Contents
Fungi of the genus Candida are opportunistic pathogens. This means that they are part of the normal microflora of the vagina and are present in a small amount in the body of a healthy person. With a decrease in general or local immunity, opportunistic microflora grows and thrush appears.
There are pills, creams, suppositories for the treatment of thrush. Only a specialist can choose an effective drug, taking into account the clinical picture, anamnesis data, laboratory and instrumental data. The most effective are vaginal suppositories that have a local effect and practically do not cause side effects. If unpleasant symptoms appear, it is possible to independently use over-the-counter drugs. They have practically no contraindications and in case of an overdose do not cause serious complications. However, it is important to consult a doctor if symptoms persist. We have selected the best and at the same time inexpensive suppositories from thrush that you can buy at a pharmacy.
Rating of the top 10 inexpensive and effective suppositories from thrush according to KP
1. Candide-V
The active substance is clotrimazole 100 mg. It is a first-line drug in the treatment of thrush according to clinical guidelines. Candid-B is prescribed for genital infections caused by fungi of the genus Candida and microorganisms sensitive to clotrimazole. Also used before childbirth for sanitation of the birth canal.
The course of treatment for thrush is 7 days.
Important!
Released without a prescription. Contraindicated in case of individual intolerance to the components of the drug and in the first trimester of pregnancy. In the 2nd and 3rd trimester and during lactation, use only as directed by a doctor.
2. Pimafucin
Vaginal suppositories, the active substance of which is natamycin 100 mg. Second-line drug for the treatment of thrush according to clinical guidelines. It is an antifungal antibacterial drug. It binds to the cells of the fungus, which leads to a violation of their integrity and death. It is not absorbed through the skin and mucous membranes. Pimafucin is prescribed for inflammatory diseases of the vagina associated with a fungus of the genus Candida.
The course of treatment for thrush is 6 days.
Important!
Released without a prescription. Allowed during pregnancy and lactation. Contraindicated in case of an allergic reaction to the components of the drug.
3. Fluomycin
The active substance is dequalinium chloride. It is a drug with a wide spectrum of antimicrobial activity. Effective against bacteria, fungi of the genus Candida, protozoa. Fluomizin is prescribed for inflammatory diseases of the vagina of various etiologies. It is also used before surgery and childbirth.
The course of treatment for thrush is 6 days.
Important!
Released without a prescription. Allowed during pregnancy and lactation. Contraindicated in case of an allergic reaction to the components of the drug and in case of ulcers in the vagina or on the vulva. When using the drug, you can not use soap and soap-containing intimate hygiene products. It is not recommended to use before sexual activity.
4. Zalain
Vaginal suppositories, the active substance of which is sertaconazole nitrate. The drug increases the permeability of the fungus cell, which leads to its death. It is prescribed for inflammatory diseases of the vagina associated with the fungus of the genus Candida.
The course of treatment of thrush – 1 day. If symptoms persist, repeat after 7 days.
Important!
Released without a prescription. Not allowed during pregnancy and lactation. Contraindicated in case of an allergic reaction to the components of the drug. Simultaneous administration with spermicidal agents is not recommended, as their effectiveness is reduced.
5. Iodide
A drug for the treatment of thrush, which has an antiseptic effect. The active substance is povidone-iodine (iodine in the complex). Upon contact with the skin or mucous membranes, iodine is released. After use, there is a slight staining of fabrics, which will go away on its own over time. Effective against bacteria, fungi of the genus Candida, viruses and protozoa.
The course of treatment of thrush – 7 days with the introduction of the drug 2 times a day.
Important!
Released without a prescription. Prohibited during pregnancy and lactation. Contraindicated in allergic reactions to iodine, hyperthyroidism, thyroid adenoma. Simultaneous administration with acids and alkalis is not recommended.
6. Polygynax
Combined drug that has an antifungal and antibacterial effect. The active substances are neomycin, polymyxin and nystatin. Neomycin and polymyxin are antibacterial drugs that are active against both gram-negative and gram-positive bacteria. Nystatin is an antifungal agent.
Polygynax is prescribed for vaginitis of both fungal and mixed etiology. In addition, candles are mandatory for preoperative preparation. The course of treatment for thrush is 12 days.
Important!
Prescription drug. Polygynax is contraindicated in case of individual intolerance to the components of the drug and during the 1st trimester of pregnancy. In the 2nd and 3rd trimester, it is used only as directed by a doctor. When interacting with spermicides, the effectiveness of the drug is reduced.
