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» Metrogyl gel helps thrush near the labia. Metrogil for thrush in women and men: reviews. application. How fluconazole works: mechanism of work

Metrogyl gel helps thrush near the labia. Metrogil for thrush in women and men: reviews. application. How fluconazole works: mechanism of work

Metrogyl is a drug with antiprototic, antibacterial properties. Vaginal gel Metrogyl is prescribed for external use only. Its main direction is the treatment of thrush. The drug for candidiasis in the form of a gel has an increased degree of activity against anaerobic microorganisms. Pharmaceutical preparation effectively fights bacterial vaginosis.

The action of the drug

Metrogyl in thrush has a therapeutic effect due to the interaction of the reducing nitro group with the DNA of the cells of anaerobic pathogens. Due to the restoration of the integrity of the 5-nitro group and the synthesis of nucleic acids, the pathogen dies.

The drug is injected into the vagina, in the amount of 5 grams. The maximum effect of the drug begins after 7 hours. Since the gel has increased penetrating properties, the bioavailability of the remedy for thrush is much higher than that of tablets. Even with the minimum dose of the administered drug, a therapeutic effect is achieved and the likelihood of side effects is reduced.

Indications for use

Metrogyl is prescribed for any bacterial etiology, especially for thrush. At the first signs of damage to the mucosa by fungi of the genus Candida, you can resort to the use of a vaginal gel.

The recommended dosage is 5 grams - 1 applicator. Metrogyl from thrush is recommended to be used after a doctor's prescription, after reading the leaflet. The drug is laid twice a day, preferably in the morning and evening. Many gynecologists recommend pre-douching with a decoction of chamomile or soda solution.

If a woman has thrush, then treatment is prescribed to both sexual partners. At this time, sexual relations are excluded.

Side effects

Vaginal Metrogil gel for thrush, like any drug, can cause side effects. Violations are observed in some body systems. Observed:

  • Burning and itching in the genitals.
  • Vaginitis.
  • Allocations.
  • Swelling of the genitals.
  • Decreased appetite.
  • Sensation of a metallic taste.
  • Nausea and vomiting.

Metrogil-gel can be prescribed for the treatment of thrush in pregnant women in exceptional cases and under medical supervision.

If a woman has an individual intolerance to the components of the drug, then it is contraindicated. The medicine for thrush can be used only as directed by a doctor.

Fluconazole for a man from thrush

Until recently, male thrush seemed to be an ordinary invention. Today we know that candidiasis in men is a very real disease that affects the mucous membranes of the genital organs. There are different approaches to the treatment of candidiasis. Including, appoint fluconazole to a man from thrush. How justified is the use of this drug, and in what cases is it indicated? We will talk about this and much more now.

Features of male thrush

Thrush in men is not as common as female candidiasis, due to the difference in the anatomy of the genital organs. The fact is that it is extremely difficult for the causative agent of thrush to linger on the external genital organs of a man. Infection can only occur in conditions of weakened immunity.

What is "candida"?

Candida is a yeast fungus. In fact, these are ordinary unicellular, which are permanent representatives of the opportunistic human flora. In the natural state of the body, their number cannot exceed the norm, since the number of fungal flora is regulated by immunity. But if this regulation is violated for certain reasons, then candida begin to multiply rapidly with the help of spores. As a result, fungal agents unite in colonies and begin to invade mucosal cells. By the way, if the number of candida is within the normal range, then they are absolutely harmless and simply balance along the mucous membranes.

How the fungus enters the body: ways of infection

There are many ways through which the fungus enters the body. The main ones are:

  • From mother to child

If during the course of pregnancy a woman for some reason did not cure her thrush, then through the birth canal it is transmitted to the baby.

  • During the first year of life

In the first years of life, a baby learns the world quite actively through tactile contacts, which is why oral thrush is so common in young children. Especially often the fungus is transmitted through contact with the mother's breast.

  • Through everyday life

Thrush pathogens are able to survive outside the human body. For about two hours, they can keep alive, being on pieces of furniture, clothes, toys, food. The greatest danger is the towel and soap: they must be for individual use.

  • During kissing and oral sex
  • Through sexual contact with an infected partner

Often, thrush as a disease manifests itself after contact with a sick partner. During sex, a large number of pathogens fall directly on the glans penis of a man. If the immune system at this moment cannot cope with the fungus, then a thrush develops in a man. At the same time, a healthy man may not get sick if the immune system defeats the infection at the time of inception.

Causes of thrush in men

Fungal agents are activated under the influence of concomitant factors, including:

  • Taking antibiotics (and the intestinal dysbiosis provoked by this)
  • Obesity
  • Diabetes mellitus type 1 and 2
  • Blood diseases
  • Anemia
  • Presence of malignant cancers
  • HIV infection
  • Venereal diseases
  • chronic diseases
  • Hypervitaminosis
  • Prolonged hypothermia
  • Constant stress
  • Failure to comply with hygiene rules.

What are the symptoms of thrush in men?

Approximately 10-15% of men have no symptoms of thrush at all. In this case, the representatives of the stronger sex are considered carriers of the infection. It manifests itself in the form of constant relapses in thrush, when a woman, even with successful treatment of the disease, is constantly haunted by manifestations of thrush. Symptoms of candidiasis in men depend on the location of the infection.

Candida balanoposthitis

The most common variant of the course of male candidiasis can be considered balanoposthitis, when the infection takes root on the glans penis and its foreskin. Symptoms in this course are the following:

  • Severe itching in the groin
  • Redness, swelling, sometimes rashes on the head, foreskin of the penis
  • Burning (especially during urination)
  • Specific white-gray plaque on the external genitalia
  • Lumpy white discharge
  • Sour smell from the perineum
  • Increased libido due to nerve endings irritated by manifestations of thrush
  • Disorders in the genital area (painful sexual intercourse and the erection itself, lack of a sense of emotional discharge).

Candida urethritis

When the infection spreads to the mucous membrane of the urinary canal, urethritis develops - inflammation of the urethra. This variant of candidiasis takes on new forms and becomes similar to gonorrhea. In addition to the above, symptoms such as:

  • Pain during urination that becomes more frequent
  • Impurities in the urine of blood and mucus
  • Specific morning discharge, visually resembling long white threads.

