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Mammary suppositories

Medical expert of the article

Internist, infectious disease specialist
, medical expert
Last reviewed: 03.07.2025

Candles for thrush are especially popular today. They are able to relieve a person from unpleasant sensations in a matter of days.

However, in order for them to be of real benefit, you need to choose the right medications.

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Indications for use

Indications for the use of suppositories for thrush may differ slightly depending on a particular drug. Basically, these drugs are used for fungal skin lesions of various localizations in cases of ineffective treatment with other drugs. They are also widely used for deep systemic mycoses, which are accompanied by severe lesions of the mucous membranes and skin.

Medicines of this type are able to eliminate systemic mycoses that do not respond to preliminary treatment with other drugs. Naturally, they are also used for candidiasis.

Any medication has its own additional indications. Therefore, it is inappropriate to consider this issue in a generalized form. This indicates that each remedy should be selected by a specialist. Candles for thrush can also have a negative effect if chosen incorrectly. Some drugs also negatively affect the development of the fetus during pregnancy. Therefore, a doctor's consultation is extremely important.

Pharmacodynamics

Pharmacodynamics depends on the active component included in the composition of a particular drug. Therefore, this issue must be considered using a specific example, such as Hexicon.

These are vaginal suppositories containing the active substance chlorhexidine bigluconate in the amount of 16 mg (Geksikon D contains 8 mg of chlorhexidine bigluconate). Chlorhexidine bigluconate is an antiseptic drug that is active against protozoa, gram-positive and gram-negative bacteria, including such pathogens as Neisseria gonorrhoeae (the causative agent of gonorrhea), Chlamydia spp. (the causative agent of chlamydia), Ureaplasma spp. (the causative agent of ureaplasma), Treponema pallidum (the causative agent of syphilis), Trichomonas vaginalis (the causative agent of trichomoniasis), Gardnerella vaginalis (the causative agent of gardnerellosis, bacterial vaginosis) and Bacteroides fragilis.

It should be noted that it is ineffective against some strains of Pseudomonas spp., Proteus spp. and is completely ineffective against acid-resistant forms of bacteria, bacterial spores, fungi and viruses.

Pharmacokinetics

Pharmacokinetics also depends on the specific drug. So, in most cases, the mechanism of action is to inhibit the synthesis of ergosterol and membrane lipids (triglycerides and phospholipids). They are necessary for the synthesis of the cell wall of fungi. Due to the effect of this drug, they lose the ability to form threads and colonies.

The drugs of this group are capable of disrupting the permeability of the cell wall. In addition, due to the use, inhibition of androgens occurs.

At the end of the treatment, the drug is completely eliminated from the body along with urine. The first pass effect is carried out directly through the kidneys. In order for the drug not to cause any harm to the woman, it must be used correctly. Moreover, it is worth giving up alcohol while using the drug.

What suppositories can be used for thrush?

What suppositories for thrush should you pay attention to? There are quite a few effective drugs. They all have excellent properties. Each organism is individual, so it is worth prescribing the right treatment. Based on this, it is worth noting the most popular and popular drugs.

  • Pimafucin. This medication is the most affordable. It has an excellent antifungal effect. The active component is the antibiotic natamycin. When treating vaginal candidiasis, suppositories are inserted directly into the genital tract once. The average duration of treatment may vary and be 3-6 days. The medicine can be used even by pregnant girls and nursing mothers.
  • Livarol. This product is a vaginal suppository that has a pronounced antifungal effect. The active ingredient is an antifungal agent that belongs to the imidazole dioxolane group. To successfully eliminate candidiasis, it is used once. The duration of treatment is 3-10 days. It should not be used in the first trimester of pregnancy.
  • Hexicon. It is an antiseptic vaginal suppository, which is widely used to treat thrush. The active component is chlorhexidine bigluconate. This substance is effective in combating microorganisms Ureaplasma spp., Neisseria gonorrhoeae, Treponema spp., Chlamydia spp., Bacteroides fragilis, Trichomonas spp., and Gardnerella vaginalis. To eliminate candidal infection, it is enough to use one "tablet" per day. The duration of treatment is 7-20 days. The only contraindications are: hypersensitivity and menstrual period.
  • Clotrimazole is a vaginal suppository. It has a pronounced antifungal and antibacterial effect. The main component is a medicinal product, an imidazole derivative - a substance active against dermatophytes, mold and yeast fungi, erythrasma pathogens and other bacteria. To completely eliminate the disease, it is necessary to apply it once. It is taken for 3-7 days.
  • Miconazole is a vaginal "product" that has antifungal and antibacterial action. The main component is miconazole. The duration of the therapeutic course can reach two weeks, while one suppository is enough to use during the day.

