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Yeast infection antifungal tablets: Diflucan Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

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6 Best Yeast Infection Treatments 2023

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

  • Evaluate ingredients and composition: Do they have the potential to cause harm?
  • Fact-check all health claims: Do they align with the current body of scientific evidence?
  • Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Yeast infection treatments may include pills or topical medications with over-the-counter (OTC) and prescription options available. Several places sell OTC or prescription treatments online.

  • Best range of treatments: Monistat | Skip to review
  • Best pill: Fluconazole | Skip to review
  • For rapid treatment: FemiClear Yeast Infection 2-Day Treatment | Skip to review
  • Best preventive treatment: Uqora Promote | Skip to review
  • Best preventive suppository: Love Wellness The Killer | Skip to review
  • Best budget treatment: CVS Health Miconazole 7-Day Vaginal Treatment | Skip to review

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best range of treatments: Monistat

  • List price: around $14 for a pack of three applicators
  • Active ingredients: miconazole nitrate
  • Treatment time: 1, 3, or 7 days
  • Supply: 1, 3, or 7 prefilled applicators

Monistat is available in several pharmacies and retail stores, including Walmart, throughout the United States. It provides treatment options that include 1, 3, and 7 days’ worth of doses.

This product comes in the form of internal suppositories and external creams with applicators that help people place the yeast infection treatment in the right area. Some packs include additional topical itch medications to help ease symptoms.

Each applicator contains 200 milligrams (mg) of miconazole nitrate, a medication that treats fungal infections.

This product is most suited to individuals who currently have a yeast infection and would like to try multiple methods to treat it.

Read our review of Monistat here.

SHOP NOW AT WALMART

Pros

  • readily available in retail stores
  • various treatment options available in one pack
  • FSA- and HSA-eligible
  • affordable price

Cons

  • reviews mention burning, stinging, or itching sensations
  • may cause heavy discharge

Was this helpful?

Best pill: Fluconazole

  • List price: $15 quarterly fee or a $65 one-time fee
  • Active ingredients: generic fluconazole
  • Treatment time: 2 days
  • Supply: up to 2 pills

Fluconazole is a generic version of the prescription pill Diflucan, which people can take to treat yeast infections.

Individuals need to take a single pill first. If symptoms do not improve after 2 days, they can take a second pill.

Online pharmacies, such as Wisp, offer quick delivery of fluconazole. They can also provide same-day or rushed prescriptions to a person’s local pharmacy.

Read our review of Wisp here.

Wisp offers subscriptions for those who regularly have yeast infections and accepts FSA and HSA cards as payment.

This product may be most suitable for individuals who regularly experience yeast infections or when creams have not worked.

SHOP NOW AT WISP

Pros

  • available for same-day pick up from a local pharmacy
  • FSA- and HSA-eligible
  • subscription service available

Cons

  • one-time purchases are expensive
  • Wisp does not accept insurance

Was this helpful?

Best rapid treatment: FemiClear Yeast Infection 2-Day Treatment

  • List price: around $20
  • Active ingredients: olive oil, melaleuca, calendula, and lavender essential oil
  • Treatment time: 2 days
  • Supply: two suppositories

FemiClear’s 2-day yeast infection treatment includes two suppositories that a person inserts into their vagina and an external anti-itch ointment for symptom relief.

The product contains calendula, tea tree oil, olive extract, beeswax, and olive oil to combat itching and discomfort.

The company recommends using this yeast infection treatment before bed or wearing a panty liner to ensure that it does not leak.

The FDA classes this product as an unapproved homeopathic treatment and states it has not tested it for safety or efficacy. The FDA writes that it is not aware of scientific research that supports the effectiveness of homeopathic remedies.

This may best suit individuals who currently have a yeast infection and prefer to use organic ingredients. However, it is unsuitable for vegans because it contains beeswax.

Read our review of Femiclear here.

SHOP NOW AT WALMART

Pros

  • organic ingredients
  • affordable price
  • treatment lasts 2 days

Cons

  • unsuitable for vegans
  • does not have FDA approval
  • suppository may not suit some people

Was this helpful?

Best preventive treatment: Uqora Promote

  • List price: around $30
  • Active ingredients: L. acidophilus, L. rhamnosus, and L. reuteri
  • Treatment time: ongoing preventive treatment
  • Supply: 30-day supply

The makers of Uqora Promote say the product promotes vaginal health rather than specifically targeting yeast infections.

It contains Lactobacillus acidophilus (L. acidophilus), Lactobacillus rhamnosus (L. rhamnosus), and Lactobacillus reuteri, which the company claims can help balance vaginal bacteria.

Some research suggests that Lactobacilli such as L. acidophilus and L. rhamnosus show promise in preventing vaginal infections.

The company recommends taking this supplement daily with a glass of water.

Uqora Promote may be suitable for people who regularly get yeast infections as a preventive treatment. It is vegan-friendly and gluten-free, meaning it may also suit people following certain diets.

Read our review of Uqora here.

SHOP NOW AT UQORA

Pros

  • useful as a preventive treatment
  • suitable for vegans
  • gluten-free
  • free shipping
  • subscription is possible, making it cheaper by 15%

Cons

  • targets vaginal health instead of treating yeast infections specifically
  • higher cost than other options
  • does not have Food and Drug Administration (FDA) approval

Was this helpful?

Best preventive suppository: Love Wellness The Killer

  • List price: around $22
  • Active ingredients: boric acid
  • Treatment time: ongoing preventive treatment
  • Supply: up to 14 days of use

The Killer by Love Wellness aims to prevent yeast infections from developing and claims to keep vaginal bacteria healthy.

