The most powerful medicine for thrush. Review of the most effective tablets for thrush. Folk remedies for thrush

Thrush, or otherwise “candidiasis,” is an inflammatory disease of the vaginal mucosa caused by excessive growth of fungi of the genus Candida. This fungus is normally present in almost 90% of women and is part of the normal microflora, however, there are a number of reasons why this microorganism begins to multiply intensively, causing discomfort.

Treatment of thrush in women

Forms of drug treatment for candidiasis

Note! Thrush is not a sexually transmitted disease, however, it can be transmitted to a partner, therefore, if symptoms appear, you need to consult a gynecologist as soon as possible and use drugs against thrush in women according to the prescribed treatment.

Main forms of drugs, which are used to treat the disease :

1. Tablets

The tablets are good because their active substance remains in the blood for up to 30 hours and destroys the fungus throughout the body, and not just at the main location.

If the thrush is mild, then only 1 capsule will be enough. In acute or chronic forms, local remedies alone are not enough; they will need to be combined with tablets.

Capsules against thrush in women contain substances such as: nystatin, natamycin, fluconazole, ketoconazole, miconazole. Preparations containing these components differ only in the single dosage and duration of the course of use.

2. Candles

Suppositories help quickly neutralize the discomfort from candidiasis because they penetrate deeply in the vagina and relieve inflammation with affected mucous membrane.

Recovery from candidiasis, unfortunately, with the help of suppositories alone will be possible with a mild degree of the disease

In complex cases, complex treatment is necessary. The undoubted advantage of suppositories is that they have virtually no side effects, unlike tablets, so some types of suppositories can be used by pregnant women.

3. Ointments

The use of this form of medication is advisable if you need to quickly eliminate itching and burning. The cream is absorbed into the mucous membrane, but unlike tablets, the active substance minimally enters the bloodstream and does not harm the body, which means it is suitable for breastfeeding women.

The use of anti-thrush drugs in the form of ointments has a disadvantage - the results will only be with a mild form of the disease, and the fungus is destroyed locally. To completely eradicate the causative agent of candidiasis in the body, it is necessary to combine ointment with tablets.

4. Traditional medicine

There are a number of home recipes against thrush in women. It is not necessary to use pharmaceutical drugs, because at the very early stage, You can destroy the fungus with improvised means:

Important to remember! The use of traditional methods, especially douching with solutions of soda and vinegar, is not recommended for longer than 3 days, because the pH balance can be upset.

Some methods of traditional medicine should absolutely not be used for certain diseases

Top 10 popular medications for thrush

Thrush is such a common disease in women that the pharmaceutical industry is constantly releasing more and more new drugs against this unpleasant disease.

Therefore, it will be discussed below top 10 effective and most popular products:

1. Diflucan Available in capsules, solution for infusion, powder for suspension.
   The 150 mg capsule should be taken orally without chewing; dilute the powder for suspension with two tablespoons of boiled water and consume internally; the rate of intravenous administration of the solution should be no more than 10 ml/min.
   Special instructions: People with kidney, liver and heart diseases should always consult a specialist before use. Dizziness is possible.
   The approximate price for a package with 1 capsule at a dosage of 150 mg is 400 rubles; powder for preparing the suspension – 520 rubles; solution for infusion – 700 rub.
2. Available in tablets, cream, suppositories.
   Tablets should be taken 1 piece at a time. 4 times a day for 7 days; use 1 candle each. per day, 3–4 days; the cream must be applied several times a day until the symptoms disappear.
   Pimafucin is a drug available in three pharmacological forms

   Special instructions: Patients with galactose, fructose, and sucrose intolerance should consult a specialist. Treatment with this medicine cannot be combined with alcohol, since ethyl alcohol only worsens candidiasis.
   The approximate price for a package of 20 tablets is 500 rubles; vaginal suppositories – 290 rubles; cream 2% – 270 rub.

3. Clotrimazole Available in the form of: vaginal cream, vaginal tablets, cream, ointment, powder and solution for external use.
   A solution, ointment or cream for external use should be applied to the mucous membrane in a thin layer 3 times a day for 2-4 weeks; vaginal cream is administered 5 mg once a day for 3–4 days; vaginal tablets are used in a dosage of 100 mg once a day for 5–7 days, or in a dosage of 200 mg for 3 days, or in a dosage of 500 mg once.
   Special instructions: There is no need to apply bandages after applying the cream, ointment or solution. Patients with liver failure should consult a doctor before using the drug.
   Approximate price for a package of vaginal tablets 6 pcs. – 25 rubles; vaginal cream 1% – 60 rub.; ointment 1% – 40 rubles; solution for external use – 170 rub.
4. Available in vaginal suppositories.
   It is necessary to use 1 candle per day for 3-4 days.
   Special instructions: To prevent relapse of the disease, parallel treatment of the partner is necessary.
   Approximate price for a package of suppositories 5 pcs. – 480 rub.
5. Hexicon Available in suppositories and solution for external use.
   Suppositories must be used 2 times a day for 8–10 days; the solution is used for irrigation and application, 5–10 ml is applied to the mucous membrane of the genital organs.
   Special instructions: hexicon is not an antimycotic drug, it has a bactericidal effect and helps normalize the vaginal microflora.
   Approximate price for a package of candles 10 pcs. – 270 rub.; solution – 80 rub.
6. Mikosist Available in capsules with dosages of 50, 100 and 150 mg and solution for infusion.
   It is necessary to select the desired dosage depending on the course of the disease and take the capsule orally with water; the solution should be administered intravenously at a rate of 10 ml per minute.
   Special instructions: If signs of kidney and liver damage appear, stop taking the drug. Drive with caution as dizziness may occur.
   Approximate price for a package of capsules 7 pcs. with a dosage of 50 mg – 550 rubles; solution 100 ml – 430 rub.
7. Epigen-intim Available in spray and gel for intimate hygiene.
   The spray should be used intravaginally 2-3 times a day for 5-7 days; The gel is recommended to be used daily for washing in order to maintain the correct microflora of the genital organs.
   Special instructions: If signs of intolerance appear, you must immediately stop using the drug.
   The average price for a spray of 0.1% 15 ml is 950 rubles; gel 250 ml – 780 rub.
8. Terzhinan Available in vaginal tablets.
   It is necessary to administer 1 tablet per day for 10–15 days.
   Special instructions: It is advisable to treat the sexual partner to prevent relapse.
   Approximate price for a package of vaginal tablets 6 pcs. – 320 rub.
9. Mycomax Available in capsules with a dosage of 100 and 150 mg, syrup, solution for infusion.
   The capsule with the required dosage must be taken once; syrup should be consumed 50 mg once a day for 5–7 days; administer the solution intravenously at a rate of no more than 10 ml per minute.
   Special instructions: Use cautiously in case of liver and kidney disease.
   The approximate price for a package of 150 mg capsules is 230 rubles; syrup – 450 rub.; solution for infusion – 130 rub.
10. Available in the form of vaginal suppositories.
    It is necessary to use 1 capsule-suppository per day for 6–10 days.
    Special instructions: When using the drug, use barrier contraceptives. There is no need to interrupt treatment during the menstrual cycle.
    Approximate price for a package of candles 6 pcs. – 300 rub.