The remedy should be chosen based on the characteristics of the disease. Naturally, this is done after consultation and permission from the doctor.

Single-use suppositories for thrush

When this disease is detected, they try to give preference to the following medications: Livarol, Ketoconazole, Macmiror, Nystatin, Ginezol, Gino-Daktanol, Betadine, Klion-D, Gino-Travogen Ovulum, Pimafucin, Terzhinan and Polygynax. It is necessary to provide basic data regarding these medications. This will help a person identify the special capabilities of the drug.

  • Livarol. It is usually taken in cases where candidiasis has arisen for the first time. It quickly eliminates the main symptoms and helps to cope with the problem.
  • Ketoconazole is effective. It is used for any fungal diseases, superficial and systemic. It has a number of side effects, including hypersensitivity and the impossibility of use during the menstrual period.
  • Macmiror has a broad spectrum of action. It can enhance the action of Nystanin when used simultaneously. It is advisable to stop sexual activity during treatment. Treatment is carried out simultaneously in both partners.
  • Nystatin is effective against fungi. But it does not fight viruses and bacteria so well. Fungi of the genus Candida very rarely develop resistance to this drug, so Nystatin is the drug of choice for those patients whose candidal infection has become chronic, due to the resistance of fungi to the drug. There are practically no side effects. Long-term use can lead to suppression of the activity of healthy microflora and lead to the development of dysbacteriosis.
  • Ginezol has a wide range of action, it is often used as a preventive and anti-relapse remedy against candidiasis. It is desirable that the treatment be carried out simultaneously by both partners. Pregnant women should use it with special caution. The active component can have a toxic effect on the fetus.
  • Gyno-Daktanol is an effective antifungal drug. It is not able to suppress the growth of healthy microflora.
  • Betadine is used to treat vaginal infections, as well as for preoperative and postoperative vaginal treatment during obstetric surgeries. The drug contains Povidone-iodine. It has an antiseptic effect, which has an antimycotic effect. It can be used even during pregnancy.
  • Klion-D quickly suppresses the symptoms of candidiasis. It is not able to affect the natural microflora of the vagina. In no case should it be used together with alcohol.
  • Gyno-Travogen Ovulum is able to eliminate not only fungal infections, but also mixed infections. Patients usually tolerate it well.
  • Pimafucin does not cause complications in the form of allergic reactions, and this is its huge advantage. This medicine is used even by pregnant women.
  • Polygynax and Terzhinan - use with extreme caution, as they have significant side effects and can disrupt the natural microflora.

Rectal suppositories for thrush

The best and most effective drugs are: Livarol, Macmiror, Ginezol, Polygynax and Pimafucin. It is necessary to give a brief description regarding these medications.

Livarol. This medicine is usually taken only in cases where a candidal infection has started to bother you for the first time.

Macmiror has a broad spectrum of action. It can enhance the action of Nystanin, but only when used simultaneously. It is advisable to stop sexual activity during treatment with the drug. Treatment should be carried out simultaneously in both partners.

Ginezol also has a wide range of action. It is often used as a preventive and anti-relapse remedy against candidiasis. It is desirable that the treatment be carried out simultaneously by both partners. Pregnant girls can use it, but only with special caution. The main component of the drug can, is capable of harming the fetus.