The capsule contains boric acid, which may be effective in treating recurrent yeast infections that have not responded to to anti-fungal treatments.

Learn more about using boric acid to treat yeast infections here.

The brand recommends inserting this vaginal suppository once a day before bed for up to 14 days, as needed. The brand also recommends that the best times to use The Killer might be after sex, after a period, or when a person is experiencing symptoms of a pH imbalance.

The FDA classes this product as an unapproved homeopathic treatment and states it has not tested it for safety or efficacy. The FDA writes that it is not aware of scientific research that supports the effectiveness of homeopathic remedies.

The Killer is suitable for anyone who may be prone to vaginal yeast infections. Love Wellness does not recommend a person to have sexual intercourse while using this product.

SHOP NOW AT LOVE WELLNESS

Pros

  • affordable price
  • subscription service is possible, saving 25%
  • gluten- and dairy-free
  • not tested for safety or efficacy

Cons

  • a person cannot have sexual intercourse during the treatment
  • shipping is not free unless customers spend over $35
  • unsuitable for vegans

Was this helpful?

Best budget option: CVS Health Miconazole 7-Day Treatment

  • List price: around $8
  • Active ingredients: miconazole nitrate
  • Treatment time: 7 days
  • Supply: seven prefilled applicators

This CVS Health treatment comes with seven doses of disposable internal applicators and external cream.

Each applicator contains 100 mg of miconazole nitrate. The manufacturer recommends that people insert an applicator before going to bed. Individuals should dispose of the applicator immediately after use.

The treatment is available both in-store and online. It may best suit individuals who would prefer a product that works while they sleep. However, a person should not use this if they have not received a diagnosis of a yeast infection from a doctor.

SHOP NOW AT CVS

Pros

  • affordable price
  • uses both internal applicators and external cream
  • available to purchase in-store and online
  • works while a person sleeps

Cons

  • may cause burning and itching sensations
  • a person cannot use tampons while using this product
  • takes longer than other treatment options
  • users cannot have sex while using this product

Was this helpful?

The table below compares each of the products for price, ingredients, and more.

List priceActive ingredientsTreatment timeSupply
Monistataround $14miconazole nitrate1—7 days1—7 prefilled applicators
Generic
Fluconazole
around $15–$65generic fluconazole2 daysup to 2 pills
FemiCleararound $20• olive oil
• melaleuca
• calendula
• lavender essential oil
2 daystwo suppositories
Uquoraaround $30L. acidophilus
L. rhamnosus
L. reuteri
ongoing preventive treatment30 days
Love Wellnessaround $22boric acidongoing preventive treatmentup to 14 days
CVS Healtharound $8miconazole nitrate7 days7 prefilled applicators

Doctors typically recommend OTC antifungal medications to treat a vaginal yeast infection.

Antifungal medications come in a variety of forms, including:

  • creams
  • tablets
  • ointments
  • vaginal suppositories

Treatments may come as one single dose or a daily dose over several days. A person should read the dosing instructions carefully to ensure they use the correct dosage.

Some of the products in this article are classed as homeopathic treatments.

There are no FDA-approved homeopathic products. This means that any product sold in the U.S. and marketed as homeopathic is not FDA-approved and the FDA has not tested it for safety or effectiveness.

MNT chose yeast infection treatments that meet the following criteria:

  • Reputable brands: Our medical and business teams have thoroughly researched all brands in this article to ensure their safety and reputability. This means the brands we chose do not make unsupported health claims and their products do not contain unsafe ingredients.
  • Accessibility: MNT chose brands that are widely available in-store, online, and over the counter.
  • Cost: MNT selected nonprescription items with some of the most budget-friendly price points. For prescription products, MNT ensured multiple payment options, including health savings accounts (HSAs) and flexible savings accounts (FSAs).
  • Treatment times: MNT chose products that claim to treat yeast infection symptoms in as few days as possible.
  • Treatment type: MNT chose products that have a range of treatment types, such as pills, probiotics, and suppositories.

Was this helpful?

Yeast infections occur due to an overgrowth of Candida. This is a type of fungus that normally lives in areas of the body such as the vagina and mouth.

According to the Office on Women’s Health (OWH), most females will experience a vaginal yeast infection at some point in their life.

The Centers for Disease Control and Prevention (CDC) explain that some common symptoms of a vaginal yeast infection include:

  • pain during sexual intercourse
  • itchiness or soreness around the vagina
  • unusual discharge from the vagina
  • discomfort or pain during urination

The CDC adds that risk factors for developing an overgrowth of Candida include:

  • using hormonal birth control
  • being pregnant
  • recent antibiotic use
  • having a weakened immune system
  • having diabetes

The OWH points out that a yeast infection may develop due to sexual intercourse. However, doctors do not classify this as a sexually transmitted infection (STI).

Since yeast infection symptoms are similar to those of other infections and conditions, such as contact dermatitis, a person should contact a doctor before taking any OTC medications. The doctor can test for yeast or other infections to provide the appropriate treatment.

People can take some steps to help prevent yeast infections. For example, they can try:

  • avoiding irritating soaps
  • not using vaginal douches
  • regularly changing tampons and sanitary napkins
  • keeping the outer genital area dry and clean
  • not using panty liners every day
  • avoiding scented products for use around the vagina
  • only using antibiotics when a doctor prescribes them
  • wiping from the front to the back after using the toilet
  • changing into dry clothes immediately after swimming
  • wearing loose-fitting cotton underwear
  • maintaining a stable blood sugar level

Learn more about preventing yeast infections here.