Candida pyelocystitis

The course of candidiasis becomes more severe when the fungus reaches the internal organs. The kidneys and bladder are especially affected by candidiasis. Infection of these organs mainly begins if, in addition to thrush, some other genitourinary infection is operating in the body. In this case, signs of pyelocystitis appear, such as:

  • General deterioration of the patient's condition
  • Elevated temperature
  • Pain in the region of the kidneys and bladder.

This course of the disease may even require hospitalization of the patient.

How is thrush treated in men?

Most often, the treatment of thrush for a man is prescribed complex, namely:

  • The use of external preparations

Medicines for local action well help to eliminate the symptoms of thrush, in addition, they are able to stop the growth of pathogenic flora directly at the site of localization. However, these drugs, as a rule, are single-component, and therefore are not always effective enough to defeat the disease as a whole.

  • Taking systemic drugs

In order to attack the infection from the inside, systemic drugs are also used along with external drugs. They are available in the form of tablets. Together with the blood flow, the active substances are carried throughout the body in order to win the final victory over the infection. To avoid relapses, experts recommend fluconazole to a man from thrush (it is on the basis of this drug that most antimycotic tablets are made).

  • Immunotherapy

So that candidiasis does not have reasons for a quick return, it is necessary to strengthen the immune system. This is done so that the body can independently regulate the number of candida. The patient is recommended to take immunostimulants and a complex of vitamins.

How fluconazole works: mechanism of work

Fluconazole is a new generation synthetic drug. The drug is well absorbed into the blood and quickly absorbed. Its strongest antifungal action has been proven. To stop thrush, fluconazole destroys the walls of Candida cells, after which it suppresses the synthesis of substances that are necessary for fungal agents to maintain their own vital processes.

Directions for which fluconazole acts:

  • Destruction of excess fungal flora on the affected mucous membranes
  • Prevention of the recurrence of the disease after the treatment is over.

By the way, fluconazole is prescribed not only for a man from thrush, it is also prescribed for women (if the use of the drug is justified, then it is taken during pregnancy and lactation).

How is fluconazole taken for thrush?

Even if the symptoms of the disease are quite pronounced, you should not start taking fluconazole-based drugs on your own. Firstly, thrush in men is rarely an independent disease, which means that treatment should be carried out in combination with therapy against a concomitant disease, and secondly, this drug has a lot of contraindications, which also needs to be taken into account.
If both partners are sick with candidiasis, then they should be treated in parallel. At the time of taking the drugs, you will have to give up sexual intercourse, and after that, for a certain period, protect sex with condoms. This helps to minimize the risk of relapse.
In most cases, fluconazole is prescribed once. Its dosage in this case is 150 mg. In severe cases, the course of treatment with fluconazole is extended to 3-4 weeks. Then the same dose of the drug is taken once a week.

Fluconazole is also prescribed for a man from thrush in the form of local preparations. Actual use of creams and gels based on it. Of course, the duration and intensity of the course of treatment should be selected individually. In most cases, recovery takes 5 to 10 days.
If you are faced with thrush, but do not want to wash dirty linen in public, then you should not suffer from its manifestations either. Contact our specialist with a question and get qualified advice right now.

Is it possible and how to take metronidazole during menstruation?

The drug in question is one of the main medical methods of dealing with Giardia or amoebas in the human body. Good results are obtained by specialists in the treatment of trichomoniasis in patients with this medicine. Like any other aggressive drug, metronidazole has its own specifics, which most often depends on the dosage form used in medical practice.

When and how does the medicine work

The medical literature clearly outlines the range of diseases in which gynecologists prescribe this drug to their patients. Since experts consider the main advantage of metronidazole to be its antibacterial and anthelmintic effects, the drug is prescribed in the following cases:

  • First of all, these are inflammations of the vagina and urethra caused by Trichomonas.
  • Intestinal diseases, the cause of which can be Giardia or amoeba. Giardiasis can also provoke various inflammatory processes in the female genital organs.
  • Various skin diseases caused by protozoan bacteria are perfectly treatable with the ointment form of the drug. Experts note the positive effect of the use of the drug even with cutaneous leishmaniasis.
  • We should not forget about the various pathologies in the ovaries and tubes caused by infection. In the absence of proper therapy, the disease can spread to the kidneys, ureters and urethra.
  • And, finally, diseases of the uterus, such as endometritis, caused by protozoa.

It says that in its composition, the drug has nothing to do with the woman's menstrual cycle and absolutely does not affect the patient's hormonal background. The drug acts directly on the protozoa and microbes, causing the death of the cells of these microorganisms.

Modern medical research indicates the negative effect of metronidazole on the very reproduction of amoebae, Giardia and Trichomonas, which is the key to a complete recovery of patients when taking this medication. Among other things, gynecologists note that this remedy tends to accumulate in the tissues and fluids of the human body, which creates a protective background against re-infection for a rather long period.

Forms of the drug for the treatment of female pathologies

Modern pharmacology recommends to patients for the treatment of inflammation and problems in the intestines caused by protozoa, several dosage forms of metronidazole. Each of them is prescribed by a doctor in the presence of a certain pathology in a lady. Quite often, these forms are combined in one treatment course.

Solution for intravenous administration

This form of medication is used for severe inflammatory diseases or to prevent various consequences during surgical interventions on the pelvic and abdominal organs.

Given the rate of absorption of metronidazole into the patient's blood, the next dose cannot be taken earlier than after 8 hours. This rule is taken into account in the gynecological hospital when prescribing complex therapy.

There are several features in the treatment of inflammatory processes with a solution of the drug. In the first, the rate of drug administration should be 1 ml per second, and in the second, when using solutions, other dosage forms are not used. This will help to avoid an overdose of the drug.

Often, patients are worried about whether metronidazole is possible during menstruation. If the drug is used in solution, then the patient's condition is of concern, so any interruption in treatment can adversely affect the woman's health.

Vaginal suppositories

This form of the drug is quite popular among specialists, as it allows you to directly affect the inflammatory process in the female genital organs or intestines. Each suppository contains up to 500 mg of active ingredient.

A distinctive feature of this medical form is the low probability of an overdose of the drug or the occurrence of severe side effects. This positive feature of vaginal suppositories is due to the fact that the medicine enters the patient's bloodstream in smaller doses.

Usually the treatment period lasts from 7 to 14 days. The pharmacy package contains 7 suppositories, which is quite convenient for a woman.

They prefer not to prescribe metronidazole suppositories during menstruation, since under the influence of the changed vaginal flora and under the influence of outgoing blood, their therapeutic effect decreases several times. Therefore, the strategy for treating the inflammatory process is built so that at the time of monthly bleeding, the use of this form of the drug can be completed and, if necessary, switched to tablets.