Polygynax and Terzhinan are also used with special caution, but only by pregnant women. These drugs have significant side effects and can disrupt the natural microflora.

Vaginal suppositories for thrush

When diagnosing this disease, you need to act immediately. As it progresses, unpleasant symptoms prevent a person from living a full life. A lot of unpleasant sensations arise and all this is constantly accompanied by general discomfort. To get rid of the disease, you need to resort to the help of good drugs. These include Pimafucil, Ginezol, Nystanin and Livarol.

  • Pimafucil is one of the most effective and affordable drugs. It has a good antithrombotic effect. Its main component is the antibiotic natamycin. When treating candidiasis, it is administered into the genital tract once a day. The course of therapy is about 6 days, depending on the situation. The drug is widely used even by pregnant girls.
  • Ginezol is also an effective remedy. But during pregnancy it should be used with caution. There is a risk of serious complications, especially for a developing organism. It is used both for treatment and as a preventive measure.
  • Nystatin is excellent at fighting fungi of various origins. As for viruses and bacteria, the drug is not particularly strong in this area. Fungi of the Candida genus very rarely develop resistance to it. That is why patients with a chronic form of the disease should choose another treatment. There are no side effects.
  • Livarol. It is taken only in cases where the disease has manifested itself for the first time. It is able to relieve the main symptoms in a short time.

Candles for thrush for men

With candidiasis, the head of the penis and foreskin are affected. A man may notice the appearance of a white coating. Moreover, the organ itches and unpleasant pains appear during sexual intercourse and urination.

To eliminate these symptoms, it is extremely important to start the right treatment. Clotrimazole and Fluconazole are mainly recommended. The first medicine should be applied in a thin layer to the head of the penis, it is an ordinary cream. It is used 2 times a day for a week. The second is taken orally. But usually, there is no need for it.

The exact treatment is prescribed exclusively by the attending physician. This disease is quite common today. The main thing during treatment is to do everything correctly, and both partners must undergo it at the same time.

New generation suppositories for thrush

Popular drugs include: Diflucan, Pimafucin, Clotrimazole, Livarol, Hexicon and MIKOmax.

Diflucan is probably the most popular remedy. The capsules contain fluconazole, which suppresses the growth of fungi. It is quite easy to treat with it; it is enough to administer it rectally. Contraindications include pregnancy, lactation, liver and kidney disease.

Pimafucin is the most effective and popular. It can be used to treat women during pregnancy and lactation, it is released in the form of suppositories, cream and tablets. The active substance is natamycin. It is an antifungal antibiotic with a wide spectrum of action.

Clotrimazole is a common antifungal agent. It should not be used in the first trimester of pregnancy, and with caution - during lactation.

Livarol is the safest and most effective antifungal drug with the active substance ketoconazole. It is widely used during pregnancy, except for the first trimester, of course. It is available in the form of vaginal suppositories, which should be used for 5 days - to treat candidiasis and 10 days - to get rid of chronic candidiasis.

Hexicon is an antiseptic with chlorhexidine bigluconate as an active substance, shows excellent results in the treatment of candidal infection in pregnant women, and is used for sanitation before childbirth.

MIKOmax is an antifungal drug with fluconazole as the active ingredient. It should not be used by pregnant or breastfeeding women, but can be used to treat children.

Method of administration and dosage

The method of application and dosage depend on both the specific drug and the disease. Therefore, it is worth considering this issue from the point of view of a specific remedy. Livarol will act in this role.

In the treatment of acute candidal vulvitis and vulvovaginitis, the use of the drug is possible only in combination therapy (the use of systemic fungicidal drugs is added to the treatment regimen).

Diagnosis of sexually transmitted diseases, dysbacteriosis, gastrointestinal diseases, endocrine system diseases (diabetes mellitus, etc.), and local and systemic immunity disorders is carried out.

