Effective drugs for thrush in women. The best remedy for thrush in women: reviews and recommendations from doctors Thrush medications

Vaginal candidiasis (thrush) is a fungal disease that affects the mucous membrane of the genital organs. Causing a rather unpleasant symptom complex for the patient, fungal pathogens can easily be treated with antifungal agents. For the most part, tablets for thrush are inexpensive and effective, available without a prescription, and allow you to quickly get rid of the signs of the disease.

Drugs for the treatment of candidiasis differ in their mechanism of action and chemical structure. The effect produced can be mycocidal and mycostatic. Mycocidal drugs completely destroy the fungus, while mycostatic drugs stop its life processes, including reproduction. At the end of the life cycle of an existing pathogen, the latter dies without reproducing. The infection ceases to exist.

According to their chemical structure, antifungal drugs are:

• polyene;
• imidazole group;
• triazole group;
• combined.

Each of these groups has its own characteristics of use, contraindications and side effects. The choice of medication is made by the doctor.

Antibiotics of the polyene group

Polyene antibiotics are long-standing representatives of this pharmacological group. The time of their creation is considered to be the forties of the 20th century, when the antimycotic “nystatin” was isolated. Other representatives of the polyene category are: levorin, amphotericin B. Antimycotics are of natural origin, produced by bacterial microflora, bind to ergosterol in the cell membrane of the fungus, which disrupts its vital processes and leads to the loss of important macromolecules.

The drugs are prescribed as follows:

• Nystatin- prescribed 500 thousand units 4 times a day for 14 days. Can be used in the form of vaginal suppositories 2 times a day. Course duration is 10-15 days.
• Levorin- for vaginal candidiasis, the drug is used to moisten gauze swabs. In this case, the levorin tablet is crushed, mixed in water in a ratio of 1:500 and the swab is moistened. After this, it is used to tampon the vagina. The procedure is carried out 2 times a day, 20 days.
• Amphotericin B- applied parenterally, drip. Indicated for thrush that has developed against the background of immunodeficiency conditions. The infusion is carried out twice a week for a month. The dose is selected at the rate of 250 units/kg of weight.

A common side effect for all polyene antifungal drugs is dyspepsia (nausea, abdominal pain, vomiting, diarrhea). When used topically, a burning sensation is noted. Antimycotics-polyenes are contraindicated for peptic ulcers of the stomach, intestines, acute inflammation of the gastrointestinal tract, liver pathology, pregnancy, and individual intolerance.

Triazole antibiotics

Modern and effective drugs for thrush, which specifically inhibit the formation of sterols in the fungus, can be used topically, as well as in tablet or injection form. Widely used in health care facilities for the treatment of fungal infections that are a side effect of antibiotic therapy. Triazoles include itraconazole, voriconazole, and fluconazole.

The following drug regimens are considered generally accepted:

• Itraconazole -0.2 grams (2 capsules) once a day. Course duration is 10 days.
• Voriconazole - 400 mg, 2 doses per day on the first day of therapy, then 200 mg 2 times a day. The course is until complete recovery. The average duration is 5-7 days.
• Fluconazole is an effective remedy for thrush, allowing you to eliminate the symptoms of the disease in one dose. For candidiasis of the vaginal mucosa, 150 mg is prescribed once. If a longer course of treatment is necessary, fluconazole is used at a dose of 200 mg 2 times a day for 10 days.

Side effects of triazoles include skin rash, flatulence, diarrhea, fatigue, bleeding, and convulsions. The drugs in this group are contraindicated in the first trimester of pregnancy, in cases of severe renal and liver failure, hormonal disorders, and individual intolerance.

Note: in some cases, the use of drugs is not abandoned even if they are poorly tolerated by the patient and there are contraindications. This is only possible in a hospital, when treating severe fungal infections. Thrush is not one of them, so recommendations for the use of antifungal agents must be strictly followed.

Antibiotic imidazoles

The dosages of these medications are as follows:

• Clotrimazole - for the treatment of vaginal candidiasis, a tablet of the drug is inserted into the vagina at night. The external genitalia are treated with 1% Clotrimazole cream. The course is until the symptoms of the disease completely disappear.
• Miconazole - 1 tablet 4 times a day. Course - 2 weeks.
• Ketoconazole - 2 tablets 1 time per day for 2 weeks. Then another 2 weeks, 1 tablet per day.