Tablets

According to experts, this dosage form of the drug is the most common for the treatment of protozoa in the female body. Each tablet contains 250 mg of medicinal substance.

But such a schedule is good in the absence of severe symptoms. If amoebic intestinal damage has become chronic, the dose of the drug is increased to 2 grams per day, and the treatment period is extended twice.

Also, tablets of the drug are prescribed for the diagnosis of trichomoniasis. This disease is treated with a course of 250 mg for 10-12 days. You can try to speed up the process. In this case, the dose should be doubled and, if necessary, the effect of the drug should be increased by intravenous administration of metronidazole.

Good results are shown by tablets in the treatment of ureaplasmosis. This microbial pathology is perfectly suppressed by 2 tablets per day.

Watch the video about the drug:

Creams and ointments

The modern pharmacological industry has developed a special form for the treatment of skin manifestations of pathology in a woman caused by protozoan microorganisms. Most often, this dosage form is used to treat inflammatory diseases of the vagina and external genitalia.

The course of medical intervention should not exceed a week. At this time, 5 grams of the drug is applied to the affected area of ​​​​the skin. This procedure is usually carried out twice a day.

Some patients believe that metronidazole causes menstruation. The external use of the drug does not affect the woman's menstrual cycle, and even if the drug is injected directly into the vagina, it does not affect the onset of menstruation.

Contraindications to the use of the drug

According to the Pharmaceutical Committee, the drug is prohibited in the following cases:

  • With the phenomena of pronounced allergic reactions to any dosage form, which indicates a complete individual intolerance to the drug.
  • Doctors do not recommend the use of metranidazole in acute renal and hepatic insufficiency. Although, according to various sources, the solution of the drug is included in the clinical regimen for the treatment of such pathologies.
  • The drug is prohibited in the first trimester of pregnancy and during breastfeeding. Talk about the possible delay in menstruation after metronidazole is not supported by objective scientific data.
  • Do not recommend this medicine for diseases of the central nervous system and changes in the blood coagulation system.

The appointment of this drug is the complete prerogative of a gynecologist, since this drug belongs to a group of rather potent drugs. Self-administration of metronidazole can be fraught with various complications.

What should a woman be afraid of when taking

Most experts consider this drug to be among the drugs with a low toxic effect. According to doctors, taking this drug most often causes:

  • Disorders from the digestive organs. Patients note dryness of the oral mucosa, nausea, urge to vomit, periodic pain in the stomach and intestines.
  • General allergic reactions are possible, such as dermatitis, swelling of the nose and throat, fever, difficulty breathing.
  • Often taking the drug is reflected in the work of the genitourinary system. There may be cramps during urination, urinary retention or incontinence.
  • Some experts describe CNS problems in such patients. Headaches, sleep disturbances and changes in the perception of the world are possible. These symptoms usually occur with long-term use of the drug.

If a woman was taking metronidazole and there was a delay in menstruation, you should not link these two points. Doctors note when taking the drug thrush, disruption of the coagulation system, possible pain in the joints, but there is practically no question of a cycle failure. Such symptoms are just a coincidence, since the drug is used to treat inflammatory diseases of the genital organs, which in itself can cause menstrual irregularities.

How does metronidazole affect the menstrual cycle

If you carefully read the annotation to the drug, you will notice that menstruation is not a reason to stop treatment. Moreover, many gynecologists are sure that a break in the use of the drug can adversely affect the health of a woman and nullify all previous treatment.

This drug is usually prescribed to young ladies by a specialist, so he must acquaint the woman with all the intricacies of treatment with the drug in question. The only restrictive advice to this group of patients may be the recommendation not to use metronidazole suppositories during menstruation. The point is not allergies or other pathological reactions when using a similar dosage form. Vaginal suppositories practically lose their healing power during this period, since the vaginal flora levels the healing effect of the drug.

At the next trip to the gynecologist, it turned out that I had an inflammatory smear.

I had a bunch of tests to find out what caused the increase in leukocytes.

What tests did I take: for STDs (Femoflor) and vaginal culture.

Bakposev was clean, but gardnerella appeared in Femoflora.

I got dysbiosis from a recent long-term antibiotic treatment.

By the way, I didn't have any. With gardnerella, there is usually a characteristic "fishy" smell, but it turns out that this is not necessary.

And that's why I came across Metrogyl vaginal gel.



COMMON DATA:

Volume: 30 grams. The course requires two packs.

Price: about 90 hryvnia.

Place of purchase: regular pharmacy.


COMPOUND:

1 g of gel contains metronidazole - 10 mg

Metrogyl gel is much more effective than the same metronidazole preparation in suppositories or vaginal tablets. Therefore, I was sure that I was being treated correctly and taking an effective drug.


USE OF METROGIL GEL:

I was prescribed Metronidazole tablets 500mg twice daily and Metrogyl vaginal gel twice daily 5g for 5 days. Then it was supposed to colonize lactobacilli (Gynoflor).

Metrogil is in a soft tube, which is protected from opening in the form of foil.


There are detailed instructions.

The instructions indicate that one full gel applicator contains 5 grams.

But for some reason this tube was enough for me for 5 applications, and not 6. Very strange.

It was difficult for me personally to insert the applicator itself - I was afraid of scratching myself with it.

There is only one applicator in the package and after use I washed it with soap and rinsed with chlorhexidine.

Metrogyl is a clear, odorless thick gel.

He does not spoil the linen, but you need to use it daily.

When using it in the morning, I did not lie with this gel, but immediately went to work - nothing flowed out immediately, so that the drug had time to act.


In the morning I used the gel for the first time, and by the evening I felt - the thrush begins - there was discomfort and a slight itch. I didn’t have any discharge before using Metrogyl, and with it they appeared, but it wasn’t the transparent gel itself that came out, but also curdled discharge.

I am writing this in such detail because I myself was in shock, I did not know that this could happen right away. And this is despite the fact that neither in the smear, nor in the bakposev, nor in Femoflora, I had candida in such an amount that it could be seen in the analysis.

But, turning to the Internet, I realized that such cases are not uncommon - many girls immediately have thrush and they also have to be treated.

I drank Fluconazole according to the scheme - 1/4/7 day, 150 mg each, and everything returned to normal.

I think that Metrogyl gel is underdeveloped. Here is Metrogil plus, so it has an antifungal component added and this is very correct.