In this case, a standard dosage is prescribed, which is 400 mg, that is, one suppository. The duration of treatment is usually 10 days. The medication is used in the evening. It is not recommended to use it during menstruation.

In chronic forms of candidal vulvovaginitis, vulvitis, the treatment tactics consist of accurately determining the cause that provokes the recurrence of candidiasis. It is prescribed in a dose of 400 mg daily for 10 days. As a preventive measure, suppositories for thrush are used for 5 days every 3 months.

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How to insert suppositories for thrush?

The instructions recommend performing the procedure of inserting the suppository after taking a shower or douching as prescribed by the gynecologist (herbal infusions are used).

Naturally, everything is done with clean hands. First, the package is opened and the suppository is quickly removed from it. You should not hold it in your hands for a long time. Otherwise, it will gradually begin to melt. That is why all types of these drugs are taken at night.

Before the procedure, it is advisable to lie down on the bed and not get up for 45 minutes after insertion. During this time, the active substance will be absorbed into the mucous membrane and begin to act. If you get up after insertion, the medicine will flow out. You should not insert the suppository too deeply, as the medicine will melt and spread along the walls of the vagina. Everything should be done slowly, but you should not let the suppository melt. The effectiveness of the procedure depends on the efforts of the woman herself.

Candles for thrush during menstruation

Candles for thrush during menstruation can not be used in all cases. Many women who often have candidiasis do not always resort to its treatment. The fact is that doctors do not consider this disease to be dangerous. But, despite this, it is still necessary to treat it.

During the menstrual cycle, you should take a pill for candidiasis and avoid using flavored tampons, which can promote the growth of fungi, and change sanitary pads more often. Naturally, suppositories are not always allowed. This issue should be discussed with your doctor.

Livarol, Nystanin and Hexicon are especially often used during menstruation. These medications are highly effective and are not capable of causing harm to the girl's body.

In addition to using special medications, you should avoid antibiotics, resort to a balanced diet and include fermented milk products and protein in your diet. Douching should never be done.

Candles for the prevention of thrush

Candles for the prevention of thrush are widely used in medical practice. Considering the fact that the disease quite often occurs in the form of a chronic disease, the issues of preventive focus are the most relevant. When they are carried out, it is possible in a large percentage of cases to influence the quality of life of patients, improving it, since periods of exacerbation of the inflammatory process will be observed less frequently.

In order to prevent this unpleasant phenomenon, it is necessary to resort to preventive measures. A woman should not only constantly take care of herself and carry out hygienic procedures, but also exclude sweet and flour products from her diet.

Naturally, it is advisable to use special suppositories for thrush, intended for disease prevention. These include Nystanin, Livarol, Hexicon and Pimafucin. It is highly inadvisable to use these medications on your own, because completely different dosages are used for prevention.

Use during pregnancy

Women often suffer from candidiasis due to weakened immunity. It is quite difficult to fight this problem. Because many drugs either cannot be used, or there is no reliable data regarding their safety.

Among all existing local preparations, the following suppositories for thrush during pregnancy are approved for use: Suppositories - Pimafucin, Primafungin (active ingredient Natamycin). Combination drug - Macmiror complex (active ingredients Nystatin and Nifuratel). In the 2nd-3rd trimesters, Clotrimazole, Nystatin (low efficiency) or the ancient remedy Borax in glycerin (Sodium tetraborate in glycerin), Pimafucin, Gino-Pevaryl, Ginofort (vaginal cream) are all used during pregnancy with caution if the potential risk to the mother's health outweighs the risk to the child.

In some cases, a combination drug is prescribed - Terzhinan (prednisolone, neomycin, ternidazole, nystatin). However, it can only be used with the permission of a doctor.

Candles for thrush before childbirth

Candles for thrush before childbirth should be used with special caution. Naturally, you cannot do without official medicine in solving this problem. It is necessary to understand that candidiasis is treated only when there are bright symptoms, the very presence of the fungus in the vaginal microflora does not need to be treated.

