Modern means of treating thrush in women. The most effective medicines for thrush for women

Ketoconazole has a fungistatic effect. And when applied topically, a high concentration of the drug.

For the treatment of thrush, one suppository of Ketoconazole is injected into the vagina at bedtime.. Depending on the severity of the disease, treatment can be continued from 3 to 10 days.

In a complicated or chronic disease, Ketoconazole tablets are taken orally, 0.2 g twice a day or 0.4 g 1 time per day during meals. The course of treatment is on average 7 days.

Analogues of Ketoconazole are Dermazole and.

This article is often read:

Flucostat

The main active ingredient is fluconazole, which belongs to triazole derivatives. It inhibits the synthesis of sterols in the cells of drug-sensitive fungi from the genus Candida or cryptococci.

The drug is rapidly absorbed, and its half-life is up to 30 hours.. For the treatment of thrush, it is most often used once at a dosage of 150 mg. To reduce frequent relapses of the disease with more than 3 episodes per year, take 1 capsule (150 mg) of Flucostat once a month. The duration of therapy can be from 6 to 12 months, depending on the severity of the disease. In some cases, the frequency of reception can be increased.

Diflucan

Diflucan contains fluconazole. This triazole derivative inhibits the synthesis of ergosterol in the cell membranes of the fungus. The drug is used to treat thrush, including in the chronic form of the disease.

In order to get rid of the disease, a single dose of Diflucan at a dose of 150 mg is required.. In severe form of the disease, the drug is taken on the 1st, 3rd, 7th day and an additional one capsule on the first day of menstruation.

In the chronic form of the disease, Diflucan is taken 150 mg once a month. The number of receptions can be increased if necessary. It is not recommended to take the drug during pregnancy and lactation.

Livarol

The active ingredient in Livarol is ketoconazole. It belongs to the group of imidazoles and has a pronounced antifungal effect. The drug is used to treat acute and chronic forms of candidiasis in women, as well as in diseases caused by mixed infections.

In order to get rid of thrush, a candle is placed in the vagina once a day before bed. Treatment lasts from 3 to 10 days, depending on the form of the disease and the frequency of its relapses.

Pregnant women can use the drug in the second and third trimester, as directed by a doctor.

Irunin

The active ingredient is itraconazole (an antifungal agent from the triazole group). It negatively affects the cell membranes of fungi, causing their death. The drug has a wide spectrum of action and effectively copes with yeast fungi and mold fungi, as well as dermatophytes.

For the treatment of thrush, 100 mg of the drug is prescribed twice a day for one day. You can also use 100 mg 1 time per day for 3 days.

In order to get rid of the disease, you can use vaginal tablets. They are injected into the vagina 1 time per day at bedtime. Treatment is continued for 7 to 14 days, depending on the severity of the infection.

clotrimazole

Clotrimazole is one of the most well-known drugs for candidiasis in women. It belongs to imidazole derivatives and has a fungistatic effect. The drug disrupts the biosynthesis of ergosterol in the membrane of the fungus, thereby destroying it.

Clotrimazole is not taken orally. It is available as a cream or vaginal tablets 0.1 g

For the treatment of thrush, clotrimazole 1 tablet is injected into the vagina at night.

The effect of the drug becomes noticeable within 3 days, but treatment must be continued, since premature termination can lead to the fact that the disease becomes chronic.

Analogues of Clotrimazole are -, Kanespor.

Lomexin

The active ingredient in Lomexin is fenticonazole. It has both fungicidal and fungistatic effects.

It inhibits the production of ergosterol, which is part of the cell membranes of fungi, disrupting the ability of fungal cells to reproduce.

The drug is produced in the form of capsules of 600 and 1000 mg or cream. It acts only locally, so the capsules are not taken orally, but inserted into the vagina.

For the treatment of thrush, 1 capsule may be enough, which is put before bedtime. If necessary, after 3 days, another capsule of Lomexin is administered.

In most cases, thrush in women is complicated by other diseases, so in order to get rid of it, you need to see a doctor and get tested.

Treatment of chronic thrush

In order to get rid of chronic thrush First of all, it is necessary to restore the functioning of the immune system. To do this, you need to lead a healthy lifestyle, eat right and consult a doctor in time in order to prevent the occurrence of other chronic diseases.

Fluconazole is used in chronic thrush(Diflucan, Difluzol, Mikosist).

This drug is taken at 150 mg on the 1st, 3rd and 5th day of an exacerbation of the disease, as well as on the first day of the onset of menstruation. With frequent relapses of the disease, 150 mg of Fluconazole is prescribed once a month for 4 to 12 months.

In chronic thrush, intraconazole can be prescribed, which must be taken 200 mg 2 times a day for 3 days.

Additionally, drugs are prescribed in the form of suppositories: Pimafucin, Zalain, Polygynax, Nystatin.

The best remedy for thrush in women will help you choose a doctor!

Treatment of chronic thrush during pregnancy and lactation with drugs

The causes of thrush include hormonal changes and weakened immunity that accompany pregnancy and lactation.

One of the most effective and safe means are candles. The active substance of the agent is the polyene antibiotic natamycin, which violates the integrity of the cell membranes of the fungus.

When applied topically, the drug is not absorbed through the skin and mucous membranes, therefore it does not penetrate into the systemic circulation and does not enter the breast milk. They are inserted deep into the vagina at bedtime. Apply 1 suppository per day for 3 to 9 days, depending on the severity of the disease.

In the second and third trimester of pregnancy, Terzhinan, Livarol or Clotrimazole suppositories can be used.

Before using medicines for thrush during pregnancy or lactation, you should seek the advice of a doctor.

Now you know how to treat thrush in women and what popular drugs to take for this.

Updated: 26.08.2018 17:07:19

Expert: doctor - Boris Kaganovich


*Overview of the best in the opinion of the editors of the site. About selection criteria. This material is subjective, is not an advertisement and does not serve as a guide to the purchase. Before buying, you need to consult with a specialist.

Inclusion in the composition of the normal microflora does not imply intensive reproduction of the fungus. It can simply be detected with various analyzes, and even then in small quantities. In the same case, if the fungi begin to multiply intensively, then we are talking about mycosis, or a 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 spots with a bluish tint appear, resembling spilled milk or kefir.

