Clotrimazole vaginal Uses, Side Effects & Warnings

If you forget to use a pessary or internal cream at bedtime, use it during the night if you remember.

100mg, 200mg and 500mg. Infection of the bloodstream occurs in children who are hospitalized or at home with intravenous catheters. Throw away any unused medicine after the expiration date.

However, topical clotrimazole is still considered safe to use to treat yeast infections in pregnant women and is a safer alternative to other antifungals.

Poor hygiene can make you vulnerable to a yeast infection, for example. A yeast infection may enter the bloodstream. Also, if symptoms recur within a 2 month period, contact your doctor. If you are using or taking any other medicines. Thanks for watching!

Continue to use the cream until the itching and soreness due to the infection are gone. Breitkopf says, though he notes that switching birth control with your doctor can sometimes help. Some studies suggest that 40 to 70 percent of women with recurrent vulvovaginal candidiasis have some specific anergy resulting in a subnormal T-lymphocyte response to Candida.

Vaginal yeast infections, also called "Candida vaginal infections," typically are caused by the Candida albicans fungus.

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If you are treating a yeast infection , remember these products are for vaginal or external vulva use only. Side effects include rash, hives, blisters, burning, itching, peeling, redness, swelling, pain or other signs of skin irritation. For the treatment of oral candidiasis, clotrimazole is available as a 10-mg troche (see Table 34-2). It is not known whether clotrimazole will harm a nursing baby. 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.

More information is needed.

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You should not use OTC antifungals if you are under the age of 12 years, if you are pregnant, or if you have signs of a sexually transmitted disease, such as fever, chills, nausea, vomiting, rash, lower abdominal pain, back pain, a foul-smelling discharge, or pain in the shoulder(s). Al-Awadhi R, Al-Ramadan BA, George SS, et al. Your doctor will work out the amount of clotrimazole (the dose) that is right for your child. 11 The patient should continue using the product even if menstrual flow begins.

If your child’s fungal infections keep coming back, they may need to use a different medicine. Is it safe for me to use miconazole or clotrimazole while breastfeeding? Up to 75% of women will get one at some point in their life, according to the Mayo Clinic. In some cases, children can develop candidiasis after being treated with antibacterials. If you are having your period, ask your doctor when you should use the cream.

Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. This advanced form of a yeast infection is very serious. This list may not describe all possible interactions.

If these side-effects are severe, stop giving the medicine and contact your doctor or pharmacist for advice.

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Tell your doctor or health care professional if you think you have been exposed to the human immunodeficiency virus (HIV) that causes AIDS. Miconazole and clotrimazole have also been used directly on infants to treat fungal infections. People can treat anal yeast infections with over-the-counter (OTC) antifungals or prescription medication.

What is clotrimazole vaginal? You can give your child medicines that contain paracetamol or ibuprofen, unless your doctor has told you not to. If it gets into your eyes, wash them right away with plenty of water.

What causes a vaginal yeast infection, which symptoms can occur, and what can you do to prevent it?

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Tell your doctor immediately if any of these unlikely but serious side effects occur: Tell your doctor if you have had more than 3 vaginal infections within 6 months. 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. Wash your hands promptly to avoid spreading the infection. There is a separate medicine leaflet called Clotrimazole for fungal skin infections which gives more information about this. Factors such as diabetes and a suppressed immune system may contribute to your yeast infection risk. What other drugs will affect clotrimazole?

Bloodstream infections are most common in newborns, children with long-term intravenous catheters, and children with weakened immune systems caused by illnesses or medicines. You should not use clotrimazole vaginal if you are allergic to it. Therapy with the oral azoles has been associated rarely with abnormal elevations of liver enzymes. Take all of the clotrimazole that has been prescribed for you even if you begin to feel better. Your symptoms do not get better within three days or the infection lasts for more than seven days. If your doctor has prescribed this medication, follow your doctor's directions.