People should be aware of the following advice when taking medication for yeast infections:

  • Dosage: It is important to take the entire course of medication to clear an infection. For example, with a 7-day suppository, a person should insert suppositories daily for the full 7 days, even if symptoms begin to clear before the 7-day period ends.
  • Birth control: The oils in certain suppositories and creams can interfere with barrier birth control methods. They can weaken the materials in condoms, making them less effective. When using these yeast infection treatments, a person should use a different form of birth control or abstain from sex during the duration of the treatment if they would typically use a condom.
  • Pregnancy: Pregnant people should always consult a doctor before using any prescription or nonprescription medication to treat an infection.

Before starting treatment, individuals should contact a doctor for a diagnosis. Knowing exactly which infection they have ensures that the person uses the appropriate treatment and does not create fungus resistant to future treatments.

A person should contact a doctor if they suspect that they have a yeast infection, as symptoms can be similar to those of other conditions. The doctor can properly diagnose and treat a yeast infection.

If a yeast infection does not clear up with treatment, the person should seek further medical advice. They may need to adjust their medications to treat any itching and discomfort.

Recurring yeast infections

According to the OWH, yeast infections are usually mild. They cause symptoms such as itchiness, pain, and unusual discharge. Most females will develop a yeast infection at some point in their life.

The OWH also says that some people develop recurring yeast infections.

Risk factors for recurring yeast infections, or recurrent vulvovaginal candidiasis (RVVC), include having diabetes or a compromised immune system.

However, individuals can develop recurring yeast infections even if they do not have any risk factors.

If a person experiences RVVC, a doctor will likely recommend or prescribe antifungal medications for up to 6 months to help keep the fungus under control.

Below are answers to some common questions about treating yeast infections.

How quickly do yeast infection treatments work?

Preventive yeast infection treatments have varying time frames, but many come in 30-day supplies. Pill, cream, and suppository yeast infection treatments usually come as 1-, 2-, 3-, 7-, or 14-day treatments.

What is the fastest way to get rid of a yeast infection?

Treatment times can vary from person to person, but anecdotal reports suggest a single fluconazole dose can clear up a yeast infection in just a few hours.

Do people need a prescription for these treatments?

Most yeast infection suppositories and preventive probiotics are available as OTC treatments. However, yeast infection pills such as fluconazole are only available through prescription.

Is one yeast infection pill enough?

Depending on the severity of the infection, type of pill, and dosage, a single tablet may be enough to clear a yeast infection. Individuals should always let their doctor guide their treatment and discuss ongoing symptoms with them.

Can I get a yeast infection from sex?

Although penetrative sex cannot directly cause a yeast infection, a person may develop a yeast infection after sex if they engage in oral sex or insert fingers or toys into the vagina.

This is because these activities may introduce bacteria into or around the vagina.

Learn more about yeast infections after sex.

Can a person pass on a yeast infection?

Yeast infections are not STIs. However, it is possible for yeast infections to transmit from one person to another following sexual intercourse.

Females can pass on yeast infections to males, but this is uncommon and may affect just 15% of males.

Do yeast infection pills have side effects?

Pills for yeast infections, such as fluconazole, may have some side effects.

Common side effects include nausea, diarrhea, headache, stomach pain, and a rash.

Yeast infections are often mild, and a person can typically treat them using OTC medications. Medications come in different forms and doses, so it is important to follow the instructions on the package.

A person should not self-diagnose a yeast infection, as many of the symptoms are similar to those of other illnesses and conditions.

Once a doctor diagnoses this infection and a person treats it, they should notice symptom improvement.

6 Best Yeast Infection Treatments 2023

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

  • Evaluate ingredients and composition: Do they have the potential to cause harm?
  • Fact-check all health claims: Do they align with the current body of scientific evidence?
  • Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Yeast infection treatments may include pills or topical medications with over-the-counter (OTC) and prescription options available. Several places sell OTC or prescription treatments online.

  • Best range of treatments: Monistat | Skip to review
  • Best pill: Fluconazole | Skip to review
  • For rapid treatment: FemiClear Yeast Infection 2-Day Treatment | Skip to review
  • Best preventive treatment: Uqora Promote | Skip to review
  • Best preventive suppository: Love Wellness The Killer | Skip to review
  • Best budget treatment: CVS Health Miconazole 7-Day Vaginal Treatment | Skip to review

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best range of treatments: Monistat

  • List price: around $14 for a pack of three applicators
  • Active ingredients: miconazole nitrate
  • Treatment time: 1, 3, or 7 days
  • Supply: 1, 3, or 7 prefilled applicators

Monistat is available in several pharmacies and retail stores, including Walmart, throughout the United States. It provides treatment options that include 1, 3, and 7 days’ worth of doses.

This product comes in the form of internal suppositories and external creams with applicators that help people place the yeast infection treatment in the right area. Some packs include additional topical itch medications to help ease symptoms.

Each applicator contains 200 milligrams (mg) of miconazole nitrate, a medication that treats fungal infections.

This product is most suited to individuals who currently have a yeast infection and would like to try multiple methods to treat it.

Read our review of Monistat here.

SHOP NOW AT WALMART

Pros

  • readily available in retail stores
  • various treatment options available in one pack
  • FSA- and HSA-eligible
  • affordable price

Cons

  • reviews mention burning, stinging, or itching sensations
  • may cause heavy discharge

Was this helpful?

Best pill: Fluconazole

  • List price: $15 quarterly fee or a $65 one-time fee
  • Active ingredients: generic fluconazole
  • Treatment time: 2 days
  • Supply: up to 2 pills

Fluconazole is a generic version of the prescription pill Diflucan, which people can take to treat yeast infections.

Individuals need to take a single pill first. If symptoms do not improve after 2 days, they can take a second pill.