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

In modern dermatovenereology and gynecology, there are a large number of different remedies for the treatment of thrush, or vaginal candidiasis. Consider the most popular and effective drugs to eradicate candidal infection. exist as a means of local application, in the form of suppositories, ointments and gels, and preparations in tablets. The most common and sold are candles.

Rating of the best remedies for thrush

The best candles for thrush

Preparations administered in the form of suppositories intravaginally have their own advantages. This is, first of all, the possibility of treating deep-seated foci of fungal infection through deep injection. In the event that the upper vagina, cervix, orifices of the fallopian tubes and even the tubes themselves are affected, which is rare, the use of suppositories is more effective than applying ointments and gels.

Also, suppositories are most often produced not with one medicinal preparation, but with several components, which acts on the fungus more effectively than ointment. Therefore, in the event that the gynecologist prescribed a suppository to a patient with vaginal candidiasis, this can be considered the most effective way elimination of fungal infections. Sometimes the fat-soluble suppository base is replaced by another, in which case a topical form is obtained, which are called vaginal tablets.

The technology for the production of candles is such that at normal, room temperature they are in solid form, but when they are inserted into the vagina, or into the rectum, when the temperature reaches 36 ° C, the melting of the candle material begins - basically, it is a mixture of paraffin, with glycerin and gelatin.

What are the benefits of using suppositories to treat thrush?

  1. Speed. After the melting of the suppositories, the active action of the released components begins, already one to two minutes after the injection;
  2. action in the local circulatory network of the small pelvis. Medicinal substances are able to act not only exclusively on the mucous membranes. Due to the well-developed capillary network inside the vagina, some of the active substances enter the bloodstream, but, unlike drugs administered orally, they do not pass through the liver, and sometimes act in lower concentrations, and with greater effect;
  3. the vast majority of drugs administered in the form of suppositories do not enter the systemic circulation, and therefore, in patients with impaired renal excretory function, the method of treating thrush with suppositories is the method of choice;
  4. It is very important that many patients with pathology of the gastrointestinal tract, with gastric ulcer, with gastroduodenitis, may not tolerate oral medications well. Candles for thrush are devoid of these shortcomings, and can be used in these individuals without restrictions.

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

Klion-D (metronidazole + miconazole)

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

Opportunistic anaerobic flora often joins in the development of alkalization of the vaginal environment, and makes it easier for more serious infections to penetrate and become chronic. Klion-D is indicated in the case of fungal and mixed vaginitis, in which not only the fungal flora multiplies, but also other microorganisms, for example, trichomonas. Klion-D is prescribed one tablet, which is pre-moistened with water and injected deep into the vagina once a day at night. The course of treatment is 10 days.

Klion-d vaginal tablets are produced by the Hungarian company Gedeon Richter, one pack 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 drug is quite effective, and has been used for a long time. Side effects include local allergic reactions, such as burning and pain, especially at the first injection, the impossibility of combining Klion-D with alcohol intake, and in case of an overdose, the development of symptoms such as leukopenia, or a decrease in the number of leukocytes in general analysis blood.

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

Livarol (ketaconazole)

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

Livarol, like other antifungal suppositories, is indicated for endometritis as a cover so that the accompanying fungal flora is not activated, or if there is already underlying candidal vaginitis, or thrush. Livarol is used one suppository per day, on average, for 5 days, and with chronic forms ah candidiasis - within 10 days. Manufacturers warn against ending treatment on their own when disturbing symptoms disappear, as this can lead to a chronic fungal infection.

Advantages and disadvantages

The advantage of ketoconazole is its high efficiency against opportunistic fungi, and the disadvantages include the development side effects associated with local irritation of the mucosa, itching and the manifestation of allergies.

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

Betadine (povidone-iodine)

Vaginal suppositories for thrush with betadine are sold in packs of 7 and 14 suppositories, each containing 200 mg of povidone-iodine. A package of 7 candles, which is produced by the Hungarian company Egis, can be bought for 300 rubles, and a double package of 14 candles for 485 rubles.

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

Candles with Betadine are shown in complex therapy endometritis, vaginitis and bacterial vaginosis, with trichomoniasis, candidal colpitis, and also as a prophylaxis before surgery.

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

Advantages and disadvantages

Betadine helps not only with thrush, as it is also available in the form of a solution, it is able to prevent the contamination of a clean wound with pathogenic flora, prevents the appearance of wound infection in surgical and burn patients, with open injuries. Also, Betadine in solution can also be used not only intravaginally, but also for disinfecting the skin around various probes, catheters and drains, for treating bedsores and trophic ulcers. But Betadine is contraindicated in pregnancy and chronic kidney failure, with excessive sensitivity to iodine, and with pathology thyroid gland. Usually the drug is well tolerated, but sometimes there is an individual intolerance in the form of itching and allergies.

Zalain (sertaconazole)

Advantages and disadvantages

It is necessary to use the remedy for thrush Zalain once, but if necessary, you can repeat the introduction of the suppository after a week. The undoubted advantages of Zalain include a single administration of the drug, the rare development of side effects, and the absence of overdose symptoms. However, during treatment, it is necessary to refrain from sexual intercourse within a few days after the administration of the suppository, but not due to the harmful effect of the drug on the partner, but due to the possibility of the spread of candidal infection. Also during menstruation, you can freely carry out treatment with this drug.

Macmirror Complex (nystatin + nifuratel)

These intravaginal suppositories for thrush are a complex antifungal, antimicrobial drug, as well as a remedy for protozoa. Quite often, a situation arises in which thrush is a concomitant infection, and most importantly, diseases such as trichomoniasis, chlamydia, and other infections have a destructive effect. Therefore, Macmirror is indicated, first of all, for the treatment of just such conditions. It contains nifuratel, as a derivative of nitrofuran, as well as the antifungal antibiotic nystatin. It is necessary to apply Macmirror daily at bedtime, inserting 1 suppository deep into the vagina for 7 days. Macmiror Complex is also produced in the form of a vaginal cream, which is used if necessary for the treatment of children. The Macmirror complex is produced by the Italian pharmaceutical company Doppel Pharmaceuticals, and the cost of a package is 8 vaginal suppositories 500 mg each, starts from 630 rubles. in summer 2018 prices.