Complex therapy of the disease

For treatment to be successful, it is necessary not only take special medications against thrush in women, but also carry out a set of the following measures:

1. Use immunocorrective agents

Since candidiasis most often occurs with weak immunity. Such drugs are divided into several categories:

2. Restore the acidity of the environment

After treating thrush, it is necessary to balance the pH balance in the intimate area, as well as normalize the microflora. Usually, suppositories with lactobacilli, for example “Acilact” or “Bifidumbacterin”, are prescribed for these purposes.

3. It is necessary to adjust your diet

It is advisable to exclude sweet and flour products from the diet, because the fungus actively multiplies thanks to glucose, in addition, you need to give up alcohol, as well as any food that causes fermentation (mushrooms, black bread, cabbage). You should eat more vegetables and unsweetened fruits, foods rich in protein (meat, seafood, cottage cheese), garlic and onions.

4. Hygiene

No matter what anti-thrush medications are used, women will constantly have relapses if basic hygiene rules are not followed. During treatment, you need to avoid intimacy with your partner so as not to infect him.. It is necessary to wash your face twice a day and change your underwear on time, and also avoid using sanitary pads.

Carefully! You should not use any antibacterial soap for washing, either during the treatment of candidiasis or afterwards, because it washes away all microflora, including beneficial ones. It is better to use intimate hygiene gels containing lactic acid.

5. Eliminate factors that provoke the disease

To successfully combat thrush, as well as to prevent it, you need to follow simple rules. It is best to avoid hypothermia and infectious diseases so that the immune system is normal.

It is advisable to conduct an examination of the body and if there are problems in the functioning of the genitourinary system, kidneys, liver, or intestines, it is recommended to begin treatment.

Besides, if you are prone to recurrent thrush, you must immediately exclude flour and sweet foods from the menu to prevent fungi from multiplying. Of course, it wouldn’t be out of place to talk about properly selected underwear.

If you wear synthetic and tight underwear, most likely the main conditions for candidiasis will be created - a warm and humid environment

New generation medicines

In conclusion, it should be noted that there are now available the most modern new generation drugs against thrush in women:

• Polyenes– these are 4th generation antimycotics, they are less toxic, but at the same time retain a high therapeutic effect thanks to amphotericin B.
  Currently, the development and registration of new drugs from this group is still underway, but several drugs can already be found on the pharmaceutical market - Ambizome, Amphocil and Abelset.
• Echinocandins– are used for fluconazole-resistant candidiasis, are low toxic and have no contraindications for renal failure.
  Echinocandins inhibit the synthesis of an important component of the fungal cell wall, which is why they are so effective. This group of drugs is represented by the following drugs: caspofungin, micafungin and anidulafungin.

Today there are a great many ways to get rid of thrush, the main thing is not to forget that only a specialist can select the necessary methods and medications.

From this video you will learn how to properly treat thrush by watching the episode of the TV show “Live Healthy!” with Elena Malysheva:

In this video, a qualified gynecologist will share with you the correct and effective methods of treating thrush:

You can find out what medications to use to treat Candidiasis not only in women, but in children and men in this video:

Thrush, or candidiasis, is one of the most common diseases among women. In the initial stages it is safe, but in advanced cases it entails irreversible consequences. Often, it is transmitted sexually from men. However, the reasons for its appearance can also be a decrease in immunity, contact with chemicals, wearing tight underwear, metabolic problems, and taking antibiotics.

The disease must be treated with antifungal drugs. More often, these are tablets, suppositories, capsules, creams and solutions. The advantages of the former are rapid action, elimination of the disease everywhere (and not just at the site), and the ability to adjust the dosage. It is worth noting that therapy and the choice of medications depends on the severity of the symptoms, duration and reasons for their occurrence, as well as on the contraindications the patient has. Therefore, certain tablets can only be prescribed by a specialist.