Also, I advise you to pay the attention of your gynecologist to broad-spectrum vaginal tablets that contain a substance from gardnerella (metronidazole, ornidazole, clindamycin) and something from a fungus (clotrimazole, miconazole, nystatin). These are drugs like Meratin combi / Neotrizol / Terzhinan and others.


I did not go through the entire course of treatment with Metrogil - I finished the tube and that was enough for me. I didn't buy the second one. Continuing to use Metrogil, I also used Clotrimazole vaginal tablets for candida. These drugs can be combined.

Naturally, no sexual contact. And don't take alcohol.

This is what gave me a headache.

Therefore, be careful and ask questions to the gynecologist. And then it turns out - we treat one thing - we cripple the other.

Thrush is an inflammatory disease that today occurs in almost every second woman who seeks advice from medical institutions. Fungal diseases caused by the reproduction of a yeast infection affect men and women at any age. Very often, the disease is latent or manifests itself as minor symptoms. That is why patients do not always immediately seek qualified help and either do not notice the symptoms of the disease, or begin to be treated on their own. Self-medication leads only to a periodic exacerbation of thrush and its transition to a chronic form. Treatment of candidiasis at this stage is complicated and requires an integrated approach, especially if other infections or chronic diseases are present along with a fungal disease.

Reasons why thrush occurs

Each cause can cause the reproduction of the fungus and the occurrence of thrush, which must be treated from the first symptoms. In women, the treatment of candidiasis is complicated during pregnancy, as well as when breastfeeding. The use of antifungal drugs during this period may be limited, due to the fact that they can affect the formation of the fetus or cause various forms of allergic reactions in the child during the feeding period. It is advisable to cure thrush even before conception, so that the consequences do not lead to serious complications during pregnancy and childbirth.
The chronic form of candidiasis can be accompanied by significant changes in the body, which can lead to serious consequences, including

  • premature birth and miscarriage, accompanied by prolonged bleeding;
  • complications after operations;
  • changes directly in the genitals, accompanied by pathology;
  • inflammatory processes of the appendages, ovaries, erosion of the cervix.

Woman at the checkup

Knowing the possible consequences, women are advised to undergo preventive examinations by a specialist at least twice a year to prevent the development of fungal diseases and sexually transmitted infections. Prevention of thrush helps to restore the body after acute viral diseases and prevents its occurrence.

It is much more difficult to treat the disease than to comply with the necessary preventive measures.

Among the remedies recommended by specialists in the treatment of infection, not the last place is occupied by such a drug as Metrogyl.
It should be remembered that there is no need to use this or that drug on your own and self-medicate. Recommendations and a course of therapy are prescribed by a specialist who sees the overall picture of the disease.

Properties of Metrogyl and treatment with a gel

Comprehensive treatment of thrush using Metrogyl gel accelerates the healing process. It must be remembered that during treatment, sexual intercourse should be abandoned and all hygiene rules should be observed. If after a course of therapy, the symptoms have not disappeared completely, then an additional examination should be carried out to prescribe additional drugs for thrush.

In the treatment of candidiasis, suppositories, various creams, ointments can be used. The gel from thrush has been widely used in women. They are applied externally and have a wider spectrum of action than vaginal suppositories.

Gels for the treatment of thrush

The most common vaginal gel for thrush is Clotrimazole 1%. It has a wide spectrum of action in the treatment of fungal diseases. Another effective remedy based on the clotrimazole component is Antifungol gel. Its use allows you to quickly relieve itching and burning in the perineum. From phytopreparations it is worth choosing means based on:

  • Dead Sea minerals;
  • Aloe vera;
  • Menthol.

Antiprotozoal (affecting protozoan microorganisms such as amoebae or Giardia) and antimicrobial action has the drug Metronidazole. It is used in the treatment of thrush and other diseases of vaginal etiology. Such funds are used in the complex therapy of treatment in conjunction with antibacterial drugs. Only in this case it is possible to achieve a stable positive result in treatment.

For intimate hygiene, a gel with antibacterial action - Eco Plus can be used. It belongs to the category of phytopreparations, it is used as an antiseptic. The disinfectant effect is provided by Chlorhexidine and Hexicon gels. The therapeutic course of treatment in women of candidiasis takes from 7 to 10 days. Quite often, Candinorm gel is used to restore the microflora of the vaginal environment to suppress the fungus of the genus Candida.

Candinorm

Candinorm has an antifungal effect. This gel for thrush in women violates the integrity of the yeast membrane, has an antiviral, antibacterial and antifungal effect. This medicine also:

  1. Maintains normal acidity of the vaginal environment;
  2. Activates the growth of physiological microflora;
  3. Strengthens the protective functions of the immune system;
  4. Removes the symptomatic manifestation of candidiasis;
  5. Relieves irritation and redness in the perineal area.

The drug can be used for both therapeutic and prophylactic purposes. The drug includes 2 gels, one of which is applied externally, the second - intravaginally. The active components of the composition are inulin, caprylic acid, saponin, aloin, emodin, aloe, thymol. Its use is allowed even during pregnancy. Kandinorm does not cause adverse reactions and has no contraindications.

A local drug for thrush should not be used during critical days.

The course of treatment with the drug takes from 3 to 6 days. The 30 ml tube included in the Candinorm package is applied 1-2 times a day during intimate hygiene. Its use reduces the volume of pathogenic secretions, soothes the surface of the mucous membranes and contributes to the killing of fungi. The volume of the tube is designed for 6 applications.

The second tube from the Candinorm package is only 6 ml. Apply the gel to the perineal area once - before going to bed. Contact with the drug on the mucous membrane may cause a slight burning sensation. The tool allows you to restore normal microflora.

In pharmacies this is enough an effective drug is quite rare. It should be used twice a day: in the morning and in the evening, for a month. If a complete cure has not occurred during this time, then a doctor's consultation and the appointment of a new treatment are required. Antifungol can provoke side reactions:

  • Allergy, manifested by itching, redness and swelling;
  • Increased urination;
  • Pain during sexual intercourse;
  • Headache.

The drug should not be used by women in the second and third trimester of pregnancy, during lactation and with individual intolerance. The package contains 25 grams of the drug based on clotrimazole. Combined use with Nystatin is unacceptable, as it reduces the active effect of Antifungol.