Advantages and disadvantages

The positive effect is the effectiveness in trichomoniasis and chlamydia, higher compliance, that is, the possibility of using one remedy instead of several, application once a day, as well as the presence of a creamy form. The disadvantages of Macmirror include rare allergic reactions, which are most often represented by a skin rash, individual drug intolerance, as well as low efficiency against anaerobic microflora. Thus, it is necessary to use this drug locally only when infected with chlamydial infection, candidiasis and Trichomonas.

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 advantages, different from candles. For example, ointment and cream, unlike suppositories, act very quickly when applied to the surface of the mucous membranes, since the absorption rate of ointments and creams is much greater than that of suppositories.

It is when using ointments and creams that the unpleasant symptoms of a fungal infection, such as rash, redness, swelling, and itching, decrease faster. Also, ointments and creams can be used in men, which cannot be said about vaginal suppositories. Commercially available creams and ointments occupy a more affordable price niche than intra vaginal suppositories, and especially - special intravaginal tablets. In addition, ointment and cream are much easier to use than tablets and suppositories. A woman, and even more so a man, does not need to take a special position, you do not need to use applicators for guidance, but you just need to distribute the ointment or cream on the surface of the vaginal vestibule and in its anterior third, and men should apply it to the glans penis and to the inner sheet of the extreme flesh.

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

Pimafucin (natamycin)

The active ingredient of Pimafucin is the active antifungal antibiotic natamycin. This tool is embedded in the cell membranes of fungal structures, while they begin to break down and lose their strength. The point of application of natamycin are sterol groups.

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

In addition to thrush, indications for the use of this cream include various candidal changes in the appendages of the skin (hair, nails), the remedy is used in the complex therapy of otitis externa, which is complicated by candidiasis, as well as in various forms of ringworm.

Usually the cream is applied in a strip 2 to 3 cm long, once a day, and rubbed in slowly. With an uncomplicated course of vaginal candidiasis, the duration of the course does not exceed 7 or 10 days. In addition to the cream, Pimafucin can be produced in the form of enteric tablets, as well as in the form of vaginal suppositories. Pimafucin is produced by the Italian pharmaceutical company Temmler, and one pack of cream weighing 30 g and a concentration of 2% natamycin can be purchased at a pharmacy for 271 rubles.

Advantages and disadvantages

Natamycin is a highly effective fungicide, and contraindications to its use are extremely limited, only with hypersensitivity to the components of the drug. Of the side effects, there is often mild irritation, or a slight burning sensation, which disappears on its own, and does not require discontinuation of the drug. In the event that Pimafucin is used together with tablets for thrush, and the treatment is carried out under the supervision of a gynecologist, then in 89% of cases there is either recovery or a stable clinical remission with cleansing of the mucous membranes.

Candide (clotrimazole)

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

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

Advantages and disadvantages

The disadvantage of Candida is a sufficient degree of addiction of pathogens of fungal infections to clotrimazole. Still, clotrimazole has been used for many years, and like all organisms that resist harmful substances, fungi gradually develop immunity to clotrimazole. But in uncomplicated cases, Candide quite effectively copes with thrush, especially in patients with good immunity. In this drug, contraindications for use are pregnancy, hypersensitivity to clotrimazole, and in women with topical application - the period of menstruation. Clotrimazole can also cause various side effects, of which most often patients report itching, urticaria, redness of the skin and a slight burning sensation. It must also be remembered that this drug should never be applied to the skin near the eyes.

Gynofort cream (butoconazole)

Gynofort vaginal cream, which is produced by the Hungarian pharmaceutical company Gedeon Richter, can be purchased at a retail pharmacy at a price of 600 rubles. for packaging in 5 grams of the drug in a special case. The active substance is butaconazole. Each gram of vaginal cream contains 20 mg of active ingredient. In addition to thrush pathogens, this drug is 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 most preferable to use Gynofort for candidiasis. It, gradually accumulating in the cell membrane of the fungus, increases its permeability, which leads to the death of fungal cells. Cream for vaginal application is an emulsion, so the ability to adhere to the cells of the vaginal mucosa in butoconazole increases. This leads to an increase in bioavailability, and adherence 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 have healing effect for at least 4 days. This drug is applied with an applicator once a day, at any time, regardless of the intake of other drugs.

Advantages and disadvantages

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

The best pills for thrush

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

In the event that the use of antifungal capsules or tablets is combined with local treatment, then the thrush will be attacked "from two sides" both from the surface of the mucous or skin, and from the bloodstream. It is this combined method of treatment that allows you to most quickly cope with the manifestations of candidiasis in patients with compromised immunity.

Diflucan (fluconazole)

The drug Diflucan in capsules is produced by the pharmaceutical company Pfizer, USA, and one capsule with a dosage of 150 mg costs 200 rubles. In addition, 4 capsules are produced at a price of 700 rubles. Diflucan is a highly effective drug for the treatment of genital candidiasis. The active substance is fluconazole, a modern fungicidal drug, with a high degree activity against both vegetative forms of the fungus and its spores.

The mechanism of action of the drug is to stop the synthesis by the fungal cell of the substances that make up its wall. Thus, the fungal cell becomes fragile, and quickly collapses. In addition to various forms of thrush, fluconazole is indicated for the treatment of cryptococcal infections, microsporia, and trichophytosis. In the event that candidiasis has become disseminated, and has moved from the mucous membranes to internal organs, then it is necessary to be treated under the supervision of specialists, and take at least 400 mg on the first day of treatment, which should be long. In the case of uncomplicated vaginal candidiasis, this drug is taken only once - one 150 mg capsule.

Advantages and disadvantages

The advantages of tablets from thrush Diflucan include the high chemical purity of the original substance, ideal compliance with respect to uncomplicated forms of vaginal candidiasis, according to the "accepted and forgotten" type. But when treating with fluconazole, it is necessary to take into account the possibility drug interaction with various anticoagulants, azithromycin, benzodiazepines, cytostatics, contraceptives and diuretics, as well as a wide variety of antivirals and asthma medications. Therefore, treatment with fluconazole tablets must be performed only under the supervision of a physician.