Pharmacies sell many different anti-thrush medications. Some are available without a prescription. It is impossible to determine which medicine is better in a particular case. Only a doctor can do this after consultation and examination. The main thing is that it is effective and safe for the patient. As a rule, antifungal agents fight inflammation, eliminate itching, restore microflora and improve immunity.

In the rating below we have placed the most prescribed tablets for candidiasis, which have positive reviews from patients. Their effectiveness has been proven in practice. The drugs are divided into categories depending on the method of use.

There are contraindications. Consult your doctor.

The best oral thrush tablets

5 Nystatin

Best for thrush prevention
Country Russia
Average price: 62 rub.
Rating (2019): 4.7

One of the cheapest but most effective remedies. Kills fungal microorganisms without being absorbed into the digestive tract. Allowed for pregnant women, but only as a last resort. Quickly suppresses the first symptoms of thrush. Best used for preventive purposes. For example, after long-term use of antibiotics or surgical intervention in the gastrointestinal tract.

Patients who have undergone Nystatin therapy report positive results. According to reviews, the active substance quickly penetrates the source of inflammation, eliminating the causes of the disease. Often after using the product, side effects occur in the form of vomiting and allergies. But this is typical only for cases of long-term treatment.

4 Fluconazole

The most affordable tablets
Country Russia
Average price: 18 rub.
Rating (2019): 4.8

The most common inexpensive drug among patients. It has many positive reviews due to its powerful action. The active component inhibits enzymes that promote the proliferation and activity of the fungus. Effective for mild forms of thrush. A single dose can completely eliminate the problem. Fluconazole is also suitable for other degrees of the disease. The dosage and duration of treatment, in this case, is prescribed by a specialist.

The advantages of tablets for women include fast action, reduction in symptoms, long-lasting results, restoration of natural microflora, low cost. During treatment, care must be taken to avoid overdose. The drug may cause hallucinations.

3 Pimafucin

The safest drug
Country: Netherlands
Average price: 536 rub.
Rating (2019): 4.8

Pimafucin is the best safe and, at the same time, very effective drug for the treatment of candidiasis. It is prescribed to women during pregnancy and lactation. Available in various forms, including a cream for men. There are practically no side effects, except in individual cases.

To achieve better results, experts recommend Pimafucin tablets in combination with other dosage forms of the drug, for example, suppositories. Patients like that the product is harmless and quickly produces a positive effect. Fights against many pathogens of fungal infections. An undoubted advantage is also the possibility of therapy for men.

2 Diflucan

Tablets for chronic thrush
Country: France
Average price: 1,031 rub.
Rating (2019): 4.9

Diflucan is the simplest remedy against candidiasis. Effective in chronic and acute forms. One tablet completely eliminates the symptoms and further development of the disease. This is one of the best drugs that works powerfully at the source of infection. A wide spectrum of action allows you to cope with various types of fungi.

Doctors readily prescribe Diflucan to many patients. It is worth noting that the tablets are among the most powerful, and therefore have serious contraindications. Not compatible with some medications. They are prohibited for use by pregnant and lactating women, and persons with heart and kidney diseases. Adverse reactions occur rarely. Basically, taking the medicine is tolerated without consequences.

1 Nizoral

Best effectiveness for any severity of disease
A country: Belgium – Italy – Russia
Average price: 350 rub.
Rating (2019): 5.0

The product is suitable for both local and systemic treatment. It is a good inexpensive analogue of expensive tablets. Effective against most common fungal pathogens. Penetrating into the blood, the active substance quickly spreads throughout the body, destroying harmful cells in different areas. The advantage of Nizoral is its high effectiveness for any severity of thrush.

As patients note in reviews, the drug eliminates the symptoms of the disease in a short time and restores the microflora. Of course, due to its powerful action, it has serious contraindications and side effects. Taking pills on your own, without consulting a doctor, is not recommended. If you follow the instructions exactly, you can get rid of the problem in a few days.

The best vaginal tablets for thrush

5 Clotrimazole

Best price. The most popular drug
Country Russia
Average price: 30 rub.
Rating (2019): 4.6

One of the few medicines that can be used without consulting a doctor. Available in several versions (cream, ointment, tablets, powder). Most women prefer vaginal tablets. In their opinion, they are the most effective forms available. They have a wide spectrum of action. Safe for pregnant and lactating women.

Additional benefits include the possibility of using Clotrimazole by men. Of course, in the form of a cream. In reviews, patients indicate that the drug is well tolerated, does not cause adverse reactions, and is compatible with other medications. The medicine is also attractive due to its inexpensive cost. High efficiency and low cost make Clotrimazole even more in demand among patients.

4 Klion-D 100

Effective for vaginitis of mixed origin
Country: Hungary
Average price: 360 rub.
Rating (2019): 4.7

The active components of the composition are metronidazole, miconazole nitrate. Presented as vaginal tablets. When inserted into the vagina, after 6-12 hours they are detected in the blood. Prescribed by a doctor when the patient has several causes of thrush. One of the best tablets that simultaneously have an antimicrobial and fungistatic effect. The drug successfully copes with diseases caused by unicellular organisms - dysenteric amoeba, intestinal lamblia.

If you have diabetes, you must consult a doctor to use the medicine. It is not recommended for use by girls under 12 years of age, women in the first trimester of pregnancy, during lactation, or leukopenia. Before use, it is recommended to moisten the vagina with clean water and insert the tablet deeper. The best time for the procedure is late evening before bedtime. The frequency of manipulations is 1 time per day, 1 piece for 10 days. For reliable results, in special cases, additional oral medication is recommended not only for the patient, but also for her man. Lactose intolerance is considered a reason to replace Klion-D with another drug.