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However, most studies do not support a role for dietary factors in the etiology of recurrences, and adherence to strict diets has not been beneficial. Keep out of the reach of children. Vaginal clotrimazole comes as a cream to be inserted into the vagina. However, studies have not found an association between recurrent vulvovaginal candidiasis and the presence of intestinal Candida. People can develop yeast infections anywhere inside or outside of their body, including the mouth, throat, vagina, penis, or anus.

Talk to your pediatrician regarding the use of this medicine in children. Cultures of the blood or mouth lesions are taken to grow the fungus in the laboratory and identify the type and sensitivity of the yeast. Given its ease of use and excellent efficacy, oral fluconazole is commonly used for the treatment of vaginal candidiasis in nonpregnant patients.

The Best Overall Pick For Vaginal Yeast Infections

Revision date: When this happens, you might end up with a yeast infection. Overall, the risk of miscarriage was higher when women were older, smokers, or drinkers, and lower when women took folic acid starting at least six months before pregnancy. Most studies have shown that at low doses (<400 mg/day), there is no increased chance of birth defects. This medicine is only for use in the vagina. What if I forget to give it?

Keep all medicines out of the reach and sight of children.

However, use of fluconazole in pregnancy has been controversial. There is not enough data from these studies to prove an association. Can taking miconazole or clotrimazole during the first trimester of pregnancy cause birth defects?

Only use 1 pessary a night, unless you're using a 100mg pessary, then you can use 2.

Withdraw the applicator. This medication is an azole antifungal. It is present on the skin and in the mouth, as well as in the intestinal tract and genital area. Do not take by mouth.

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You might deal with: 7 A randomized, controlled trial evaluated the effect that treating male sexual partners with oral ketoconazole had on the recurrence rates for vulvovaginal candidiasis. Tell your doctor right away if you have a skin rash or hives, stomach pain, fever, chills, nausea, vomiting, or foul-smelling vaginal discharge. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. A penile yeast infection, if not treated, can lead to a wide range of painful, uncomfortable, and potentially embarrassing symptoms. Clotrimazole is an antifungal that has different uses in over-the-counter (OTC) medicines.

A few studies suggest a possible increased chance of abnormalities of the hands and bones when these medications are used together.

Clotrimazole Side Effects

Condoms, diaphragms, or vaginal spermicides may be so affected. What is this medicine? Miconazole (see Fig. )Richardson M, Rautemaa R.

More studies are needed to understand the possible effects of using these medications together during pregnancy. 2,8 It is a normal commensal opportunistic resident of the genital and gastrointestinal tracts, being found in 20% to 25% of females who are asymptomatic. Terconazole, a member of the triazole antifungals, is supplied in a vaginal suppository for vaginal candidiasis. Miconazole, the active ingredient, is one the most commonly used antifungals for vaginal yeast infections. In order to increase convenience, most companies market their multiday products with disposable, prefilled applicators. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation.

It is metabolized in the liver and eliminated in the feces along with the unabsorbed drug. Solution (liquid drops): It can also cause adhesions on the penis.

Common Side Effects

VVC can occur concomitantly with STDs. Have a look at our other channel as well: Fill the applicator with the cream and then insert one applicatorful of cream into the vagina every day, preferably at bedtime. We apologize for any inconvenience. Although both miconazole and clotrimazole are available without a prescription, pregnant patients should never self-medicate and should only use these products under the direction of a healthcare provider. You have vulva itching that is not caused by a vaginal yeast infection.

You may notice this if you have vaginal dryness.

The outer genital area (vulva) may be red or swollen, and the vagina and surrounding area may itch or burn. This information is not individual medical advice and does not substitute for the advice of your health care professional. If you are using the over-the-counter product to self-treat, read all directions on the product package before using this medication. It will not treat fungal infections in any part of your body other than your mouth and throat. FDA pregnancy category B. However, with oral (troche) clotrimazole, there are multiple interactions as the medication is a CYP450 enzyme inhibitor, primarily CYP3A4. After each use, replace cap and roll up the tube from the bottom. Screw open end of applicator onto tube of cream.

