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exists in nature huge amount organisms that can only be seen under a microscope. But among them there are many that can provoke the development of diseases in humans, animals and plants. We will get acquainted with one of these pests, the Candida fungus, or rather with the disease that it causes, in our article. Let's talk about thrush. Since this disease most often overtakes the fair half of humanity, we will try to find the best in women. Reviews are very different and sometimes contradictory.

Thrush - what is it?

This insidious disease is caused by microscopic fungi of the genus Candida. The infection can affect not only women; it also affects the male half of humanity, and even children.

IN healthy body this fungus is necessarily present in the microflora of the large intestine, oral cavity, but its quantity is small, so it does not cause any harm to humans. But there are a number of factors that cause a sharp increase in the number of these microorganisms; in such situations, its harmful influence does not take long to appear.

Risk factors for developing thrush

Before choosing for women, it is necessary to find out the cause of the disease. And there are plenty of them, among them I would especially like to mention the following:

• Weak immunity. Currently, many people suffer from this problem. Affects poor nutrition, frequent stress. In this state, the body is unable to resist infections.
• Everyone knows that antibiotic therapy significantly disrupts the microflora in the body; as a result, it is no longer able to fight pathogenic microorganisms, and they begin to feel complete freedom.
• Violation metabolic processes in the body.
• Diabetes mellitus.
• The body of pregnant women, especially in the last trimester, is very susceptible to such infections.
• Newborn babies can become infected during childbirth or breastfeeding.

Symptoms may vary slightly among patients, but most often in women, thrush has the following manifestations:

• A burning sensation in the vagina.
• Pain during urination and intimacy.
• Curdled discharge.

In men, as a rule, white coating on the penis and the same unpleasant and painful sensations when going to the toilet and during sexual intercourse.

To pick up effective drugs for thrush for men and women, you need to visit a doctor and get tested necessary tests to determine not only the type of fungus, but also its sensitivity to drugs.

Mandatory measures for the treatment of thrush

For candidiasis treatment to be effective, it is not enough to just eliminate the existing fungus and stop the infection, but it is important to undergo the whole complex events:

1. At the first stage, it is important to identify pathogens of infectious diseases and determine their susceptibility to exposure
2. Restore the acidity of the environment and the number of beneficial microorganisms.
3. Carry out activities to strengthen the immune system.
4. Treat existing hormonal diseases.
5. If possible, eliminate the factors that provoke the development of the disease: refuse bad habits, do not abuse antibiotics, treat, if any, sexually transmitted infections.

Whichever one is chosen best drug from thrush for women, reviews from most patients claim that without all these measures, treatment will not be effective, the result will not last long, so after a while a relapse may occur.

Forms and groups of drugs for the treatment of candidiasis

Currently, there is a huge list of medicines that can fight fungus. All of them are divided into two forms, depending on the method of use:

• Local medications, which include creams, suppositories and vaginal tablets.
• Internal ones are used in the form of tablets or capsules.

It is important to remember when choosing a drug that the best remedy against thrush in women (reviews confirm this) will only give a good result when used as part of complex therapy.

If we talk about the form of release of thrush, we can name the following:

• Tablets and capsules.
• Candles.
• Ointments.

It is better to discuss which form to choose with your doctor, depending on the results of the examination.

Tablets for thrush

Many women opt for drugs in the form of tablets or capsules. This form has its advantages over others, among them the following advantages can be noted:

• Treatment gives positive effect much faster.
• Tablets taken orally destroy the fungus not only at its main location, but throughout the body.
• Tablets may contain different active ingredients that affect the mycelium of the fungus and can stop its growth and reproduction. They all differ in the rate of absorption in the body. Therefore, they can be taken in different dosages.
• If the disease occurs in mild form, then often taking pills alone will be enough for a complete recovery.

Anti-thrush medications for women may contain the following active ingredients:

All of these remedies for thrush in women have positive reviews. Medicines are quickly absorbed into the blood and delivered to the affected area. If we compare the healing rate, the advantages go to fluconazole, since this substance is able to defeat the fungus in one go.

There are cases of intolerance to the drug, then the attending physician selects a medicine with another main component.

Candles for thrush

Many drugs against thrush in women receive good reviews, but suppositories occupy one of the leading places in treatment. This can be explained by some of their advantages compared to other forms:

• Suppositories are well suited for relieving deeply localized symptoms of thrush.
• Many vaginal suppositories contain not only an antifungal component, but also other substances. For example, Klion-D, in addition to miconazole, contains metronidazole. "Terzhinan" combines as many as 4 components: ternidazole, neomycin, nystatin, prednisolone.
• There are some suppositories that are good for prevention. In this case, the best drug for thrush for women is Ginezol; it will reliably protect against this insidious disease.

