

Candidiasis in men affects the glans penis and the dermis covering it. In the absence of appropriate treatment, the infection can spread to the urethra, the disease becomes urogenital.

The main sign of development in a man of candidiasis is the appearance on the head of a member or foreskin of a plaque of a cheesy character. Other symptoms also develop:

1. Soreness during sexual contact.
2. Discomfort during urination.
3. Bad smell.
4. Redness and peeling on the head of the penis.
5. Swelling of the head of the penis.

Possible complications

Despite the fact that thrush is not a disease that provokes serious complications, appropriate treatment should be prescribed in a timely manner, since the pathology can become chronic. This is fraught with the spread of inflammation to the kidneys, bladder, urethra, prostate, as a result of which the development of the following diseases is not excluded:

1. Reproductive dysfunction.
2. Impotence.
3. Infection of the kidneys, bladder.
4. The inflammatory process in the urethra.
5. Inflammatory process in the prostate gland.

Candidiasis in men develops rather rarely and indicates the presence of pathological disorders in the body. Therefore, before prescribing a treatment regimen for chronic thrush with Fluconazole, a full examination should be carried out.

Features of the medication

It is a fairly popular drug used to treat candidiasis. The active component in its composition is the substance of the same name, which belongs to the antimycotic drugs that are part of the triazole group.

"Fluconazole" for the treatment of thrush in women and men is the most popular tool, gynecologists give their preference to him. The drug is used to treat not only vaginal thrush, but also such forms of candidiasis as:

1. Candidiasis of the generalized form, including a variety of forms of penetration of candida. First, there is a defeat of the respiratory system, gastrointestinal tract, urinary, reproductive. A similar form of candidiasis is often observed in cancer patients receiving immunosuppressants and cytostatics.
2. Mucous candidiasis, including stomatitis (often occurring in patients who are constantly using dentures) and chronic candida glossitis.
3. Fungal infection of the urinary tract.
4. Chronic and acute forms of vulvovaginal candidiasis. Moreover, the drug can be used not only for therapeutic purposes, but also for prophylactic purposes.
5. Candidiasis balanitis, which is a male variant of candidiasis, develops not only after sexual contact with an infected partner, but also in the presence of diabetes mellitus or with antibacterial treatment.

A man is shown the use of the drug if he is a partner of a woman suffering from recurrent candidiasis or has clinical manifestations of the disease.

The treatment regimen for thrush "Fluconazole"

Thrush therapy should be carried out in accordance with the recommendations of the doctor or according to the schemes provided for in the instructions for use. The drug can be used in two ways - parenterally or orally. Dosage should be determined individually for each patient.

What is the fluconazole regimen for treating thrush?

A medication has an undoubted advantage - if primary candidiasis is treated, which occurs no more than 4 times a year, a single use of a capsule of a drug with a dosage of 150 mg will be sufficient.

The treatment regimen for primary balanoposthitis is similar to the treatment regimen for primary candidiasis in women - a single application of 150 mg of fluconazole will be sufficient.

In order to stop the recurrent form of candidiasis, it is shown that 150 mg should be taken once a day for three days, and the interval between doses should be 72 hours. In order to prevent the re-development of candidiasis, it is indicated to take 150 mg once a week.

The treatment regimen for thrush with Fluconazole is quite simple.

If after the first application for two days the patient does not notice visible improvements, then therapy should be stopped. The feasibility of further use of "Fluconazole" should be determined by the doctor after an additional examination.

If it is necessary to conduct a second course, the medication should be taken until the obvious symptoms of the infection disappear, or the cure is not confirmed by laboratory tests.

Are fluconazole tablets for thrush always safe? We will understand this in more detail.

Negative impact

Before starting a course of treatment for thrush with Fluconazole, you should carefully read the instructions, since a variety of negative reactions can develop against the background of the drug:

1. Taste disorder, involuntary convulsions, disorientation in space, pain in the head - from the side of the National Assembly.
2. Liquid stool, vomiting, increased gas formation, nausea, epigastric pain, pain in the entire abdomen - from the gastrointestinal tract.
3. An increase in the level of hepatic enzymes in the blood, drug hepatitis, impaired activity of the gall bladder, liver, toxic damage to the liver, in rare cases ending in death - from the hepatobiliary system.
4. Elongation of the QT interval on the ECG, the occurrence of disorganized electrical activity of the myocardium, accompanied by rhythmic and frequent contractions of the ventricles with the subsequent development of their fibrillation - from the CCC.
5. Intense alopecia, bullous damage to the mucous membranes, all skin integuments, peeling of the dermis, widespread erythrem, skin rashes - as a dermatological response.
6. Decrease in the level of platelets and leukocytes - from the hematopoietic system.
7. A decrease in the concentration of potassium ions in the blood, an increase in the level of triglycerides, cholesterol - from the side of metabolism.
8. Itchy skin, allergic dermatitis, angioedema - as allergic manifestations.

With the development of acute negative effects, the patient should consult a doctor. Probably, a drug withdrawal or a change in the regimen will be required.

An overdose in the treatment of thrush with "Fluconazole" develops in rare cases, and when it occurs, the patient should be prescribed symptomatic therapy and forced diuresis. Three-hour hemodialysis reduces the concentration of fluconazole in the blood by half.

Analogs

The effectiveness of Fluconazole is highly dependent on the manufacturer of the drug. In pharmacies there are a large number of drugs containing fluconazole, and their cost depends on:

1. The quality of the original active substance used to produce the drug.
2. The quality and range of excipients that affect the shelf life and stability of the drug.
3. The level of quality control used by the manufacturer.

The highest quality drug containing fluconazole is Diflucan, which is an original drug. All other medicines are inherently its generics. The following drugs are most effective: Diflaxone, Medoflucon, Mikosist, Mikomast, Flukostat.

It is important to remember that the doctor should determine which particular treatment tool should be used by the patient after an appropriate examination.

We examined the treatment regimen for thrush with Fluconazole.