During therapy with imidazoles, changes in the blood picture, nausea, diarrhea, headaches, irritability and fatigue are possible. Contraindications include pregnancy, lactation, severe pathology of the liver and kidneys. A relative contraindication is dysfunction of the pituitary gland.

Combination drugs

Currently, combination drugs are almost always used to treat thrush, which contain not only an antimycotic, but also other active ingredients. As a rule, such drugs combine the properties of an antimycotic, antibiotic, anti-inflammatory and regenerating component.

Popular combination treatments for thrush include:

• Vaginorm S is a drug that changes the acid-base environment of the vagina and creates conditions unsuitable for fungal life. In addition, Vaginorm C accelerates the regeneration of the mucous membrane, relieves inflammation, and has antioxidant and antiplatelet properties. Injected intravaginally, 1 tablet at night. The course of therapy is 6 days.
• Gynoflor is a combination drug that combines a complex of lactic acid bacteria and hormone-like substances. Helps normalize microflora on the mucous membrane, thereby making conditions unsuitable for candida to live. The course of treatment is 7 days. The suppository is administered once, at night.
• Terzhinan is a combined antifungal agent. Contains an antibiotic, antimycotic and hormonal component. Available in the form of vaginal tablets, which should be administered one per day, for a course of 10 days.

Combined treatments for candidiasis are preferable, as they allow not only to destroy the fungus, but also to eliminate the cause of its appearance.

Top 5 most effective and inexpensive drugs for thrush

The list of inexpensive and effective medications includes:

1. Fluconazole is the gold standard for the treatment of vaginal candidiasis. According to various sources, its cost varies from 30 to 200 rubles. Despite the low price, the antimycotic is highly effective and often allows you to get rid of thrush in one go.
2. Mycomax is another trade name for fluconazole. The drug is available in capsules, which makes it more convenient to use. The cost of 1 capsule of Mycomax with a dosage of 150 mg (full course of treatment for thrush) is 200 rubles.
3. Livarol - suppositories based on ketoconazole. Well suited for the treatment of mixed infections. The cost of a blister of 5 units of livarol is approximately 500 rubles.
4. Nystatin in suppositories is an old and proven drug, described in detail above. The cost of packaging “candles” based on it varies from 50 to 200 rubles.
5. Flucostat - active ingredient - fluconazole. Available in capsules. The average cost of 1 capsule is within two hundred rubles.

The drugs indicated in the above list are considered reference in the treatment of candidiasis. However, in some cases, fungi are resistant to popular antimycotics. Traditional medicine comes to the aid of patients with a fungus resistant to pharmacological therapy.

An alternative to drug treatment - folk remedies

Folk remedies for thrush are used in case of resistance of the fungal flora to medications, and also as an additional method of treatment. The possibility of using one or another technique should be assessed by a gynecologist.

The most commonly used folk recipes include:

1. A decoction of herbs - chamomile, yarrow, sage and calendula should be crushed to a powder. To prepare the decoction, 1 teaspoon of each herb in crushed form is mixed together, and then 0.5 liters of boiling water is poured. The resulting mixture is boiled for 10 minutes, cooled and filtered. After this, the decoction is used to irrigate the vaginal walls using a baby syringe. The procedure is carried out 1-2 times a day until the symptoms of the disease completely disappear.
2. Soda-iodine rinses - to prepare a working solution, you need to boil a liter of drinking water. Add 2 tablespoons of salt and half the amount of baking soda to boiling water. The solution is stirred and its temperature is reduced to 40°C. Next, 10 drops of iodine are added to it, after which the mixture is considered ready. Rinse the area affected by fungi 2 times a day for 5 days.
3. Oregano oil - add 2 drops of oregano essential oil to 50 ml of olive oil and mix thoroughly. The resulting mixture is applied to a hygienic tampon or gauze tourniquet, and then inserted into the vagina. The duration of application is 8-10 hours (overnight). The frequency of the procedure is 1 time per day, the course is 8-10 days.

After applying solutions from the arsenal of traditional medicine, itching, hyperemia, and swelling may appear on the treated areas. This is a direct contraindication for continuing therapy.

Note: local intolerance reactions sometimes occur when using traditional medications. In such situations, the medicine is also discontinued.