• Candles are easy to use.

But this form of the drug also has its disadvantages:

• Suppositories act only after entering the body. They cannot be used externally.
• Most often, suppositories are part of complex therapy against thrush; as a rule, they cannot cope with this disease alone.
• Candles should not be used during menstruation.
• To get the desired effect, you must follow the treatment regimen prescribed by the doctor.

Ointments against candidiasis

It is quite difficult to choose the best remedy for thrush in women on your own; the advice of doctors should definitely be taken into account. Most likely, the specialist will recommend complex therapy. If the tablets fight the fungus from the inside, then local drugs help get rid of local symptoms.

In this case, the use of ointments for thrush will have to be used locally. Compared to candles, they have their advantages:

• Can be used on the external genitalia of both men and women. One of these known means is the ointment "Pimafucin".
• Such products have a quick effect: relieve redness and irritation, reduce pain.
• The cost of ointments is lower than that of suppositories.
• Ease of use and almost complete absence of unwanted effects.

But ointments also have their disadvantages, for example:

• They cannot be used to treat deep lesions, such as the uterus or appendages.
• The ointment usually contains one active ingredient.

The most famous ointments for thrush are the following:

• "Ketoconazole".
• "Clotrimazole".
• "Nystatin"

• "Pimafucin" and others.

Only a doctor, based on the results of the study, can select effective remedy from thrush in women. Reviews vary about groups of drugs, because everyone’s body has its own individual characteristics. Just because one remedy worked well for someone does not mean that it will have the same effect for everyone.

Traditional medicine for thrush

Traditional methods of treating thrush also have great demand among patients. Traditional medicine can offer the following ways to combat this disease:

1. Internal use of decoctions and infusions medicinal herbs.
2. Douching.
3. The use of certain foods against thrush.

Quite often, doctors, along with drug treatment, advise using traditional medicine methods.

Among all the methods among traditional healers, douching occupies a special place. The following fees can be used for this procedure:

• Make a mixture of 20 grams of sage and rosemary leaves, 40 grams of oak bark, fill it with 3 liters of water and boil for half an hour. After straining, use for douching 2 times a day.
• Take one piece at a time pharmaceutical chamomile and pour a glass of boiling water over the mixture, leave for 20 minutes and, after cooling, use for douching.
• Take 3 parts of oak bark and 2 parts of linden blossom, mix, and then pour four tablespoons of the mixture with boiling water in an amount of 250 ml and leave for 15-20 minutes. Many people believe that this is the best folk remedy for thrush in women. Reviews about douching with this infusion are excellent.
• A decoction of St. John's wort is also considered effective. To prepare it, take 3 tablespoons of the herb and add 2 liters of water, boil for 30 minutes, filter and use twice a day.

In addition to douching, you can use infusions and decoctions of medicinal herbs, among which the most effective are:

• Chamomile.
• Eucalyptus.
• Sage.
• Poplar buds.
• Calendula.
• Juniper.
• Yarrow.
• Birch buds.

To prepare a decoction of these herbs, you need to take 2 tablespoons of any remedy, pour a glass of boiling water and leave for 12 hours. Take half a glass three times a day on an empty stomach.

By the way, these decoctions can be safely used for douching. You just need to know that excessive douching can also negatively affect the vaginal microflora.

Even if a friend recommended the best remedy for thrush in women, doctors’ reviews may be completely different, so it is better to consult a specialist before use. Despite the fact that folk remedies are the most harmless, there are cases when their use is not recommended.

Nutrition during thrush

Not only taking certain medications, the presence of diseases can disrupt the microflora in the body. Diet can also contribute to this. If you have already been diagnosed with thrush, it is recommended to exclude the following foods:

• Alcohol. It can reduce the concentration of the active substance in the blood, so the effectiveness of therapy will decrease.
• If you have candidiasis, it is undesirable to overindulge in sweets; this is an excellent environment for the development of pathogenic microflora.
• Baking with yeast is also contraindicated.
• Limit your consumption of cheese.
• But fermented milk products can be consumed in any quantity.

It is worth noting that such restrictions will not only help defeat thrush, but will also be beneficial for the body in general.

Basic principles of thrush therapy

To avoid having to choose medications for thrush in women and review reviews, you must first analyze your lifestyle.