3 Neotrizol

Penetrates the bacteria and destroys it from the inside
Country: India
Average price: 476 rub.
Rating (2019): 4.8

The problem is solved by the most effective method - the product penetrates into the cell and has a blocking effect on protein synthesis, which reduces the survival of microbes. The composition includes neomycin, an antibacterial agent from the group of aminoglycosides. They, in turn, are effective fighters against gram-positive and gram-negative microorganisms. The drug is prescribed for vaginosis, vaginitis of bacterial origin. Used before surgery, childbirth, and the introduction of intrauterine contraceptives.

Tablets are administered before bedtime, 1 piece. After the procedure, they remain in a horizontal position for a quarter of an hour. The duration of the course is determined by the doctor; the standard period is 8 days. When menstruation occurs, administration is not interrupted. Elimination of symptoms is not considered a reason to interrupt treatment. After completing the course, the doctor examines the patient and makes a decision on completing or extending treatment. Neotrizol is available with a special applicator for administration. Together with the tablet, place it in a container with warm water for 2-3 seconds, after which it is inserted deeply into the vagina. The applicator is released and removed. It is necessary to immediately wash it with a water-soap solution, dry it and put it aside until next time. According to patient reviews, the medicine is tolerated without negative consequences.

2 Terzhinan

Combined action
Country: France
Average price: 428 rub.
Rating (2019): 4.9

One of the oldest, cheapest and most prescribed drugs. It is characterized by a combined effect aimed at eliminating pathogenic microbes and fungi. The main substance is ternidazole, which quickly and effectively treats candidiasis. There are practically no contraindications, for which Terzhinan has received recognition from a large number of patients.

Ease of use of the drug is also important. Since the release form is vaginal tablets, they are used before bedtime once a day. The course lasts 10 days, during which time the woman completely gets rid of the symptoms and causes of the disease, as well as possible relapses. At the same time, the tablet completely dissolves and does not flow out. Terzhinan is allowed during pregnancy and lactation (except for the first trimester), side effects are rare.

1 Irunin

The most effective vaginal tablets
Country Russia
Average price: 348 rub.
Rating (2019): 5.0

A modern remedy to combat thrush. By destroying the cell membrane of fungi, it treats all types of candidiasis. It accumulates on the walls of the internal genital organs, thereby having a highly effective long-term effect. The course of therapy is 1 or 3 days. In this case, the therapeutic effect continues over the next few days.

Such a powerful effect cannot but have a downside. Adverse reactions manifest themselves in the form of disruption of the digestive system, nervous system, and sensory organs. There are many contraindications, especially for women of reproductive age. The drug is toxic and can therefore cause abnormalities in the development of the unborn fetus. Before use, consult a doctor.

Thrush is one of the most common gynecological diseases. In most cases, it is not dangerous, but without treatment the disease can become advanced and even chronic. Considering that the symptoms of thrush are extremely unpleasant (these include burning and itching of the genitals, copious white discharge, irritation of the genitals, etc.), it is better to treat the disease immediately after detection. It is also worth considering that thrush is a contagious disease. It is caused by the fungus Candida, which takes root well on any mucous membranes - for example, in the oral cavity.

Thrush is treated mainly with antifungal drugs. Typically, such drugs have a fairly wide spectrum of action, and therefore they need to be selected with special attention - it is important that the medicine is both effective and safe. A specific drug should be prescribed by a doctor after examination and consultation. We can only list the most popular and effective remedies for thrush.

The list below is compiled based on reviews from customers, as well as recommendations from doctors. Nevertheless, Let us note once again that a physician must prescribe a specific medicine- taking into account how the disease progresses, as well as what individual characteristics the patient has.

Polygynax

Polygynax is a complex antifungal and antibacterial drug, which is available in the form of intravaginal capsules. Polygynax is very effective in treating thrush, and most importantly, this remedy has a mild effect and is relatively safe. The only side effects of Polygynax include allergic reactions to the components of the drug. They occur very rarely, and if they occur, use of the drug is discontinued.

Polygynax does not have many contraindications. The main one among them is the first trimester of pregnancy. In the second and third trimesters, as well as during breastfeeding, Polygynax is prescribed by a doctor individually. As a rule, in such cases, the drug is allowed if the potential benefits of treatment outweigh the risks associated with it.

Polygynax is available in packages of 6 and 12 capsules. As a rule, a package of 6 capsules is enough for a full course of treatment. The cost of such a package of Polygynax is about 270 rubles.

Diflucan

Diflucan is a broad-spectrum antifungal agent. The drug is available in tablets for oral administration. The main advantage of Diflucan is the ease of treatment: to get rid of thrush, it is enough to take one tablet of the drug orally. The active ingredient in Diflucan is fluconazole, which inhibits the growth of fungi. Fluconazole “works” not only against the yeast-causing fungus Candida, but also against many other fungi.

It is important to note that Diflucan is a very strong drug. Contraindications include pregnancy and lactation, diseases and disorders of the liver and kidneys. Diflucan is also incompatible with some medications.

The medicine is generally well tolerated, side effects are very rare. The cost of the drug is about 400 rubles. for 1 pack of tablets.

MIKOmax

MICOMax is another drug based on fluconazole. The medicine is available in several forms, including capsules, syrup, and solution. For thrush, a single dose of 150 mg capsules is sufficient.

MIKOmax should not be used during pregnancy or breastfeeding. The most common side effect is an individual allergic reaction to the components of the drug. However, even cases of allergies occur very rarely - MICOMax is a relatively safe drug. The cost of MIKOmax in capsules is from 200 rubles.