Online pharmacies, such as Wisp, offer quick delivery of fluconazole. They can also provide same-day or rushed prescriptions to a person’s local pharmacy.

Read our review of Wisp here.

Wisp offers subscriptions for those who regularly have yeast infections and accepts FSA and HSA cards as payment.

This product may be most suitable for individuals who regularly experience yeast infections or when creams have not worked.

SHOP NOW AT WISP

Pros

  • available for same-day pick up from a local pharmacy
  • FSA- and HSA-eligible
  • subscription service available

Cons

  • one-time purchases are expensive
  • Wisp does not accept insurance

Was this helpful?

Best rapid treatment: FemiClear Yeast Infection 2-Day Treatment

  • List price: around $20
  • Active ingredients: olive oil, melaleuca, calendula, and lavender essential oil
  • Treatment time: 2 days
  • Supply: two suppositories

FemiClear’s 2-day yeast infection treatment includes two suppositories that a person inserts into their vagina and an external anti-itch ointment for symptom relief.

The product contains calendula, tea tree oil, olive extract, beeswax, and olive oil to combat itching and discomfort.

The company recommends using this yeast infection treatment before bed or wearing a panty liner to ensure that it does not leak.

The FDA classes this product as an unapproved homeopathic treatment and states it has not tested it for safety or efficacy. The FDA writes that it is not aware of scientific research that supports the effectiveness of homeopathic remedies.

This may best suit individuals who currently have a yeast infection and prefer to use organic ingredients. However, it is unsuitable for vegans because it contains beeswax.

Read our review of Femiclear here.

SHOP NOW AT WALMART

Pros

  • organic ingredients
  • affordable price
  • treatment lasts 2 days

Cons

  • unsuitable for vegans
  • does not have FDA approval
  • suppository may not suit some people

Was this helpful?

Best preventive treatment: Uqora Promote

  • List price: around $30
  • Active ingredients: L. acidophilus, L. rhamnosus, and L. reuteri
  • Treatment time: ongoing preventive treatment
  • Supply: 30-day supply

The makers of Uqora Promote say the product promotes vaginal health rather than specifically targeting yeast infections.

It contains Lactobacillus acidophilus (L. acidophilus), Lactobacillus rhamnosus (L. rhamnosus), and Lactobacillus reuteri, which the company claims can help balance vaginal bacteria.

Some research suggests that Lactobacilli such as L. acidophilus and L. rhamnosus show promise in preventing vaginal infections.

The company recommends taking this supplement daily with a glass of water.

Uqora Promote may be suitable for people who regularly get yeast infections as a preventive treatment. It is vegan-friendly and gluten-free, meaning it may also suit people following certain diets.

Read our review of Uqora here.

SHOP NOW AT UQORA

Pros

  • useful as a preventive treatment
  • suitable for vegans
  • gluten-free
  • free shipping
  • subscription is possible, making it cheaper by 15%

Cons

  • targets vaginal health instead of treating yeast infections specifically
  • higher cost than other options
  • does not have Food and Drug Administration (FDA) approval

Was this helpful?

Best preventive suppository: Love Wellness The Killer

  • List price: around $22
  • Active ingredients: boric acid
  • Treatment time: ongoing preventive treatment
  • Supply: up to 14 days of use

The Killer by Love Wellness aims to prevent yeast infections from developing and claims to keep vaginal bacteria healthy.

The capsule contains boric acid, which may be effective in treating recurrent yeast infections that have not responded to to anti-fungal treatments.

Learn more about using boric acid to treat yeast infections here.

The brand recommends inserting this vaginal suppository once a day before bed for up to 14 days, as needed. The brand also recommends that the best times to use The Killer might be after sex, after a period, or when a person is experiencing symptoms of a pH imbalance.

The FDA classes this product as an unapproved homeopathic treatment and states it has not tested it for safety or efficacy. The FDA writes that it is not aware of scientific research that supports the effectiveness of homeopathic remedies.

The Killer is suitable for anyone who may be prone to vaginal yeast infections. Love Wellness does not recommend a person to have sexual intercourse while using this product.

SHOP NOW AT LOVE WELLNESS

Pros

  • affordable price
  • subscription service is possible, saving 25%
  • gluten- and dairy-free
  • not tested for safety or efficacy

Cons

  • a person cannot have sexual intercourse during the treatment
  • shipping is not free unless customers spend over $35
  • unsuitable for vegans

Was this helpful?

Best budget option: CVS Health Miconazole 7-Day Treatment

  • List price: around $8
  • Active ingredients: miconazole nitrate
  • Treatment time: 7 days
  • Supply: seven prefilled applicators

This CVS Health treatment comes with seven doses of disposable internal applicators and external cream.

Each applicator contains 100 mg of miconazole nitrate. The manufacturer recommends that people insert an applicator before going to bed. Individuals should dispose of the applicator immediately after use.

The treatment is available both in-store and online. It may best suit individuals who would prefer a product that works while they sleep. However, a person should not use this if they have not received a diagnosis of a yeast infection from a doctor.

SHOP NOW AT CVS

Pros

  • affordable price
  • uses both internal applicators and external cream
  • available to purchase in-store and online
  • works while a person sleeps

Cons

  • may cause burning and itching sensations
  • a person cannot use tampons while using this product
  • takes longer than other treatment options
  • users cannot have sex while using this product

Was this helpful?

The table below compares each of the products for price, ingredients, and more.