1. First of all, this concerns nutrition. You need to understand for yourself that healthy eating is not a diet, but a lifestyle that will help you stay healthy for many years.
2. It is necessary to include as much fresh vegetables and fruits, herbs and berries in your diet.
3. Regularly add cinnamon to prepared dishes.
4. Drink more water and herbal teas during the day.
5. Maintain personal hygiene, avoid synthetic fabrics, especially in underwear.
6. It is advisable to use natural remedies hygiene.
7. Strengthen immunity. During the cold season, as well as frequent stress it is necessary to take vitamin complexes.
8. If you have completed a course of antibiotic therapy, then you need to take a course of probiotics to restore normal microflora.

If you follow these simple recommendations, you will not only improve your health, but you will also not need medication for thrush in women. Reviews from some patients confirm that lifestyle changes have a positive effect on the general condition of the body.

Any disease requires a careful approach. Only complex treatment can get rid of the problem for a long time. You should not self-medicate so as not to cause more harm to your health.

Updated: 08/26/2018 17:07:19

Expert: doctor - Boris Kaganovich

Membership normal microflora does not involve intensive proliferation of the fungus. It can simply be detected using various analyzes, and even then in small quantities. In the same case, if fungi begin to multiply intensively, then we're talking about about mycosis, or fungal infection. The term “thrush” reflects a 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, reminiscent of spilled milk or kefir.

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

In modern dermatovenerology and gynecology there is large number various means to treat thrush, or vaginal candidiasis. Let's look at the most popular and effective drugs for eliminating candidal infections. There are both remedies for topical use, in the form of suppositories, ointments and gels, and preparations in tablets. The most commonly used and sold are candles.

Rating of the best remedies for thrush

The best suppositories for thrush

Drugs administered intravaginally in the form of suppositories have their 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 part of the vagina, cervix, orifice is affected fallopian tubes and even the pipes themselves, which is rare, the use of suppositories is more effective than the application of ointments and gels.

Also, candles are most often produced with more than one medicinal drug, but with several components, which affects the fungus more effectively than ointment. Therefore, if a gynecologist prescribed suppositories to a patient with vaginal candidiasis, this can be considered the most effective way to eliminate a fungal infection. Sometimes the fat-soluble suppository base is replaced with another, in which case a topical form is obtained, called vaginal tablets.

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

What are the benefits of using suppositories to treat thrush?

1. Speed. After the candles melt, it begins active action released components within one to two minutes after administration;
2. action in the local circulatory network of the pelvis. Medicinal substances can act not only exclusively on the mucous membranes. Due to 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 medicines, 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 using suppositories is the method of choice;
4. It is very important that many patients with pathology gastrointestinal tract, with gastric ulcers, with gastroduodenitis, may poorly tolerate medications for oral administration. Suppositories for thrush do not have these disadvantages and can be used in these individuals without restrictions.

Used to treat thrush various groups suppositories for vaginal administration. Let's look at the most effective and available drugs, let's evaluate their advantages and disadvantages.

Klion-D (metronidazole + miconazole)

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

Conditionally pathogenic anaerobic flora often joins in the event of alkalization of the vaginal environment, and facilitates the penetration and process of chronicity for more serious infections. Klion-D is indicated in the case of fungal and mixed vaginitis, in which it not only multiplies fungal flora, but also other microorganisms, for example, Trichomonas. Klion-D is prescribed one tablet, which is pre-moistened with water and inserted deep into the vagina once a day at night. The course of treatment is 10 days.

Vaginal tablets Klion-d are produced by the Hungarian company Gedeon Richter; one package of 10 pieces will cost 280 rubles.

Advantages and disadvantages

The advantage of this drug is quite 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 quite a long time. Side effects include local allergic reactions such as burning and pain, especially during the first administration, the inability to combine Klion-D with alcohol intake, and in case of overdose - the development of symptoms such as leukopenia, or a decrease in the number of leukocytes in general analysis blood.

But if this drug is used according to 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 the effective fungicide ketoconazole. Each suppository has a dosage of 400 mg, in a package there are 5 or 10 suppositories. Large packaging is available at a price of 550 rubles, the drug is produced by the domestic pharmaceutical company Nizhpharm.

Livarol, like others antifungal suppositories, is indicated for endometritis as a means of covering so that the accompanying fungal flora does not become active, or in the event that underlying candidal vaginitis or thrush already exists. Livarol is used one suppository per day, on average, for 5 days, and for chronic forms of candidiasis - for 10 days. Manufacturers warn against stopping treatment on your own when disturbing symptoms disappear, as this can lead to chronic fungal infection.