7. Terzhinan
Combined preparation of antimicrobial and anti-inflammatory action. The active substances ternidazole, neomycin, nystatin have an effect on pathogenic bacterial and fungal flora. Prednisolone has an anti-inflammatory effect: it reduces the severity of pain, reduces swelling and redness. The excipient, consisting of plant components, has a positive effect on the vaginal mucosa, maintaining its pH.
Terzhinan is prescribed for thrush, bacterial vaginitis, before surgery. The course of treatment for thrush is 10 days.
Important!
Prescription drug. Contraindicated in allergies and in the first trimester of pregnancy. During menstruation, the course of treatment is recommended to continue.
8. McMiror Complex
The active substances of the drug are antifungal (nystatin) and nifuratel. The latter substance has antifungal, antibacterial and antiprotozoal properties. Nifuratel is effective against bacteria (chlamydia), fungi of the genus Candida and protozoa (Trichomonas). The drug is prescribed for vaginal infections of various etiologies.
The course of treatment for thrush is 8 days.
Important!
Prescription drug. Contraindicated in case of individual intolerance to the components of the drug. Allowed during pregnancy and lactation. Significant interaction with other drugs has not been proven.
9. Nystatin
An antifungal antibacterial drug that is highly active against fungi of the genus Candida. Nystatin is integrated into the cells of the fungus and forms channels that do not control the flow of electrolytes, which leads to their death. It is prescribed for the treatment of thrush and for prevention. The advantage of the drug is that resistance to it develops slowly.
The course of treatment is 10-14 days.
Important!
Prescription drug. Contraindicated in case of hypersensitivity to the components of the drug. Prohibited during pregnancy. Allowed during lactation. Co-administration with clotrimazole is not recommended, as the effectiveness of the drug is reduced.
10. Eljina
Combined drug for the treatment of thrush. The active substances are ornidazole (an antiprotozoal), neomycin (an antibacterial), econazole (an antifungal), and prednisolone (a hormone). Elzhina is effective against gram-positive and gram-negative microorganisms, fungi of the genus Candida. Prednisolone has an anti-inflammatory effect and reduces swelling, redness and pain after the first application. The course of treatment is 6-9 days.
Important!
Prescription drug. Contraindicated in case of allergy to drug components. Prohibited during pregnancy and lactation. Simultaneous reception with anticoagulants should be after consulting a doctor and with mandatory monitoring of blood coagulation parameters.
How to choose candles from thrush
All drugs for the treatment of thrush differ in the active substance, which affects Candida fungi in different ways:
- clotrimazole – affects growing and dividing microorganisms; breaks the structure of the cell membrane, changes the permeability, promotes the breakdown of nucleic acids;
- natamycin – violates the integrity of the cell membrane, which leads to cell death;
- nystatin – binds to important structural components of the cell wall, as a result, its permeability is disturbed and the main cellular components are released;
- sertaconazole – inhibits the synthesis of essential cellular elements, which leads to cell dissolution.
Therefore, it is important to consult a doctor, take a gynecological smear on the flora and individually select therapy. Only in this case, candles from thrush will be effective.
Popular questions and answers
We discussed important issues regarding thrush with doctor of the first category, gynecologist Ada Kosareva.
Why does thrush develop?
Endogenous factors:
● diseases of the endocrine system (diabetes mellitus, thyroid pathology, obesity, etc.);
● gynecological diseases;
● decrease in local immunity.
Exogenous factors:
● taking certain medications (antibiotics, cytostatics, glucocorticosteroids, immunosuppressants);
● carrying out radiation therapy;
● frequent use of sanitary napkins;
● wearing tight underwear made of synthetic materials;
● frequent use of intrauterine devices, douching, spermicides.
The question of the causes of thrush in women has not yet been finally resolved. This is due to the fact that the disease occurs in people who do not have risk factors. The leading role in the development of thrush is occupied by local disorders of the immune system, which are associated with congenital changes in the epithelial cells of the vagina.
Why is thrush dangerous?
Infection during pregnancy is dangerous for premature birth. In rare cases, intrauterine fetal death occurs. After childbirth, there is a possibility of developing an inflammatory process in the uterine mucosa.
When to see a doctor for thrush?
Is it possible to treat thrush on your own?
Sources of
- Clinical recommendations “Urogenital candidiasis” 2020
- Register of Medicinal Products of Russia® RLS®, 2000-2021.
- Evseev A.A. Modern principles of diagnosis and treatment of vaginal candidiasis // Bulletin of Reproductive Health 06.2009