Types of antifungal for candidiasis
There are several classes of antifungal drugs to combat the manifestation of candidiasis. They can vary depending on the mechanism of action (that is, the way in which it will eliminate the fungus) and the presentation (local or systemic treatment).
As a topical treatment, it is understood that the medication has isolated or localized action, and can be found as ointments, creams or solutions to make mouthwash, for example. Systemic treatments are those made with pills or injections, which can have action throughout the body.
In general, patients respond well to antifungal drugs, whether they are in ointment, solution, tablets or oral pills, without the need for hospitalization or drug combination (analgesic, for example).
It is worth remembering that
all treatment and medication should only be indicated by a doctor , and that indiscriminate use can bring health risks .
Oral remedies for candidiasis (tablet and solution)
The tablets should be taken according to the medical recommendation, usually in a single dose (higher doses) or for a few days (smaller and fractional doses).
In such cases, tablets and capsules should, in general, be taken with food or after meals, always with water and with extreme care so that no dose is missed. In the list of the most used are:
Itraconazole : marketed in capsules such as Itralex , Miconal and Spozol;
Fluconazole : can be found in a single dose, such as Fluconal and Fluconid , or in packs with more tablets, such as Zoltec IV (8 tablets);
Ketoconazole : found in tablets such as Prati-Donaduzzi and Ketoconazole Medley ;
Posaconazole : oral solution like Noxafil ;
Voriconazole : marketed in tablets such as Vfend and Vori ;
Terbinafine : found in tablets such as Ceremil and Funtyl capsules.
Creams and ointments for candidiasis
Some of these medications include the same active ingredients found in oral remedies, but in the case of topical treatment the action is more localized.
The form of application, the frequency and duration of treatment must be expressly recommended by the doctor. However, some usage tips include washing and cleaning your hands correctly before applying creams and ointments, taking care with the correct amount of the product, as well as attention to spreading it (avoiding rubbing or damaging the skin).
The doctor may prescribe:
Ketoconazole : there are options like Creme Medley and Cetonax ;
Ciclopirox : among the options sold are Fungirox nail polish and Loprox topical solution ;
Econazol : found in solutions or lotions, such as Micostyl ;
Miconazole : like the powder version Vodol, Daktarin geland the Gino Mizonol vaginal cream;
Nystatin : found in versions for mouthwash (oral suspension) Canditrat and Nistrazin vaginal cream;
Clotrimazole : among the options in cream are Baycuten and Canesten , in addition to vaginal cream Gino-Canesten ;
Terbinafine : there are products like Lamisilate in spray solution or in cream ;
Terconazole : vaginal creams, such as Gyno Fungix and Ginconazol .
Read more: Which ointments are indicated for the treatment of male and female Candidiasis?
Injections for candidiasis
This type of treatment is used in more severe cases of candida infection, systemic infections in immunosuppressed patients (with
AIDS or cancer , for example). The injections must be given by the responsible professional and, generally, they need a single application. Among the options available are medicines based on:
Caspofungin : sold in ampoules for intravenous application, such as Berk and Cancidas ;
Amphotericin B : sold in ampoules for injection, such as Abelcet , or in powder (for preparation of injectables), as Ambisome .
Remedy for Candida in a single dose
In general, mild and moderate candidiasis can be treated with single dose medications (where it is necessary to use them only once, whether oral or vaginal tablets).
Among the single-dose therapeutic options are fluconazole and itraconazole. In addition, there is isoconazole nitrate, a single-dose vaginal pill option.
Medication for male candidiasis (penile)
Penile candidiasis can happen after sexual contact. Thus, it is common for the doctor to request that both the man and the partner take the pill orally.
In general, the most effective treatment is through ointments or creams in the affected region (topical treatment). Fluconazole is the most suitable, and should be used for 7 to 14 days, but there are also:
Clotrimazole, for up to 14 days;
Econazol, for up to 14 days.
In more intense cases, systemic treatment can be carried out using fluconazole or ketoconazole, for 7 to 14 days.
Medication for female candidiasis (vaginal)
In general, patients respond well to topical therapies, that is, performed with vaginal creams, ointments or pills. Usually, it takes between 7 and 14 days for the treatment to fight the fungi, depending on the concentration of the ointment or cream. Among the options, it can be recommended:
Clotrimazole vaginal tablets;
Miconazole vaginal pill;
Econazol vaginal pill;
Vaginal Nystatin tablet.
In the treatment of vaginal candidiasis, fluconazole and itraconazole can be prescribed in a single dose, in combination with topical medications.
