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Canesten Combi is a combined treatment for vaginal thrush. Each pack of Canesten Combi contains a 500mg pessary, which treats the internal symptoms of vaginal thrush, and a tube of Canesten 2% cream to treat the external symptoms.
Once pack of Canesten Combi is a full course of treatment for vaginal thrush, and comes with both the pessary and cream, as well as an applicator to insert the pessary safely.
You can have Canesten Combi discreetly delivered to your door from our online pharmacy. Simply complete our short online medical form for our doctor to review.
If your order is approved before 3pm on a weekday, our UK-based pharmacy will dispense and dispatch your item via a discreet, next-day delivery service.
Thrush is a fungal infection caused by an overgrowth of naturally occurring fungi that live in the body. In the case of vaginal thrush, these organisms are known as Candida. Normally, the amount of fungi present in the vagina is regulated by the body and causes no problems.
However, changes to the vagina can cause the fungi to grow rapidly and overwhelm the natural defences which regulate the organisms.
You may be more at risk of developing a yeast infection if you:
Vaginal thrush is often diagnosed based on the symptoms of the condition. These symptoms include:
These symptoms may the sign of a different vaginal infection. If you are experiencing these symptoms for the first time or are unsure whether the symptoms you are experiencing are thrush, speak to your doctor.
For people who have had vaginal thrush before and are experiencing symptoms again, you can order vaginal thrush treatments through our online prescribing service.
One medication that can help combat these symptoms is Canesten (clotrimazole).
You can buy Canesten Combi to treat vaginal thrush from Prescription Doctor's trusted online pharmacy. Complete our brief medical form, and one of our doctors will review it.
Canesten contains an ingredient called clotrimazole, which inhibits fungi's ability to produce ergosterol.
Without ergosterol, the cell walls become weakened. The weakened cell walls develop holes, allowing the contents of the cell to spill out and killing them.
You should start to feel better after 3 days of using Canesten Combi.
If you do not notice an improvement in your symptoms after using Canesten for 7 days, speak to your doctor.
There are two different packs of Canesten Combi - one with a soft gel pessary and cream, and one with a hard pessary and cream.
The internal pessary is a small device which is inserted into the vagina, using the provided applicator.
Insert the Canesten pessary at bedtime.
The pessary dissolves inside the vagina, releasing clotrimazole to fight the infection directly. Depending on whether you buy Canesten Combi with a soft gel pessary or a regular pessary, the shape and appearance of the pessary may be different.
Detailed instructions on how to use Canesten Combi can be found in the patient information leaflet enclosed with your medicine.
The cream inside the Canesten Combi pack is for use on the vulva (the area around the opening of the vagina).
Apply the cream 2 or 3 times daily until the symptoms subside.
Your thrush symptoms should go away within a few days of treatment with Canesten. If you do not see any improvement after one week, please notify your doctor.
If you experience a recurrence of the infection after a week, you can use one further treatment; however, you will need to see your doctor if you've had more than two infections in the past six months.
Only use the external cream on the outside of your vagina.
Do not use Canesten vaginal cream during your menstrual cycle as it may reduce the effectiveness of treatment.
Do not use the following while using Canesten vaginal cream:
Consult with your doctor to determine if there are any additional precautions you should take while using Canesten Combi.
If you forget to apply Canesten Cream when you should, use it as soon as you remember and continue to use it as prescribed. If it is nearly time for your next dose of Canesten cream, skip the missed dose and apply the cream at the next usual time.
Do not use more Canesten 2% cream to make up for the missed dose.
Using more Canesten cream than you should may result in redness and discomfort.
Use less cream the next time you use it.
Before you use Canesten Combi for vaginal thrush, read the patient information leaflet enclosed with your medicine. The patient information leaflet contains instructions on using, disposing of, and storing Canesten, as well as information regarding the safety of the medicine.
You can view the patient information leaflet for Canesten Combi online (PDF).
All medicines carry the risk of side effects, though not everybody experiences them. Understanding the side effects and remaining vigilant of them is important to your treatment.
Canesten pessary side effects may include:
Canesten cream side effects may include:
This is not an exhaustive list of side effects. Further information regarding the safety of Canesten cream and pessaries, including a complete list of side effects associated with Canesten Combi, can be found inside the patient information leaflet.
If you experience any side effects, whether listed above or in the patient information leaflet, please inform your doctor immediately.
Do not use Canesten Combi if you are allergic to clotrimazole or any of Canesten's other ingredients listed in the patient information leaflet.
If you experience the signs of an allergic reaction after using Canesten cream or pessaries, stop using Canesten and seek immediate medical attention. Go straight to your nearest accident and emergency department. Remember to take the packaging and any remaining medicine with you so that the doctors treating you know exactly what you took.
Signs of an allergic reaction may include:
Speak to your doctor or midwife before using Canesten Combi if you are pregnant, think you might be pregnant or are breastfeeding.
Please inform our doctor of all medications you are currently taking, including those prescribed by your doctor, purchased over the counter, as well as any health and herbal supplements.
While vaginal thrush is not classed as an STI, it can be pass on through sex. While treating vaginal thrush, you should avoid sex until the infection has cleared.
Clotrimazole cream can damage latex condoms, making them less protective.
Do not use Canesten Combi past the expiry date printed on the packaging. The date usually refers to the last day of the specified month.
Never dispose of medicine via household or water waste, as it can harm the environment. Take any unwanted or expired medicine to your local pharmacy and ask them to dispose of it on your behalf.
Always store medicines out of sight and reach of children and pets.
Never share a medicine which has been prescribed to you with anyone else, even if they are experiencing the same symptoms or have the same condition as you.
If you forget a dose of Canesten, apply the cream as soon as you remember and then return to your regular treatment schedule as usual.
If you're taking more Canesten than instructed, talk with your doctor. While it's unlikely that using too much Canesten will harm you, it still could increase your risk of experiencing side effects.
Yes. You can drink alcohol while taking Canesten Combi.
Canesten does not affect your ability to operate machinery or drive.
Canesten Combi is intended to treat vaginal thrush. This treatment includes a pessary device to clear the internal infection and a cream to alleviate external symptoms.
While both Canesten Combi and Canesten Duo contain a topical cream to treat external symptoms, Canesten Duo utilises an oral capsule to treat the internal infection, whereas Canesten Combi contains a pessary.
If you are unsure which pack is most suitable for you, speak to your doctor or a pharmacist.
Sources
Bayer, 2018. Canesten Combi Pessary & External Cream: Summary of product characteristics.
NHS, 2021. Thrush.
NHS, 2019. Clotrimazole.
Additional resources
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