Of the Fluconazole group, Flucorem is the only topical agent. In the treatment of candidiasis, it is recommended to use it in combination with tablets. The gel is applied once a day to the vagina for 7 days. It can be used in the form of vaginal tampons. Under medical supervision, the course of treatment can be increased.

Flucorem is allowed to be used in the second and third trimesters of pregnancy. After the onset of improvement, the course should not be interrupted until the end. Otherwise, the fungus will develop addiction, and it will become resistant to the effects of medicinal components. Combined use with Terfenadine is not allowed.

Gels based on lactic acids

With candidiasis, the acidity of the environment in the vagina increases, which is why lactobacilli that are beneficial to the body die. Their role is the production of lactic acid. When it becomes insufficient, the likelihood of infection of the female genital organs increases. Therefore, gels from thrush in women, made on the basis of lactic acids, are widely used in therapy. Some experts recommend using them not only for the treatment of the disease, but also for prevention as a daily care for the genitals. For this purpose, lactogels can be prescribed: Lactacid Plus, Epigen and Lactacid Femina.

The use of such funds helps to increase the number of lactobacilli and normalize the microflora in the vagina. One application of the gel based on lactic acid can reduce the symptomatic manifestation of candidiasis, and the full course of therapy completely eliminates all its signs.

Main components gel are lactic acid and licorice root. Epigen prevents the spread of bacteria to healthy areas and prevents inflammation of the external part of the genital organs. The drug can be used for preventive purposes, as well as a means of personal hygiene before water procedures. It is allowed to use it during pregnancy. Prolonged use of the gel does not adversely affect the functioning of the body.

Intimate hygiene gels for candidiasis

This is not about the usual intimate gels that are sold in an adult store, but about products made by pharmacological companies, which contain components that destroy fungi of any type. These include:

  1. Metronidazole: A broad spectrum gel used for candidiasis and urogenital trichomoniasis.
  2. Gynocomfort: based on chamomile extract and tea tree oil. Removes the symptomatic manifestation of thrush and helps to moisturize the tissues of the reproductive system.
  3. Lactagel: prescribed for bacterial vaginosis.

Diabetics in the treatment of candidiasis should be especially attentive to the prescribed course. Self-medication is unacceptable, all medical prescriptions must be strictly observed. This will cure the fungal infection and avoid its unpleasant consequences. Any of the described gels is suitable for daily use in personal hygiene of the genital organs.

Before using the gel from thrush, you should wash the genitals, in the area of ​​\u200b\u200bwhich the drug will be applied. Excess moisture should be blotted with a towel or wait for it to dry naturally. The therapeutic agent is applied in a thin layer not only to the affected area, but also to the area of ​​​​the skin and mucous membranes adjacent to it. After external gel treatment, the inner surface of the vagina should be lubricated. To perform the manipulation, you can use a syringe without a needle or a vaginal swab. For the most part, gel-like preparations for the treatment of candidiasis are adapted by the manufacturer for deep administration.

For preventive purposes, the use of a gel for thrush in women is more appropriate than for treatment. The drug is easily washed out of the organs without having time to have the proper effect.

The convenience of drugs of this form is:

  • No marks on clothing
  • Ease of use;
  • Rapid absorption.

Gel for the treatment of candidiasis is often prescribed to pregnant women, as it is not absorbed into the bloodstream and will not harm the developing fetus. In addition, such drugs have practically no side effects and have a small list of contraindications.

Are thrush gels equally suitable for women and men?

If a woman has been diagnosed with candidiasis, then she should be treated together with her sexual partner. Men get thrush less often, but it can also occur with hidden symptoms. Any tablets, ointments, creams and gels, including, are equally effective in the treatment of candidiasis in both the weak and the strong half. Local application of the drug is carried out by analogy with the rules for the use of the gel in women. From sexual contact during the treatment of thrush should refrain.

Prevention of thrush in women

Most gels for the treatment of thrush are so safe for the body that they can be used prophylactically. To exclude the possibility of recurrence, you should:

  1. Regularly undergo preventive examinations at the gynecologist;
  2. Increase the protective properties of immunity;
  3. Monitor the cleanliness of the genitals;
  4. Avoid stress and overexertion;
  5. Uncontrolled use of antibacterial drugs;
  6. When having sexual intercourse with a new partner, use a condom;
  7. Wear underwear made from natural materials.

Women should also take a responsible approach to the choice of personal hygiene products: gels and soaps for washing. You should not overcool the body, because in addition to thrush, this is fraught with the development of other diseases.

Vaginal gel Candide - a remedy for fighting fungus

Gel Candide - a remedy for the treatment of diseases of the genital organs caused by fungi. The drug has high efficiency, speed and a minimum number of adverse reactions, since it practically does not enter the systemic circulation.

Compound

1 g of gel contains 20 mg of clotrimazole (active ingredient).

Auxiliary components are:

  • cetyl and benzyl alcohol;
  • propylene glycol;
  • glycerol;
  • wax;
  • carbomer 940;
  • sodium hydroxide;
  • chlorocresol;
  • water.

Pharmacological action

Candide is a broad-spectrum antifungal agent intended for intravaginal use.

The antimycotic effect of clotrimazole (an imidazole derivative) is associated with the suppression of the synthesis of ergosterol, which is part of the fungal plasma membrane, which changes its permeability and leads to subsequent cell destruction.

In small concentrations, the active component of the drug slows down the growth of fungi, and in large concentrations it completely destroys them.

The drug is effective against dermatophytes, yeast-like fungi, pathogens of pityriasis versicolor and erythrasma. In addition, the gel has an antimicrobial effect against staphylococci, streptococci, bacteroids, gardnerella, Trichomonas vaginalis.

Indications for use

The drug is used in gynecology for the treatment of:

  • genital infections: vulvovaginal candidiasis, trichomoniasis;
  • genital superinfections caused by microbes that are sensitive to clotrimazole.

Contraindications

Vaginal gel Candide is forbidden to use in the presence of:

  • hypersensitivity to the components that make up the drug;
  • menses;
  • pregnancy (1 trimester);

With caution, the drug is prescribed for breastfeeding.

Gel Treatment Scheme

The drug is allowed to be used only intravaginally.
Before the introduction of the drug, you need to lie on your back, bend your knees, slightly spread them apart and insert a full applicator with medicine (about 5 g of gel) into the vagina. The procedure is recommended to be performed 1 time per day (before going to bed), for 6 days. A repeated treatment course can be carried out only as prescribed by a doctor.

