Clotrimazole vaginal Uses, Side Effects & Warnings

Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Miconazole and clotrimazole are of special interest in oral candidiasis as discussed next. If your symptoms do not improve or get worse, call your doctor. You develop a rash, fever, abdominal pain, or a foul-smelling vaginal discharge.

In women with frequently recurrent vaginal yeast infections, especially infections that don†t clear up easily with proper treatment, the vaginal yeast infections may also be the result of serious medical conditions, including infection with HIV (the virus that causes AIDS), that can damage the body†s normal defenses against infection. Efforts to correct modifiable conditions should be made, and more prolonged (i. )This document does not contain all possible drug interactions. Over-the-counter medications for treating yeast infections — available as creams, ointments or suppositories — include:

CLOTRIMAZOLE VAGINAL CREAM may reduce the effectiveness of some methods of birth control.

7 A randomized, controlled trial evaluated the effect that treating male sexual partners with oral ketoconazole had on the recurrence rates for vulvovaginal candidiasis. This is most common in men who wait to receive treatment until the infection has spread beyond the penis. Miconazole is sold by the brand name Monistat®.

What will it do for me? Clotrimazole may be given in pregnancy, although nystatin is preferred. It is always a good idea to treat a yeast infection, even if it is mild. Wipe the nozzle with a clean tissue after each use.

About Clotrimazole For Thrush

Fluconazole may harm an unborn baby if taken during the first 3 months of pregnancy. The contents herein are for informational purposes only. It works by stopping the growth of yeast (fungus) that causes the infection. 11 The patient should continue using the product even if menstrual flow begins. If they cleanse from the bottom forward, they may carry fecal candida to the vagina, thus increasing the risk of VVC.

2 Vulvovaginal candidiasis is considered recurrent when at least four discrete episodes occur in one year or at least three episodes occur in one year and are not related to antibiotic therapy. Options include longer duration of therapy (7–14 days) with a nonfluconazole azole regimen (oral or topical) as first-line therapy. Oral thrush, a warm saltwater rinse several times a day can help. Clotrimazole may be compounded with a glucocorticoid, such as betamethasone, in a topical cream for the treatment of tinea corporis (ringworm), tinea cruris (jock itch) and tinea pedis (athlete's foot). Also, you may need to use clotrimazole for a longer period of time during pregnancy than is usually recommended. View drug interactions database. While tea tree oil may be effective, it may not be as fast-acting as over-the-counter options.

  • An ingredient in clotrimazole cream may weaken certain latex products like condoms or diaphragms, so you should not use these products within 72 hours of taking clotrimazole.
  • 12 One study found that Lewis A and B blood group antigens on the vaginal epithelium are protective against candidal infection.

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If you may have been exposed to HIV and are experiencing either frequently recurring vaginal yeast infections or, especially, vaginal yeast infections that do not clear up easily with proper treatment, you should see your doctor promptly. It can be taken by mouth as a lozenge or troche or applied as a topical cream to the skin or in the vagina. If you have any concerns or questions, speak with your child’s doctor or pharmacist. It is better not to have sex until you have finished your treatment. Stopping the medication too soon may allow the yeast infection to return. It is your responsibility to ensure that you provide the correct and complete medical information.

Wash your hands thoroughly with soap and hot water before and after giving the drops. Do not apply a double dose to make up for a missed one. For inflammatory conditions such as seborrheic dermatitis, combined preparations with topical corticosteroid are helpful. Patients are more likely to comply when antifungal therapy is administered orally, but oral treatment carries a greater potential for systemic toxicity and drug interactions. Practice good hygiene, and keep your penis and genitals clean and dry. Do not use any other vaginal products without telling your doctor or health care professional. Call your doctor at once if you have new or worsening vaginal symptoms.

  • Uncomplicated VVC is not usually acquired through sexual intercourse; thus, data do not support treatment of sex partners.
  • Clotrimazole creams can also be put on the skin for localized fungal infections.