Festive video recipe:

Pimafucin

Pimafucin is available in the form of vaginal suppositories, cream and tablets. The main active ingredient of the drug is the broad-spectrum antifungal antibiotic natamycin. It is very effective and well tolerated - so much so that Pimafucin is prescribed even to pregnant and lactating women.

The drug has almost no contraindications (except for individual tolerance of its components). In addition, it has virtually no side effects: these include, in very rare cases, nausea and stomach pain when taking pills, as well as burning and irritation when using local medications. In general, Pimafucin is one of the safest and at the same time effective drugs for the treatment of thrush. The cost of oral tablets is about 370 rubles, vaginal suppositories - about 150 rubles, topical cream - about 250 rubles.

Terzhinan

Terzhinan is quite an old, but at the same time very effective drug. It has a combined antimicrobial and antifungal effect, providing effective treatment for thrush. Terzhinan is available in vaginal tablets, the main active ingredient is ternidazole. Terzhinan is used 1 tablet 1 time per day before bedtime. The average course of treatment is 10 days.

The drug is not prescribed in the first trimester of pregnancy. In the second and third trimesters, as well as during breastfeeding, the medicine is prescribed by a doctor. Otherwise, Terzhinan has no contraindications, and local reactions (burning, redness) are very rarely observed as side effects. The cost of Terzhinan is from 220 rubles. per package.

Clotrimazole

This drug is available in the form of tablets, cream, ointment, and powder. To treat thrush, the cream is most often used, which is recommended to be applied 2-3 times a day throughout the course of treatment. On average, the duration of treatment is about 4 weeks. In practice, it is recommended to continue using the cream for 1-2 weeks after the symptoms of thrush have disappeared. Clotrimazole is a very well-known antifungal drug that has a wide spectrum of action.

This drug is relatively safe, but it is not prescribed in the first trimester of pregnancy. At later stages, as well as during lactation, it is recommended to use clotrimazole with caution - the decision on prescribing the drug should be made by a doctor. The drug has no other contraindications, and the only side effects are very rare individual allergic reactions to the cream, which can manifest as itching, burning and redness. The cost of Clotrimazole in the form of cream is about 50-70 rubles.

Epigen-Intim

Epigen-Intim belongs to the group of antiviral drugs and is a solution for topical use. The medicine has an anti-inflammatory, immunostimulating, antiviral effect, and effectively fights fungal diseases. Epigen-Intim is prescribed during pregnancy and lactation; the drug has no contraindications. The solution does not produce side effects with the exception of very rare allergic reactions, which manifest themselves in the form of burning, redness, etc. The cost of the Epigen-Intim solution is about 600 rubles.

Livarol

Livarol is a vaginal suppository that provides effective and safe treatment for thrush. The great advantage of Livarol is the fact that the drug gives good treatment results, including for chronic thrush. Livarol can be used during pregnancy with the exception of the first trimester. The drug can also be prescribed during breastfeeding.

The duration of treatment for thrush with Livarol is 5 days. In the chronic form of the disease, the treatment course is doubled and is 10 days. The cost of Livarol is about 300 rubles. for a pack of 5 candles.

MIKOsyst

MIKOsist is another drug based on fluconazole. It is available in capsule form for oral administration and has a pronounced antifungal effect. MIKOsist is not prescribed to pregnant and lactating women, as well as children under 6 months. Also, the drug is not recommended for those who have kidney problems. In very rare cases, MIKOsist can cause side effects from the gastrointestinal tract (nausea, stomach pain, digestive system upset), central nervous system (headaches, dizziness), allergic reactions. However, in general, MIKOsist is a relatively safe and at the same time effective drug. The cost of MIKOsist is about 300-350 rubles.

Hexicon

Hexicon belongs to the group of disinfectants and antiseptics. It is completely safe and can be used to treat thrush, including in pregnant and lactating women. Hexicon has a pronounced therapeutic effect, helping to quickly cope with thrush, as well as preventing the re-development of the disease. Hexicon is a vaginal suppository, which can also be used in preparation for childbirth for sanitation. Hexicon does not cause side effects with the exception of very rare individual allergic reactions to the components of the drug. The cost of Hexicon candles is about 250 rubles.

Thrush - this delicate problem is familiar to both women and men. Itching and burning can ruin your mood for a long time, but timely and high-quality treatment of candidiasis can quickly get you back on track. Today, the pharmaceutical industry offers a wide selection of drugs to suit every budget. Are there really inexpensive and effective tablets for thrush? Let's try to figure it out.

What is “thrush”? It is a fungal disease caused by yeast-like fungi of the genus Candida. In a healthy body, these fungi live quietly, without causing any pathological changes. However, when the poisonous conditions coincide, Candida begins to harm us.

Reasons for exacerbation:

• humidity
• occupational hazards
• taking antibiotics
• trauma to the vaginal mucosa, penis
• endocrine pathologies
• diseases associated with metabolic disorders

Symptoms of thrush:

• itching in the affected area
• burning, redness, discomfort
• white flaky discharge
• erosion
• pain during intercourse or urination
• The mucous membranes of the mouth are covered with a white coating, like after milk, which is why the disease is called “thrush”

Types of disease:

• vulvovaginitis, balanitis,
• fungal stomatitis of the oral mucosa
• candidiasis of the nails (onychia and paronychia)
• intestinal candidiasis
• generalized candidiasis

Review of drugs

So what are the inexpensive and effective treatments for this delicate problem?