Advantages and disadvantages

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

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

Everyone knows bactericidal effect iodine, but for intravaginal administration, of course, an alcohol solution is not suitable, so povidone-iodine is used. One suppository corresponds to approximately 20 mg of active iodine. Povidone-iodine destroys coli, Staphylococcus aureus, 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.

Suppositories with Betadine are indicated in the complex treatment of endometritis, vaginitis and bacterial vaginosis, for trichomoniasis, candidal colpitis, and also as a prophylaxis before surgery.

The drug is administered once a day, deeply intravaginally, preferably before bedtime. At acute endometritis Administration is recommended twice daily for 7 days.

Advantages and disadvantages

Betadine helps not only with thrush, since it is also produced 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 infections in surgical and burn patients, at open injuries. Betadine in solution can also be used not only intravaginally, but also for disinfecting the skin around various probes, catheters and drainages, for treating bedsores and trophic ulcers. But Betadine is contraindicated during pregnancy and chronic renal failure, with excessive sensitivity to iodine, and with pathology of the thyroid gland. The drug is usually well tolerated, but sometimes 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 administration of the suppository after a week. The undoubted advantages of Zalain include a single administration of the drug, a rare development of side effects, and the absence of overdose symptoms. However, during treatment it is necessary to abstain from sexual intercourse for several days after the administration of the suppository, but not due to harmful influence the drug to the partner, and due to the possibility of spreading candida infection. Also, during menstruation, you can freely treat with this drug.

Macmiror Complex (nystatin + nifuratel)

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

Advantages and disadvantages

The positive effect is effectiveness against trichomoniasis and chlamydia, higher compliance, that is, the possibility of using one product instead of several, once a day, and the presence of a creamy form. The disadvantages of Macmiror include rare allergic reactions, which are most often presented skin rash, individual drug intolerance, as well as low efficiency in relation to anaerobic microflora. So apply this medicine Locally necessary exclusively for infection with chlamydia infection, candidiasis and trichomonas.

The best ointments and creams for thrush

In addition to intravaginal suppositories, tablets and suppositories, there is a wide range of drugs for the treatment of vaginal candidiasis in the form of ointments and creams. They have their own advantages that are different from candles. For example, ointments and creams, 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 they decrease faster. unpleasant symptoms fungal infection such as rash, redness, swelling, and itching. 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 intravaginal 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, does not need to use applicators for guidance, but simply distribute the ointment or cream onto the surface of the vestibule of the vagina and in its anterior third, and for men it should be applied to the head of the penis and the inner leaf foreskin.

Let's 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 remedy is embedded in the cell membranes of fungal structures, and they begin to collapse and lose their strength. The point of application of natamycin is the sterol groups.

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

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

Typically, the cream is applied in a strip 2 to 3 cm long, once a day, and rubbed in with slow movements. For uncomplicated vaginal candidiasis, the course duration does not exceed 7 or 10 days. In addition to 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 package of cream weighing 30 g and containing 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 in case of hypersensitivity to the components of the drug. Side effects often include mild irritation or a slight burning sensation, which goes away on its own and does not require discontinuation of the drug. If 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 persistent clinical remission with cleansing of the mucous membranes.

Candida (clotrimazole)

Candida vaginal cream containing clotrimazole in an amount of 1% is produced by the famous Indian pharmaceutical company Glennmark Pharmaceuticals. A tube of cream weighing 20 g can cost from 203 rubles, the price range is from 203 to 290 rubles in August 2018 prices.

Each gram of cream contains 10 mg of clotrimazole, a 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, tinea versicolor 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 mild antiprotozoal and antibacterial effect. It is necessary to apply the ointment to the mucous membranes of the genital organs after using the toilet. They apply it thin layer, rubbing thoroughly and slowly. In case 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 thoroughly rubbed into the head of the 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 dermatovenerologist, but not less than 5 days, as part of complex therapy, and for monotherapy - at least a week.

Advantages and disadvantages

The disadvantage of Candida is the sufficient degree of addiction of pathogens of fungal infections to clotrimazole. After all, 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 copes quite effectively with thrush, especially in patients with good voltage immunity. Contraindications for use of this drug include pregnancy, hypersensitivity to clotrimazole, and in women, when applied topically, during menstruation. Clotrimazole can also cause various side effects, of which patients most often note itching, hives, redness of the skin and a slight burning sensation. It is also necessary to remember that this drug should never be applied to the skin near the eyes.