Thrush is a disease that is relatively easy to treat using both traditional and folk remedies. Millions of people successfully cope with this pathology without experiencing significant inconvenience. However, one should not think that the simplicity of therapy relieves the patient of the need to visit a doctor. Illiterate use of medications can negatively affect health. Therefore, any treatment should be based on the advice of a competent specialist.

Content

There is no representative of the fair sex who has never suffered from candidiasis in her life. Most people are accustomed to calling this disease thrush; it must be treated with antifungal agents. All girls should know what medications help get rid of thrush.

When are anti-candidiasis pills prescribed for women?

Thrush is caused by the fungi Candida albicans; they are found on the mucous membranes of every person. As soon as the immune system becomes weaker, these microorganisms begin to multiply. A decrease in immunity can be caused by any illness, taking any medications, or stress. The following symptoms indicate the presence of thrush:

• white discharge with a cheesy consistency (sour odor);
• redness and swelling of the genitals;
• severe itching.

In some cases, the disease can be cured by topical medications. In case of severe cases and chronicity, anti-thrush tablets for women are prescribed - they kill the fungus and prevent its reproduction. Such drugs cannot be taken independently; they have many side effects and contraindications. The treatment regimen should be selected exclusively by a doctor.

What to drink for thrush in women

Medicines are divided into several groups depending on the main active ingredient. Check out the classification in the table below:

Popular tablets for the treatment of thrush in women

1. Fluconazole- an effective and inexpensive medicine. Even one tablet for thrush will relieve a woman of discomfort if the disease proceeds without complications. The medicine stops the development of the fungus and its spread throughout the body. The product has virtually no side effects; it is not recommended to combine it with other medications.
2. Pimafucin- an effective drug for candidiasis in women. You need to drink 1 piece for three to five days. The drug is well tolerated.
3. Nystatin– a drug suitable for the prevention of candidiasis. According to the instructions for treatment, you should drink a capsule 4 times a day for two weeks. Contraindicated for stomach diseases.
4. Futsis– another analogue of Fluconazole with a higher price.
5. Miconazole- tablets that kill many types of fungi. Drink one capsule for three days in a row.
6. Flucostat– effective capsules. Depending on the severity of the disease, drink from one to three pieces with an interval of three days.
7. Diflucan– an analogue of Fluconazole. The drug is taken once.
8. Ketoconazole– the drug is well absorbed by the body. Take one tablet for five days in a row.

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.

What should a woman take during pregnancy for thrush?

The most difficult time to cure the disease is in the first trimester. This is due to the fact that no drugs should be taken orally. Only a few types of vaginal suppositories are allowed to be used. Even in the second and third trimester of pregnancy, tablets and capsules are prescribed only for very severe cases of the disease. In this case, the gynecologist may recommend Nystatin, Pimafucin, Bifidumbacterin. It is strictly prohibited to treat the disease during pregnancy with the following drugs and their analogues:

• Itraconazole;
• Terzhinan;
• Miconazole;
• Ketoconazole;
• Clotrimazole;
• Fluconazole.

Price for tablets for thrush in women

The estimated cost of drugs in Moscow is presented in the table:

How to choose tablets for thrush in women

First of all, it should be noted that self-treatment of candidiasis is fraught with the disease becoming chronic. Do not buy medications based on the advice of friends or advertisements you have seen. Only a doctor can prescribe treatment after doing the necessary research. Diagnostic stages:

1. Interview with a woman.
2. Gynecological examination.
3. Laboratory research:

• smear microscopy;
• PCR diagnostics;
• sowing on Sabouraud's medium.

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Content

One of the most common infectious diseases is thrush. Its development is provoked by the candida fungus. The disease affects the mucous membranes and occurs in children, women and men. The symptoms of infection are very unpleasant, so it is worth starting therapy immediately after detecting the first signs of infection.

Cure for thrush

There are several ways to treat this unpleasant disease. It is recommended to choose drugs for thrush taking into account numerous factors. The disease can develop in men, women or children, affecting the mucous membranes in the mouth, nose or genital area. Taking into account the clinical picture, you can use:

• drug treatment;
• douching with infusions of medicinal herbs;
• antifungal drugs for local treatment (ointments, creams, sprays).