(2 percent of cases in 1995). The earlier the problem is diagnosed and treatment begins, the more likely it is you can avoid complications. Candidiasis can affect the skin, mucous membranes (eg, mouth, throat), fingernails, eyes, and skin folds of the neck and armpits, as well as the diaper region (eg, vagina, folds of the groin).

Make sure that the medicine you have at home has not reached the ‘best before’ or ‘use by’ date on the packaging.

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If this is the first time you have had vaginal itching and discomfort, talk to a doctor before using clotrimazole. Your pharmacist has additional information about clotrimazole written for health professionals that you may read. I had a yeast infection. Hay RJ, Jones RM. In fact, your vagina naturally contains a balance of both, and a certain type of bacteria (called lactobacillus) actually works to inhibit an overgrowth of yeast. As a reminder, here's what a yeast infection is. One study demonstrated a positive relationship between the monthly frequency of sexual intercourse and the incidence of recurrent vulvovaginal candidiasis.

If for whatever reason you are not satisfied with any other item you have purchased from us, you may return it if you notify us within 10 days of receiving the order and we receive the product back within 30 days. If you miss a dose, use it as soon as you can. Clotrimazole creams can also be put on the skin for localized fungal infections. Balanitis » If balanitis isn’t treated effectively, scarring of the foreskin can occur. How should I give it? However, it is unlikely to pass into breast milk in large amounts.

This medicine will not prevent the infection from spreading to your partner.

Stop use and ask a doctor if symptoms persist. She should not douche during treatment to prevent washout of the product. The specific medicines given for candidiasis vary, depending on the part of the body where the infection is concentrated. Babic M, Hukic M. Eur J Clin Microbiol Inf Dis. New molecular tools in the diagnosis of superficial fungal infections.

Other topical uses of miconazole are for the treatment of cutaneous infections caused by Epidermophyton, Microsporum, and Trichophyton.


Onychomycosis is infection of the nail bed; toenails most common. If your doctor has prescribed this medication, use it as directed. CLOTRIMAZOLE VAGINAL CREAM usually starts to relieve itching and other symptoms within 3 days. Dosage is based on your medical condition and response to treatment.

Practice good hygiene, and keep your penis and genitals clean and dry. Do not use if you have abdominal pain, fever, or foul-smelling vaginal discharge. McNeil-PPC, Inc. Because at least 50% of women with positive cultures for nonalbicans Candida might be minimally symptomatic or have no symptoms and because successful treatment is often difficult, clinicians should make every effort to exclude other causes of vaginal symptoms in women with nonalbicans yeast (725).

This animation explains what a vaginal yeast infection is.

The woman may also notice that intercourse is uncomfortable or even painful. Discontinue use of the product and consult your doctor. There are no known significant drug interactions with topical clotrimazole.

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If symptoms of a yeast infection are present, see a doctor. There may be other drugs that can interact with clotrimazole vaginal. Call your doctor if eye irritation persists. You should see some improvement in your symptoms within 1 day of taking the fluconazole. Repeat this procedure with a new applicator for 7 consecutive days.

This medicine is only for you. However, because only small amounts of miconazole or clotrimazole could pass into breastmilk when used topically or intravaginally, breastfeeding is not thought to be a concern. An estimated 75% of women will have at least one episode of VVC, and 40%–45% will have two or more episodes.

Unless the product carries a specific statement ensuring compatibility when used concomitantly with these latex products, it should be avoided. You have a fever higher than 100° F; pain in the lower abdomen, back, or either shoulder; or a foul-smelling vaginal discharge. If you are treating athlete’s foot, you should pay special attention to spaces between the toes; wear well-fitting, ventilated shoes; and change your socks and shoes at least once daily. These issues, which continue throughout pregnancy, lend themselves to multiple recurrences of infection. Tell your doctor about all medications you use. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides.

What Side Effects Can This Medication Cause?

Subscribe to our Youtube channel and learn more about your health! Intravaginal preparations of clotrimazole, miconazole, and tioconazole are available over-the-counter (OTC). Gently squeeze opposite end of tube, forcing cream into barrel of applicator. I didn’t ask my gynecologist, probably because I felt too embarrassed. Before using fluconazole, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: Gently insert the applicator tip high in the vagina and push the plunger to release the tablet into the vagina. This is not an indication of a security issue such as a virus or attack. Raise your hand if you've had a yeast infection.

