Female thrush, or urogenital candidiasis, is a fairly common pathology. It has a fungal origin and does not belong to the number of sexually transmitted diseases. But, despite this, the candida fungus in its active phase causes unpleasant sensations to patients and complicates other gynecological pathologies.
In addition, it is also transmitted to the sexual partner in the absence of a condom during sexual intercourse. Begin treatment of vaginal candidiasis as soon as possible, using effective means of local exposure. Often, gynecologists prescribe Livarol suppositories, a highly effective fungicidal drug suitable for women at any age and even for those who have a baby or are breastfeeding.
Pharmacological signs and composition
Suppositories "Livarol" have a composition that is based on such an active ingredient as ketoconazole. As auxiliary substances are: the basis for suppositories and butylhydroxyanisole. The drug is placed in the contour cells. Each box contains five or ten cone-shaped suppositories. The color of the drug is yellowish, pinkish or white. It is characterized by fungistatic and fungicidal properties, which means that the active component at the same time suppresses the vital activity of the pathological pathogen and affects its structure, thus provoking its death. Livarol does not apply to beneficial microflora.
The therapeutic effect can be achieved due to the fact that ketoconazole inhibits ergosterol biosynthesis. Deficiency of this substance causes defects in the lipid composition in the mycelium membranes, in connection with which the parasite's body is destroyed. Suppositories "Livarol" can suppress the activity of staphylococci and streptococci, causing mixed-type infections and inflammation in the pelvic organs. Candles used in this case help to act in a complex way and make it possible to be treated with a relatively smaller amount of medicines.
In what cases is Livarol prescribed?
The use of Livarol candles is quite extensive. This drug is characterized by its effectiveness in relation to various microorganisms. Many have heard about suppositories, but they do not know exactly in which cases it is appropriate to use them. That is why it is recommended to familiarize yourself with the main indications of this tool. Thus, Livarol is appointed:
- with vaginal candidiasis;
- with urogenital dysbiosis;
- with recurrent types of thrush and pulmonary therapy;
- for the prevention of fungal infections in the gynecological area, the development of which is due to a weakened immune system;
- to maintain the patient’s body after chemical and antibacterial therapy, which led to disturbances in the vaginal biocenosis;
- with mixed fungal infections caused by streptococci and staphylococci.
Treatment of acute and chronic forms
At an early stage of thrush, characterized by a burning sensation during urination and minor pains, it is recommended to use Livarol suppositories for about 1-3 days. They must be inserted deep into the vagina, lying on your back. It is advisable to do the procedures before going to bed so that the softened candle does not start to leak out. To protect your underwear from stains, you can use a daily pad or cloth.
The acute form of thrush should be treated with Livarol for three to five days. Candidiasis of a progressive nature manifests itself in the form of such symptoms:
- increased itching;
- swelling of the external genitalia;
- pain in the lower abdomen;
- the appearance of cheesy discharge, characterized by a sour smell.
To improve the effect of suppositories, you need to enter them at night, following the instructions.
Chronic thrush is treated for ten days, one suppository per day. A long course in full cleanses the reproductive system from fungal infections and helps restore vaginal bacterial balance.
This confirms the instructions for the candles “Livarol”.
Instruction manual
For the treatment of girls under the age of twelve, the drug is not used. Older girls, women, the drug can be prescribed according to indications.
Pregnant patients can use the drug "Livarol" only for medical purposes. In the first trimester, it is contraindicated for the treatment of thrush. In addition, candles can not be used in the presence of individual intolerance to their components.
The ban on the use of Livarol suppositories during pregnancy is explained by specialists as follows: the fact is that a microscopic dose of the active substance of suppositories penetrates the woman’s body at this time. Despite the fact that its concentration in the blood is insignificant, ketoconazole can cause an allergic reaction and can also have a toxic effect on the fetus at the stage of formation of its tissues and organs.
Contraindications
When treating with this drug, there are almost no contraindications. As an exception, there are cases of allergic reactions to ketoconazole or other suppository components in the form of an epidermal rash and urticaria. If such signs appear, then the medicine should be discarded. With the development of thrush, suppositories should be used very carefully if the patient:
- breastfeeding (can be prescribed if necessary by a gynecologist);
- under the age of twelve.