It is recommended that your doctor discuss the effectiveness of a particular treatment method. All antifungal medications are divided into local and internal. Ointments and creams for chronic thrush and advanced diseases are ineffective, but they help get rid of itching and relieve irritation. If you believe the reviews, the most effective is complex therapy, which combines local anti-thrush medications and antimycotic capsules with home remedies.

Preparations for thrush in women

At home, vulvovaginal candidiasis and other types of this disease are treated with herbal decoctions, creams and tablets that contain antimicrobial components. Almost all medications for thrush for women have a wide spectrum of action, so you need to select them carefully so as not to harm your health. Before starting therapy, you should consult your doctor.

An important stage of treatment is determining sensitivity to antifungal drugs. At the initial stage, it is better to choose local means of combating thrush, and for chronic genital candidiasis, a course of special tablets (nitroimidazoles) is needed. Women during pregnancy and breastfeeding should be especially responsible for treatment.

Popular drugs for the treatment of candidiasis in girls:

1. Vaginal capsules with fenticonazole Lomexin.
2. Suppositories Miconazole, Pimafucin, Neotrizol.
3. A single dose of Fluconazole (a cheap analogue of Flucostat).

Remedies for thrush in men

This disease can develop not only in women, but also in men, however, its treatment has its own peculiarities. How to get rid of candidiasis? It is necessary to choose drugs with a strong effect for topical application. Use special antifungal gels, ointments and creams twice a day until signs of infection disappear. Sometimes doctors recommend that patients take pills orally. To alleviate the condition, you can pay attention to folk remedies (soda solution, infusions of beneficial herbs, etc.). Additionally, patients are prescribed a diet.

What drugs to treat thrush in men:

• Econazole;
• Lamisil;
• Iconazole;
• Clotrimazole solution;
• Natamycin.

Remedy for thrush in children

When babies are sick, it is especially important for parents to choose the best remedy for thrush. In modern pharmacies there are several common medications that differ in price and form of release. How to treat candidiasis in a child? You can consider an antifungal agent for the treatment of thrush in children from the following list:

1. Miramistin has a wide range of actions. The product is available in the form of an ointment or medicinal solution. The composition is applied in a small layer to the damaged area.
2. Candide- an effective remedy, according to reviews from parents. For babies it is prescribed in the form of a solution, which is used to treat the affected area. Take no more than 3 times every day, course – up to two weeks.
3. Nystatin- an antibiotic available in tablet form. It can be prescribed for advanced and severe forms. The composition sometimes causes allergies.

Topical antifungal drugs

If the disease is mild, then local treatment with solutions, sprays, ointments is recommended, and antibacterial tablets are worth taking in severe cases. The fact is that antibiotics negatively affect the bladder, liver and kidneys. Below are popular topical antifungal drugs for thrush:

1. Kanesten– antibacterial gel, cream, vaginal tablets.
2. Nystatin ointment– an effective remedy with low cost.
3. Miconazole– this remedy is one of the top most popular medications for local treatment of thrush.
4. Levorin- another effective topical remedy at an affordable cost.

Candles for thrush

When candidiasis bothers women, the most convenient treatment is suppositories. During therapy with vaginal suppositories, the substances of the drug actively penetrate the mucous membrane, relieve inflammation, discomfort and itching. The most popular are Lomexin, Zalain, Diflucan suppositories for thrush. The course of treatment lasts, depending on the location of the infection, up to 14 days. This method of therapy is not recommended for use during menstruation, except for suppositories based on Povidone-Iodine: Betadine or Sertaconazole.

Vaginal tablets for thrush

Often suppositories are confused with vaginal tablets due to a similar method of use. A doctor should prescribe treatment with such drugs. The use of vaginal tablets is effective even in advanced forms of the disease. Capsules are administered using an applicator or fingertip, pre-moistened with water. The use of tablets during pregnancy is allowed. The most popular drugs are presented below:

1. Klion-D 100– price – about 400 rubles.
2. Terzhinan– a product containing nystatin, ternidazole, prednisolone. The cost of a package of 6 pieces is 330-380 rubles.
3. Irunin– price is about 300-350 rubles per package.

Creams against thrush

If you start local treatment when the first signs of the disease are detected, you can avoid the advanced form and relieve irritation. Anti-thrush cream for women is even suitable for therapy during lactation and pregnancy. The most popular means are presented below:

• Pimafucin;
• Candide
• Triderm;
• Zalain.

