For vaginal thrush you can use pessaries or cream or both at the same time. The pessaries and internal cream are sometimes sold together. For thrush on the penis, breasts, armpits, groin or between the fingers you would use the external cream. Clotrimazole is available to buy in pharmacies and shops. Some stronger treatments are only available with a prescription.
Take our survey. However, some creams and pessaries are not recommended for children under the age of 16 years or adults aged 60 and above. Thrush affecting the vagina is rare in these age groups so a doctor will need to check what's causing your symptoms before you start any treatment.
Clotrimazole may not be suitable for some people. To make sure clotrimazole is safe for you, tell a pharmacist or doctor if:. If you forget to put your cream on, just do it as soon as you remember.
Use the cream as soon as possible and then go back to putting it on 2 to 3 times a day as usual. If you use too much clotrimazole cream or use it more often than you need to, it may make your skin red or irritated.
Use less cream the next time if this happens. Pessaries and internal cream are made to go into your vagina only. Do not swallow them. Pessaries need moisture in the vagina to dissolve completely.
If they do not dissolve, pieces of the pessary may crumble and fall out of the vagina. You may notice this if you have vaginal dryness. To help the pessary dissolve, insert it as far as possible into your vagina at bedtime. Clotrimazole pessaries are available in different strengths: mg, mg and mg. If you're using the mg clotrimazole pessary, you can use 2 pessaries for 3 nights in a row.
It's a single application to be used once. Do not use pessaries during your period. Wait until your period has finished. Each pessary comes in a foil blister pack, together with an applicator to help you insert it.
Make sure the foil is not broken before you use it. Only insert 1 pessary at a time. Do not use tampons or other vaginal products while you're using the pessary. Do not use pessaries during your period — wait until your period has finished. It's quite common to notice a slight discharge after using the cream so it may help to wear a panty liner. This does not mean that the treatment has not worked.
If you forget to use a pessary or internal cream at bedtime, use it during the night if you remember. If you only remember the next day, wait until bedtime for your next dose. Pessaries and internal cream work best at night.
If you have forgotten for more than 1 day, your infection may not be treated properly. If you still have symptoms after you finish your course, speak to a doctor. If you insert too many pessaries at once you may feel discomfort or irritation. Stop using the pessaries and see a doctor if the discomfort or irritation does not go away. Only use 1 pessary a night, unless you're using a mg pessary, then you can use 2.
Like all medicines, clotrimazole can cause side effects in some people, although not everyone gets them. Talk to a doctor or pharmacist if these side effects bother you or do not go away:. If the side effects do not go away, try using smaller amounts of the cream or stop using it completely. Talk to your doctor or pharmacist if these side effects bother you or do not go away:. Side effects will usually go away when you stop using the pessaries or internal cream. In rare cases, clotrimazole can cause a serious allergic reaction anaphylaxis.
These are warning signs of a serious allergic reaction. A serious allergic reaction is an emergency. These are not all the side effects of clotrimazole. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention. Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication. Birth control: Clotrimazole may reduce the effectiveness of latex condoms, diaphragms, and vaginal spermicides.
Use of alternative forms of birth control while using this medication is recommended. First-time users: If this is your first time experiencing a vaginal yeast infection, you should see your doctor before using clotrimazole. For external use only: Clotrimazole vaginal cream, tablets, and topical or external cream are for vaginal and external use only.
These medications should not be taken by mouth. Other medical conditions: If you have fever, abdominal pain, or foul-smelling vaginal discharge, your symptoms may be due to a more serious condition than a yeast infection. Talk to your doctor immediately and do not use clotrimazole.
If you do not see any improvement in your symptoms in 3 days, if they do not disappear in 7 days, or if they worsen, your symptoms may be due to a condition other than a yeast infection. Stop using this medication and see your doctor immediately.
If you have multiple sexual partners or change partners often, see your doctor before using this medication. Repeat infections: If you have frequent vaginal yeast infections or if your yeast infection returns in less than 2 months, see your doctor before using this medication again. Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks.
If you are pregnant and believe this medication is necessary, contact your doctor. Breast-feeding: It is not known if clotrimazole passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: Clotrimazole should not be used by girls under 12 years old, unless recommended by a doctor. If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:. An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Reproductive System and Breast Disorders: Genital peeling, pruritis, rash, edema, erythema, discomfort, burning, irritation, pelvic pain and vaginal haemorrhage.
Gastrointestinal Disorders: Abdominal pain. Drug Interactions. Concomitant medication with vaginal clotrimazole and oral tacrolimus FK; immunosuppressant might lead to increased tacrolimus plasma levels and similarly with sirolimus. Patients should be thoroughly monitored for symptoms of tacrolimus or sirolimus overdosage, if necessary by determination of the respective plasma levels. Caution For Usage. Place a vaginal tablet into applicator. Carefully insert the applicator containing the tablet as deeply as possible into the vagina.
This is best achieved when lying on the back. Push plunger carefully until it stops, thereby depositing the tablet into the vagina. Remove the applicator. MIMS Class. Preparations for Vaginal Conditions. ATC Classification. G01AF02 - clotrimazole ; Belongs to the class of imidazole derivative antiinfectives. Used in the treatment of gynecological infections.
0コメント