Thrush is a fairly common pathological process. In fact, all women at least once showed unpleasant symptoms of such a disease. Thrush or candidiasis is caused by fungi that do not bother a person until, for some reason, the body's defenses are weakened.
Modern drugs, which are intended for internal use or local therapy, will help eliminate acute symptoms of the fungus and improve the functioning of the immune system. To choose the best remedy for thrush in women, a rating was compiled taking into account the opinions of experts and patient reviews.
Content
The main forms of drugs
Although thrush is not classified as a venereal pathology, it easily passes to the partner. Therefore, upon detection of the initial manifestations of the disease, it is required to treat each of the partners. In view of this, the pharmaceutical industry offers the following types of medications for candidiasis:
- Tablets. They are comfortable in that they have a long-term effect inside the body. With a single use of the medication, they act on the fungus for 30 hours. The effect goes to the entire body, and not just the zone of occurrence of negative signs. At the initial stage of the disease, it will be sufficient to use only 1 tab. medication. When the disease is started or has a chronic course, tablets must be combined with other dosage forms.
- Candles. They are used for the early relief of unpleasant symptoms of pathology. They are inserted inside the vagina, where they eliminate inflammation and soothe irritated mucous membranes. By using only one suppository it is possible to eliminate only the initial stages of the disease. When the disease is at an advanced stage, complex treatment will be required. The main advantage of candles will be virtually complete absence of side effects. Therefore, they can be used even during pregnancy.
- Ointments. They are used only in the situation when it is required to eliminate the itching and remove the burning sensation. The active ingredients will be absorbed during application to the mucous membranes, but will not enter the bloodstream, like tablets. In this regard, ointments will not harm health and are used during lactation. In addition, like suppositories, therapy with ointments gives a positive effect only in the initial stages of pathology. To completely eliminate pathogenic microflora, it is required to combine gels with tablets.
- Natural remedies. In the initial stages, they can stop candidiasis. It is permissible to wash with a solution of soda, decoctions of medicinal plants with antiseptic qualities, an unsaturated vinegar solution, or douching with magnesia. At the same time, it is not recommended to use traditional methods of therapy for a long time, since they can significantly damage the microflora.
The best candles for thrush
Medicines that are administered intravaginally in the form of suppositories have their own advantages. This is the likelihood of therapy for deep-seated infectious foci using deep injection.In a situation where the upper part of the vagina, the cervix, fallopian tubes are affected, the use of such a dosage form will be more effective than the use of ointments.
In addition, suppositories are often produced not with one drug, but with several components that act on a fungal infection more effectively than a gel. Therefore, in a situation where a specialist prescribes suppositories for a patient with vaginal candidiasis, this is considered the most effective method of eliminating the fungus. In some cases, the fat-soluble base of the suppository can be replaced with another, in which case a form for external use, called a vaginal tablet, will be obtained.
The mechanism of production of suppositories is such that at ordinary room temperature they have a solid appearance, however, getting inside the vagina or into the anus, upon reaching the temperature of 36 degrees, the material of the suppository melts (mainly, it is a mixture of paraffin, glycerin and gelatin).
The advantages of this form:
- Speed. When the candle melts, the released substances are actively acting, already after 1-2 minutes after administration.
- Effect on the bloodstream in the pelvis. Medicinal components affect not only the mucous membranes, as a result of the developed network of capillaries in the vagina, some of the components will enter the bloodstream. However, unlike drugs that are given by mouth, they will not pass through the liver.
- Most of the drugs that are administered in the form of suppositories will not enter the systemic circulation, and therefore, in patients with impaired renal excretory function, the method of therapy for candidiasis by means of suppositories will become the method of choice.
- It is extremely important that the majority of women with gastrointestinal diseases (stomach ulcer, gastroduodenitis) do not tolerate oral medications. Suppositories for candidiasis do not have such disadvantages and are used without restrictions.
For the treatment of candidiasis, different groups of suppositories are used for insertion into the vagina.
Livarol
The medicine is considered a budgetary and quite effective drug for the first therapy of candidiasis. Not suitable for patients with a chronic course of the disease, since with prolonged or regular use, the pathogen will become resistant to the drug. The active ingredient, ketocosanol, disrupts the cellular metabolism of dermatophytes, yeasts, staphylococci, streptococci and provokes their death. Recommended for use at the initial stage of the pathological process. The package contains 5 or 10 candles.
Pros:
- the active substance will be evenly distributed over the vaginal mucosa and restore the microflora;
- manifestations of acute vaginal thrush are effectively stopped;
- suitable for prophylactic purposes of chronic candidiasis;
- has a combined effect: antifungal and antimicrobial (although not considered an antibiotic).
Minuses:
- with the secondary occurrence of candidiasis, the drug is ineffective, since the fungus develops resistance to the effects of the drug;
- contraindications: 1 trimester of pregnancy;
- probable side effects: allergy of the vaginal mucosa.
