Clotrimazole is a drug that is widely used in the treatment of various diseases caused by fungal infections. He has a high penetrating power.
Clotrimazole in cystitis helps to combat not only the symptoms of the disease, but also to eliminate the very cause of its occurrence. The drug has a wide range of therapeutic actions:
The active ingredient of the drug is an imidazole derivative. The substance affects the synthesis of ergosterol, leading to cell death of the pathogen. Clotrimazole has a fungistatic and fungicidal action. In low concentrations, it reduces the growth of pathogenic microflora, and in large concentrations it leads to complete death. In the systemic circulation of the active ingredient enters in small quantities.
Important! Clotrimazole is mainly prescribed for cystitis, which simultaneously proceeds with thrush.
Trichomonas, gardnerella, staphylococcus, streptococcus, corynebacterium - all these and other pathogens are sensitive to the effects of clotrimazole. It shows high activity against pathogenic fungi: dermatophytes, as well as dimorphic and yeast-like fungi.
Clotrimazole is intended for topical and external use, oral tablets do not exist. The drug is rich in a variety of dosage forms:
Clotrimazole is used in the treatment of various diseases:
- athlete's disease;
- pityriasis versicolor.
Ointment is prescribed for thrush, as well as for its prevention. Also, the ointment is effective for fungal lesions of the genital organs caused by immunodeficiency states.
The ointment is applied to the clean affected areas with a thin layer. The exact duration of treatment with clotrimazole ointment can be prescribed only by a doctor. It all depends on the severity of the disease, localization of changes, as well as the effectiveness of the general therapy carried out.
Candles are prescribed for vaginal candidiasis and superinfection. Also suppositories are used as a rehabilitation of the birth canal, as well as before carrying out surgery to avoid infection. Candles delight reasonable price and high performance.
Treatment of cystitis should be comprehensive. Candles alone will not help. Usually the course of treatment is seven days. If the treatment was started on time, it may be enough for three days. This is all negotiated with the doctor. It is impermissible to stop treatment without permission, otherwise the risk of a relapse is great.
Candles are inserted into the vagina once a day before going to bed. For a deeper introduction, you can use the applicator, which must be sterilized. Do not forget that Clotrimazole will help with cystitis, but only if it is closely associated with fungal infection, in all other cases, a specialist is unlikely to prescribe this remedy to you, since it can lead to an exacerbation of cystitis.
The drug should not be used in case of hypersensitivity to the active substance or other components. Also during the first trimester of pregnancy, clotrimazole is not allowed. During lactation, the drug is used strictly according to the doctor's prescription with great care.
When used outside, such undesirable reactions may occur:
- burning and irritation;
With frequent use of the cream may cause headache and discomfort in the stomach. Candles can produce the following side effects:
- burning, itching, swelling;
- appearance of vaginal discharge;
- frequent urination;
- intercurrent cystitis;
- intimacy pain;
- burning sensation in the penis of the sexual partner.
With regards to overdose, with external or local application of intoxication is impossible, since the active substance does not enter the systemic circulation. If the medicinal substance is ingested, dyspeptic disorders in the form of nausea, vomiting, and stomach pain may occur. Sometimes it is possible the development of allergic reactions. In this case, symptomatic treatment is performed, gastric lavage and absorption of absorbing agents.
It is unacceptable to use suppositories during the period of critical days. During menstruation, the therapeutic value of the drug will be much less.
Treatment of children
Candles are not prescribed for children! Vaginal tablets are used after twelve years, provided that the girl has already started menstruating. Experience in the use of children's practice ointments, creams or gels is missing.
Treatment of pregnant women
The drug is valid for use from the second trimester of pregnancy. Clinical trials in pregnant women were not conducted, but animal experiments showed no negative effects.
Before applying the ointment, the affected areas are washed with water and dried. The tool should be gently rubbed. Men are recommended to apply ointment on the glans penis and the foreskin for one to three times a day. After stopping the clinical symptoms, experts recommend continuing the treatment for the next fourteen days. It is not recommended to wear underwear until the product is completely dry.
Available Clotrimazole without a prescription. The drug does not interact with polyene antibiotics. With simultaneous use, mutual suppression of therapeutic activity occurs. The tool should be protected from moisture and light, but you should not freeze the ointment. Avoid swallowing and contact with eyes.
Analogues of candles are the following drugs: Funginal, Imidil, Candibene, Candide, Kanizon. Analogues of the ointment: Kanesten, Kanizol, Amyclone, Clotrimazole-Acre, Funguicip.
Intercurrent cystitis after clotrimazole
Complicated cystitis may appear as a result of taking certain medications, in particular Clotrimazole. The disease is much more difficult and more difficult to treat. The problem may be aggravated by the inability to simultaneously take certain drugs that can enhance the effect of each other.
After the start of treatment with Clotrimazole, women may begin to complain of frequent urge to urinate, as well as an unpleasant burning sensation in the vagina. Such complaints are characteristic of the early stage of the pathological process. If at this stage nothing is taken, then nocturia will join the above symptoms, which is characterized by frequent urge to urinate at night.
Important! Intercurrent cystitis is much more complicated than an infectious disease, since the site of localization of the inflammatory process is not only the bladder, but also the vagina.
Often, along with intercurrent cystitis, leaks and colpitis. Patients complain of severe cramps when urinating. Usually, experts do not prescribe Clotrimazole, if during the last few years there have been attacks of acute cystitis. Painful polyuria with intercurrent cystitis becomes permanent. In severe cases, there is pain in the lower abdomen and lumbar region. Urine becomes turbid, dark with blood impurities. In some cases, an increase in body temperature may occur, indicating that the process has spread to the kidneys, as well as urinary incontinence.
The secondary type of inflammation of the bladder is characterized by spastic pain in the suprapubic region of dull nature, pain during urination, false urge, disruption of the general condition, deterioration of appetite. The clinical picture is observed for two weeks, after which the process subsides and becomes chronic. To avoid this, it is necessary to timely detect these symptoms and eliminate them. To do this, be examined and consult a specialist.
The likelihood of intercurrent cystitis can be minimized if you take medications not according to the recommendations of your friends, but clearly following medical prescriptions.
Can I have sex?
Cystitis is not a sexually transmitted disease. Patients who do not wish to exclude intimacy during treatment should adhere to the following rules:
- observe intimate hygiene;
- avoid drinking heavily before sexual contact;
- do not alternate between anal and vaginal sex;
- stimulation of the clitoris provokes irritation of the urethra;
- pressure on the bladder due to improper posture can lead to a reflux process in which urine from
- the bladder will enter the ureters. This can trigger the development of acute pyelonephritis;
- use barrier methods of contraception.
Sex during the acute period of cystitis is strictly prohibited! Sexual contact can provoke a painful sensation, and in men, a violation of erectile function. Regular sex during the treatment process can slow the healing process. Creams, gels, lubricants - all this can provoke an aggravation of the disease.
Clotrimazole is an effective remedy in the treatment of cystitis, if the cause of its occurrence is a fungal infection. The main pharmacological effect of the drug is antimycotic action. In addition to this, it has both a fungicidal and fungistatic effect.
During treatment, it is better to refuse sexual intercourse, if this is not possible, then it is important not to forget the simple rules, among which one can single out special control over intimate hygiene, the use of barrier methods of contraception, and the elimination of pressure on the bladder.
The uncontrolled use of Clotrimazole without medical prescription can threaten with the occurrence of intercurrent cystitis, a severe pathological process with unpleasant clinical symptoms. Consult with the urologist, pass the necessary examination and proceed to treatment based on medical recommendations.