Side effects

During therapy, such negative manifestations as:

  • burning;
  • hyperemia and swelling of the vaginal mucosa;
  • vaginal discharge;
  • migraine;
  • abdominal pain;
  • frequent urge to urinate;
  • pain in the vagina during intercourse.

Influence on the ability to drive vehicles and complex mechanisms

Does not affect.

Overdose

Cases of overdose with intravaginal use were not observed, since the drug is characterized by low absorption into the blood plasma.

In case of accidental oral ingestion, the following symptoms are possible:

  • dyspnea;
  • pain in the epigastric region;
  • hives;
  • skin rash;
  • sensation of heat;
  • fainting;
  • lowering blood pressure;
  • drowsiness;
  • nausea;
  • vomit.

If any of the symptoms occur, it is necessary to take enterosorbents and visit a doctor.

drug interaction

Clotrimazole reduces the effectiveness of Amphotericin B and other polyene antibacterial drugs. When combined with Natamycin and Nystatin, the therapeutic effect of clotrimazole is reduced.

Features of the use of vaginal gel Candide

In the presence of trichomoniasis, in order to achieve maximum effectiveness of therapy, it is recommended to combine the use of Candida with other drugs that have a resorptive effect (for example, Metronidazole orally).

After the disappearance of acute symptoms of the disease, it is not recommended to immediately stop using the drug.

During therapy, it is forbidden to insert tampons into the vagina.

People suffering from liver failure need to monitor the functional state of the filtering organ from time to time.

If symptoms of hypersensitivity are detected, therapy with this drug should be discontinued.

If there is no effect for 28 days, you must consult a doctor to confirm the diagnosis.

During pregnancy and lactation

The gel can be used in the 2nd or 3rd trimester of pregnancy under the supervision of a doctor. In the 1st trimester of pregnancy, the drug must be administered without an applicator.

Since there is no information about whether the drug penetrates intravaginally into breast milk, it is necessary to stop breastfeeding during treatment with the drug.

During the period of menstruation

During menstruation, it is forbidden to use the gel, since spotting contributes to the washing out of the medicine.

Is it possible to have sex?

During the use of the drug, it is recommended to abandon intimate relationships. Unprotected intercourse can lead to a burning sensation in the partner's penis. In addition, with the parallel use of the gel with products made from latex (condoms), their functional ability is reduced. This is due to the auxiliary components contained in the medication.

To prevent re-infection, simultaneous treatment of sexual partners is required.

Terms of sale of Candide vaginal gel

You can buy this medication without a doctor's prescription.

Are they sold without a prescription?

Price

The average cost of 1 pack of vaginal gel is 100 rubles.

Storage conditions and shelf life

It is necessary to store the gel in a dark place, at temperatures up to + 25 ° C, without freezing. It is recommended to limit access to the drug to children. The medication is valid for 3 years. After the expiration date indicated on the package, you should stop using the drug.

Thrush is a disease that requires a timely and competent approach to treatment. You can get rid of the disease with the help of local remedies, which, unlike systemic drugs, do not have a toxic effect on internal organs. One of the popular remedies is metrogil for thrush.

  • Instructions for use
  • Indications for use
  • Side effects
  • Contraindications for use
  • Metrogil gel for thrush

The drug is in tablets, solution and in the form of a gel. Reviews of metrogil for thrush are positive, this is due to the fact that the gel acts directly in the focus of the inflammatory process and quickly relieves the unpleasant symptoms of candidiasis, namely: itching and burning of the genital organs, swelling and hyperemia, curdled discharge, pain during urination. Before you start using the gel, it is important to undergo a diagnostic examination to make an accurate diagnosis.

Metrogyl should not be used as a self-medication, this can lead to serious complications. The disease can easily turn into a chronic form, which will be much more difficult to get rid of. Before applying the gel, you must carefully study the instructions for use.

Instructions for use

The main active ingredient of the drug is metronidazole. A feature of this substance is the ability to influence the genetic information of a pathogen, as a result of which it dies. Both aerobic and anaerobic bacterial microflora are sensitive to metronidazole.

The gel has antimicrobial, anti-acne and antiprotozoal properties. It also has antioxidant properties.

Metronidazole can cross the placental barrier and is excreted in breast milk, which is why the drug is not prescribed during pregnancy and lactation.

The first trimester of pregnancy is the period of organ laying, therefore it is an absolute contraindication for use, as for the second and third trimester, in some cases the doctor may decide on the advisability of prescribing the gel. If the treatment period coincided with the time of breastfeeding, then lactation should be interrupted.

Detailed instructions for the drug can be found here.

Indications for use

Vaginal gel may be prescribed by a doctor in the following cases:

In general, the gel is well tolerated by patients, but in some cases the following undesirable symptoms may occur:

  • from the genitourinary system: inflammation of the vagina, itching, swelling and burning, as well as the appearance of discharge;
  • from the digestive system: nausea, vomiting, loss of appetite, metallic taste in the mouth, diarrhea or constipation;
  • the general condition worsens: headaches, dizziness, weakness.

Contraindications for use

Gel metrogil can not be used in such cases:

  • high sensitivity to metronidazole;
  • a history of allergic reactions to metronidazole;
  • first trimester of pregnancy and lactation period;
  • leukopenia;
  • disorders of the central nervous system: convulsions, epilepsy, impaired coordination of movements.

During treatment, the intake of alcoholic beverages is contraindicated. Failure to comply with this instruction may lead to the appearance of such symptoms: spastic pain in the abdomen, headache, nausea, vomiting, flushing of the face.

Metrogil gel for thrush

The drug is used to treat thrush, as well as concomitant infectious processes, in particular, urogenital trichomoniasis. Usually the gel is applied once or twice a day. In the package, along with the product itself, there is an applicator, which will help to introduce the product into the vagina.

In general, the gel can be injected in any comfortable position, many women do the procedure lying on their back with their legs bent at the knees. For the next six to eight hours, it is not recommended to take a bath, shower or swim in the pool.

After each such procedure, the applicator must be washed under running water and soap. Usually the course of treatment is from seven to ten days. It is recommended at this time to abandon intimacy.

It is safe to say that metrogil gel is not only easy to use, but also highly effective in the treatment of thrush, as well as many other diseases. Sometimes doctors prescribe metrogil to men, but this is extremely rare.

The tool quickly suppresses the symptoms of the disease and negates the inflammatory process. The drug will give its results, even if a bacterial infection has joined the thrush.

