Because suppositories may appear similar to a pill that you take orally, there is the risk that they could be accidentally swallowed. Swallowing a boric acid suppository is dangerous, but using one as labeled for vaginal application is generally safe.
Side effects of using boric acid vaginal suppositories as directed tend to be mild. They can include things like vaginal irritation or discharge. Because boric acid suppositories are inserted into the vagina, another concern related to them has to do with their potential effect on reproductive health. Studies in animals have found that when taken orally, boric acid can affect fertility in male animals and affect a developing fetus in female animals.
A research review examined the animal studies discussed above and compared them with studies in humans who are regularly exposed to high levels of boron, the key element in boric acid, in the environment. Boric acid has been used, either alone or with other medications, to treat some types of recurrent vaginal infections, such as yeast infections and bacterial vaginosis.
A recurrent infection is an infection that continues to return, despite treatment. A research review looked at 14 studies comparing boric acid with other treatments for recurrent yeast infections. The included studies were clinical trials, case series, and case studies. Researchers found that boric acid had a cure rate of 40 to percent, depending on the study. Research into boric acid for bacterial vaginosis is more limited. To date, one clinical trial has been performed on boric acid for bacterial vaginosis, although others have been proposed.
In the trial , participants were given oral nitroimidazole, an antimicrobial drug used to treat vaginal infections, followed by boric acid suppositories. Cure rates were between 88 and 92 percent after this treatment. However, the infection returned in many participants over the course of several weeks. Some more research has also found that boric acid may help treat infections with Trichomonas vaginalis that are difficult to treat.
It may also prevent these organisms from forming biofilms. Biofilms are a group of microorganisms organized within a sticky matrix. Organisms that have formed a biofilm can be harder to treat with some types of medications. Using boric acid suppositories is associated with a few side effects. These are generally mild and can include:. It may also be a good idea to avoid receiving oral sex to reduce the risk of your partner ingesting boric acid that may still be present in or around your vagina.
There is a separate medicine leaflet called Clotrimazole for fungal skin infections which gives more information about this. To make sure this is the right treatment for you, before you start using clotrimazole for thrush make sure your doctor or pharmacist knows:. Clotrimazole is unlikely to cause any serious side-effects.
It can occasionally cause some irritation when it is used at first. If you experience any other symptoms, speak with your doctor or pharmacist for further advice. If you suspect that someone has swallowed some of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty. This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you. Dated June Dated October Clotrimazole works by killing the yeast that causes the fungal infection. It usually treats thrush within 7 days but it's best to treat the infection for at least 2 weeks to stop it coming back. The most common side effect is an itching or burning feeling in the area being treated.
Clotrimazole is also known by the brand name Canesten, including Canesten pessaries and cream. However, not all Canesten products contain clotrimazole, and some contain clotrimazole combined with another medicine. Clotrimazole creams can be used by most adults and children. Wash your hands before you start. Put the cream on in a thin layer and rub it in gently.
A strip of cream 0. Put the cream onto the affected area 2 or 3 times a day for at least 2 weeks. The cream will work better if you can use it 3 times a day. What if I forget to use it?
What if I use too much? How much to use Clotrimazole pessaries are available in different strengths: mg, mg and mg.
How to use a pessary Each pessary comes in a foil blister pack, together with an applicator to help you insert it. Remove the applicator from the packet. Pull the plunger the thinner end of the applicator out as far as it will go. Take the pessary out of the blister pack. Gently squeeze the holder the wider end of the applicator to open it. Push the pessary into the application following the instructions that come in the medicine packet. Lie on your back, bend your knees then let your knees fall to each side.
Gently put the applicator into your vagina and push it in as far as you can comfortably. Holding the applicator in place, slowly press the plunger in until it stops moving.
Remove the applicator. Throw the applicator away safely, out of the reach of children. Do not flush it down the toilet. Wash your hands thoroughly when you've finished. How to use internal cream Wash your hands before you start. The "internal" vaginal cream is already in the applicator. You will need to put the plunger into the applicator. Carefully twist and pull off the cap following the instructions that come in the medicine packet.
Common side effects Side effects from the external cream Talk to a doctor or pharmacist if these side effects bother you or do not go away: red, irritated skin pain, burning or stinging sensation If the side effects do not go away, try using smaller amounts of the cream or stop using it completely.
Serious allergic reaction In rare cases, clotrimazole can cause a serious allergic reaction anaphylaxis. Information: You can report any suspected side effect to the UK safety scheme.
Clotrimazole and breastfeeding Clotrimazole cream is generally considered safe to use while you're breastfeeding. Important Tell a pharmacist or doctor if you're trying to get pregnant, are already pregnant or if you're breastfeeding. Important For safety, tell a pharmacist or doctor if you're taking any other medicines, including herbal remedies, vitamins or supplements.
How does clotrimazole work? How long does it take to work? What if it does not work? Is it safe to use for a long time? Talk to a doctor if you have thrush more than twice in 6 months. Are there other similar treatments?
There are other antifungal medicines available that are similar to clotrimazole, including: econazole miconazole ketoconazole fenticonazole These are available as creams and pessaries for the treatment of thrush.
Will it affect my contraception? It's best to avoid sex until thrush has cleared up. Will it affect my fertility? Can I drink alcohol? Yes, you can drink alcohol while using clotrimazole.
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