Possible side effects
According to the instructions for use with Livarol suppositories, there are also very few side effects. In rare cases, a local reaction may appear, manifested in the form of irritation of the mucous membrane. It is accompanied by swelling, itching and redness. In exceptional situations, nausea, dizziness, and pink vaginal discharge can occur. If this happens, suppositories should be discontinued.
The nature of the interaction of the drug with other drugs is not described in the instructions.
Is it possible to use Livarol suppositories during pregnancy?
Pregnancy and lactation
Despite the fact that with intravaginal use, the active substance penetrates into the blood in minimal quantities, the drug is contraindicated during pregnancy. Scientists have proven that ketoconazole inhibits the synthesis of hormones in the reproductive system of the fetus and can affect the development of sexual characteristics, and therefore suppositories are prohibited in the first trimester. In the future, the drug can be used after consultation with a specialist. During menstruation, it is advisable to drink pills.
Analogs of candles "Livarol"
Suppositories "Livarol" almost do not cause side effects. Only in particularly sensitive women can they cause irritation of the vaginal mucosa. An allergic reaction manifests itself in the form of swelling, itching, and redness of the skin of the groin area. Skin integuments may react in the form of an allergic itchy rash or urticaria. Candles in this case are canceled and more suitable analogues are prescribed: Ginezol, Mycozoral, Sebozol, Nizoral, Pimafucin, Lomexin, Clotrimazole, Macmirror, Nystatin, Primafungin , Fluomizine.
"Mycosoral" is a synthetic drug that is released in the form of intravaginal suppositories. It slows down the development of microorganisms and destroys fungi. Ketoconazole is an active substance. Method of application - 1 suppository per day, course of therapy - 3-5 days.
Nizoral is the absolute equivalent of Livarol. The instruction is completely identical. Can be taken in pill form instead of using suppositories. Dosage - 2 tablets per day. It should be taken within 5 days.
"Ketoconazole" - produced in the form of tablets and vaginal suppositories. It has antimicrobial, antiparasitic, antifungal properties. The duration of treatment is determined by the doctor.
Similar medicinal effect is different for Sertaconazole, Candide, Ornisid, and Flagin suppositories.
But why are candles from the Livarol thrush good?
Advantages of the drug and features of use
The main advantage of the drug is the presence of a strong fungicidal component - ketoconazole, which blocks the synthesis of protein, which is important for the mycelial structure, and also prevents the formation of other pathogenic agents. Given the fact that the development of candidiasis is influenced by a number of factors, there is almost always a reason to acquire Livarol. Thrush is caused by hormonal changes (which is also typical for pregnancy), diabetes mellitus, chronic infectious pathologies, unprotected sex and antibiotic treatment. However, the main provoking factor is weakened immunity. That is why you need to take care of your health and prevent the loss of body resistance to pathogens.
During the use of "Livarol" it is very important not to stop therapy, to bring it to completion. If the drug was prescribed for a long period, and the negative signs disappeared earlier, you need to continue the course until the treatment is canceled by a specialist. Thanks to this, the return of thrush can be avoided, as well as preventing the transition of the acute phase to the chronic one.
It is very important that both partners be treated. Sexual contacts at this time must be canceled, and also not use barrier contraceptives, since the drug will adversely affect their effectiveness.
If thrush is often repeated, then women need to regularly have a smear test both during treatment and after it. Such an approach will help to understand whether the drug is coping with its functions or if replacement is necessary.
Cost
This drug can be purchased for 400-450 rubles. It depends on the pricing policy of the pharmacy chain and the region. The price of analogues of Livarol candles is lower. Some of them are much cheaper.
Reviews of candles "Livarol"
Judging by the numerous patient reviews, Livarol is indeed a highly effective remedy. Information from medical statistics shows that this tool gives excellent results in the treatment of fungus in 97%. Convenient and safe to use, this drug very rarely provokes the development of side symptoms and therefore is widely recognized in patients. Women recommend conducting therapeutic manipulations at night, before bedtime, because during active activities and walking suppositories will begin to leak from the genital tract.