List priceActive ingredientsTreatment timeSupply
Monistataround $14miconazole nitrate1—7 days1—7 prefilled applicators
Generic
Fluconazole
around $15–$65generic fluconazole2 daysup to 2 pills
FemiCleararound $20• olive oil
• melaleuca
• calendula
• lavender essential oil
2 daystwo suppositories
Uquoraaround $30L. acidophilus
L. rhamnosus
L. reuteri
ongoing preventive treatment30 days
Love Wellnessaround $22boric acidongoing preventive treatmentup to 14 days
CVS Healtharound $8miconazole nitrate7 days7 prefilled applicators

Doctors typically recommend OTC antifungal medications to treat a vaginal yeast infection.

Antifungal medications come in a variety of forms, including:

  • creams
  • tablets
  • ointments
  • vaginal suppositories

Treatments may come as one single dose or a daily dose over several days. A person should read the dosing instructions carefully to ensure they use the correct dosage.

Some of the products in this article are classed as homeopathic treatments.

There are no FDA-approved homeopathic products. This means that any product sold in the U.S. and marketed as homeopathic is not FDA-approved and the FDA has not tested it for safety or effectiveness.

MNT chose yeast infection treatments that meet the following criteria:

  • Reputable brands: Our medical and business teams have thoroughly researched all brands in this article to ensure their safety and reputability. This means the brands we chose do not make unsupported health claims and their products do not contain unsafe ingredients.
  • Accessibility: MNT chose brands that are widely available in-store, online, and over the counter.
  • Cost: MNT selected nonprescription items with some of the most budget-friendly price points. For prescription products, MNT ensured multiple payment options, including health savings accounts (HSAs) and flexible savings accounts (FSAs).
  • Treatment times: MNT chose products that claim to treat yeast infection symptoms in as few days as possible.
  • Treatment type: MNT chose products that have a range of treatment types, such as pills, probiotics, and suppositories.

Was this helpful?

Yeast infections occur due to an overgrowth of Candida. This is a type of fungus that normally lives in areas of the body such as the vagina and mouth.

According to the Office on Women’s Health (OWH), most females will experience a vaginal yeast infection at some point in their life.

The Centers for Disease Control and Prevention (CDC) explain that some common symptoms of a vaginal yeast infection include:

  • pain during sexual intercourse
  • itchiness or soreness around the vagina
  • unusual discharge from the vagina
  • discomfort or pain during urination

The CDC adds that risk factors for developing an overgrowth of Candida include:

  • using hormonal birth control
  • being pregnant
  • recent antibiotic use
  • having a weakened immune system
  • having diabetes

The OWH points out that a yeast infection may develop due to sexual intercourse. However, doctors do not classify this as a sexually transmitted infection (STI).

Since yeast infection symptoms are similar to those of other infections and conditions, such as contact dermatitis, a person should contact a doctor before taking any OTC medications. The doctor can test for yeast or other infections to provide the appropriate treatment.

People can take some steps to help prevent yeast infections. For example, they can try:

  • avoiding irritating soaps
  • not using vaginal douches
  • regularly changing tampons and sanitary napkins
  • keeping the outer genital area dry and clean
  • not using panty liners every day
  • avoiding scented products for use around the vagina
  • only using antibiotics when a doctor prescribes them
  • wiping from the front to the back after using the toilet
  • changing into dry clothes immediately after swimming
  • wearing loose-fitting cotton underwear
  • maintaining a stable blood sugar level

Learn more about preventing yeast infections here.

People should be aware of the following advice when taking medication for yeast infections:

  • Dosage: It is important to take the entire course of medication to clear an infection. For example, with a 7-day suppository, a person should insert suppositories daily for the full 7 days, even if symptoms begin to clear before the 7-day period ends.
  • Birth control: The oils in certain suppositories and creams can interfere with barrier birth control methods. They can weaken the materials in condoms, making them less effective. When using these yeast infection treatments, a person should use a different form of birth control or abstain from sex during the duration of the treatment if they would typically use a condom.
  • Pregnancy: Pregnant people should always consult a doctor before using any prescription or nonprescription medication to treat an infection.

Before starting treatment, individuals should contact a doctor for a diagnosis. Knowing exactly which infection they have ensures that the person uses the appropriate treatment and does not create fungus resistant to future treatments.

A person should contact a doctor if they suspect that they have a yeast infection, as symptoms can be similar to those of other conditions. The doctor can properly diagnose and treat a yeast infection.

If a yeast infection does not clear up with treatment, the person should seek further medical advice. They may need to adjust their medications to treat any itching and discomfort.

Recurring yeast infections

According to the OWH, yeast infections are usually mild. They cause symptoms such as itchiness, pain, and unusual discharge. Most females will develop a yeast infection at some point in their life.

The OWH also says that some people develop recurring yeast infections.

Risk factors for recurring yeast infections, or recurrent vulvovaginal candidiasis (RVVC), include having diabetes or a compromised immune system.

However, individuals can develop recurring yeast infections even if they do not have any risk factors.

If a person experiences RVVC, a doctor will likely recommend or prescribe antifungal medications for up to 6 months to help keep the fungus under control.

Below are answers to some common questions about treating yeast infections.

How quickly do yeast infection treatments work?

Preventive yeast infection treatments have varying time frames, but many come in 30-day supplies. Pill, cream, and suppository yeast infection treatments usually come as 1-, 2-, 3-, 7-, or 14-day treatments.

What is the fastest way to get rid of a yeast infection?

Treatment times can vary from person to person, but anecdotal reports suggest a single fluconazole dose can clear up a yeast infection in just a few hours.

Do people need a prescription for these treatments?

Most yeast infection suppositories and preventive probiotics are available as OTC treatments. However, yeast infection pills such as fluconazole are only available through prescription.

Is one yeast infection pill enough?

Depending on the severity of the infection, type of pill, and dosage, a single tablet may be enough to clear a yeast infection. Individuals should always let their doctor guide their treatment and discuss ongoing symptoms with them.