Internal Cream

Call your doctor if you have: These factors may affect how you should use this medication. Can clotrimazole for thrush cause problems? If you are pregnant, do not use the applicator which is provided to insert the pessary, unless your doctor has recommended you to do so. Pediatric fungal infections, this may relieve acid reflux symptoms but can leave a person susceptible to Candida overgrowth, especially in the esophagus. You should not use tampons, douches, or spermicides while using a medicine containing clotrimazole. Order a new prescription at least 2 weeks before you will run out.

How To Tell A Yeast Infection Has Gone

Side effects are also listed in the information that comes with your medicine. Topical antifungal therapy has been ineffective in male sexual partners, probably because of the presence of reservoirs not reached by this treatment. Diflucan® (fluconazole) warnings and precautions, using this medicine with any of the following medicines is not recommended. Do medications applied to the skin or vagina get to the baby? Clotrimazole topical can also cause damage to a condom or a diaphragm. Relationship between recurrent vulvovaginal candidiasis and immune mediators in vaginal fluid.

Other Topics in Patient Care & Health Info

Before taking this drug, you should tell your doctor if you have or have ever had liver disease, problems with your immune system, HIV, AIDS, a history of alcohol abuse, or diabetes. Ask a doctor before use if you have vaginal or vulvar itching and discomfort for the first time (If you have had a doctor diagnose a vaginal yeast infection before and have the same symptoms now, use this cream as directed for 7 days in a row); symptoms that return within 2 months or infections that do not clear up easily with proper treatment (You could be pregnant, or there could be a serious underlying medical cause for your infections, including diabetes or a damaged immune system (including damage from infection with HIV - the virus that causes AIDS). )It may not cover all possible information. Continue to use this medication for as long as directed by your doctor or pharmacist, even if you start to feel better. Signs your dog has a yeast infection: complete guide in 2020, when that happens it makes the dogs more vulnerable for secondary infections and Demodectic Mange flare ups as well. Use of alternative forms of birth control while using this medication is recommended.

There may be an interaction between clotrimazole and any of the following: Boric acid Boric acid is another home remedy for yeast infections that some research suggests is effective. Systemic candidiasis, for the rapid identification of microbes in bloodstream infections (BSI), DNA-microarray-based Prove-it Sepsis assay has been evaluated and found to be 98-99% sensitive compared to conventional blood-culture tests. Clotrimazole kills the fungus and so gets rid of the infection, or stops an infection from developing. The symptoms of a vaginal yeast infection should start to improve within a few hours after starting this medication, but it may take as long as a week for the symptoms to go away completely. Breast-feeding:

When life (and yeast infections) happen, tackle them by arming yourself with these picks for the best creams to treat vaginas and beyond. Do not use double or extra doses. To make this process quick and convenient for you, please read the policy below.

Getting The Most From Your Treatment

Others simply use their fingers to apply the yogurt. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. These unproven products carry such trade names as Azo Yeast, Nature’s Cure, YeastGard, Yeastaway, Hyland’s Vaginitis, NatraBio Candida Yeast Relief, and VH Essentials. Insert the applicator gently and deeply into the vagina, then slowly depress the plunger to release the tablet or instil the cream. Some women get vaginal yeast infections during pregnancy, while taking certain birth control pills, or every month just before their period.

  • Further, if your vaginal fungal infection comes back within 2 months, this could be a sign of pregnancy, diabetes, or even HIV/AIDS.
  • Dosage is based on your medical condition and response to treatment.
  • Boric acid suppositories can sometimes cause side effects, including vaginal burning and discharge.
  • Also tell them about any supplements you take.
  • If you have itching/burning around the outside of the vagina (vulva), apply the skin cream to that area usually once or twice a day for no more than 7 days.

NutraBlast Boric Acid Vaginal Suppositories

RETURNS & REFUNDS: A minority of male sex partners have balanitis, characterized by erythematous areas on the glans of the penis in conjunction with pruritus or irritation. The dose will be shown on the medicine label if you have been given a prescription. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you forget to give it, just give the next dose as soon as you remember. If you insert too many pessaries at once you may feel discomfort or irritation.