Pimafucin
A fairly common and effective drug, characterized by good susceptibility, low toxicity and the absence of allergies. In this regard, the medication is approved for the treatment of candidiasis during pregnancy, breastfeeding. The active ingredient, nitamycin, is considered a broad-spectrum antifungal antimicrobial agent. It disrupts the membrane of fungal cells, metabolism inside it and provokes its death. It is recommended to use it for chronic or acute candidiasis, for the preventive purposes of recurrent pathology, as a complex treatment of fungal diseases.
Pros:
- does not pose a threat to health during pregnancy for mother and child;
- suitable for preventive purposes of candidiasis;
- does not provoke addiction;
- in the shortest possible time relieves the unpleasant symptoms of thrush;
- prevents the development of pathogenic microorganisms, increases the body's resistance to pathogenic microflora;
- one package (3 candles) is enough for the treatment of a mild form of the disease.
Minuses:
- overcharge;
- contraindications: hypersensitivity to the components of the drug.
Polygynax
The drug is characterized by a complex effect on the body and is one of the most effective medicines for candidiasis. Active ingredients: neomycin sulfate, polymexin, nystatin have an effect on the pathogenic microflora. They paralyze and destroy the fungus that triggered the pathological process, and prevent further infection. In addition, the antimicrobial drug is suitable for the treatment of various kinds of infectious and inflammatory pathologies of the reproductive system.
Pros:
- suitable for preventive purposes of diseases of the genitourinary system;
- excellent portability;
- the activity of lactobacilli, which are part of the natural microflora of the vagina, is not disturbed;
- painful manifestations of candidiasis are stopped in the shortest possible time;
- actually not absorbed into the systemic circulation;
- improved trophic processes in the vaginal mucosa.
Minuses:
- occasionally negative effects are likely: allergic reaction, local burning;
- overcharge;
- leaves greasy marks on the laundry;
- contraindications: increased susceptibility to the components of the drug.
Clotrimazole
The best remedy for thrush for women. The drug is on the list of the most commonly used drugs in the treatment of candidiasis. It can be used if there is a chronic and acute stage of pathology. The drug gives a persistent antifungal effect. The active ingredient, clotrimazole, will disrupt the synthesis of ergosterol, the main element in the cell membrane of the fungus. This leads to a delayed appearance of new cells of pathogenic microorganisms (with an insignificant concentration of the agent) or to their complete elimination (with an increased dosage).
Pros:
- effective in acute and chronic pathology;
- the spectrum of action of the agent can cover virtually the entire pathogenic microflora, in addition, the drug has antimicrobial, anti-amebic, antichomonas effects;
- acts on gram-negative and gram-positive microorganisms;
- adequate price.
Minuses:
- with constant use, the fungus forms an addiction to the drug;
- it is forbidden to use in the 1st trimester of pregnancy, with hypersensitivity to the components of the drug;
- probable negative reactions: itching, cystitis, burning.
Nystatin
The drug is referred to as budget medicines for candidiasis. The tool will quickly destroy the fungal infection, but it is ineffective against bacteria. It is possible to use it at the initial stage of the disease. The active ingredient, levorin, in a significant dosage helps to destroy the fungus, in small doses it slows down their growth. It is recommended to use it for acute or chronic candidiasis at various stages, for prophylactic purposes of the disease, for people with a weakened immune system.
Pros:
- the medicine has a pronounced antifungal effect;
- even with constant use, the addiction of the fungus to the medication is formed extremely slowly;
- insignificant toxicity;
- is not actually absorbed into the bloodstream;
- unpleasant symptoms decrease already on the next day of use.
Minuses:
- contraindications: pregnancy, pancreatitis, liver diseases, hypersensitivity;
- negative reactions: dysbiosis, chills;
- the product is ineffective against bacteria.
Terzhinan
The drug is intended for local therapy of gynecological pathologies. At this stage, there are no analogues of the drug.The drug has 4 active components: neomycin (an antimicrobial agent with extensive action), ternidazole (eliminates Trichomonas), prednisolone (a hormonal component that relieves inflammation and allergies), nystatin (a powerful anti-fungal agent). Terzhinan is recommended for use in inflammatory diseases of the vagina, bacterial and fungal forms of vaginitis, etc.
Pros:
- suitable for the treatment of various kinds of gynecological diseases;
- quickly relieves thrush of varying severity;
- ensures proper ph-balance inside the vagina;
- the integrity of the walls of the mucous membrane is restored;
- it is permissible to use for prophylactic purposes inflammatory processes before childbirth, gynecological surgical interventions;
- no negative reactions after application.
Minuses:
- overpriced;
- active ingredients can interfere with the consolidation, formation of the fetus, therefore it is not recommended to use it in the process or at the stage of pregnancy planning;
- contraindications: hypersensitivity to the components of the drug.