Gynofort cream (butoconazole)

Vaginal cream Ginofort, which is produced by the Hungarian pharmaceutical company Gedeon Richter, can be purchased at retail pharmacy sales at a price of 600 rubles. for a package of 5 grams of the drug in a special pencil case. The active substance is butaconazole. Each gram of vaginal cream contains 20 mg of active ingredient. In addition to the causative agents of thrush, 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 preferable to use Gynofort specifically for candidiasis. It gradually accumulates in the cell membrane of the fungus, increasing its permeability, which leads to the death of fungal cells. Cream for vaginal use is an emulsion, therefore the ability of butoconazole to adhere to the cells of the vaginal mucosa increases. This leads to increased bioavailability, and the adhesion to the surface itself is called bioadhesion. As a result, with a single use of this cream, it is able to remain on the vaginal mucosa and provide healing effect for at least 4 days. This drug is applied using an applicator once a day, at any time, regardless of taking other medications.

Advantages and disadvantages

A big advantage of Ginofort thrush cream is its ability to remain on the vaginal mucosa for a long time after a single use. A relative disadvantage of Ginofort is that it is quite high price, which starts from 600 rubles, and ranges 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 tablets for thrush

In the treatment of any fungal disease, there are indications when local therapy alone, using suppositories, creams or ointments, will not be enough. In this case, oral medications are needed to internal use, in capsules or tablets that are capable of creating an effective concentration of an antifungal or fungicidal drug in the blood.

If the use of antifungal capsules or tablets is combined with local treatment, then the thrush will be attacked “from both sides” both from the surface of the mucous membrane 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 available at a price of 700 rubles. Diflucan is a highly effective drug for the treatment of genital candidiasis. The active ingredient is fluconazole, a modern fungicidal drug with a high degree of 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. If candidiasis has become disseminated and moved from the mucous membranes to the 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-term. In the case of uncomplicated vaginal candidiasis, this drug is taken only once - one 150 mg capsule.

Advantages and disadvantages

The advantages of Diflucan tablets for thrush include the high chemical purity of the original substance, ideal compliance with uncomplicated forms of vaginal candidiasis, of the “set it and forget it” type. But when treating with fluconazole, it is imperative to take into account the possibility of drug interactions with various anticoagulants, azithromycin, benzodiazepines, cytostatics, contraceptives and diuretics, as well as a variety of antiviral agents and medications for the treatment of asthma. Therefore, treatment with fluconazole tablets must be performed only under the supervision of a physician.

Orungal, Irunin, (itraconazole)

Orungal, a drug manufactured by the famous pharmaceutical company Janssen-Cilag, is one of the most expensive of all itraconazole drugs that exist on the domestic market. Compare for yourself: a package of 14 capsules of 100 mg will cost starting from 2,300 rubles. for one package.

If we compare Orungal with other itraconazole drugs, 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 a drug to suit your taste at any cost, but, of course, the effect will be different.

Orungal, it effectively and provenly fights not only various symptoms candidiasis, both with lesions of the nails and skin, and with candidal stomatitis and vaginitis. Orungal is capable of eliminating fungal sepsis, it fights sporotrichosis, it treats cryptococcal pneumonia, lichen versicolor, and various other mycoses, including HIV infection. One capsule contains 100 mg of active substance, and for common vulvovaginal candidiasis, one capsule is swallowed whole immediately after eating.

Treatment is carried out in the mildest cases using 200 mg of the drug as a single injection, or therapy continues for 3 days using 200 mg of Orungal twice a day. For 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 the Janssen-Cilag company does not allow the production of products from low-quality or low-quality substances that have questionable 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 stopped immediately. In the event that itraconazole and Orungal are used without a doctor’s prescription, taking into account contraindications, then sometimes, however, in in rare cases, swelling and symptoms of chronic heart failure occurred. Orungal is also not used in patients with liver cirrhosis, in cases of chronic renal failure and in childhood.

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

Attention! This rating is subjective, is not an advertisement and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

One of the most common infectious diseases is thrush. Its development is provoked by the candida fungus. The disease affects the mucous membranes and occurs in children, women and men. The symptoms of infection are very unpleasant, so it is worth starting therapy immediately after detecting the first signs of infection.

Cure for thrush

There are several ways to treat this unpleasant disease. It is recommended to choose drugs for thrush taking into account numerous factors. The disease can develop in men, women or children, affecting the mucous membranes in the mouth, nose or genital area. Taking into account clinical picture can be used:

• drug treatment;
• douching with infusions of medicinal herbs;
• antifungal drugs for local treatment (ointments, creams, sprays).