Nevertheless, it is worth noting that metrogil for thrush cannot be used as self-medication, it can cause side effects and has some limitations in use. Entrust your health to professionals and start treatment after making an accurate diagnosis!

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Candiston spray from thrush

Vaginal candidiasis is a common disease that affects many women of reproductive age. This is due to the fact that the causative agent of the disease (a microscopic fungus of the genus Candida) is part of the natural microflora of the vagina. Due to the influence of predisposing factors on the body, pronounced discomfort appears. Candiston spray from thrush helps to quickly eliminate the symptoms of the disease.

Candidiasis and its causes

The vaginal form of candidiasis tends to be chronic, so the disease is quite difficult to treat in advanced cases. Many antifungal treatments for thrush are ineffective or only provide temporary relief.

Symptoms of the disease appear when the body's defenses are weakened and the lack of intimate hygiene. Among the predisposing factors, it is necessary to highlight the use of antibiotics, allergic predisposition and frequent change of sexual partners. Changes in hormonal levels, such as during pregnancy, are also the cause of the development of the disease.

Any of the above causes contributes to the uncontrolled reproduction of the fungus, which leads to vaginal candidiasis. This is accompanied by the following clinical manifestations:

  1. The appearance of curdled discharge from the vagina.
  2. The presence of characteristic itching and burning during urination.
  3. Redness and swelling of the mucous membrane of the external genital organs.

The sooner treatment is taken, the greater the chance of a speedy recovery. If you do not consult a doctor with primary symptoms, then serious complications such as infection of the genitourinary system, progression of endometritis, salpingitis or adnexitis are possible.

Description of Candiston spray from thrush

The new drug Candiston spray is an effective and safe local antimycotic agent. It is developed on the basis of active bioelements that have a detrimental effect on the Candida fungus, stopping its further growth.

Antifungal spray strengthens local immunity, which prevents recurrence of the disease. It has passed a number of clinical trials that have confirmed a high level of therapeutic efficacy.

Due to the fact that the composition of the natural remedy contains only natural substances, it does not have a negative effect on the body. Adverse reactions are possible only in the presence of individual intolerance to the components.

The composition and medicinal properties of Candiston

The native substances on the basis of which the Candiston spray was created have synergistic properties, i.e. some components increase the effectiveness of others:

  • Anthraquinone Aloe Vera (Aloe Emodin). Restores local immunity and inhibits the growth of yeast-like microflora. It has a pronounced anti-herpes effect.
  • Glycoside Aloe Vera (Aloe Saponin). It has antifungal and antibacterial effects. Eliminates the likelihood of recurrence of vaginal candidiasis.
  • Thyme and Oregano (L-Thymol). Affects the pathogen, disrupting the structure of the membrane of opportunistic microorganisms. The biocomponent is active not only against yeast, but also against viruses and bacteria that have a high level of drug resistance.
  • Coconut (caprylic acid). A complex carbohydrate also contributes to the dissolution of the membrane of the fungus, which is localized on the external and internal mucous membranes of the genital organs.
  • Jerusalem artichoke (Inulin). It has anti-inflammatory and antimycotic effects, destroying pathogenic flora and relieving symptoms.

Active substances not only destroy yeast, but also accelerate regeneration processes, eliminating the possibility of developing mycosis.

For the treatment of thrush, you can use a natural remedy at home. Instructions for use of the spray contains recommendations for treatment.

The treatment of vaginal candidiasis should be carried out step by step:

  1. Rinse the genitals with warm water and dry thoroughly with a towel.
  2. Spray the spray on the affected areas of the mucous membrane and skin with candidiasis.
  3. Wear clean underwear without using sanitary pads, which are a great breeding ground for fungus.

You need to repeat the treatment 3 times a day. If you follow the recommendations for using the drug, you can get rid of unpleasant symptoms after the first use of a natural remedy. Despite the fact that relief has come, the treatment should be completed. Otherwise, relapses will not be long in coming.

Benefits of Candiston Spray

The drug does not contain GMOs and is hypoallergenic. With the help of a spray, you can restore the natural microflora of the vagina, strengthen local immunity. This helps to stimulate the protective functions of the body, independently suppressing the activity of conditionally pathogenic microorganisms.

Every woman who used Candiston noted the following benefits for herself:

  • Destruction of fungal infection and lack of addiction.
  • Reducing the intensity of symptoms after initial use.
  • Rapid healing of microtraumas and ulcers on the mucous membrane of the genital organs.
  • Absence of adverse reactions and discomfort even after prolonged use.
  • Sufficient efficiency even in the treatment of chronic vaginal candidiasis.
  • Preventing the development of complications and getting rid of thrush in one course of admission.

As for the price, many people think that Candiston, whose price is about 900 rubles, is expensive relative to other pharmacological preparations for thrush. But, given the natural origin of the components and the effectiveness of the spray, this price is more than justified.

Where could I buy

It is better to buy Candiston spray on the manufacturer's website. The price in pharmacies for the drug is too high, which is due to the inclusion of additional costs in the cost. Be careful and use only an official source to make a purchase in order to exclude the possibility of acquiring fakes.

Drugs that can be bought at a pharmacy are highly effective against thrush, but can cause adverse reactions. In this case, it is imperative that you first consult with your doctor. You can use Candiston spray, developed on the basis of natural ingredients, on your own, without a visit to a specialist, because it is absolutely harmless.

What doctors say about the drug

What do doctors say about Candiston spray? They mostly confirm the effectiveness of the drug. Muravleva A.S. (obstetrician-gynecologist), who has been working in the specialty for 15 years, recommends her patients to use this natural spray.

The spray has a complex therapeutic effect, destroying pathogenic microorganisms and restoring local immunity. Mycotic infection dries up right before our eyes. In practice, cases of successful disposal of the chronic form of vaginal candidiasis have been recorded.

Customer Reviews

The price of Candiston is justified, since one bottle of spray is enough for a complete recovery. No need to buy expensive vaginal suppositories and swallow dangerous capsules. It is enough to buy a natural remedy and complete the full course of treatment.

Real customer reviews about Candiston spray:

Snezhana (27 years old, Saratov)

I bought Candiston spray in an online pharmacy during pregnancy, when I started to get thrush. I did not take pills, but decided to try a natural remedy. Painful symptoms and swelling disappeared after 2 days. Just an incredible effect!