Can I get a yeast infection from sex?

Although penetrative sex cannot directly cause a yeast infection, a person may develop a yeast infection after sex if they engage in oral sex or insert fingers or toys into the vagina.

This is because these activities may introduce bacteria into or around the vagina.

Learn more about yeast infections after sex.

Can a person pass on a yeast infection?

Yeast infections are not STIs. However, it is possible for yeast infections to transmit from one person to another following sexual intercourse.

Females can pass on yeast infections to males, but this is uncommon and may affect just 15% of males.

Do yeast infection pills have side effects?

Pills for yeast infections, such as fluconazole, may have some side effects.

Common side effects include nausea, diarrhea, headache, stomach pain, and a rash.

Yeast infections are often mild, and a person can typically treat them using OTC medications. Medications come in different forms and doses, so it is important to follow the instructions on the package.

A person should not self-diagnose a yeast infection, as many of the symptoms are similar to those of other illnesses and conditions.

Once a doctor diagnoses this infection and a person treats it, they should notice symptom improvement.

ranking of the top 5 inexpensive and effective products according to KP

From birth, our skin and mucous membranes are inhabited by billions of microorganisms, including fungi. They do not cause any harm to healthy people, but with a decrease in local immunity or a general weakening of the body, thrush or candidiasis may develop. This overgrowth of opportunistic fungi of the genus Candida provokes problems in the intimate area in girls and women.

Feelings in vaginal candidiasis are extremely unpleasant and irritating – this is burning and itching of the skin and mucous membranes, swelling and redness, curdled discharge 1 . This problem should be treated together with a doctor, since fungal activity is only a consequence of other body problems that need to be identified and treated.

After examining and confirming the diagnosis of vaginal candidiasis, the doctor will determine the tactics of treatment and select the best pills for thrush for women. In some cases, this may be a local therapy, involving the use of vaginal tablets or capsules, creams, gels. In advanced cases, severe symptoms or recurrent candidiasis, oral medications may be required to suppress the activity of fungi in the intestines and on the mucous membranes from the inside.

Many women make one common mistake. They try to cope with thrush with the help of folk remedies or use medications on their own, without taking into account the accompanying problems and the severity of the condition. This is the wrong approach! Although many drugs for fungal infections are sold without a prescription, it is important to see a doctor on time and be treated only under his direction.

List of top 5 tablets for thrush according to KP version

Among all drugs against thrush, tablet forms stand out. They can be used both inside, orally, providing a systemic effect, and locally: they are introduced into the vagina and fight the reproduction of the fungus in the affected area.

Important! All drugs have side effects and contraindications. Our material is an overview and does not serve as a guide to action. Before buying drugs, consult your doctor.

Clotrimazole

Vaginal tablets for local use contain the active ingredient of the same name. This broad-spectrum antifungal agent helps destroy the cell membrane of fungi, causing them to die 1 .

It is active against dermatophytes, yeast-like and mold fungi, has an antimicrobial effect against gram-positive (staphylococci, streptococci) and gram-negative bacteria (gardnerella), as well as trichomoniasis pathogens. In addition to tablets, the product is available in the form of solutions for external use, ointments and creams.

Contraindications : hypersensitivity to clotrimazole, 1st trimester of pregnancy. It is not recommended to use vaginal tablets during menstruation.

Candide-B6

The drug for the treatment of thrush in women is available in the form of white biconvex tablets for vaginal use. The main active ingredient is clotrimazole, which has a broad-spectrum antifungal effect. The drug helps to cope with the main symptoms of candidiasis – itching, burning and cheesy discharge.

The agent is indicated for the treatment of vulvovaginal candidiasis, trichomoniasis, bacterial vaginitis and mixed infections of the vagina, as well as for the sanitation of the birth canal.

Contraindications : hypersensitivity to clotrimazole, 1st trimester of pregnancy. With caution: during lactation and in patients with hepatic insufficiency.

Flucostat

Antifungal drug is available in the form of gelatin white-pink capsules for oral administration. The active ingredient in the composition is fluconazole, which is also used in the treatment of thrush in women and men 1 . It breaks the permeability of the cell membrane of the fungus, disrupting its growth and ability to reproduce.

The drug is indicated for the treatment and prevention of various candidiasis, including urogenital candidiasis, ringworm and onychomycosis.

Contraindications : hypersensitivity to fluconazole, other components of the drug, lactase deficiency, galactose intolerance, children under 3 years of age. With caution: with liver and kidney failure, some heart diseases. During pregnancy, it can be taken only with the permission and under the strict supervision of a doctor.

Natamycin

Antifungal antibiotic available as oral tablets, cream and vaginal suppositories. This substance has a combined effect on pathogenic microflora, especially fungi of the genus Candida: it destroys the cell membrane and causes its death.

The instructions indicate that the drug can be used to treat candidiasis in pregnant and lactating women. The main indications for admission include: vaginal candidiasis, oral candidiasis, intestinal candidiasis.

Contraindications : hypersensitivity to natamycin, galactose intolerance, lactase deficiency, age under 18 years.

Pimafucin

Antifungal agent available as oral tablets, vaginal suppositories and cream. The main active ingredient in the composition is an antibiotic of the macrolide group natamycin, which fights various types of fungal infection.

Main indications for prescription: candidal vaginitis, vulvitis, vulvovaginitis. During therapy, simultaneous treatment and sexual partner is important.

Contraindications : hypersensitivity to natamycin.

How to choose tablets for thrush for women

Today, pharmacies offer a wide selection of different drugs that are directed against fungal infections, including candida. For the treatment of thrush in women, antifungal drugs containing the following active substances are used: clotrimazole, natamycin, itraconazole, miconazole and butoconazole.