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Come on, it can't just be me! Continue to use clotrimazole even if you feel well. You are unlikely to do harm if you give an extra dose of clotrimazole by mistake. It’s totally normal for your vagina to have things like fungus (including Candida albicans) and bacteria. For best results, choose a seven-day formula. If a doctor has told you before that you had a yeast infection and you have the same symptoms again, use the vaginal cream as directed on the package.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Impaired cell-mediated immunity (e. )You may have a condition more serious than a yeast infection, and you should see your doctor immediately. Occasional local irritation can include mild burning sensation, areas of redness and itching. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Spread the cream or spray the solution in a thin layer over the affected area until it has soaked into the skin. Where should I keep my medicine?

They include Candida glabrata, Candida parapsilosis, Candida tropicalis, and Candida krusei.

Vaginal Yeast Infection

One study found a small increased chance for miscarriage with miconazole and clotrimazole, but there were several problems with this study. Follow the package instructions on how to fill the applicator with the vaginal tablet. Store clotrimazole at room temperature away from moisture and heat.

It is important that you follow your doctor’s instructions about how much to give.


Ketoconazole is also used occasionally for tinea infections. Can clotrimazole for thrush cause problems? Do not stop using this medicine if your menstrual period starts during the time of treatment. Consult your doctor or pharmacist if you have any questions. 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.

Do not swallow them. It is not known whether this drug is secreted in breast milk. If you have another kind of vaginal infection, it may need different treatment. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy.

A 1993 in vitro study examined more than 250 strains of C. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you. Miconazole and clotrimazole are of special interest in oral candidiasis as discussed next. The rationale is that reinfection from an intestinal reservoir contributes to vaginal recurrences. Data in pregnancy for other topical antifungal agents are limited, making miconazole and clotrimazole the preferred topical agents in pregnancy. Topical antifungal therapy has been ineffective in male sexual partners, probably because of the presence of reservoirs not reached by this treatment. OTHER PRODUCTS: If pregnant or breastfeeding, ask a health professional before use.

What Other Drugs Will Affect Clotrimazole?

A moist environment is ideal for candida to spread. We will not be held responsible for any losses to you the customer if your order does not arrive in time. Insert one pessary at night as a single dose. Alcohol or marijuana (cannabis) can make you more dizzy. Dispose of applicator after use. If you are under 16 or over 60 years of age. None of these symptoms is specific for VVC. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Safety information. Oral fluconazole (Diflucan) and a hydrocortisone cream may be advised in serious infections, such as those that have developed into a potentially serious condition called balanitis. It will give you more information about how to use the clotrimazole preparation you have been given. Read package directions carefully before using. What if I use too much? If you're using the 100mg clotrimazole pessary, you can use 2 pessaries for 3 nights in a row. 4 In fact, recurrent infections may be caused by the resistance of non– C. For vaginal pessaries:

Signs and Symptoms

Antifungal drugs are used to treat candidiasis. This does not mean that the treatment has not worked. Is there anything else I need to know about this medicine? For best results, please make sure your browser is accepting cookies. The itching is usually in the folds of the vagina and on the external skin (vulva) around the vagina. 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). )

This is known as candidemia or invasive candidiasis. Healthchannel makes complex medical information easy to understand. Long-lasting thrush is sometimes related to pacifiers. The pathogenesis of RVVC is poorly understood, and most women with RVVC have no apparent predisposing or underlying conditions. A product that may interact with this drug is: Take the pessary out of the blister pack. But that balance can be disrupted.

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If symptoms recur, referral to a specialist is advised. 2,4 Age is predictive, in that the incidence rises rapidly after menarche, but drops precipitously after menopause. Clotrimazole kills the fungus and so gets rid of the infection, or stops an infection from developing. For example, a patient may not complete the entire course of antifungal therapy, especially if an inconvenient topical treatment has been prescribed.