Spray for thrush in women

In addition to ointments, creams and suppositories, products in the form of aerosols can be used to treat candidiasis in the intimate area. Thrush spray is a safe treatment option, suitable for the early stages of the disease. The most popular are the following aerosol preparations:

• Hasiko;
• Panavir;
• Kandiston;
• Epigen.

Thrush capsules

Advanced and chronic forms of this disease require serious treatment with antimicrobial agents. Popular oral tablets for thrush are presented below:

1. Pimafucin– a well-known antibiotic that does not cause allergies, can be used in the treatment of candidiasis in pregnant women.
2. Diflucan– very effective capsules with a wide spectrum of action. Contraindicated in pregnancy, kidney and liver diseases.
3. Flucostat– tablets with a quick effect. Improvement is noted after taking one capsule.

Folk remedies for thrush

In addition to drug treatment, it is worth considering numerous home recipes. For example, it is useful to replace hygiene products for thrush with a decoction of chamomile or string. However, the most popular method of folk therapy is douching. For it, decoctions of St. John's wort, a solution of soda or manganese are used. Treating thrush at home with folk remedies is gentler and safer. At the first signs of infection, localization of the fungus can be avoided if therapy is started in a timely manner.

Price of thrush remedies

Tablets for thrush in women have a wide range of options. Unlike vaginal suppositories, they can be taken at a convenient time in any public place. They quickly and effectively cope with the main manifestations of vaginal candidiasis and enhance the effect of local medications.

In severe cases, with regular relapses of the disease, treatment of thrush with tablets is preferable. Taking antifungal drugs should be started after consultation with a doctor and confirmation of the diagnosis; only in this case can you count on a positive result and a speedy recovery.

As you know, thrush or (vaginal candidiasis) is caused by microscopic yeast fungi Candida. Their reproduction and growth begins when the normal microflora of the vagina changes, which can be caused by many factors:

• decreased immunity due to exacerbation of chronic diseases;
• long-term and unsystematic use of medications;
• hormonal imbalances;
• hypothermia;
• regular stress;
• improper and unbalanced diet;
• disease of the genitourinary system;
• wearing synthetic underwear.

To this list we can add a number of other reasons that can provoke candidiasis. Therefore, before starting treatment, the doctor must determine the factor causing the fungal infection and, taking this into account, prescribe medications.

Thrush manifests itself by the appearance of characteristic symptoms: curdled discharge, burning and itching, painful sensations when urinating. Medicines with antifungal and antimicrobial effects, which actively destroy pathogenic microflora, help to cope with the problem.

There are a lot of them produced and it is difficult for an ignorant person to navigate such a variety of drugs. Therefore, we present to your attention a review of the most effective tablets for thrush.

Tablets for thrush: classification

Unlike topical preparations (vaginal suppositories, ointments, gels), which exhibit a therapeutic effect directly in the affected area, the active substances of the tablets are absorbed by the gastric mucosa and are carried through the bloodstream throughout the body, destroying pathogenic microorganisms from the inside. Therefore, in mild cases, suppositories are more often used, and in case of recurrent chronic candidiasis, only tablet forms of drugs can help.

Such medications exhibit a powerful fungicidal effect and destroy fungi by blocking the production of sterol, the main building material necessary for the growth and reproduction of microorganism cells. According to the principle of action, antifungal agents for thrush are divided into several main groups:

1. Tablets for thrush of the polyene group. Actively resist the proliferation of fungal microflora and protozoan microorganisms due to the destruction of their cell membranes. These are drugs such as Nystatin, Levorin, Pimafucin, Natamycin and their analogues.
2. Triazoles. They are characterized by low toxicity, have a prolonged effect and maintain a therapeutic effect for 30 hours after administration. They stop the growth and reproduction of the fungus, and are mainly prescribed for chronic candidiasis. Representatives of this group are Itraconazole, Orungal, Fluconazole, Flucostat, Fucis, Mikosist, Rumikoz, etc.
3. Imidazoles. Representatives of this group are distinguished by high penetrating ability, have a pronounced disinfectant and antifungal effect, but are quite toxic and can cause a number of undesirable side reactions. Popular remedies are Ketoconazole, Mycozoral, Clotrimazole, Candibene, etc.