Nystatin

Today, doctors around the world choose these tablets for effective treatment of candidiasis. This inexpensive remedy for thrush saved our grandmothers and today has become a truly golden classic. What attracts doctors to this medicine? First of all, its effectiveness. Nystatin has an excellent effect on all types of yeast fungi, without serious contraindications (impaired liver function, pancreatitis, stomach ulcers). It is effective and safe for both short-term and long-term treatment, and does not require complex regimens or vigilant monitoring. And the main feature of these tablets is that they can be used by children of the first year of life. The cost of one package of the drug is less than 150 rubles. and it definitely won’t hurt your pocket.

How to take Nystatin correctly?

The drug is taken orally, 500 thousand units 3-4 times a day, or 250 thousand units. 6-8 times. If you use vaginal tablets for thrush, then the drug must be taken intravaginally after vaginal hygiene, 2 times a day, 250 thousand units.
The course of treatment is 10-14 days. Possible side effects: nausea, diarrhea, allergic reactions.

Fluconazole

• Price: 45-50 rub.
• Clinical and pharmacological group: antifungal
• Active ingredient: Fluconazole
• Condition for dispensing from a pharmacy: available without a prescription
• Analogs: Mikosit (302 RUR), Diflucan (2012 RUR), Mikomax (236 RUR), Diflazon (206 RUR)

Here is another inexpensive remedy for thrush. The average price in pharmacies for this medicine is 132 rubles per pack. This drug has the advantage of being available in a variety of forms: tablets, ointments and even shampoos. Ketoconazole does not have any special contraindications, but it should be remembered that self-administration of it to children can be dangerous! Be sure to consult a specialist!

How to use?

Adults should take 1-2 tablets. orally (200-400 mg) once a day. To improve absorption of the drug, you can drink it with an sour drink. Unlike most other remedies, women cannot take these tablets for thrush without a doctor's prescription. You can’t just buy them at the pharmacy.

Itraconazole

• Price: 250-350 rub.
• Clinical and pharmacological group: antifungal
• Active ingredient: itraconazole (in pellet form)
• Condition for dispensing from a pharmacy: by prescription
• Analogs: Vorizol, Vfend, Diflazol, Irunin, however their price is much higher.

These are good anti-candidiasis pills for men, but are also suitable for women. Despite the fact that doctors most often prescribe antifungal agents to men in the form of a cream or ointment, when it is necessary to use pills, this is the remedy they choose. The price of Itraconazole varies from 250 to 350 rubles. per package.

How to use?

The drug is taken twice at 200 mg per day, or once at 200 mg for 3 days. When choosing traconazole, remember that they are contraindicated for people with cardiovascular disease. Itraconazole also has an adverse effect on the liver, so if you experience symptoms such as nausea, bitterness in the mouth, loss of appetite, or dull pain in the right hypochondrium, you should stop taking the pills and consult a doctor immediately. This and

Clotrimazole

• Price: 31 rub.
• Clinical and pharmacological group: antifungal, local use
• Active ingredient: clotrimazole
• Condition for dispensing from a pharmacy: without a prescription
• Analogues: Imazol Cream/paste, Fungisan cream, Canesten spray, Candisan ointment, Candide powder for external use

This drug is available in all possible forms: capsules, vaginal tablets, suppositories, ointments, creams, solutions for external use. Moreover, the medicine has no contraindications except pregnancy, lactation and sensitivity to the drug.

Side effects of Clotrimazole include swelling and irritation of the skin and mucous membranes, nausea, headache, and frequent urination. These tablets help not only women but also men against thrush, but the course of treatment with them can last more than 7 days. But due to the absence of contraindications, sometimes this is the only drug that can be prescribed for recovery.

How to use?

The drug is prescribed in 1 tablet. 2 times a day for 3 days or 1 tablet. 1 time a day for 6-7 days, preferably before bedtime. If symptoms persist for more than 8 days, you should consult a doctor.

Alternative to pills

Separately, I would like to touch upon the topic of vaginal suppositories for thrush, which include: Irunin, Livarol, Betadine, Lomexin, Ginezol, Gino-pevaril, Zalain. For a woman, suppositories are a great way to end vaginal candidiasis once and for all. In addition, some of them only need to be applied once. Remember that when using them you must strictly adhere to the instructions and recommendations of the doctor, however, there are general rules for their use.

1. Treatment must be carried out by both partners in order to avoid the so-called “ping-pong effect”, when you are being treated for thrush, your partner gives it back to you, he is treated himself, then you pass the disease on to him, and so on ad infinitum.
2. During the course you need to avoid synthetic and tight underwear.
3. Before inserting suppositories into the vagina, you should carefully rinse the vagina with warm, clean water without using any detergents.
4. The suppositories should be inserted deep into the vagina while lying down.
5. During treatment, it is prohibited to use scented pads, intimate hygiene liquids, soap, shower gels and scented toilet paper.

Alas, to cover absolutely all the remedies for candidiasis, even a few articles are not enough. We talked only about the most common and cheapest of them. The choice is yours, but remember that only a qualified specialist will prescribe the most effective and safe treatment for you.

Thrush, or vulvovaginal candidiasis, is an inflammatory process caused by yeast-like fungi of the genus Candida. These infectious agents are classified as conditionally pathogenic and are normally always present in the microflora of the intestine and vagina. However, with a decrease in immunity and other unfavorable factors, they can begin to actively reproduce. This process is accompanied by the appearance of itching, redness, irritation and cheesy discharge on the mucous membranes of the genital organs, which causes severe discomfort in the woman and a desire to get rid of them as quickly as possible.