All drugs for the treatment of thrush in women are divided into two large classes:

  • medicines that have a systemic effect on the body – they are taken orally and are in the form of capsules or tablets;
  • drugs for topical use, acting directly on the site of infection – these include creams, gels, ointments, solutions and vaginal suppositories (candles), soluble tablets or capsules.

When choosing tablets or other forms of drugs for thrush in women, you should consult your doctor. He can prescribe not only antifungal drugs, but also combined agents that restore the microflora, have an anti-inflammatory effect. The selection should be based on the following criteria:

  • the main active ingredient that inhibits the growth of Candida fungi;
  • dosage of the drug and the frequency of its administration, duration of the course;
  • the rate of absorption of the components and the rapidity of the onset of the therapeutic effect;
  • possible side effects;
  • contraindications.

Popular questions and answers

pharmacist, teacher of pharmacology, editor-in-chief of MedCorr Olga Zorina answers popular questions regarding the choice of tablets for thrush for women.

Why can a woman get thrush?

— There are many reasons for the development of fungal vaginitis. These are changes in the hormonal background during puberty, pregnancy, lactation, against the background of various health problems, endocrine pathologies (thyroid problems, diabetes mellitus).

Long-term and irrational use of antibiotics, self-medication with various drugs, frequent douching with antiseptic solutions, change of sexual partners, stress and frequent SARS can provoke thrush.

Recurrent candidiasis is possible with immunodeficiencies, inflammatory processes in the female genital area, with strict diets, and obesity.

What should I do if a woman has thrush?

— The most important thing is not to treat yourself, but be sure to consult a doctor and confirm the diagnosis. Under the guise of thrush, many different infections can occur, including those that are sexually transmitted. In addition, candidiasis can be accompanied by bacterial vaginosis (violation of the vaginal microflora), so in parallel it is necessary to restore the balance of beneficial microbes.

The doctor usually prescribes a range of drugs, not just suppositories or tablets for thrush. At the end of the course, control tests are necessary to confirm the cure.

Is it possible for a woman to treat thrush herself?

– No, in some cases, even if there are symptoms of thrush, self-treatment may not cure the infection, but only suppress the activity of the fungus for a while. In this case, any provoking factor will lead to an exacerbation and the formation of chronic candidiasis. It is difficult to treat: fungi form resistance to antifungal agents, and it is becoming increasingly difficult to select them.

Thrush should always be treated by a doctor.

Photo: market.yandex.ru, KP

Sources:

  1. Clinical guidelines for the diagnosis and treatment of diseases accompanied by pathological discharge from the female genital tract. 2nd edition, corrected and enlarged. Moscow, 2019. https://minzdrav.midural.ru/uploads/19.pdf

Effective vaginal and thrush preparations for women

Authors

category

Thrush

Saprykina Lyudmila Vitalievna

Ph.D. N.I. Pirogova, obstetrician-gynecologist of the highest qualification category.

Thrush or vulvovaginal candidiasis (VVC) is a disease that occurs at least once in 75% of females, and more than once in 40-50% of women of reproductive age. As a rule, thrush occurs in an acute form, but in 10% of cases it becomes recurrent. Viral infections play a significant role in the development of relapses. Often, genital viral infections are asymptomatic, while viruses can create favorable conditions for the development of inflammatory diseases. The reason for this is viral-fungal and viral-bacterial associations, which significantly disrupt the local immunity of the vagina. It should be understood that until local immunity and microflora are restored, it is unlikely to get rid of the disease forever. The “vicious circle” of inflammation will start again and again every time a woman’s body is exposed to provoking factors.

What is candidiasis?

Thrush is a lesion of the genital mucosa caused by a fungus of the genus Candida. This name was given to vulvovaginal candidiasis due to the fact that during the intensive reproduction of a unicellular fungus, a whitish coating is created on the surface of the vulva and vaginal mucosa.

The following microorganisms are of clinical importance:

  • Candida albicans (from albus – white) – is the causative agent of thrush in 90% of cases.
  • Candida non-albicans – cause a similar clinic, but due to structural features, this group of fungi is resistant to classical antimycotic drugs, which complicates the treatment process.

The fungus begins to actively multiply when a woman’s immunity decreases or the composition of the vaginal microflora is disturbed.

Clinic

Vulvovaginal candidiasis is accompanied by itching, burning and pathological discharge.

Additional signs that indicate the presence of thrush include:

  • increased itching after sports or water activities;
  • redness and swelling of the skin, vulvar mucosa;
  • discomfort and burning when urinating;
  • pain during intercourse, increased itching after intimacy.

Diagnostics

If a woman is concerned about burning, itching and vaginal discharge of a white or yellowish tint, it is necessary to consult a gynecologist. He will conduct a survey, examination and take a vaginal swab to determine the causative agent of the infection. With light microscopy, yeast fungi with pseudomycelium can be detected. In some cases, such as when a clinician suspects Candida non-albicans VVC, the laboratory cultures this fungus in special media (eg, Sabouraud’s medium, which uses maltose or dextrose) to identify the pathogen and determine susceptibility to specific antimycotic drugs. The polymerase chain reaction (PCR) method is also used, which detects the DNA of the pathogen. An additional PCR study for viruses makes it possible to detect viral-fungal associations, the treatment of which necessarily involves local antiviral and immunostimulating therapy. Otherwise, a sluggish inflammatory process in the vagina will provoke relapses of thrush.

How to treat thrush?