For cutaneous candidiasis and dermatophytoses, a 1% cream or lotion is equivalent to topical miconazole. Some medicines can harm your baby. Vulvovaginal candidiasis section of Sexually transmitted diseases treatment guidelines 2020. If you need it any sooner please do not be put off from ordering, it might be worth a quick phone call to us to check whether we can meet your expectations. You’re not likely to have any serious side effects. Aside from sex with a partner who has a yeast infection, several other risk factors can increase your odds of developing a penile yeast infection.

FDA pregnancy category B. To comment on this article, contact [email protected] Stop use and ask a doctor if: If this is the first time you have ever had symptoms of a vaginal yeast infection, ask your doctor before using clotrimazole vaginal. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.


Do not start, stop, or change the dosage of any medicines without your doctor's approval. PCR testing for yeast is not FDA-cleared; culture for yeast remains the gold standard for diagnosis. Some clotrimazole resistance is documented in Candida albicans, especially among oral isolates in patients with AIDS treated with Clotrimazole. Repeat infections:

If your child’s fungal infections keep coming back, they may need to use a different medicine. Yeast infections: medlineplus, a swab can be used to confirm thrush and also exclude other types of infection, such as gonorrhoea. Vaginal yeast infections treatments, we stray away from harsh yeast infection treatments, vaginal douches, bv treatments, and creams. Taking medicine as your doctor suggests will improve your health and may prevent future problems. Side effects of the oral formulation include itching, nausea, and vomiting. Wash your hands thoroughly when you've finished. There are currently no studies looking at miconazole or clotrimazole use during breastfeeding.

If pregnant or breast-feeding, ask a health professional before use. Applied on the skin it penetrates on the surface layer (epidermis), with no systemic absorption. It works best if you do not get up again after applying it except to wash your hands. Do not use if you have abdominal pain, fever, or foul-smelling vaginal discharge. Impaired cell-mediated immunity (e. )

Missed Dose

Do not use if: The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. US residents can call their local poison control center at 1-800-222-1222. (Please read enclosed educational pamphlet). New molecular tools in the diagnosis of superficial fungal infections. Food and Drug Administration (FDA) for the treatment of certain fungal infections, including tinea versicolor that is specifically caused by the fungus Malassezia furfur and candidiasis that is specifically caused by the yeast Candida albicans. The tube opening should be sealed. Even women who have previously received a diagnosis of VVC by a clinician are not necessarily more likely to be able to diagnose themselves; therefore, any woman whose symptoms persist after using an OTC preparation or who has a recurrence of symptoms within 2 months after treatment for VVC should be clinically evaluated and tested.

For those with negative wet mounts but existing signs or symptoms, vaginal cultures for Candida should be considered. Use of 10% KOH in wet preparations improves the visualization of yeast and mycelia by disrupting cellular material that might obscure the yeast or pseudohyphae. It will give you more information about how to use the clotrimazole preparation you have been given. Lie on your back with your knees drawn upward and spread apart or standing with your feet far apart and knees bent. The clotrimazole cream is also an azole antifungal.

You have symptoms that returned within two months. Your partner should be treated regardless of whether or not the infection was spread from them to you. However, patients should be advised that symptoms are seldom absent after use of the 1- and 3-day products, and that it may take 5 to 7 days for relief of symptoms. You have never had a vaginal yeast infection diagnosed by a healthcare provider.

Al-Awadhi R, Al-Ramadan BA, George SS, et al.

Picture of Athlete's Foot 2

Side effects can be mild or severe, temporary or permanent. Noncandidal fungal infections of the mouth: background, pathophysiology, etiology, drinking acidic liquids such as orange juice and eating yogurt can help to rebalance the natural bacteria that keep the Candida yeast in check. Do not use if you have abdominal pain, fever or a foul-smelling vaginal discharge (Contact your doctor immediately); in children less than 12 years of age. It is not suitable for women who are pregnant. Is there anything else I need to know about this medicine? To help the pessary dissolve, insert it as far as possible into your vagina at bedtime. Yeast infections, women have known for a long time how to recognize and treat an overgrowth of vaginal yeast, or a "yeast infection. If you do not improve in 3 days or if you do not get well in 7 days, you may have a condition other than a vaginal yeast infection.