Orungal, Irunin, (itraconazole)

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

If we compare Orungal with other preparations of itraconazole, then the same package of Irunin will cost 690 rubles, Itrazol - 360 rubles, and itraconazole produced by Ratiopharm - only 285 rubles, this is an Indian drug. Thus, you can choose the drug to your taste for any cost, but, of course, the effect will be different.

Orungal, it 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 against sporotrichosis, it treats cryptococcal pneumonia, versicolor versicolor, other various mycoses, including those with HIV infection. One capsule contains 100 mg of the active substance, and in case of banal vulvovaginal candidiasis, one capsule is swallowed whole immediately after a meal.

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

Advantages and disadvantages

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

After the destruction of pathogenic microflora and fungi, cleaning the mucous membranes of the vagina and the uterine cavity from a fungal infection, it is necessary to restore the protective barriers of the vaginal mucus, the protective function of the cervix, eliminate the alkalization of the internal genital organs and increase acidity. It is known that lactic acid is secreted by vaginal lactobacilli, or Dederlein sticks. It is their disappearance that guarantees the free and unhindered introduction and reproduction of fungi. Therefore, after treatment of vaginal candidiasis, it is necessary to start using drugs - eubiotics, which contain strains of ready-made lactobacilli, as well as an auxiliary environment that facilitates their colonization.


Attention! This rating is subjective, is not an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Fungi of the genus Candida are present in the body of every person, when immunity is weakened, their active growth begins, candidiasis develops. Tablets from thrush must be used simultaneously by both partners, since the disease is sexually transmitted.

Both partners need to take pills for thrush

When are thrush pills needed?

Fungi of the genus Candida can affect the mucous membranes, skin, most often live on the genitals and oral cavity. Due to the anatomical features, thrush is more often diagnosed in women than in men. When the first signs of the disease appear, you should immediately start taking antifungal drugs, since yeast pathogenic microorganisms multiply very quickly

The main symptoms of thrush:

  • itching, burning of the external genital organs - unpleasant sensations intensify after taking a hot bath, during a night's rest;
  • the vulva acquires a rich red hue;
  • the appearance of secretions odorless curdled consistency;
  • on the external genitalia, you can notice a white coating, less often you can find red rashes;
  • sexual contact, the process of urination is accompanied by pain;
  • when yeast fungi in the oral cavity are affected, a creamy coating appears on the mucous membrane, an unpleasant aftertaste and smell from the mouth, discomfort occurs during eating.

During thrush, vaginal discharge appears

The symptoms of candidiasis are the same for both sexes, but in men the clinical picture is blurred, so they often go to the doctor already with advanced forms of pathology.

Tablets from thrush should be taken for prevention by the elderly, patients with a positive HIV status, diabetes mellitus, severe exhaustion of the body. May cause fungal growth long-term use antibiotics, hormonal contraceptives, abrupt climate change, pregnancy, menopause, alcohol abuse and fast carbohydrates.

With an exacerbation of candidiasis, you should include more green leafy vegetables, fresh onions and garlic in your diet.

Groups of tablets from thrush

There are various antibiotics with antifungal activity for the treatment of thrush, which affect pathogens in different ways.

The main groups of drugs:

  1. Polyena- Nystatin, Levorin, drugs of natural origin, act exclusively on yeast fungi by destroying their cell membrane, well suited for the prevention of candidiasis.
  2. Triazoles- Diflucan, Flucostat, inhibit the growth and reproduction of the fungus, are slowly excreted from the body, therefore they are suitable for the treatment of chronic thrush.
  3. Imidazoles- Clotrimazole, Ketoconazole, disinfect, penetrate into the deep layers of tissues, which allows them to be used in the recurrent form of fungal infections.
  4. Macrolides- Natamycin, Pimafucin, broad-spectrum drugs, low toxicity.

In severe, advanced forms of pathology, doctors recommend the use of combined drugs, which contain 2 or more antibacterial components, have a pronounced anti-inflammatory effect - Prednisolone, Terzhinan.

The effect of drugs for candidiasis

The main action of drugs against thrush is to destroy fungal spores, to prevent their reproduction in the future. But most antifungal drugs have a complex effect on the body, which contributes to a speedy recovery.

How antimycotics work:

  • eliminate inflammation, swelling;
  • help to cope with itching;
  • restore the balance of microflora;
  • strengthen local immunity.

Almost all antifungal agents can be purchased at a pharmacy without a prescription, but any self-medication can cause complications.

List of the best and effective pills for thrush

For the treatment of thrush, vaginal tablets are prescribed local action. Inside, antifungal drugs are taken in the form of tablets, capsules are recommended for severe, chronic forms of candidiasis, this form of drug release is suitable for eliminating pathologies in men.

Nystatin

An inexpensive drug with a pronounced antifungal effect, refers to polyenes. Produced in yellow tablets. Price - 50-110 rubles.

Contraindications:

  • the period of bearing and natural feeding of the child;
  • all forms of pancreatitis;
  • ulcer;
  • severe liver pathology.

Tablets with a dosage of 250 thousand units. you need to drink every 3-4 hours, with a dosage of 500 thousand units. - once every 6-8 hours, you can drink the medicine regardless of the meal, swallow the pill whole, do not chew. The duration of the course is 1.5–2 weeks.

Nystatin is recommended to be taken to prevent the development of candidiasis during antibiotic therapy, before surgical interventions and after operations to prevent the development of intestinal candidiasis - you need to drink 1 tablet twice a day for a week.

Nystatin reduces the therapeutic effect of anticoagulants, antibiotics of the penicillin and cephalosporin groups, estrogen-containing oral contraceptives.

An effective drug for getting rid of thrush, inhibits the growth of fungal sterols, is produced in capsules with various dosages. The price depends on the manufacturer, medicine Russian production cost 40-60 rubles, foreign - 170-200 rubles.

Indications for use:

  • all types of invasive candidiasis;
  • defeat by Candida fungi of the mucous membranes of the pharynx, esophagus, oral cavity;
  • candiduria;
  • atrophic candidiasis - the disease develops in people after the installation of dentures;
  • acute and chronic genital thrush;
  • prevention of the development of fungal pathologies after radiation and cytostatic therapy.

