General Practice 2022

5 ointments for candidíase (and how to use it)

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5 ointments for candidíase (and how to use it)
5 ointments for candidíase (and how to use it)
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Ointments for candidiasis contain substances with antifungal action, which act by inhibiting the growth and multiplication of the fungus that causes candidiasis, helping to relieve symptoms of irritation, itching, redness, swelling or discharge.

Candidiasis is an infection caused by the excessive proliferation of the fungus Candida albicans, mainly in the genital region, and can affect women or men of any age. Learn how to identify the symptoms of candidiasis.

Ointments for candidiasis can be purchased at pharmacies or drugstores and are usually sold without a prescription for adult use. However, it is important to see a gynecologist or urologist to assess whether there is another type of infection causing the symptoms and whether any other specific ointment or treatment is needed.

Vaginal Ointments for Candidiasis

Vaginal ointments for candidiasis should be indicated by the gynecologist, respecting their guidelines regarding the time of use. The ointment should be applied throughout the external genital region and also inside the vagina, even after symptoms improve, until the end of the period indicated by the doctor.

Ointments should not be used during pregnancy or breastfeeding, unless instructed to do so by your gynecologist.

The main vaginal ointments used to treat vaginal candidiasis are:

1. Clotrimazole

Clotrimazole vaginal ointment works by inhibiting the growth of Candida albicans, relieving the symptoms of itching, redness and discharge in the genital area.

This ointment can be found under the trade name Gino-canesten vaginal cream or under the generic name Clotrimazole, containing 3 or 6 vaginal applicators.

How to use: apply clotrimazole vaginal ointment once a day, preferably at night, for 3 or 6 days, as directed by your doctor. This ointment should be applied deeply into the vaginal canal using the applicator provided in the package and should not be used during menstruation. In addition, it is recommended to avoid sexual intercourse during treatment, as candidiasis can be transmitted to the partner and clotrimazole vaginal cream can reduce the effectiveness of the condom or diaphragm. See other ways to use clotrimazole for candidiasis.

2. Nystatin

Nystatin vaginal ointment prevents the growth and multiplication of Candida albicans, relieving the symptoms of vaginal candidiasis.

This ointment can be found in pharmacies or drugstores with the commercial name Micostatin or in the generic form as Nystatin, containing 10 or 14 vaginal applicators.

How to use: use the nystatin ointment once a day, preferably at night, for 10 to 14 days, according to medical advice.The ointment must be applied deeply into the vaginal canal using the applicator provided in the package and its use must not be interrupted during menstruation. If the symptoms do not disappear within 14 days, you should return to the doctor.

3. Miconazole

Miconazole ointment helps relieve the symptoms of itching, redness or discharge caused by vaginal candidiasis, as it works by eliminating Candida albicans from the genital region, and can also be used for anal candidiasis.

This ointment can be found in generic form as Miconazole Nitrate, containing 14 vaginal applicators.

How to use: apply miconazole vaginal ointment once a day, preferably at night, for 14 consecutive days. Use the applicator provided in the package to apply the ointment as deeply as possible into the vaginal canal.

4. Tioconazole + tinidazole

Tioconazole and tinidazole vaginal ointment is indicated for the treatment of candidiasis or other vaginal infections such as trichomoniasis or gardnerella.

This ointment can be found in generic form such as Tioconazole + Tinidazole, in packs containing 7 vaginal applicators.

How to use: apply the ointment deeply into the vaginal canal, using the applicator, once a day, at night, for 7 days, preferably outside the menstrual period. In some cases, the doctor may recommend using the ointment twice a day for 3 days.

5. Isoconazole

Isoconazole vaginal ointment works by eliminating the fungus that causes candidiasis, helping to relieve symptoms of itching, redness or vaginal discharge.

This ointment can be found under the trade names Gyno-Icaden or Gynoplus, or in generic form as Isoconazole Nitrate, containing 7 vaginal applicators.

How to use: apply the isoconazole vaginal ointment as deeply as possible into the vagina, using the applicator, once a day, preferably at night, for 7 consecutive days.This ointment may reduce the effectiveness of the condom or diaphragm and may not be effective in preventing pregnancy or protecting against sexually transmitted diseases.

Which doctor to consult

To know the best ointment to treat candidiasis, it is very important to consult a doctor. In the case of women, this doctor is usually the gynecologist, in the case of men, it is the urologist.

The doctor will evaluate the symptoms, confirm the diagnosis of candidiasis and prescribe an ointment according to the he alth history, in order to ensure a more effective treatment.

Ointments for male candidiasis

Ointments for male candidiasis do not need an applicator, but they may contain the same substances as those used by women, such as clotrimazole, nystatin or miconazole.

These ointments should be indicated by the urologist, and it is generally recommended to apply the ointment to the glans and foreskin 2 to 3 times a day for up to 3 weeks, even if the symptoms have disappeared.

Furthermore, the use of fluconazole in a single dose may also be indicated by the doctor. Check out other treatment options for male candidiasis.

Possible side effects

Some of the most common side effects that can occur during treatment with thrush ointments are redness, swelling, burning, bleeding, vaginal itching, or abdominal pain.

Who should not use

Candidiasis ointments should not be used by children, pregnant or breastfeeding women.

These ointments should also not be used by people who are allergic to antifungals such as clotrimazole, miconazole, tioconazole, tinidazole, nystatin, isoconazole, fluconazole or itraconazole, for example. In addition, clotrimazole vaginal ointment should not be used by women who are allergic to cetostearyl alcohol.

Candidiasis ointments are not recommended for women who experience symptoms such as fever, abdominal or back pain, nausea or foul-smelling discharge, or vaginal bleeding. In these cases, you should consult your gynecologist.

Care during treatment

Some precautions in treating candidiasis ointments include:

  • Wash and dry your hands and intimate area, removing traces of the previously applied ointment;
  • Have good body hygiene, keeping the intimate region very dry;
  • Use loose-fitting cotton clothing;
  • Drink plenty of fluids;
  • Avoid consumption of alcohol, sugar and fatty foods.

Furthermore, in the case of female candidiasis, tampons, vaginal douches or spermicides should not be used during treatment.

How to cure candidiasis faster

Some simple measures, such as eating a low-sugar diet to help the body more easily fight the growth of fungi, or using probiotics, can help cure candidiasis faster, aiding in the treatment recommended by the doctor, or avoiding for the candidiasis to come back.

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