The best pills for thrush
In the treatment of any fungal disease, there are indications when a single local treatment using suppositories, creams or ointments will not be enough. In such a situation, oral agents for internal use, in encapsulated or tablet form, are required, capable of creating an appropriate concentration of antifungal or fungicidal agent in the bloodstream.
In a situation where the use of antifungal capsules or tablets is combined with local therapy, candidiasis is attacked “from 2 sides” (from the surface of the mucous membrane or skin and from the bloodstream). Directly such a complex method of therapy will make it possible to eliminate the symptoms of thrush in women with a weakened immune system in the shortest possible time.
Orungal
The agent in question, which is manufactured by the popular pharmaceutical brand Janssen-Cilag, is considered one of the most expensive of all itraconazole preparations existing on the domestic market. Orungal effectively fights against various manifestations of thrush, as well as candidal stomatitis and vaginitis. The drug is capable of stopping fungal sepsis, counteracts sporotrichosis, it is used to treat cryptococcal pneumonia, versicolor versicolor, and other mycoses. One capsule contains 100 mg of the active ingredient. With standard vulvovaginal thrush, 1 capsule is swallowed completely immediately upon completion of a meal.
Pros:
- actively counteracts the causative agents of candidiasis;
- prevents the development and spread of pathogenic microflora;
- makes it possible to effectively eliminate thrush of varying complexity;
Minuses:
- strong side effects;
- overpriced.
Nizoral
The medicine has been developed for the systemic and local therapy of fungal pathologies. The active substance, ketoconazole, is characterized by pronounced antifungal and mycostatic effects. It slows down synthesis, changes the composition of the membranes of fungal cells, which leads to the death of pathogenic microflora. With the bloodstream, the drug is carried throughout the body, covering all foci of infection, therefore, it is possible to use pills with different localization of thrush. The duration of use is at least 5 days, even when the symptoms have disappeared earlier. Otherwise, the fungus will develop resistance to the drug.
Pros:
- not absorbed into the general circulation;
- effective against fungus of various localization;
- makes it possible to effectively fight thrush of varying severity;
- normalizes the microflora of the vagina.
Minuses:
- contraindications: renal, hepatic diseases, pregnancy, breastfeeding, allergic reaction to the components of the drug;
- probable side effects: disorders of the nervous system, in the digestive tract, in blood clotting.
Fluconazole
The best remedy for thrush for men.This medication has a lot of positive characteristics. The active substance, fluconazole, helps to suppress the enzymes of the fungus, which provide the causative agent of thrush with proper nutrition, reproduction and growth. Unlike other drugs with long-term therapy, Fluconazole helps to eliminate the mild form of the disease in 1 dose (150 mg). When the pathological process is recurrent, characterized by a severe course, or arose with the use of antimicrobial agents, the dose and duration of therapy is prescribed by a specialist, having previously estimated the patient's condition.
Pros:
- fast absorption;
- long-term action;
- actively counteracts the fungus;
- quickly restores the microflora of the mucous membrane;
- prevents the growth of fungus and further infection;
- reduces the manifestations of thrush after 1 dose.
Minuses:
- probable side effects: allergic reaction, impaired functioning of the nervous system, kidneys, digestive tract;
- contraindications: pregnancy;
- exceeding the dosage causes paranoid behavior, therefore, the therapeutic regimen is prescribed directly by the specialist.
Diflucan
The drug is one of the most common drugs for the relief of candidiasis. To a small extent, this is influenced by the advertising company. In addition, this drug is very convenient to use - you need to take 1 tablet 1 time and thrush in a mild form will disappear. When there is a recurrence of pathology, 1 tab is taken every month. for 6 months.
The main active ingredient of this drug is fluconazole, which has a powerful anti-fungal effect. The capsule is washed down with a significant amount of water. Diflucan has cheap analogues, for example, Fluconazole, Flucostat, Mikoflucan, etc.
Pros:
- fast action;
- comfort in use;
- can be used for the treatment of chronic thrush.
Minuses:
- a large number of side effects;
- prohibited during pregnancy and breastfeeding;
- there are contraindications;
- overcharge.
What remedy for thrush to buy
To know which remedy is better for thrush, you need to familiarize yourself with the following recommendations:
- Livarol with antifungal and antimicrobial effect is excellent for the primary therapy of candidiasis.
- A medicine that is effective in acute and chronic course of pathology - Clotrimazole.
- During pregnancy or lactation, Pimafucin is used.
- The most inexpensive is Nystatin.
- When a drug is required that is effective with other infectious and inflammatory pathologies of the genitourinary system, then Polygynax is chosen.
- A drug that eliminates candidiasis of any severity - Terzhinan, Nizoral.
- When a drug is required that quickly and effectively destroys the fungus, it is optimal to purchase Fluconazole.
Based on these recommendations, it is possible to choose the most effective remedy for thrush.