Vera (47 years old, Ufa)

I underwent serious hormonal changes, which affected the immune system. Signs of candidiasis did not subside even after treatment with suppositories under the supervision of a doctor. I bought Candiston online. The usual spray helped to recover in 2 weeks!

Julia (32 years old, St. Petersburg)

I drank antibiotics, and I spared money on drugs for thrush. After that, she suffered from chronic candidiasis. A friend, having learned about my problem, advised Candiston spray. I didn't believe that he would help. For half a year now I have been living a normal life, not even remembering the past discomfort.

Conclusion

Spray Candiston is an effective drug for thrush, developed on the basis of natural ingredients. The drug relieves the symptoms of thrush after 2-3 hours, while continuing to fight the causes of the disease. In order to achieve the result declared by the manufacturer from the treatment, it is necessary to follow the recommendations for use set forth in the instructions for use.

There are different opinions about the treatment of thrush with Metronidazole, both gynecologists and their patients. Reviews about this drug have widely spread around the “Internet spaces” and each of them misleads a woman. Some believe that Metronidazole is an effective tablet against thrush, while others note that their treatment did not bring the expected results. Why are the reviews of women treated with this drug so “diverse” and will it help get rid of candidiasis once and for all?

metronidazole and thrush

Metronidazole is an antibacterial drug that is intended for the treatment of various infectious diseases of the genital tract (specific vaginitis, giardiasis, trichomoniasis, and others). Often, doctors prescribe a drug for the treatment of duodenal ulcers or stomach ulcers.

Despite the fact that Metronidazole is an anti-infectious, antibacterial agent, when taken on its own, it does not have the proper effect on Candida fungi.

This is the very first aspect of the fact that reviews of Metronidazole are ambiguous. But sometimes thrush "grows" into other, more complex forms of the disease, which leads to other infectious diseases of the genital tract. Then Metronidazole "demonstrates" its ability to act on infectious diseases of a mixed type.

Metronidazole tablets are a preparation that contains nitroimidazole substances. Its action is based on the biochemical restoration of the nitro group through the intracellular transport protein of anaerobic microbes and other cells of pathogens. Thus, this nitro group acts on the DNA of microorganisms and inhibits their synthesis, which leads to the destruction of the bacterium.

Tablets are active against many venereal infections, their pathogens, as well as against some strains of fungi. Metronidazole is not sensitive to Candida albicans or Candida tropicalis, which are provocateurs of candidiasis. The drug becomes effective only when taken in the presence of Candida quillermondii, pseudotropicalis, lusitaniae and other modified Candida species.

In order to determine what kind of fungi "progress" in your body, it is necessary to undergo clinical diagnostics without fail.

Comprehensive treatment of complex forms of thrush

Metronidazole helps to treat the aggravated form of thrush, and this is a fact. But taking Metronidazole tablets alone is not enough for complex treatment. Therapy should include a course of antibiotics, as well as the use of intravaginal suppositories. It is worth noting that more than one Metronidazole treats complications of candidiasis. Trichopol copes with such a “task” perfectly.

These tablets are also antibiotics, but their peculiarity is that Metronidazole is included in the composition. Thus, the spectrum of action of the drug "Trichopol" is much wider, so it can simultaneously treat "crossed" infectious diseases of the genitourinary tract.

Based on the information from the instructions, Trichopolum is indicated for the treatment of many infectious diseases, including amoebiasis, trichomoniasis, giardiasis, and even surgically introduced infections. The list of diseases that he treats can be continued for a long time, but Trichopolum is widely used in gynecological practice, not only because of its "wonderful" antibacterial properties.

Often it is prescribed to women before surgery on the genitals to prevent infection. Prevention with the drug is prescribed by a specialist after a complete examination of the patient, as it has a number of contraindications.

Trichopol is contraindicated for women who have a physiological tendency to intolerance to the metronidazole component, pregnant women (first trimester) and lactation.

Trichopolum is also contraindicated in children under 14 years of age, so prevention for them at this age is not possible, even if necessary.

Often women are confused in the names Trichopolum and Metronidazole, believing that this is the same drug. In fact, these are different pills, but their action is really very similar.

It is believed that Metronidazole is the name used by foreign countries, because on the Trichopol package you can see the same concept in small letters - Metronidazole. As already noted, Trichopol includes the active ingredient metronidazole, therefore, if you have been prescribed Trichopol by a gynecologist, then you should buy and take it.

The chronic form of candidiasis can sometimes cause acute symptoms that are close to unbearable. In order to get rid of them and facilitate the process of thrush as a whole, it is necessary to use topical preparations: suppositories or gel. Candles and gel are fairly common forms of drugs in gynecological practice.

With aggravated candidiasis, a drug such as Metrogyl can be used for local treatment. You can find it on the shelves of pharmacies in two forms: Metrogyl-gel, as well as Metrogyl suppositories (vaginal tablets). The composition of this drug also includes the active ingredient metronidazole, the action of which was previously discussed. By and large, Metrogil is ineffective in acute thrush, but is recommended by experts for use in the presence of fungal and infectious diseases of a mixed type.

Metrogil gel is more often used for external use on the surface of the external genital organs. This allows you to direct its action against Candida fungi that enter the outside along with vaginal secretions. The substance prevents the process of irritation of intimate places and "relieves" unpleasant symptoms (burning of the external labia).

While the gel relieves swelling and regulates the inflammatory processes of the external genital organs, Metrogyl suppositories are able to treat a aggravated fungal infection “from the inside”.

The drug is active against adnexitis and salpingo-oophoritis, which are possible when the appendages are affected by Candida fungi. In addition, suppositories heal multiple sores during cervical erosion, and relieve swelling of the inflamed genital canals.

Metrogyl does not allow other infections to enter the urogenital canal, which contributes to the prevention of a disease such as cystitis. Due to the penetration of the active substance deep into the female genital tract, suppositories are contraindicated during the first trimester of pregnancy.

A potent antibiotic can enter the uterus, where it can harm the developing fetus. In the presence of hypersensitivity to metronidazole, the treatment of candidiasis with this drug is impossible, as this can cause allergic reactions on the mucous walls of the vagina and aggravate the situation.

In chronic aggravated candidiasis, the course of treatment with the described antibiotics is possible only according to the instructions of the gynecologist. It must be remembered that not a single drug, which includes the metronidazole component, is intended for the direct fight against Candida fungi. Only a specialist can determine the advisability of taking these antibiotics, having previously examined the patient. On the contrary, self-medication can only exacerbate the symptoms.