Fluconazole inhibits fungal growth

The drug should not be taken simultaneously with Terfenadine, Astemizol, with caution the drug is prescribed for organic heart diseases, impaired liver and kidney function.

With primary thrush, it is enough to take 150 mg of the drug once. For the treatment of chronic candidiasis, as a preventive measure, it is necessary to drink 150 mg of medication once every 4 weeks, the duration of the course is 4–12 months.

An effective antimycotic agent, contains natamycin, the price of the drug in tablets is 490–520 rubles.

The medicine is prescribed for fungal lesions of the oral cavity, skin, intestines, vaginitis, vulvitis, fungal infection of the head of the penis. Medicine characterized by the absence of contraindications, cases allergic reactions was not recorded. An antifungal agent is allowed to be used during childbearing, lactation.

Pimafucin - antimycotic drug

Tablets are drunk one at a time 4 times a day for 6-8 days.

The main advantage of Pimafucin is that fungi do not develop immunity to the active ingredient of the drug.

A good antifungal medicine in capsules is used for candidiasis of the genital organs and oral cavity. Price - 350-370 rubles.

The medicine is contraindicated in pregnant and lactating women, it should not be taken simultaneously with medicines that affect the heart rate.

Itraconazole should not be taken by pregnant or breastfeeding women.

Itraconazole with thrush should be taken at a dose of 200 mg / day for three days. With candidiasis of the oral cavity - 100 mg / day for 15 days.

During the treatment of thrush, it is necessary to refrain from sexual intercourse, carefully observe hygiene rules.

A powerful antifungal agent containing itraconazole, intended for the treatment of vulvovaginal candidiasis, is available in the form of capsules and vaginal tablets. Price - 370-420 rubles.

The medicine can not be taken simultaneously with some cardiac, sedative, laxative drugs, it is contraindicated during pregnancy and breastfeeding, persons with liver pathologies, acute and chronic heart failure.

Irunin is an effective antifungal agent

To eliminate thrush, it is enough to take 0.2 g of Irunin twice a day after meals, the duration of the course is one day. With oral candidiasis - 0.1 g of the drug should be drunk once a day for 14 days.

Persons with severe immune diseases need to increase the dose by 2 times.

Cheap, but effective antimycotic agent in the form of vaginal tablets of Russian and Belarusian production. Price - 30–50 rubles. with a minimum number of contraindications. The drug should not be taken in the first trimester of pregnancy, during lactation.

Clotrimazole is an antimycotic drug

Vaginal tablets must first be moistened with warm water, inserted as deep as possible into the vagina, it is better to do this in a supine position, bend your legs at the knees. Treatment regimen - 1 tablet in the morning and evening for three days.

During menstruation, it is not advisable to use vaginal forms of drugs for the treatment of candidiasis. During therapy, refrain from douching, spermicides.

A powerful modern antifungal drug containing fluconazole, produced in the form of capsules, is suitable for the treatment and prevention of candidiasis in men and women. Price - 900–950 rubles. To purchase the original drug, you must first study in the photo what the packaging looks like.

Diflucan contains fluconazole

Admission rules:

  1. If thrush appeared for the first time, there is no history diabetes, immunodeficiency and blood diseases, it is enough to take 1 capsule with a dosage of 150 mg, the intensity of unpleasant symptoms will decrease within 24 hours, a full recovery occurs in a week.
  2. To treat the chronic form of pathology, you need to take 150 mg of the drug in the morning and evening for 3 days, the next dose should be drunk on the first day of the cycle. Maintenance therapy - 1 capsule monthly for a year.
  3. Men should take 1 capsule if the woman is being treated for thrush.
  4. For prevention, you need to take 150 mg of the drug monthly for six months. This method is suitable for both men and women.

Russian-made antifungal drug containing fluconazole, an analogue of Diflucan. Capsules and tablets in the form of vaginal suppositories eliminate thrush, restore the balance of the vaginal microflora. Price - 350-400 rubles.

Treatment regimen:

  1. A simple, primary form of thrush in men and women - 150 g once.
  2. A complicated form of pathology, the presence of concomitant diseases - 150 mg per day twice with a three-day interval.
  3. Chronic thrush, frequent relapses of the disease - 150 mg of the drug three times with a break of 3 days.

Flucostat is produced in the Russian Federation

Contraindications - intolerance to glucose, lactose, galactose, galactosemia, renal and hepatic insufficiency, alcohol addiction. An antimycotic agent should not be taken simultaneously with drugs that affect the heart rhythm, with arrhythmias.

One of the most popular ketoconazole products for fighting various fungal infections. Tablets are considered one of the best for the treatment of chronic candidiasis of the pharynx, throat, vagina, and skin. Price - 500-600 rubles.

Treatment regimen - 2 tablets every day with meals for a week.

Nizoral is one of the best remedies for treating thrush.

Contraindications - pregnancy, lactation, lactose intolerance, chronic liver pathology. Persons who have chronic diseases, constantly take any medication, before starting treatment with Nizoral, you should consult with your doctor, since the antifungal agent cannot be taken simultaneously with many cardiac, sedative, laxative drugs.

During treatment with Nizoral, include more acidic foods in the menu - they contribute to better absorption of ketoconazole.

A broad-spectrum antifungal drug based on fluconazole, helps to quickly cope with any type of candidiasis of the mucous membranes, organs, capsules are suitable for women and men. Price - 300-550 rubles.

Contraindications - lactase deficiency, lactose intolerance, breastfeeding period. Pregnant women are prescribed the drug with caution, constant medical supervision is required.

Mikosist is a broad-spectrum antifungal agent.

To get rid of thrush, women need to take 150 mg of the drug once. If candidiasis has a chronic course, then at the time of exacerbation, you need to drink 150 mg of the drug immediately, then use 150 g of Mycosyst once every 4 weeks throughout the year.

It is enough for men to take 150 mg of the drug once, if there are no obvious symptoms, there are no immunodeficiency diseases. With balanoposthitis with a pronounced clinical picture, you need to drink 150 mg immediately, then take 50-100 g of the drug every 24 hours for a week.