Doctors usually recommend suppositories for thrush for pregnant women (for example, Clotrimazole, Livarol), but antifungal tablets (Fluconazole) for oral administration are prohibited.

Candidiasis before childbirth is not always treatable. It is usually eliminated after the process itself. But in many cases the disease is treatable. After all, the baby can easily become infected from the mother when passing through the birth canal. As a result, the child's organs of vision may suffer.

If a woman has a relapse of candidiasis immediately before childbirth, doctors perform emergency vaginal sanitation. In some cases, if there are relative indications for an emergency section, they even recommend that the woman refuse natural childbirth in favor of surgery.

Candles for thrush during lactation

The most common and harmless medicine is Pimafucin. Within a few days of starting treatment, a woman will feel a significant improvement in her condition.

It is recommended to pay attention to Zalain. After them, relapse is almost impossible. Contraindications for this medication are pregnancy and hypersensitivity to some components.

Polygynax is also considered popular. However, not every doctor will recommend taking them due to the possible negative impact on the child. It also happens that suppositories for thrush during breastfeeding can consist of bifidobacteria, which are required to help restore damaged vaginal microflora.

That is why only a gynecologist can prescribe these medications to nursing mothers. All this is done based on the results of smears and the general condition of the body.

Contraindications for use

Contraindications to the use of suppositories for thrush depend on the drug itself. In fact, there is only one factor that can be considered as a contraindication to the use of the drug. This is a common allergic reaction or, in other words, an individual intolerance to this drug or any component in its composition, even if such a reaction was observed in the distant past.

What is the danger of such a phenomenon? The fact is that each person's body is an individual mechanism. Despite the identical work of many organs, the reaction to a particular medicine may be different. So, if a person takes a medicine while having hypersensitivity, he condemns himself to the development of an allergic reaction. Moreover, its complexity depends on the individual characteristics of the body.

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Side effects

Side effects of suppositories for thrush also directly depend on the specific drug. This is mainly manifested in the form of a mild allergic reaction. A person begins to feel itching and burning. In some cases, headache and nausea are observed.

But there are drugs that have more extensive and serious side effects. For example, sometimes dyspepsia, anorexia and even constipation occur. In some cases, serious problems with the digestive tract appear.

Some medications affect many human systems and organs. This indicates that the drug contains a serious substance.

In general, any medication can cause some local reactions, which include itching, burning sensation, redness and slight swelling of the genitals. Nausea, vomiting and diarrhea are also rare, quickly passing with further use of the drug.

Overdose

Overdosing on medications is possible, but only if a person does not follow the instructions when using them. So, wanting to get a quick effect, many women begin to increase their own dosage of medication. Usually, this phenomenon leads to the appearance of overdose symptoms.

Naturally, these can be both mild allergic reactions and serious consequences for the body. Usually, an overdose manifests itself in the form of itching, burning and tingling in the genital area. To get rid of these symptoms, it is enough to get rid of the suppository by rinsing and stop taking the drug. In any case, a visit to the doctor should be mandatory.

In some cases, serious symptoms arise. Moreover, they can manifest themselves from many organs and systems. In this case, it is almost impossible to cope without the help of a doctor.

Interactions with other drugs

Interactions of suppositories for thrush with other drugs are possible, but not in all cases. The fact is that these medications can enhance the effect of similar drugs. This complicates the task many times over.

Usually, medications are used in combination, because it is almost impossible to quickly eliminate the disease with one remedy. It is important to understand that the effect of suppositories can be enhanced by tablets taken orally. Therefore, special care must be taken.

You should also pay attention to other medications. It is not recommended to take other medications during treatment of candidiasis. The fact is that there is always a risk of causing a negative reaction in the body. Regarding this issue, it is worth consulting with your doctor in more detail. He knows the specifics of these medications, and he can easily recommend effective suppositories for thrush in combination with other means. Self-treatment rarely brings positive results.

Storage conditions

It is absolutely necessary to observe the storage conditions of suppositories against thrush. The fact is that many people do not use the drug correctly. Therefore, it is not able to serve them for the specified period.