Talk to your doctor immediately and do not use clotrimazole.


Once we have received the returned item we will refund the amount paid or resend the product. Vulvovaginal infections, over-the-counter (OTC) antifungal creams, lotions, or shampoos (used as a body wash) may solve a mild infection. It is not known if clotrimazole passes into breast milk. If you are not sure how much to give, then contact your pharmacist or doctor. If pregnant or breastfeeding, ask a health professional before use.

It inhibits the production of ergosterol, a central chemical in the cell membranes of fungi, by interfering with 14 alpha demethylase. Known etiologies of recurrent vulvovaginal candidiasis include treatment-resistant Candida species other than Candida albicans, frequent antibiotic therapy, contraceptive use, compromise of the immune system, sexual activity and hyperglycemia. Choosing an over-the-counter cream with "actual antifungal medication" is essential, says Margaret Sullivan, MD, obstetrician and gynecologist at Tufts Medical Center.

Pharmacists who were practicing at that time may recall the national shortages of Gyne-Lotrimin 7 in late 1990 and of Monistat 7 in early 1991. Talk to your doctor if you are using marijuana (cannabis). Tell your doctor if your condition does not improve after 3 days or lasts more than 7 days. Keep out of the reach of children. Ketoconazole cream for athlete's foot. info from patient, this is because the amount of ketoconazole in your body is increased. Topical clotrimazole is usually not effective in treatment of fungal infections of the scalp or nails.

How should I take clotrimazole?

2 Taking medicine Medicine is one of the many tools your doctor has to treat a health problem. They are available as ointments, creams, or suppositories for 1-, 3-, or 7-day therapy. It can also cause adhesions on the penis. This includes medicines which are available to buy without a prescriptions, as well as herbal and complementary medicines. Store at room temperature away from moisture and heat. Fluconazole can slow down the removal of other medications from your body, which can affect how they work. Side effects may go away after you take the medicine for a while. And while having effective actives is an important start, this treatment sets itself apart by the ease of use — which is why it's the top pick.

Lie on your back, bend your knees then let your knees fall to each side. Avoid wearing tight jeans, nylon underwear, pantyhose, a wet bathing suit, or damp/sweaty exercise clothes for long periods. You have vulva itching that is not caused by a vaginal yeast infection. Clotrimazole also appears to be highly effective and is the drug of choice for the treatment of oral candidiasis in patients with AIDS. Choosing a treatment is a personal decision, but some get rid of infections quicker than others. It is used on the skin in and around the vaginal area to reduce symptoms such as burning, itching, and redness that may occur with a vaginal yeast infection. However, with oral (troche) clotrimazole, there are multiple interactions as the medication is a CYP450 enzyme inhibitor, primarily CYP3A4.

All material copyright MediResource Inc. It is also more common in men with weakened immune systems. Tea tree oil Share on Pinterest Tea tree oil may be an effective home remedy. What brand names are available for clotrimazole? Your child should keep their head tilted to one side for a minute or so. Limit alcoholic beverages. Call your doctor if your symptoms do not improve after 3 days of treatment, or if they last longer than a week. Clotrimazole cream is also used to treat penile candidiasis (balanitis).


A range of yeast infection treatments are available for purchase over the counter or online. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk. Yeast infection may also cause a white discharge from the vagina. There may be a thick, white or creamy vaginal discharge. Boric acid suppositories are available for purchase in pharmacies and online. Common side effects may include: 2 The patient must be referred to rule out such serious issues as sexual abuse, bacterial vaginosis, chemical irritation, or childish insertion of a foreign object that remains lodged in the vagina.

However, it is unlikely to pass into breast milk in large amounts. Speak to your doctor about how any drug interactions are being managed or should be managed. When a yeast infection strikes, don't fear and definitely don't feel ashamed. Multiple formulations and strengths of topical imidazoles are available that affect the duration of therapy for nonpregnant patients; however, during pregnancy, only the dosage forms designed for prolonged-duration therapy should be used.

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