Content:

Types of drugs for the treatment of thrush

If you notice symptoms of thrush, you should consult a doctor and undergo the tests necessary to confirm the diagnosis. The wide range of remedies for thrush that exist today, as well as their active advertising, which promises to cure the disease forever after taking one pill, often misleads women. This contributes to incorrect self-prescription of medications, delays in recovery, the disease becoming chronic, and even the development of complications.

Before starting to treat thrush, it is important to culture a smear taken from the woman’s genital organs, accurately identify the causative agent of the disease and determine its sensitivity to the available antimycotic active substances. In most cases, the cause of thrush is the fungus Candida albicans, but there are other fungi of this genus that can cause inflammation in the external and internal female genital organs. For example, Candida glabrata, which is more resistant to the action of most antifungal drugs used. Only a doctor can choose the right medications and treatment regimen, taking into account contraindications, the patient’s age, and the presence of other concomitant diseases.

Medicines for the treatment of thrush in women can be local or systemic. They are found under various trade names, but they contain active ingredients of two main groups:

1. Azole derivatives - fluconazole, clotrimazole, miconazole, ketoconazole, itraconazole, econazole, sertaconazole, fenticonazole, isoconazole. They have fungistatic (slowing down the growth of fungi) and to a lesser extent fungicidal activity (completely destroying fungi). The mechanism of their action is associated with the inhibition of fungal enzymes necessary for the synthesis of ergosterol, the main structural component of the fungal cell membrane. As a result, the permeability of cell membranes increases, which leads to lysis of the fungal cell.
2. Polyene antibiotics – levorin, nystatin, natamycin. The mechanism of action is strong binding to ergosterol, disruption of the integrity of the fungal cell membrane, loss of compounds important for the cell's existence and its subsequent lysis.

Local medications are available in the form of vaginal suppositories, capsules or tablets, creams, and ointments. They are used independently for mild forms of the disease and the absence of complications, or as part of complex therapy with antifungal agents for oral use in severe cases of thrush.

Systemic medications are available in the form of capsules or tablets for oral use. They have an effect on the entire body, including the site of inflammation. Such drugs are used for the chronic form of the disease, accompanied by frequent relapses, as well as for acute primary candidiasis with a severe course.

Principles of treating thrush

After the therapeutic course prescribed for thrush (no earlier than 2 weeks after its completion), a microscopic examination of the vaginal smear should be repeated to monitor the effectiveness of the therapy. If a woman experiences any side effects or an allergic reaction during treatment, she should immediately consult a doctor.

Treatment of chronic thrush, when the characteristic symptoms of the disease appear more than four times a year, is a more complex process compared to the acute form. The most effective is an integrated approach, including treatment of concomitant diseases that contribute to the development of candidiasis (diabetes mellitus, chronic infections, hormonal imbalance), and taking the following medications:

• antifungal drugs of local and systemic action;
• probiotics that normalize intestinal microflora;
• means for restoring vaginal microflora (acylact, bifidumbacterin, vagilak, laktonorm, vagiflor, gynoflor);
• anti-inflammatory drugs;
• medicines that strengthen the immune system;
• vitamin and mineral complexes for general strengthening of the body.

Treatment of chronic thrush takes several months. After its completion, maintenance therapy is prescribed to prevent exacerbations. This may consist of intermittent (once a week) use of antifungal vaginal suppositories and oral tablets (once a month or more often).

Systemic drugs

Of the systemic agents for thrush, a woman is most often prescribed tablets or capsules containing fluconazole in a dosage of 50, 100 or 150 mg. These include:

• flucostat;
• diflucan;
• mycosist;
• mycomax;
• ciskan;
• diflazone;
• fucis.

In the acute form of thrush, a single dose of fluconazole at a dose of 150 mg is sufficient to eliminate the unpleasant symptoms, which is associated with the long-term persistence of high concentrations of the active substance in the blood plasma.

In addition to fluconazole, drugs based on itraconazole (irunin, orungal, itrazol, rumicosis, candithral), ketoconazole (nizoral, mycozoral, fungavis, oronazole), nystatin and natamycin (pimafucin) can also be used for systemic use.

A significant drawback of all these drugs, despite their high effectiveness, is the impossibility of use for the treatment of thrush in pregnant and lactating women, a large list of contraindications and side effects, including:

• disorders of the digestive tract (nausea, diarrhea, flatulence, abdominal pain);
• toxic effects on the liver and kidneys;
• headaches and dizziness;
• high risk of developing an allergic reaction.

The development of seizures and other neurological reactions is possible.

Local preparations

Among local drugs for the treatment of thrush, vaginal suppositories or tablets are mainly used. They are inserted into the vagina while lying on your back with bent knees using a finger or using a special applicator once or twice a day. In some cases, along with them, they are simultaneously prescribed the application of antifungal ointments or creams to the external genitalia and washing or douching with special antiseptic solutions (Citeal).

The main advantage of local remedies is the minimum number of possible side effects and contraindications, as well as the direct impact on the source of infection. The disadvantages include some inconveniences in use: the need for a woman to be in a horizontal position for 20–30 minutes after administering a tablet or suppository, which is not always possible, a high chance of staining underwear or a sheet with leaking suppository residues, even if panty liners are used.

