If this is the case, vaginal pessaries and creams will not be able to treat the whole problem. When thrush keeps coming back, it may be a signal that yeast has taken over another part of the body, such as the intestines. If you are taking medication for another condition, check with the pharmacist or your doctor before taking antifungal tablets. It may also cause more serious problems if you are using it at the same time as other drugs such as loratadine (an antihistamine used in some allergy medication). Oral medication for thrush may cause nausea, diarrhoea, abdominal pain, dizziness or skin rash. Many women prefer pills to creams or pessaries, but they are more likely to cause side effects and should not be used if you are pregnant, breastfeeding or taking certain medication. These are available either as a single dose (fluconazole) or as two capsules to be taken in the same day (itraconazole). Thrush can also be treated with capsules that you swallow. Some pessaries and creams can damage the rubber of diaphragms and condoms, making them useless as contraception. If you are pregnant and have thrush, talk to your doctor or midwife about treatment. Some experts advise against using econazole during the first three months of pregnancy. But iodine-based pessaries, such as betadine for recurrent thrush, should not be used during pregnancy. Treatments with clotrimazole have been used by pregnant women for years and are considered safe. Pessaries and creams are not well absorbed into the body’s circulation and are therefore unlikely to affect a developing foetus, but there has been little research into their use during pregnancy. Pessaries and creams containing miconazole may cause bleeding and bruising if taken at the same time as warfarin - a prescription blood thinning drug. To reduce irritation, moisten the pessary with water before inserting it. If you have a peanut allergy, avoid vaginal creams that contain arachis oil.īetadine pessaries, used to treat recurrent thrush, are iodine-based and may cause irritation. Allergies, irritation and drug interaction These are long-acting pessaries taken either twice a week, once a week or once a month over a three to six month period. Women who get thrush again and again (four or more times a year is considered recurrent) may be given pessaries as prevention. Side effects from pessaries and creams are thought to be rare, but as they mimic the symptoms of thrush it may be difficult to tell the difference. The potential side effects are the same for all of the drugs listed above: skin irritation and burning. It can take longer and may be less effective at curing thrush than the other antifungal preparations. It is a more general antifungal that works against a range of fungi and yeast. Nystatin is a little bit different than the other drugs. The active ingredient in pessaries and creams may be clotrimazole, econazole, fenticonazole, miconazole or nystatin. In fact, it’s important to complete the full course of treatment, even if your symptoms seem to have cleared. You don’t need to stop treatment if you get your period. It may last one day, three days, six days or 14 days. The length of treatment varies with different brands of pessaries and creams. You may also want to use a panty liner, as some treatments are coloured and can stain. Pessaries and creams can be messy - they melt and leak out into your pants - so it’s best to insert them at night just before you go to bed. Vulval creams are usually used with an internal treatment, to help soothe and treat itching outside the vagina. Vaginal creams work internally and, like pessaries, are inserted into the vagina using an applicator. There are two types of creams used to treat thrush: vaginal and vulval. They need to be pushed high into your vagina with your finger or an applicator. Pessaries are bullet-shaped tablets that can be either hard or waxy. Pessaries and creams work directly at the site of infection - in the vagina and on the outer lips of the vagina. Treatments can be bought over the counter at a chemist, but they may be cheaper (or free) if you get them by prescription. Creams to be put on the vulva and/or into the vagina.Pessaries to be inserted into the vagina. Thrush is caused by a fungus (candida), and is therefore treated with antifungal drugs. Follow VAGINAL THRUSH PRODUCTS Antifungal drugs
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