Almost all antifungal agents exhibit toxicity and have a negative effect on the functioning of the liver and kidneys. Some drugs act more gently and can be used even during pregnancy, others have an extensive list of restrictions and side effects. Therefore, self-medication is unacceptable.

Only a specialist can select the right drug, taking into account the patient’s condition, the severity of symptoms and possible contraindications. You should take tablets for thrush in strict accordance with the instructions and not exceed the duration of the course of treatment recommended by your doctor.

Inexpensive tablets for thrush

The cheapest and most effective tablets for thrush include the following drugs:

A remedy for thrush from the group of polyene drugs. It has a pronounced fungistatic effect and is active against yeast fungi of the genus Candida. Destroys pathogenic microflora by disrupting the permeability of the cell membrane of fungi. The drug is used in the treatment of vaginal candidiasis and for the prevention of thrush during long-term therapy with antibiotics that cause dysbacteriosis.

But in recent years, doctors have prescribed this medication infrequently, since many modern drugs have appeared that are highly effective in treating thrush.

In addition, Nystatin is useless for chronic forms of candidiasis, since with prolonged use microorganisms develop resistance (resistance) to the action of the active substance of the drug. But this remedy is well suited for the prevention of thrush; it is often prescribed in the postoperative period against the background of the use of antibiotics.

The medication is contraindicated during pregnancy and breastfeeding, in case of severe liver damage, pancreatitis, peptic ulcer, or hypersensitivity to its components.

The body may react to taking the pills with nausea, diarrhea or itchy skin. In this case, it is recommended to reduce the dosage or stop taking the drug for a while. The doctor selects the duration of the course of treatment and dosage individually. The price of the drug is from 45 rubles.

An inexpensive antifungal agent that is prescribed for the treatment of acute or recurrent vaginal candidiasis. The drug has a highly specific effect and quickly relieves the symptoms of thrush by destroying the cell membrane of the fungi.

The medication is prescribed for the purpose of treating and preventing relapses of vaginal candidiasis. Fluconazole for oral administration is available in the form of capsules and film-coated tablets.

The drug has virtually no contraindications (except for hypersensitivity), but there are quite a few side effects, so the medicine should be taken with caution and only as prescribed by a doctor. On average, the course of treatment for thrush takes from 5 to 10 days. The price of the drug is from 30 rubles.

Antifungal drug with fungicidal and fungistatic effects. It is effective against thrush pathogens and is used in the treatment of acute and chronic candidiasis.

In addition, the drug is prescribed for prophylactic purposes during treatment with antibiotics and other drugs that disrupt the normal microflora of the vagina. This medication has many contraindications; before prescribing it, the doctor must take into account the compatibility of Ketoconazole with other medications and exclude its use during pregnancy, lactation, hypersensitivity, liver and kidney diseases.

The drug can cause a number of serious adverse reactions from the body systems (respiratory, cardiovascular, digestive, immune). The cost of Ketoconazole tablets starts from 120 rubles.

Among the most popular remedies for thrush are modern medications from the “Tablet for thrush 1 capsule” series. That is, the package contains only one tablet and a single dose of the medicine allows you to eliminate the characteristic symptoms of thrush and achieve recovery.

In addition, a wide range of strong medications are produced that need to be taken for several days, but their advantages include high efficiency and a minimum of contraindications. Such drugs are well tolerated, rarely cause side effects and can be used in the treatment of pregnant and lactating women.