Local therapy for infectious and inflammatory diseases of the female reproductive system not only allows the destruction of pathogenic microorganisms, but also inevitably leads to an imbalance in the beneficial microflora of the vagina and a decrease in local immunity. If you do not quickly restore the lactoflora, activation of opportunistic microflora is possible, which will lead to an exacerbation of thrush or bacterial infections. For the same reason, antifungal therapy for vaginal candidiasis may not be effective enough. Therefore, it is important, after the first stage of treatment aimed at eliminating the infection, to carry out the second stage - to restore the balance of beneficial microflora with the help of Lactozhinal capsules. This is the only tribiotic drug registered in the Russian Federation. Laktozhinal quickly restores the pH and microflora of the vagina and protects for a long time from re-exacerbation of bacterial vaginosis and thrush. Two-step therapy has recently become the gold standard for the treatment of conditions accompanied by pathological discharge. Many experts are confident that only this method can provide a pronounced and long-term therapeutic effect, strengthen local immunity, which serves as the prevention of subsequent exacerbations. 1

Preparations based on clotrimazole

This group of drugs for thrush includes:

• tablets, cream or vaginal suppositories “Clotrimazole”;
• vaginal cream and tablets “Canesten”;
• vaginal cream and tablets “Candibene”;
• Antifungol vaginal cream and tablets;
• vaginal tablets "Candide B6".

Clotrimazole, when applied topically, penetrates well into tissues. For thrush, it is used in a dosage of 100 mg, 2 tablets per day for 3 days or 1 tablet per day for 6 days. It is effective not only against a wide range of fungi, but also against gram-positive and gram-negative bacteria, Trichomonas.

Clotrimazole is contraindicated for women in the first trimester of pregnancy, during menstruation and with hypersensitivity to the active substance.

Preparations with nystatin

The most well-known representatives of this group used in gynecology are suppositories and ointment “Nystatin”, vaginal tablets “Terzhinan” and vaginal capsules “Poliginax”. They are contraindicated for women during pregnancy and individual intolerance. The advantage of nystatin is that the fungus does not develop resistance to it. They need to treat thrush for at least 7 days.

Nitstatin suppositories are available in dosages of 250,000 or 500,000 units. Vaginal tablets "Terzhinan" are a complex antimicrobial and antifungal agent. In addition to nystatin, it contains the antibiotic neomycin, the anti-inflammatory agent prednisolone and the compound ternidazole, which is active against anaerobic flora. "Polygynax" is also a complex drug consisting of nystatin and two antibiotics (neomycin and polymyxin B).

Miconazole-based products

Miconazole for topical use is used in the form of cream and vaginal suppositories. Suppositories with a dosage of the active substance of 100 mg are used for thrush once a day. The course of treatment is more than two weeks. A number of antifungal agents are produced based on miconazole, additionally containing metronidazole, which has antibacterial and antiprotozoal activity. These include vaginal suppositories “Klion-D 100”, “Neo-Penotran”, “Metromicon-Neo”. Analogues of miconazole include cream and suppositories “Ginezol 7”, “Gino-Daktarin”.

Drugs containing ketoconazole

Ketoconazole and its well-known analogue Livarol for thrush are used for 3-5 days at a dosage of 400 mg, 1 suppository per day, which is administered at night. They can be used for both acute and chronic forms of candidiasis, mixed fungal and bacterial infections, and disorders of the vaginal microflora.

Pimafucin

To treat thrush, a drug containing the polyene antibiotic natamycin, Pimafucin, is widely used. It is available as oral tablets, vaginal suppositories, and cream. Pimafucin is well tolerated, non-toxic, and can be used by women during pregnancy at any stage and during lactation. The dosage of the active substance in suppositories is 100 mg; they are used once a day at night for 5–8 days.

Lactozhinal

One of the most important areas of treatment for inflammatory diseases of the female reproductive system is the destruction of pathogenic microorganisms. Such therapy inevitably provokes a disruption of the natural balance of vaginal microflora, weakening of local immunity, and, as a result, the development of thrush (vaginal candidiasis) or other fungal and bacterial infections. That is why it is important to restore normal vaginal lactoflora as soon as possible.

After the first stage of treatment, the goal of which is to destroy the infection, as a rule, a second stage is prescribed - restoring the balance of beneficial bacteria with the help of special drugs. One of them is the drug Laktozhinal, the only tribiotic drug officially registered in the Russian Federation today. Laktozhinal restores the vaginal microflora and the normal acid-base balance of the mucous membrane, preventing the development of vaginosis and candidiasis.

This two-step therapy has recently been considered the gold standard for the treatment of infectious and inflammatory diseases of the genitals. Experts say that this method provides a long-term therapeutic effect, strengthens local immunity and prevents new exacerbations.

When treating thrush, to speed up recovery and reduce the growth of pathogenic flora, you should adhere to a certain diet. Need to exclude:

• sweets (cookies, candies, chocolate), including sweet fruits and fruit juices;
• white bread, baked goods, pasta, products made from premium wheat flour;
• products containing yeast;
• herbs, spices, spicy dishes.

Unsweetened fermented milk products (yogurt, kefir, yogurt) containing live cultures of beneficial bacteria are recommended. They will promote the formation of healthy intestinal and vaginal microflora and prevent the proliferation of fungus.

In order to successfully treat thrush, the correct choice of underwear, panty liners and cleansing products is of great importance. Briefs must be made of natural cotton fabric and have a “classic” shape. Beautiful, lace thongs, but made of synthetic, breathable fabric, will contribute to the creation of a greenhouse effect, additional irritation and mechanical injury to inflamed tissues.

Panty liners used should be unscented, as should intimate hygiene products. This will help prevent the development of an allergic reaction. For washing or douching for thrush, after consultation with your doctor, you can use herbal infusions of chamomile, oak bark, calendula, sage, which have an antiseptic and healing effect. If you have thrush, you need to wash yourself often.

1. There are contraindications. Consult your physician before use.

Video: About thrush and how to treat it