Vaginal candidiasis is a disease better known as thrush. This is a fungal lesion of the vaginal mucosa, manifested by burning, itching, copious cheesy discharge and pain during urination.
The doctor prescribes the treatment of the disease after a detailed diagnosis. Therapy involves the use of systemic and local antifungal drugs. One of the most popular treatments is ointment for thrush. That's about them now and will be discussed.
"Clotrimazole"
This tool is one of the most effective in the fight against diseases caused by yeast and mold fungi, as well as dermatophytes and other parasitic organisms of similar origin.
The action of this ointment from thrush is based on the destruction of ergosterol synthesis, which, in fact, is an integral part of the cell membrane of fungi.
The tool instantly penetrates the upper layer of the epidermis and immediately begins to destroy parasitic microorganisms. The spectrum of action is wide - clotrimazole not only contributes to the destruction of the membrane, but also limits the rate of propagation of fungi, and also prevents their further spread.
The first improvements are noticeable the day after the first use. But the recommended treatment period is 2 weeks.
Use the ointment "Clotrimazole" with thrush, a woman needs at least twice a day. Before use, you need to carry out hygiene procedures (wash yourself). Then, lying on your back and bending your legs at the knees and placing them to your sides for convenience, introduce the ointment against thrush deep into the vagina. For this, by the way, there are special applicators. After the introduction, it is necessary to lie down for about half an hour.
Nystatin
Above was considered a well-known and widespread ointment among women. With thrush, “Clotrimazole” is really effective, but the “Nystatin”, which will be discussed now, is not worse.
The drug quickly eliminates the symptoms of candidiasis, but it is not absorbed into the blood, and it affects the fungus locally. The drug has no effect on a healthy bacterial flora.
The principle of use is the same as in the case of “Clotrimazole” - twice a day, after the toilet. The duration of treatment is from 10 to 14 days.
It should be noted that often this remedy is prescribed along with Nystatin suppositories. But this is a very powerful drug, so the doctor prescribes it only after a laboratory study of the smear.
This ointment for thrush and for men is also recommended. "Clotrimazole", by the way, too. It is advisable to simultaneously treat the sexual partner of a woman who is ill with candidiasis. Representatives of a strong half of humanity rarely experience it, but it is better to be safe.
Pimafucin
The active substance of this drug is natamycin. This is a broad-spectrum antibiotic that destroys the membrane of a fungal cell, increasing its permeability.
Many consider Pimafucin ointment to be the best remedy for thrush. Largely due to the fact that over the entire time of its existence, not a single case of allergy and resistance has been recorded.
A few hours after application, the itching disappears, the inflammation softens, and the discharge becomes less.
As a rule, ointment is prescribed together with vaginal capsules. Suppositories should be administered orally after a hygiene procedure, once a day, before bedtime. Ointment can be used from 1 to 4 times a day, treating its surface of the genitals.
Of the advantages of the drug, it is worth noting its high fungicidal properties, the absence of side effects and systemic effects (and addiction, respectively), as well as the ability to take it at any month of pregnancy and in the lactation period.
Miconazole
Above, it was described in detail about the use of ointments “Clotrimazole”, “Pimafucin” and “Nystatin” in thrush. So, "Miconazole" is a drug of a different origin, synthetic. It has both anti-inflammatory and antifungal effects. The fungicidal effect is produced due to the destruction of the fungal cell from the inside.
A small amount is absorbed into the blood. Metabolites formed as a result of this are rapidly destroyed, entering the liver. Also quickly excreted by the kidneys. But the drug does not penetrate into the cerebrospinal fluid, since it cannot overcome the histohematological barriers.
Caution is required to use "Miconazole". If you exceed the recommended dosage, there may be consequences (vomiting and diarrhea). Also, getting involved in this drug is not recommended for people suffering from diabetes mellitus or having problems with microcirculation.
Talking about this ointment from thrush for women, it is necessary to make a reservation that "Miconazole" is also used for debridement of the genital tract before surgery. Because any surgical intervention affects the vaginal microflora. And rehabilitation with this agent will prevent the development of bacterial vaginosis and thrush.
Pimafukort
This ointment is a very powerful drug, the basis of which is hydrocortisone (a hormonal agent), neomycin and natamycin. Thanks to this composition, the drug fights bacteria, destroys fungi, and also reduces itching and inflammation. It is especially effective in chronic candidiasis, which can only be managed by using a similar combination drug.
It is worth noting that Pimafukort is available in the form of ointment and cream. Any preparation contains the same amount of active substances. But the cream contains more auxiliary components.
Apply the agent 3-4 times a day to the site of the lesion. In the case of candidiasis in a woman, it will be the vaginal mucosa. The course of treatment is 3-4 weeks. If you need to cope with candidiasis in a chronic form, you will have to extend the period to 1 month.
You can not interrupt the course of treatment, despite the fact that the symptoms are alleviated 2-3 days after the start of use of the drug. Yes, the local effect comes quickly - the inflammatory process begins to subside, itching and swelling decrease, dilated blood vessels narrow. That's just the mushrooms continue to live. Their destruction takes much more time.
"Flucor"
The basis of this ointment from thrush for women is a component belonging to the triazole group. Fluconazole, to be precise. It has a highly specific effect, inhibits the activity of fungal enzymes, and also disrupts the growth and replication of the cell membrane. The drug is practically harmless - it is allowed to use it even with weakened immunity.