1. Modern effective tablets for thrush based on fluconazole. The drug is available in capsule form. It is used for various etiologies, including acute and chronic thrush. Contraindications for use: hypersensitivity, liver, heart, kidney diseases, neurological pathologies. When treating mild forms of thrush, a single dose of a capsule (150 mg) is sufficient. To prevent repeated relapses of candidiasis, the drug can be taken once a month in the same dosage for a long time. The duration of treatment depends on the severity of the symptoms and is determined by the doctor individually. Flucostat can be prescribed during pregnancy, since this drug has the most gentle effect, is well tolerated and practically does not cause side effects. The price of tablets for thrush is from 200 rubles.
2. Futsis. One of the safest antifungal drugs based on fluconazole. Available in the form of tablets and gel. It is characterized by high bioavailability and is used in the treatment of fungal infections caused by fungi of the genus Candida. Before taking, the tablet should be dissolved in a small amount of water. For the treatment of vaginal candidiasis, the drug is used once. Just one tablet is enough to eliminate the discomfort associated with the manifestations of thrush. To prevent relapses, you can take 1 Fucis tablet per month. In this case, therapy can last from 4 months to a year. The doctor decides how long to take the drug, taking into account the clinical picture of the disease. Fucis is approved for use from the 2nd trimester of pregnancy, but its use is contraindicated before 12 weeks. As a rule, the drug is well tolerated, and adverse reactions occur if the doctor’s recommendations are not followed and the specified dosages are exceeded. In this case, dizziness, dyspeptic disorders, impaired liver function and heart rhythm are possible. The average cost of the drug, depending on the form of release, ranges from 300 to 400 rubles.
   
   
3. Tablets for thrush of the polyene series from the macrolide group. Used for candidiasis vulvitis and vaginitis. When taken orally, the active substance, natamycin, is practically not absorbed from the gastrointestinal tract, and therefore does not cause serious systemic side effects. The drug is completely safe and can be prescribed to pregnant and lactating women. The only contraindication for use is individual intolerance to the components. In the first days of taking the tablets, you may experience a feeling of nausea and upset stool (diarrhea), but these phenomena soon go away on their own. Pimafucin is suitable for the treatment of complicated thrush; this drug is often prescribed when other medications are ineffective. In addition, Pimafucin is used to prevent thrush, including in cases of decreased immunity during pregnancy and before childbirth. The price of Pimafucin is from 450 rubles.
   
   
4. Itraconazole (Irunin, Itrazol). Tablets for thrush with a wide spectrum of action, is a triazole derivative. Available in capsule form. The active substance of the drug effectively destroys candida yeast fungi, molds, dermatophytes and other strains of pathogenic microflora. It is used for a variety of fungal infections, including vulvovaginal candidiasis. The active substance of the drug quickly penetrates all organs and tissues and maintains a high therapeutic concentration for 2-4 weeks after stopping the course of treatment. Thus, there is no need to take other pills after thrush to prevent relapse of the disease. At the same time, drugs in this group exhibit toxic effects, have many contraindications and can provoke systemic side effects. Therefore, they are not prescribed to pregnant and lactating women, the elderly, or those with chronic heart, liver or kidney failure. When treating thrush, the drug is prescribed in a short course of 1 to 3 days, during which 1 capsule is taken twice a day.
5. Orungal. A very effective, modern antifungal drug based on itraconazole. Available in the form of capsules and oral solution. Copes with most fungal infections, including severe forms of vaginal candidiasis. Shows activity against a wide range of yeasts, yeast-like fungi and dermatophytes. Rarely causes adverse reactions, has a minimum of contraindications and has the least toxicity among drugs in this group. Orungal should be prescribed with caution for heart failure, liver and kidney diseases, and in old age. This is one of the most expensive drugs; its price in pharmacies starts from 2,600 rubles per package.

Tablets for thrush during pregnancy

In the early stages of pregnancy (up to 12 years), they try not to prescribe antifungal drugs in tablets. At this time, doctors prefer to use topical medications (vaginal suppositories, ointments). In early pregnancy, oral medications are prescribed only in severe cases.

At the same time, they try to select drugs with the fewest side effects and the most gentle effect, so as not to provoke disturbances in the formation and development of the fetus. Such means include:

• Natamycin,
• Zalain,
• Orungal

Starting from the second trimester of pregnancy, Fucis, Levorin, Mikosist are used with caution and under the supervision of a doctor. Drugs such as Miconazole, Itraconazole, Irunin, Clotrimazole can penetrate the placental barrier and have a negative effect on the fetus. Therefore, such drugs are used in short courses and only as prescribed by a doctor.

Tablets for thrush during breastfeeding are selected in such a way as to avoid negative effects on the baby during therapy. Therefore, the doctor prescribes drugs with low systemic absorption, that is, medications whose active substances are practically not absorbed into the blood and do not pass into breast milk (Pimafucin, Nystatin). In severe cases requiring the use of strong antifungal drugs, breastfeeding is stopped for the entire period of treatment, and the baby is transferred to artificial formula.