It is recommended that your doctor discuss the effectiveness of a particular treatment method. All antifungal medical supplies are divided into local and internal. Ointments and creams from chronic thrush and advanced diseases are ineffective, but they help get rid of itching and relieve irritation. If you believe the reviews, the most effective is complex therapy, which combines local anti-thrush medications and antimycotic capsules with home remedies.

Preparations for thrush in women

At home, vulvovaginal candidiasis and other types of this disease are treated with herbal decoctions, creams and tablets that contain antimicrobial components. Almost all medications for thrush for women have a wide spectrum of action, so they must be selected carefully so as not to cause harm to health. Before starting therapy, you should consult your doctor.

An important stage of treatment is determining sensitivity to antifungal drugs. On initial stage it is better to choose local remedies to combat thrush, and for chronic genital candidiasis a course is needed special tablets(nitroimidazoles). Women should be especially responsible for treatment during pregnancy and during breastfeeding.

Popular drugs for the treatment of candidiasis in girls:

1. Vaginal capsules with fenticonazole Lomexin.
2. Suppositories Miconazole, Pimafucin, Neotrizol.
3. A single dose of Fluconazole ( cheap analogue Flucostat).

Remedies for thrush in men

This disease can develop not only in women, but also in men, however, its treatment has its own peculiarities. How to get rid of candidiasis? It is necessary to make a choice in favor of drugs with strong effect for local application. Use special antifungal gels, ointments and creams twice a day until signs of infection disappear. Sometimes doctors recommend that patients take pills orally. To alleviate the condition, you can pay attention to folk remedies (soda solution, infusions useful herbs and more). Additionally, patients are prescribed a diet.

What drugs to treat thrush in men:

• Econazole;
• Lamisil;
• Iconazole;
• Clotrimazole solution;
• Natamycin.

Remedy for thrush in children

When babies are sick, it is especially important for parents to choose the best remedy for thrush. In modern pharmacies there are several common medications that differ in price and form of release. How to treat candidiasis in a child? You can consider an antifungal agent for the treatment of thrush in children from the following list:

1. Miramistin has a wide range of actions. The product is available in the form of an ointment or medicinal solution. The composition is applied in a small layer to the damaged area.
2. Candide is an effective remedy, according to reviews from parents. For babies it is prescribed in the form of a solution, which is used to treat the affected area. Take no more than 3 times every day, course – up to two weeks.
3. Nystatin is an antibiotic available in tablet form. It can be prescribed for advanced and severe forms. The composition sometimes causes allergies.

Topical antifungal drugs

If the disease is mild, it is recommended local treatment solutions, sprays, ointments, and it is worth taking antibacterial tablets in severe cases. The fact is that antibiotics have a negative effect on bladder, liver and kidneys. Below are popular topical antifungal drugs for thrush:

1. Canesten – antibacterial gel, cream, vaginal tablets.
2. Nystatin ointment is an effective remedy with low cost.
3. Miconazole is one of the top most popular medications for local treatment of thrush.
4. Levorin is another effective topical treatment that is reasonably priced.

Candles for thrush

When candidiasis bothers women, the most convenient treatment is suppositories. Drug substances during therapy vaginal suppositories actively penetrate the mucous membrane, relieve inflammation, discomfort and itching. The most popular are Lomexin, Zalain, Diflucan suppositories for thrush. The course of treatment lasts, depending on the location of the infection, up to 14 days. This method of therapy is not recommended for use during menstruation, except for suppositories based on Povidone-Iodine: Betadine or Sertaconazole.

Vaginal tablets for thrush

Often suppositories are confused with vaginal tablets due to a similar method of use. A doctor should prescribe treatment with such drugs. Application vaginal tablets effective even in advanced forms of the disease. Capsules are administered with an applicator or fingertip, pre-moistened with water. The use of tablets during pregnancy is allowed. The most popular drugs are presented below:

1. You can restore the beneficial microflora of the vagina by using topical preparations based on lactobacilli. For example, using vaginal capsules Lactozhinal. They contain enhanced lactobacilli LCR35, which contribute to the rapid normalization of pH and natural vaginal microflora. In the warm and humid environment of the vagina, they come to life and multiply, thus restoring the bacterial balance, which not only provides protection against pathogens, but also prevents the proliferation of thrush fungus, which distinguishes the product from analogues based on lactic and ascorbic acid. Laktozhinal is a medicinal product and is approved for pregnancy and lactation. Thus, in addition to the treatment of bacterial vaginosis, the use of Lactozhinal ensures the prevention of relapses of thrush.
2. Klion-D 100 – price – about 400 rubles.
3. Terzhinan is a product containing nystatin, ternidazole, prednisolone. The cost of a package of 6 pieces is 330-380 rubles.
4. Irunin - price about 300-350 rubles per package.