Cheap analogue of Nizoral. Tablets have a fungicidal and fungistatic effect, are used to treat recurrent candidiasis, to prevent the development of thrush during long-term antibiotic therapy. Price - 210-240 rubles.

Ketoconazole is a more affordable analogue of Nizoral

How to use:

  1. If the fungus affects the skin, the oral cavity, you need to take 200 mg of the drug, with severe and advanced forms of the disease, the dose can be increased to 400 mg. The duration of the course is 15-20 days.
  2. With vaginal candidiasis, a single dosage is 2 tablets, treatment should be continued for 5 days. For prophylactic purposes, the drug is prescribed for frequent recurrences of thrush, the elderly, patients with HIV and severe blood diseases - 200 mg per day for a week.
Tablets are best taken after meals.

A specialized antifungal agent for levorin sodium acid, produced in tablets for oral and intravaginal use, is prescribed for candidiasis of different localization. Price - 90-100 rubles.

The drug is contraindicated in acute diseases of the gastrointestinal tract, pancreatitis, intestinal and stomach ulcers, liver and kidney failure.

Levorin contains sodium acid in its base

In case of damage by fungi to the organs of the digestive tract, it is necessary to take 1 tablet of Levorin every 6-12 hours for 10-12 days. For the treatment of oral candidiasis, it is better to purchase transbuccal pills, apply 2-4 times a day.

Tablets from thrush in women have a wide range of possibilities. Unlike vaginal suppositories, they can be taken at a convenient time in any public place. They quickly and effectively cope with the main manifestations of vaginal candidiasis and enhance the effect of local drugs.

In severe cases, with regular relapses of the disease, treatment of thrush with tablets is preferable. Taking antifungal agents should be started after consulting a doctor and confirming the diagnosis, only in this case you can count on a positive result and a speedy recovery.

As you know, thrush or (vaginal candidiasis) is caused by microscopic yeast Candida. Their reproduction and growth begins with a change in the normal microflora of the vagina, which can be caused by many factors:

  • decreased immunity due to exacerbation of chronic diseases;
  • prolonged and unsystematic use of drugs;
  • hormonal disruptions;
  • hypothermia;
  • regular stress;
  • improper and unbalanced diet;
  • disease of the genitourinary system;
  • wearing synthetic underwear.

To this list, you can add a number of reasons that can provoke candidiasis. Therefore, before starting treatment, the doctor must determine the factor causing the fungal infection and, taking this into account, prescribe medications.

Thrush declares itself by the appearance of characteristic symptoms: curdled discharge, burning and itching, painful sensations during urination. Medicines with antifungal and antimicrobial action, which actively destroy the pathogenic microflora, help to cope with the problem.

A lot of them are produced and it is difficult for an ignorant person to navigate in such a variety of drugs. Therefore, we present to your attention an overview of the most effective pills for thrush.

Tablets from thrush: classification

Unlike topical preparations (vaginal suppositories, ointments, gels), which exhibit a therapeutic effect directly in the affected area, active substances tablets are absorbed by the gastric mucosa and are carried throughout the body with blood flow, destroying pathogenic microorganisms from the inside. Therefore, in mild cases, suppositories are more often used, and in case of recurrent chronic candidiasis, only tablet forms of drugs can help.

Such medicines exhibit a powerful fungicidal effect and destroy fungi by blocking the production of sterol, the main building material necessary for the growth and reproduction of microorganism cells. According to the principle of action, antifungal agents for thrush are divided into several main groups:

  1. Tablets from the thrush of the polyene group. Actively resist the reproduction of fungal microflora and protozoa due to the destruction of their cell membranes. These are drugs such as Nystatin, Levorin, Pimafucin, Natamycin and their analogues.
  2. Triazoles. They are characterized by low toxicity, have a prolonged action and retain their therapeutic effect for 30 hours after ingestion. They stop the growth and reproduction of the fungus, are mainly prescribed for the chronic course of candidiasis. Representatives of this group are Itraconazole, Orungal, Fluconazole, Flucostat, Futsis, Mikosist, Rumikoz, etc.
  3. Imidazoles. Representatives of this group are highly penetrating, have a pronounced disinfectant and antifungal effect, but are quite toxic and can cause a number of undesirable side reactions. Popular remedies are Ketoconazole, Mycozoral, Clotrimazole, Candibene, etc.

Almost all antifungal agents are toxic and have a negative effect on the functioning of the liver and kidneys. Some drugs act more gently and can be used even during pregnancy, others have an extensive list of limitations and side effects. Therefore, self-medication is unacceptable.

Only a specialist can choose the right drug taking into account the patient's condition, severity of symptoms and possible contraindications. It is necessary to take tablets from thrush in strict accordance with the instructions and not exceed the duration of the course of treatment recommended by the doctor.

Inexpensive pills for thrush

Among the cheapest and most effective pills for thrush are the following drugs:

Remedy for thrush from the group of drugs of the polyene series. It has a pronounced fungistatic effect, is active against yeast fungi of the Candida genus. It destroys the pathogenic microflora due to the violation of the permeability of the cell membrane of fungi. The drug is used in the treatment of vaginal candidiasis and for the prevention of thrush during long-term antibiotic therapy that causes dysbacteriosis.

But in recent years, doctors prescribe this medication infrequently, since many modern drugs have appeared that are highly effective in the treatment of thrush.

In addition, Nystatin is useless in chronic forms of candidiasis, since with prolonged use, microorganisms develop resistance (resistance) to the action of the active substance of the drug. But this remedy is well suited for the prevention of thrush, it is often prescribed in the postoperative period against the background of the use of antibiotics.

The drug is contraindicated during pregnancy and breastfeeding, with severe liver damage, pancreatitis, peptic ulcer hypersensitivity to its components.

The body may react to taking pills with nausea, diarrhea, or skin itching. In this case, it is recommended to reduce the dosage or stop taking the drug for a while. The doctor selects the duration of the course of treatment and dosage individually. The price of the drug is from 45 rubles.

An inexpensive antifungal agent that is prescribed for the treatment of acute or recurrent vaginal candidiasis. The drug has a highly specific action and quickly relieves the symptoms of thrush by destroying the cell membrane of fungi.