When storing the medicine, it is important to observe a special temperature regime. Usually it does not exceed 15 degrees Celsius. But, again, much depends on the specific medicine. The fact is that suppositories for candidiasis can melt quickly. Therefore, the most optimal conditions for them are stored directly in the refrigerator.

It is desirable that the medicine is not exposed to direct sunlight and there is no exposure to moisture. All this negatively affects the quality and beneficial properties of the medicine. Children should not be allowed near the medicine. After all, they can harm not only themselves, but also the medicine due to their curiosity. It is necessary to understand that the correct storage conditions are the key to the long service life of any drug.

Best before date

The shelf life is 2-3 years. No, it is necessary to take into account the fact that after opening the package, the suppository must be used immediately. Each of them is in an individual vacuum shell. After opening it, it can melt.

It is advisable to store the medication in the refrigerator. This eliminates the possibility of spoiling the medicine. Before administration, it reaches room temperature.

During the entire storage period, it is worth paying attention to the appearance of the medicine. Any damage to the packaging quickly reduces the positive effects of the drug. Moreover, it is highly recommended not to use such a product. It is better to get rid of it after the expiration date.

The medicine should not be exposed to direct sunlight and dampness. Naturally, children should not have access to the medicine. Any suppositories for thrush must be stored correctly. After all, many things depend on this, including the duration of the drug's "service life".

Price

The price of suppositories for thrush directly depends on the medicine itself and the pharmacy where the purchase was made. So, Pimafucin costs about 70 hryvnia on average. If we take into account Livarol, the price is slightly higher and is 100-120 hryvnia.

Clotrimazole is a very cheap drug, but despite this it is quite effective. It can be purchased for 5-30 hryvnia. Hexicon has a non-fixed price, which fluctuates between 25-80 hryvnia. Nystanin is also an inexpensive and effective medication. Thus, the drug can be purchased for 30-40 hryvnia.

It is important to understand that when choosing a remedy, you need to pay attention not to its cost, but to its effectiveness. An expensive drug is not always able to have a positive effect. Therefore, the first thing you need to do is consult a doctor and draw conclusions based on the severity of the disease and the individual characteristics of the body. As mentioned above, the price directly depends on a particular drug and the place where it is purchased.

Inexpensive suppositories for thrush

Many women believe that inexpensive suppositories against thrush are not able to have a positive effect. In fact, this is not true. In this case, much depends on the individual characteristics of the body and the course of the disease itself.

You can find quality and good medicines in an acceptable price category. Thus, the cheapest medicine is Clotrimazole, the purchase will cost about 5-30 hryvnia. Hexicon and Nystanin are not distinguished by their increased cost.

Naturally, there are a lot of drugs that, despite their availability, show good results. These are Pimafucin, Zalain, Livarol, Terzhinan, Betadine, Flucostat, Depantol, Makiror, Klion D, Viferon and Candid. All of them have an acceptable price category and are distinguished by increased efficiency.

As has been noted many times, you need to choose a product not by its price, but by its effectiveness in a given case.

Reviews

Reviews of suppositories for thrush can be both positive and negative. Naturally, despite the fact that these products are universal, they cannot help everyone.

It should be noted that choosing a medicine based on reviews is stupid. After all, they can simply be written with the purpose of underestimating the positive qualities of a particular remedy. Therefore, you should always seek help from a doctor.

All products cannot be equally good and bad. Each person's body is individual, so it is difficult to speak generally on this topic. After all, one product may be suitable for almost everyone, but there will be a person for whom it will be unsuitable.

In general, suppositories for thrush have purely positive reviews. Because they are able to provide relief in a short time. A person only needs to use one suppository to feel a positive effect. As mentioned above, each person's body is individual, and choosing medications based on reviews is clearly not advisable.


Attention!

To simplify the perception of information, this instruction for use of the drug "Mammary suppositories" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.

Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.

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