In recurrent cases or in systemic candidiasis, oral Fluconazole 150 mg once a week, Clotrimazole vaginal 500 mg once a week or 200 mg twice a week for up to 6 months can be chosen.
Candidiasis in pregnancy: what is the best medicine?
Candidiasis in pregnancy is generally not a dangerous condition for the mother or baby. It is usually caused by hormonal changes and the pregnant woman’s vaginal pH, which favors the proliferation of the fungus.
Although it does not present risks in most cases, it is necessary to treat it correctly, preferably through creams and ointments, due to the more localized action of the drugs.
However, if the infection is more severe or if the responses to topical therapy are not sufficient, oral medications can be adopted (at medical discretion).
Topical treatments include vaginal ointments, creams or pills, usually used between 7 and 14 days, based on:
Even in the case of topical creams, use during pregnancy must have
medical indication and follow-up , as the possibility of use depends on factors such as the duration of pregnancy and the health condition of the pregnant woman.
Oral candidiasis: what is the treatment?
Candidiasis can affect the lining of the mouth and throat, causing pain and discomfort throughout the oral cavity. This is a condition that usually affects immunocompromised patients, such as people with
HIV or transplanted people.
The treatment is carried out, in general, with mouthwashes and gargling with medications based on nystatin and / or with fluconazole tablets, in a single dose.
Patients who do not respond well to treatment with fluconazole tablets or who have any restrictions to it, may be indicated for the use of:
Itraconazole, from 7 to 14 days;
Voriconazole, from 7 to 14 days;
Posaconazole, for 14 days.
Cutaneous candidiasis (skin and nails): what are the remedies?
The infection can affect the surface of the skin and cause rashes, itching, blemishes and redness. In these cases, the treatment can be with the use of imidazole ointments and creams, once a day for up to 4 weeks.
However, other antifungals can be used, such as:
Ciclopirox-based solution or enamel;
Nystatin (cream or solution).
Esophageal candidiasis: how to treat?
Fluconazole is the most common medication for treatment, generally requiring use between 14 and 21 days. In cases where the antifungal does not show good results, the following can be used:
The duration of treatment will depend on the medical recommendation.
Intestinal candidiasis: what to do?
Stress and dietary changes are among the main causes of changes in the intestinal flora.
To combat the presence of fungi in the organ, it may be necessary to use oral remedies, such as fluconazole, combined with changes in diet, such as the ingestion of probiotic products (milk and natural yogurt, for example), according to medical recommendations.
The diet aims to strengthen immunity and recover or restore the balance of intestinal flora, eliminating and avoiding new fungal proliferations.
How long after taking Fluconazole does candidiasis improve?
Fluconazole for candidiasis is usually prescribed in pills or ointment and its action tends to be quite fast. Depending on the intensity of the symptoms, the relief comes right after the first use. The improvement is gradual, but it can already be noticed the next day.
However, even if the symptoms stop and the candidiasis improves, it is necessary to keep using the medication for the time indicated by specialists.
What is the relationship between antibiotics and candidiasis?
antibiotics are drugs that are often necessary to fight some infections, their recurrent or frequent use may be related to candidiasis. This is because the vaginal flora is composed of bacteria that are fundamental for the balance and protection of the region.
With the constant use of antibiotic drugs, this balance can be affected, impairing the natural protection that the vagina provides. Therefore, this group of drugs is not used to treat candidiasis, but it may actually be responsible for its occurrence.
What is the best home remedy for female candidiasis?
When candidiasis arises, the ideal is to seek gynecological guidance. However, home treatments can assist in recovery, as long as they do not replace the clinical and medication indications.
Some measures that can – and should – be adopted by women even when there is no candidiasis occurring are:
Take care of the food;
Include probiotics in the diet;
Do physical activities;
Wear cotton panties;
Do not use intimate soaps;
Do not wear clothes that are too tight;
Sleep without panties;
Ventilate, whenever possible, the intimate region;
Reduce the use of daily protectors or irritating products.
These simple measures help to improve the condition, when and infection has already occurred, but also help to prevent new occurrences.
NEVER self-medicate or stop using a medication without first consulting a doctor. Only he will be able to tell which medication, dosage and duration of treatment is the most suitable for his specific case. The information contained in this website is only intended to inform, not in any way intended to replace the guidance of a specialist or serve as a recommendation for any type of treatment. Always follow the instructions on the package insert and, if symptoms persist, seek medical or pharmaceutical advice.