Depending on the severity of the course, the frequency of relapses, previous treatment and its effectiveness, as well as the sensitivity of the detected fungus to antifungal drugs, the doctor individually selects etiotropic (antifungal) therapy. Antimycotics directly affect the pathogen, can cause the death of fungi and disrupt the process of their division. Antifungal drugs are of general and local action.

Systemic agents against candidiasis

Systemic drugs are used for recurrent thrush. They are presented as tablets or capsules that the patient takes orally. For the treatment of complicated candidiasis, intravenous antimycotics may be prescribed. Drugs of general action enter the bloodstream and are carried with the blood to all organs and tissues. In drugs that have an effect on the whole body, the following active substances are often present:

  • fluconazole;
  • nystatin.

They contribute to the eradication of the pathogen.

To quickly get rid of the symptoms of thrush, it is recommended to additionally use drugs with a local anti-inflammatory and healing effect. For these purposes, Epigen Intim Spray is well suited. It helps relieve burning sensation, itching, inflammation and stimulates local immunity in the vagina.

Vaginal preparations for thrush

Topical antifungals are used to treat acute or recurrent uncomplicated candidiasis. They act directly on the infection locally in the affected area, i.e. on the skin and vaginal mucosa. The drugs are presented in several dosage forms:

  • Vaginal tablets are convenient and have no systemic side effects. Intravaginal tablets act locally, preventing the growth of the fungus on the skin and vaginal mucosa.
  • Vaginal suppositories – suppositories are suitable for the treatment of almost all types of VVC, except for severe ones, when a systemic effect is needed. It should be noted that candles based on oil components can violate the integrity of latex contraceptives (condoms and diaphragms).
  • Creams and ointments are equally common forms of remedies for thrush.

Among local antimycotics in Russia, the following active substances are most often used:

  • ketoconazole;
  • natamycin;
  • clotrimazole;
  • miconazole;
  • sertaconazole;
  • nystatin;
  • fenticonazole;
  • econazole.

Vaginal antifungal agents for thrush successfully fight the pathogen, however, for the fastest possible relief of the patient’s condition in the acute phase of the disease, additional anti-inflammatory and healing therapy is necessary. At the same time, to prevent relapses, especially those caused by viral-bacterial associations, drug support for local immunity and antiviral treatment are recommended. Epigen Intim Spray has a complex effect in these areas due to the active ingredient of the drug – glycyrrhizic acid. The unique method of its activation, created by the developers of the drug, significantly enhances the therapeutic effects of the active substance:

  • acceleration of the regeneration of damaged tissues;
  • reduction of inflammation;
  • increased local immunity;
  • antiviral action – the fight against viral-fungal associations;
  • elimination of itching, burning, dryness.

The drug accumulates in the lesions, while it penetrates into the systemic circulation slowly – the drug is found in the blood only in trace amounts. Can be used by pregnant women and during breastfeeding. The spray is equipped with nozzles for intravaginal and external use, which makes its use as convenient as possible.

When the body is weakened or exposed to factors that disrupt the normal microflora of the vagina, local antifungal drugs are prescribed as part of preventive measures. The preventive use of Epigen Intim spray will help to strengthen protection against recurrence of thrush. Its use is indicated when taking antibiotics, weakening the body after hypothermia, respiratory viral infections, stress, while traveling.

Treatment of recurrent VVC

Restoring the protective properties of the immune system is especially important in the diagnosed chronic course of candidiasis. One of the frequent causes of a decrease in local immunity and subsequent relapse of thrush is viral-fungal associations, therefore, in the treatment of recurrent candidiasis, it is important to prescribe antiviral therapy. Activated glycyrrhizic acid in the composition of the Epigen Intim spray actively fights viruses, including mutant strains against which classical antiviral drugs are ineffective.

In addition to the main treatment, after relief of acute symptoms, a woman is prescribed therapy aimed at preventing relapses. As part of the complex treatment, Epigen Intim Spray is prescribed for the following purposes:

  • Quick relief from discomfort, reduction of inflammation and acceleration of regenerative processes during the acute phase of candidiasis.
  • Treatment of viral-fungal associations and enhancement of local vaginal immunity to break the vicious circle of VVC recurrences.
  • Relief of the acute period takes an average of 7 days. Preventive therapy with various means can take up to 6 months.

Epigen Intim Spray

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Epigen Intim Spray

With candidiasis, hygiene procedures should be given special attention – careful intimate care helps maintain the natural microflora, which provides additional protection against recurrence of thrush. Epigen Intim gel is well suited for this purpose. This is a cosmetic cleanser for daily intimate hygiene. Its regular use maintains the normal pH level of the intimate area. Lactic acid, also included in the composition, helps maintain the natural balance of the vaginal microflora. Epigen Intimate gel has a pleasant aroma and provides a feeling of cleanliness throughout the day.

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Prophylaxis

Compliance with a number of preventive recommendations minimizes the risk of vulvovaginal candidiasis. The main preventive measures are listed below:

  • Regular visits to specialists for chronic diseases that can increase the risk of developing candidiasis.
  • Wear underwear made from natural fabrics and regularly change tampons and pads during menstruation, because the blood serves as a breeding ground for many pathogens.
  • Avoid indiscriminate change of sexual partners, since in such a situation, even with protected contact, the risk of thrush significantly increases.
  • Take all antibacterial drugs strictly according to the doctor’s prescription, as they suppress the activity of other bacteria, and on the contrary, they provoke fungal growth.
  • Don’t neglect your intimate hygiene by choosing pH-neutral care products. One of these reliable products is Epigen Intim Gel – it contains activated glycyrrhizic acid, obtained from licorice root, and lactic acid. This combination helps to maintain normal microflora, physiological pH of the intimate area and prevents the development of inflammation.