The drug is prescribed for the treatment and prevention of recurrence of vaginal candidiasis. Fluconazole for oral administration is available in the form of capsules and film-coated tablets.

The drug has practically no contraindications (except for hypersensitivity), but quite a few side effects, so the medicine should be taken with caution and only as directed by a doctor. On average, the course of treatment for thrush takes from 5 to 10 days. The price of the drug is from 30 rubles.

Antifungal drug with fungicidal and fungistatic action. It is effective against thrush pathogens and is used in the treatment of acute and chronic candidiasis.

In addition, the drug is prescribed for prophylactic purposes in the treatment of antibiotics and other drugs that disrupt the normal microflora of the vagina. This medication has many contraindications; before prescribing it, the doctor must take into account the compatibility of Ketoconazole with other drugs and exclude its use during pregnancy, lactation, hypersensitivity, liver and kidney diseases.

The drug can cause a number of serious adverse reactions from the body systems (respiratory, cardiovascular, digestive, immune). The cost of Ketoconazole tablets starts from 120 rubles.

Among the most popular remedies for thrush are modern medicines from the series "Pill from thrush 1 capsule". That is, there is only one tablet in the package and a single dose of the medicine allows you to eliminate characteristic symptoms thrush and achieve recovery.

In addition, a wide range of strong medicines are produced that need to be taken for several days, but among their advantages are high efficiency and a minimum of contraindications. Such drugs are well tolerated, rarely cause side effects and can be used in the treatment of pregnant and lactating women.

  1. Modern effective pills from thrush based on fluconazole. The drug is available in the form of capsules. Applies various etiologies, including acute and chronic thrush. Contraindications for admission - hypersensitivity, diseases of the liver, heart, kidneys, neurological pathologies. In the treatment of mild forms of thrush, a single dose of a capsule (150 mg) is sufficient. To prevent recurrence of candidiasis, the drug can be taken once a month at the same dosage for a long time. The duration of the course of treatment depends on the severity of the symptoms and is determined by the doctor individually. Flucostat can be prescribed during pregnancy, as this remedy has the most gentle effect, is well tolerated and practically does not cause side effects. The price of tablets from thrush is from 200 rubles.
  2. Futsis. One of the safest antifungal drugs based on fluconazole. Available in the form of tablets and gel. It has a high bioavailability and is used in the treatment of fungal infections caused by fungi of the genus Candida. Before taking the tablet should be dissolved in a small amount of water. For the treatment of vaginal candidiasis, the drug is used once. Just one tablet is enough to eliminate the discomfort associated with the manifestations of thrush. To prevent relapse, you can take 1 tablet of Futsis per month. In this case, therapy can last from 4 months to a year. How long to take the drug is decided by the doctor, taking into account clinical picture diseases. Fucis is approved for use from the 2nd trimester of pregnancy, but up to 12 weeks its use is contraindicated. As a rule, the drug is well tolerated, and adverse reactions occur when the doctor's recommendations are violated and the indicated dosages are exceeded. In this case, dizziness, dyspeptic disorders, impaired liver function and heart rate. The average cost of the drug, depending on the form of release, ranges from 300 to 400 rubles.

  3. Tablets from the thrush of the polyene series from the group of macrolides. They are used for candidal vulvitis and vaginitis. When taken orally, the active substance, natamycin, is practically not absorbed from the gastrointestinal tract, therefore it does not cause serious systemic side effects. The drug is quite safe, it can be prescribed to pregnant and lactating women. The only contraindication to the reception is the individual intolerance of the components. In the first days of taking the tablets, there may be a feeling of nausea and stool disorders (diarrhea), but these phenomena soon disappear on their own. Pimafucin is suitable for the treatment of complicated thrush, this drug is often prescribed when other medicines are ineffective. In addition, Pimafucin is used to prevent thrush, including with a decrease in immunity during pregnancy and before childbirth. The price of Pimafucin is from 450 rubles.

  4. Itraconazole (Irunin, Itrazol). Tablets from thrush with a wide spectrum of action, is a derivative of triazole. Produced in the form of capsules. The active substance of the drug effectively destroys Candida yeast fungi, mold fungi, dermatophytes and other strains of pathogenic microflora. It is used for a variety of fungal infections, including vulvovaginal candidiasis. The active substance of the drug quickly penetrates into all organs and tissues and maintains a high therapeutic concentration for 2-4 weeks after stopping the course of treatment. Thus, it is not necessary to take other pills after thrush in order to prevent the recurrence of the disease. At the same time, drugs in this group exhibit toxic effects, have many contraindications and can provoke systemic side effects. Therefore, they are not prescribed to pregnant and lactating women, in old age, with chronic heart, liver or kidney failure. In the treatment of thrush, the drug is prescribed in a short course of 1 to 3 days, during which 1 capsule is taken twice a day.
  5. Orungal. A very effective, modern antifungal drug based on itraconazole. Available in the form of capsules and oral solution. Copes with most fungal infections, including severe forms of vaginal candidiasis. Shows activity against a wide range of yeast, yeast-like fungi and dermatophytes. Rarely causes side reactions, has a minimum of contraindications and has the least toxicity among the drugs in this group. With caution, Orungal should be prescribed for heart failure, liver and kidney diseases, in old age. This is one of the most expensive drugs, its price in pharmacies starts from 2600 rubles per pack.
Tablets from thrush during pregnancy

In the early stages of pregnancy (up to 12 years), they try not to prescribe antifungal drugs in tablets. At this time, doctors prefer to use topical preparations (vaginal suppositories, ointments). In early pregnancy, oral agents are prescribed only in severe cases.

At the same time, they try to select drugs with the least number of side effects and the most gentle effect, so as not to provoke disturbances in the formation and development of the fetus. These funds include:

  • Natamycin,
  • Zalain,
  • Orungal

Starting from the second trimester of pregnancy, Futsis, Levorin, Mikosist are used with caution and under the supervision of a doctor. Means such as Miconazole, Itraconazole, Irunin, Clotrimazole are able to penetrate the placental barrier and have a negative effect on the fetus. Therefore, these drugs are used in short courses and only as directed by a doctor.