Apply it only to the affected area. The effect is noticeable after a few hours, and after 4-5 days the symptoms disappear completely. But it is recommended to use the gel for a few more days. The dosage regimen for the drug is individual, and for adults, depending on the treatment regimen, indications and clinical presentation, the daily dose varies from 50 to 400 mg. But in any case, you need to take it once a day.
Apply the gel on a cleaned and dried surface with a thin layer. It is best in the morning or in the evening, after a shower - so the drug is absorbed faster and more intensively. And for application, it is recommended to use a disposable cotton pad or napkin.
However, it is easiest to use this ointment to treat thrush, soaking it with a gauze swab, which is inserted into the vagina at night. In the morning you need to get rid of it.
Candide
Another effective ointment for thrush with a characteristic name. It is an imidazole derivative. It is available with a special applicator for the convenience of introducing the drug inside. It is recommended to use it 2-3 times a day for 1-2 weeks. But the symptoms disappear 3 days after the first application.
This drug is well tolerated, it is absorbed into the blood to a minimum volume, but in rare cases it causes irritation, redness and burning. To avoid side effects, it is necessary to observe the dosage and not use other antifungal drugs. This will not only create an additional burden on the body, but also significantly reduce the effectiveness of Candida. Also, you can not apply ointment to areas with violations of the integrity of the skin.
By the way, Candide B ointment still exists. The spectrum of its action is wider - it produces an antiexudative, anti-allergic, antipruritic, antifungal and anti-inflammatory effect.
Agisten
Continuing to talk about how to use ointments for thrush and which of them are the best, it is necessary to note the attention of this tool, manufactured in Israel. Agisten destroys fungal cells, treats lesions, eliminates itching, diaper rash and other unpleasant manifestations of candidiasis.
You need to use it twice a day, morning and evening, applying to the cleansed genitals. Usually, 2-3 weeks of treatment is sufficient. But after the disappearance of all symptoms of candidiasis, it is recommended to use this ointment for some time to exclude the possibility of a relapse.
There are also cheaper analogues of this tool - "Kanizon" and "Kanesten". By action, all of these drugs are similar to "Clotrimazole."
Lomexin
This medication is made in Ireland and Italy. The ointment has a wide spectrum of action, thanks to which it not only effectively treats candidiasis and eliminates concomitant symptoms, but also negatively affects the protozoa - so that trichomoniasis can be treated in parallel.
Once in the body, the drug destroys the cell membranes of fungi, which leads to their self-destruction. They lose their ability to attach to the walls of the vagina, which stops the production of enzymes. Then the active components penetrate the focus of the fungus and act on it for a long time. Therefore, it is sufficient to use Lomexin once a week for two months.
By the way, the medication is also available in the form of capsules. If you use "Lomexin" in the form of an ointment, then a single dose of 5 g is enough. Is it decided to use capsules? Then 1 piece will be enough.
Ginofort
This is not an ointment for thrush, but a cream, and it is very effective - it has high bioadhesiveness. The product has a pronounced antimycotic effect, due to which it adversely affects the fungal infection.
If you enter it intravaginally, the active substance will be on the mucous membrane for a further 4-5 days. Therefore, you need to use the cream once, introducing the composition with the help of an applicator into the vagina immediately after hygiene procedures. It is advisable to do this at night.
Then, in the next three days, you should not do douching or irrigation, because this will reduce the therapeutic effect of the drug.
The cream is well tolerated by patients, but in rare cases swelling, itching in the vagina, soreness, burning and pain in the lower abdomen of a spastic nature are possible. When any of the following appears, douching should be done to remove the drug.
Triderm
A modern strong drug, which includes glucocorticosteroid betamethasone (reduces inflammation), clotrimazole (produces an antifungal effect) and gentamicin, which is a powerful antibiotic.
This combined remedy has antiexudative, anti-allergic, antipruritic and anti-inflammatory effects.
Apply it to clean, dry skin with a thin layer 2-3 times a day. It is also necessary to capture a healthy area of the epidermis for preventive purposes.
The drug has an effect directly on the reason for the occurrence of the infectious process, which means that the disease is eliminated completely, and not temporarily.
By the way, there are similar drugs - Betaderm A, Elokom-S and Travokort. But if for one reason or another it is not possible to find Triderm, then it is better to make a choice in favor of its full analogues - Canizon Plus or Akriderm GK. They have exactly the same effect as the original drug.
Candiston
This, of course, is not an ointment for thrush, but also a very effective remedy. “Candiston” is the latest development of specialists, which is available in the form of a spray, and is designed to combat fungal diseases.
If you believe the reviews, ointments from thrush are not as effective as this remedy. According to the results of testing, in which more than 1000 women participated, 80% of the disease passed a week after its use. Girls with chronic candidiasis with his help got rid of the disease in a month.
The composition of this tool includes caprylic acid, inulin, aloe saponin, thymol and emodin. It not only inhibits the growth of fungi and their reproduction, but also restores the healthy microflora of the vagina.
Here are some more advantages of Candiston:
- Symptoms are alleviated a few hours after using the product.
- Microtrauma of the mucosa heals.
- Local immunity is strengthened.
- The occurrence of relapses, complications and the transition of candidiasis into a chronic form when using this tool are excluded.
- The risk of irritation is almost zero (hypoallergenic drug).
- There are no contraindications and side effects (natural composition).
- After using the product, there are no discomfort.
Using a spray is easy. First you need to perform a hygienic procedure without using soap or other cosmetics, and then spray it (not inside, but it is necessary to open the labia slightly to get the drug). Wait a few minutes until it is absorbed, and then you can put on the laundry. This should be done three times a day for a week.