Creams against thrush

If you start local treatment when the first signs of the disease are detected, you can avoid the advanced form and relieve irritation. Anti-thrush cream for women is even suitable for therapy during lactation and pregnancy. The most popular means are presented below:

• Pimafucin;
• Candide
• Triderm;
• Zalain.

Spray for thrush in women

In addition to ointments, creams and suppositories for the treatment of candidiasis in intimate area You can use products in the form of aerosols. Thrush spray is a safe treatment option suitable for the early stages of the disease. The most popular are the following aerosol preparations:

• Hasiko;
• Panavir;
• Kandiston;
• Epigen.

Thrush capsules

Launched and chronic forms This disease requires serious treatment antimicrobial agents. Popular oral tablets for thrush are presented below:

1. Pimafucin is a well-known antibiotic, not allergic, can be used in the treatment of candidiasis in pregnant women.
2. Diflucan is very effective capsules wide range actions. Contraindicated in pregnancy, kidney and liver diseases.
3. Flucostat - tablets with quick effect. Improvement is noted after taking one capsule.

Folk remedies for thrush

Except medicinal method treatment, there are numerous home recipes worth considering. For example, it is useful to replace hygiene products for thrush with a decoction of chamomile or string. However, the most popular way traditional therapy is douching. For it, decoctions of St. John's wort, a solution of soda or manganese are used. Treating thrush at home with folk remedies is gentler and safer. At the first signs of infection, localization of the fungus can be avoided if therapy is started in a timely manner.

Vaginal candidiasis (thrush) is a fungal disease that affects the mucous membrane of the genital organs. Causing a rather unpleasant symptom complex for the patient, fungal pathogens can easily be treated with antifungal agents. For the most part, tablets for thrush are inexpensive and effective, available without a prescription, and allow you to quickly get rid of the signs of the disease.

List of the most effective tablets for thrush

Drugs for the treatment of candidiasis differ in their mechanism of action and chemical structure. The effect produced can be mycocidal and mycostatic. Mycocidal drugs completely destroy the fungus, mycostatic drugs stop it life processes, including reproduction. Upon expiration life cycle of an already existing pathogen, the latter dies without reproducing. The infection ceases to exist.

According to their chemical structure, antifungal drugs are:

• polyene;
• imidazole group;
• triazole group;
• combined.

Each of these groups has its own characteristics of use, contraindications and side effects. The choice of medication is made by the doctor.

Antibiotics of the polyene group

Polyene antibiotics are long-standing representatives of this pharmacological group. The time of their creation is considered to be the forties of the 20th century, when the antimycotic “nystatin” was isolated. Other representatives of the polyene category are: levorin, amphotericin B. Antimycotics have natural origin, are produced bacterial microflora, bind to ergosterol cell membrane fungus, which disrupts its vital processes and leads to the loss of important macromolecules.

The drugs are prescribed as follows:

• Nystatin- prescribed 500 thousand units 4 times a day for 14 days. Can be used in the form of vaginal suppositories 2 times a day. Course duration is 10-15 days.
• Levorin- for vaginal candidiasis, the drug is used for wetting gauze swabs. In this case, the levorin tablet is crushed, mixed in water in a ratio of 1:500 and a swab is moistened. After this, it is used to tampon the vagina. The procedure is carried out 2 times a day, 20 days.
• Amphotericin B- applied parenterally, drip. Indicated for thrush that has developed against the background immunodeficiency states. The infusion is carried out twice a week for a month. The dose is selected at the rate of 250 units/kg of weight.

A common side effect for all polyene antifungal drugs is dyspepsia (nausea, abdominal pain, vomiting, diarrhea). When used topically, a burning sensation is noted. Antimycotic polyenes are contraindicated in peptic ulcer stomach, intestines, acute inflammations Gastrointestinal tract, liver pathology, pregnancy, individual intolerance.

Note: in some cases, the use of drugs is not abandoned even if they are poorly tolerated by the patient and there are contraindications. This is only possible in a hospital, when treating severe fungal infections. Thrush is not one of them, so recommendations for use antifungal agents must be strictly observed.