Tablets from thrush during breastfeeding are selected in such a way as to avoid negative effects on the baby during therapy. Therefore, the doctor prescribes agents with low systemic absorption, that is, such medicines, the active substances of which are practically not absorbed into the blood and do not penetrate into breast milk (Pimafucin, Nystatin). In severe cases requiring the use of strong antifungal drugs, breast-feeding for the entire period of treatment is stopped, the baby is transferred to artificial mixtures.

First aid and excellent result

Pseudo-folk wisdom says: whoever is not familiar with a thrush is not a woman. But if you take the issue seriously, then this disease will not be so simple.

Candidiasis (thrush) affects all people, regardless of gender and age, since yeast-like fungi of the genus Candida are part of the normal microflora of the mucous membranes. But the reproduction and growth of mushrooms is tightly controlled immune system, and these microorganisms coexist with humans, without giving themselves away. But any changes that “shatter” the immune system can provoke the uncontrolled growth of fungi and, accordingly, the symptoms of thrush. A provoking factor can be a course of antibiotic treatment, hypothermia, stress, changes in diet, and, in fact, anything that upsets the delicate balance of the microflora of the mucous membranes.

Speaking of the fact that everyone is susceptible to thrush, they really mean everyone, including men and children. But, since candidiasis is still more often diagnosed in women, let's talk about the best remedies for treating thrush in them.

The best candles for thrush

Pimafucin


Photo: www.farmshop.ru

Price packs of 3 candles - about 300 rubles.

The active substance is natamycin, which has an antifungal and antibacterial effect. The candle, dissolving, forms a foamy mass, which is evenly distributed over the mucous membrane. Due to this, natamycin has an effect on the entire surface of the mucosa, which is important in the treatment of "deep" candidiasis.

Advantages. The main advantage of Pimafucin is the possibility of its use for the treatment of thrush even in pregnant and lactating women. Considering that pregnancy and the postpartum period are the “leaders” in terms of the incidence of candidiasis, this advantage makes Pimafucin practically an indispensable drug. In addition, the local use of the agent excludes the penetration of natamycin into the blood. This means that the list of contraindications is reduced to individual intolerance to any component of the drug.

Disadvantages. No shortcomings as such were identified, therefore, on a ten-point scale, Pimafucin was assigned 10 points.

Reviews. “In my opinion, these candles are the best remedy for thrush. And they help quickly, and you don’t need to run to the doctor every time for tests. People like me - "chronic" candidiasis - already know all the signs that the thrush has begun, and Pimafucin quickly relieves all symptoms.

Livarol


Photo: www.cosmo.ru

The cost of packing vaginal suppositories (5 pieces) is about 300 rubles.

The active substance of Livarol - ketoconazole - is a substance with a pronounced antifungal effect, which has an effect not only on typical representatives of the microflora that provoke thrush, but also on rarer forms. Candida.

Advantages. Ease of use and the need for a single injection per day makes this drug convenient for use both at home and on the road. The duration of treatment is 3-5 days for acute candidiasis, and 10 days for chronic forms (the number of recurrences of thrush is at least 4 times a year). In addition, Livarol is effective for staphylococcal and streptococcal lesions, which allows it to be used for mixed fungal-bacterial infections of the vaginal mucosa.

disadvantages. Livarol is not recommended during pregnancy and lactation. Although this is not an absolute, but a conditional contraindication (if the benefit to the mother outweighs the risks to the fetus, the doctor may prescribe this drug), it still excludes Livarol from the list of the "best" remedies for thrush. And for this reason, on a 10-point scale, he is assigned a score of 8 points.

Reviews. “I gave preference to Livarol, because shortly before that I treated dandruff (fungal origin) with ketoconazole shampoo. The effect simply shocked me, so when I encountered thrush, I didn’t even think about it when I saw the familiar word “ketoconazole” on the package. I was not mistaken: already after the first candle, the itching and discomfort disappeared, I even had to write reminders to myself so as not to forget to complete the course of treatment.

Diflucan
best remedy for thrush


Photo: i0.tabletki.ua

Price a package containing 1 capsule is about 460 rubles.

The active ingredient in Diflucan is fluconazole. Fluconazole inhibits the growth and activity of fungi that cause thrush, and in a short time relieves the symptoms and manifestations of this condition.

Advantages. The main advantage of Diflucan is the ease of use and the minimum course of treatment. Drinking just 1 capsule, you can get rid of the symptoms of acute thrush and the discomfort that this condition causes.

disadvantages. Unfortunately, convenience is not the main criterion, at least when it comes to Diflucan. This drug is contraindicated in pregnancy, lactation, kidney and liver pathologies and is prescribed only taking into account general condition patient's health. For this reason, Diflucan is difficult to attribute to thrush remedies that can be recommended as the best component of a home first-aid kit “for everyone”. The number of contraindications for this drug does not allow to evaluate it above 7 points.

Reviews. “The best pills for thrush, Diflucan has helped me more than once, and the help was really emergency. But these capsules did not fit my sister, her stomach rebelled a little - she has cholecystitis, apparently because of this. I think that the high price is the only drawback of Diflucan.”

Epigen Intim
best natural remedy for thrush


Photo: www.apteka84.kz

Price bottle of 60 ml. is about 1400 rubles.

The active substance, glycyrrhizic acid, is a component obtained from licorice root. The drug has an anti-inflammatory, antiviral, immunostimulating, antipruritic effect, and also accelerates regenerative processes in the mucous membrane.

Advantages. The natural origin of the active substance of the drug is its main advantage, which allows it to be prescribed in the treatment of thrush throughout the entire period of pregnancy, as well as in the case of candidiasis in children. In addition, with the help of Epigen Intim it is recommended to prevent thrush using the drug while taking antibiotics, during the recovery period after any disease, etc. A convenient form of release - a spray bottle - is another plus in favor of this remedy, thanks to which Epigen Intim can be easily and simply used in any environment, not only at home.

disadvantages. The disadvantages include only the high cost of the drug, which, however, more than compensate for its advantages. We attribute Epigen Intim to the best remedies for thrush. Rating - 10 out of 10.