Antibiotic imidazoles

The dosages of these medications are as follows:

• Clotrimazole - for the treatment of vaginal candidiasis, a tablet of the drug is inserted into the vagina at night. The external genitalia are treated with 1% Clotrimazole cream. The course is until the symptoms of the disease disappear completely.
• Miconazole - 1 tablet 4 times a day. Course - 2 weeks.
• Ketoconazole - 2 tablets 1 time per day for 2 weeks. Then another 2 weeks, 1 tablet per day.

During therapy with imidazoles, changes in the blood picture, nausea, diarrhea, headaches, irritability and fatigue are possible. Contraindications include pregnancy, lactation, severe pathology of the liver and kidneys. Relative contraindication- dysfunction of the pituitary gland.

Thrush - treatment quickly and effectively is only possible if you contact a medical facility in time for qualified help. The occurrence of the disease is provoked by the activity of yeast-like fungi Candida, which is why it is also known as candidiasis. The pathological process is accompanied by burning and severe itching in the genital area, curdled discharge with an unpleasant odor.

Causes of thrush

In small quantities, Candida fungus is present in the body completely healthy person. Pathogenic microorganisms begin to multiply rapidly against the background of weakened immunity and the acidic environment of the vagina. Thrush occurs due to disruption of normal microflora. Number beneficial bacteria decreases, and harmful ones increase, which leads to the development of the inflammatory process.

The main causes of thrush:

• taking medications from certain pharmacokinetic categories (hormonal contraceptives, cytostatics, antibiotics);
• the presence of somatic diseases (liver cirrhosis, chronic bronchitis);
• sudden change in climatic conditions;
• pregnancy;
• severe weight loss;
• violation hormonal balance in the body;
• private stress, nervous shock, anxiety;
• failure to comply with personal hygiene rules;
• wearing synthetic underwear;
• use of low quality sanitary pads, etc.

With vaginal candidiasis, the mucous membrane becomes inflamed, which is accompanied by the appearance of microcracks, redness, and swelling. Under the influence of urine, a burning sensation occurs, severe itching, painful sensations. The acute course of the disease lasts about two weeks. If you don't take action curative measures, thrush will become chronic.

If you suspect candidiasis, you should immediately consult a doctor. To make and confirm the diagnosis, he carries out gynecological examination on a chair, takes a smear, which is then sent to laboratory test. An additional technique is bacterial culture. Normally, the amount of fungus does not exceed 104 CFU/ml. If the results show a higher content of the pathogen, thrush is diagnosed and therapy is prescribed.

Treating thrush quickly and effectively at home

For candidiasis, therapy is aimed at reducing the intensity of symptoms, normalizing the vaginal microflora, and increasing local and general immunity. It is imperative to identify and eliminate the cause of development pathological process. Treatment of thrush at home should be carefully thought out.

Candles

Thrush preparations in the form of suppositories help well. They are especially effective at the initial stage of pathology development. The active components of drugs penetrate directly into the site of the disease, destroy pathogenic microorganisms, and help increase local immunity. When inserting suppositories into the vagina, you must strictly follow the rules of hygiene. The duration of the course of treatment depends on the chosen remedy and the concentration of the active substance in it.

Ointments against candidiasis

The principle of action of ointments is the same as that of suppositories. At local application they provide negative impact on the fungus, destroying it and suppressing its ability to reproduce. Pharmacies offer a wide range of drugs that can be used during pregnancy. Ointments are effective in cases where thrush occurs in an acute form. If the disease progresses to chronic stage, it is not advisable to use them.

Treatment of thrush with folk remedies

Traditional medicine is especially relevant for candidiasis in pregnant women, when most medications are contraindicated.

• A decoction for washing the genitals. Break the oak bark into pieces, place in a glass or enamel container, and fill with water. Leave the product to infuse overnight, then strain. Dilute before washing warm water in a 1:1 ratio.
• Douching. For one liter of water take 2 tbsp. l. baking soda and salt. Combine the ingredients, mix, put on low heat, and bring to a boil. Cool the finished product and add a few drops of iodine. The medicine is divided into 12 procedures. Douche daily in the morning and evening, preheating the solution.
• Therapeutic baths. 100 g pine buds pour in 10 liters of water, put on low heat, bring to a boil, and simmer for half an hour. Leave the product to cool for an hour and strain. Then pour warm water into the bath, pour the broth there, steam the genitals for 20 minutes. The course consists of at least 6 procedures.
• Medicines for oral administration. For internal use, you can use eucalyptus tincture. Drink 15 drops diluted in a glass of water 3 times a day. Raspberry and rosehip teas are used to strengthen the immune system.