Treatment of thrush chlorhexidine: candles, tampons, douching

Thrush is a disease of bacterial origin. Its pathogen is a microscopic yeast-like fungus of the genus Candida. Intensively multiplying, it occupies free niches in the normal microbiocenosis, and causes the corresponding symptoms. To eliminate the symptoms, various antifungal, antiparasitic agents are used. For example, one of the effective antiseptics is chlorhexidine for thrush.

Is it possible to take chlorhexidine for thrush?

Recently, more and more often we have to hear the question: “Is it possible for chlorhexidine for thrush?”. As many gynecologists say, chlorhexidine is not just possible, it should be used for thrush. This is due to the fact that chlorhexidine acts as an anti-inflammatory, antifungal, antiparasitic agent. Thrush is caused by the intensive reproduction of fungal microflora (the development of a fungus of the genus Candida). Chlorhexidine, depending on the dosage, kills completely, or simply partially inhibits the growth and reproduction of fungal microflora, reduces inflammation, eliminates the symptoms.

Indications Chlorhexidine digluconate

As a direct indication for the use of chlorhexidine, there is thrush and any symptoms associated with this disease: itching, burning, irritation, redness in the vaginal area, rectum. It can also be enhanced secretions, ulcers, erosion, fistula, integrity problems on the mucous membranes, various redness. Used in the treatment of thrush urogenital tract, rectum, perianal openings, intestines, oral cavity, reproductive organs, urinary tract. Applied as a disinfectant, antiseptic. Often prescribed for the treatment of skin and hair in the presence of skin mite (Demodex), lice, with various inflammatory, infectious, parasitic diseases. Prescribed as an additional means of treatment for various forms of lichen, with psoriasis. The drug is prescribed to children (used in neonatology when treating the skin of a child, to prevent the development of fungal and nosocomial infections), in pediatrics with various parasitic, infectious, fungal diseases, for prevention. It is used in gerontology and palliative medicine for the treatment and disinfection of the skin of the elderly. Chlorhexidine can be treated senile warts, various skin lesions. They are also used in the prevention and treatment of pressure sores. Sometimes used in cosmetology, surgery, and even in veterinary medicine.

[1], [2],

Chlorhexidine from thrush in the mouth

Thrush can appear in the mouth. Chlorhexidine can also be used in this case, but it must be diluted with water (preferably distilled), less often with vegetable decoction. The ratio is about 1:10 or 1:20. It is used for rinsing the mouth and lubricating the throat and mouth. Depending on the dosage, it can have both fungicidal and fungistatic effects. In the first case, the fungal infection is completely destroyed. In the second case, the activity and growth rate of the fungus simply decreases.

[3], [4], [5], [6]

Chlorhexidine for nail fungus

To process the nail from the fungus, in a solution of chlorhexidine, it is necessary to moisten the cotton wool or bandage, apply about 10-15 minutes to the damaged nail. In some cases, you can put a bandage on top, or pin a cotton adhesive tape. But as soon as 10-15 minutes have passed, you need to remove the compress. Chlorhexidine with nail fungus is used in the form of a solution in water (or distillate). The tool is intended for external use. It is necessary to strictly observe the dosage and concentration of the drug, since the excess dose may result in overdose, complications, chemical burns, irritation and skin damage.

[7], [8], [9]

Use for men

Quite an effective tool used for external lubrication or undermining. For men with thrush, chlorhexyin is used strictly as prescribed by a doctor and under his control. It is necessary to visit the urologist, and consult. The doctor will tell you if there is a need to apply this remedy, in what way, in what concentration. Chlorhexidine not only effectively eliminates the fungal infection, but also restores the microflora (normal), which prevents recurrence and makes it impossible to persist and chronic the infection.

Use in women

For women with thrush, chlorhexidine is often prescribed as the main antiseptic. Usually the treatment is long, a full course of treatment is carried out. In this case, the frequency and duration of therapy is determined by the doctor. The main criteria for the choice of a treatment option is the effectiveness of therapy. The doctor looks at how effective the treatment is (controls in dynamics). If within 2-3 days there is no effect, prescribe a complex treatment as part of antibacterial, antifungal therapy or probiotics, or immunomodulators.

Release form

Available in the form of a solution of the main active ingredient (chlorhexidine). It is a concentrated substance that requires dilution with any inorganic solvent before use. Can be diluted with pure boiled water, or distilled water. You can make solutions of different concentrations, but most often used a solution in the ratio of 1:10 or 1:20, where chlorhexidine is only 1 part. The release form - the liquid packed into glass bottles from dark glass. Also available as suppositories for vaginal or rectal administration.

[10], [11], [12], [13]

Chlorhexidine solution

Can be used as a home remedy. It is also used as one of the main disinfectants in a hospital setting. They are treated with skin, mucous membranes, hands, gloves, medical instruments. Use of the drug for douching and external use, washing out is allowed. Also used for rinsing the mouth and throat for fungal and bacterial infections. Chlorhexidine solution is often used for cauterization in undiluted form (applied to a cotton swab, applied pointwise). Also used on a cotton swab (you can wrap the cotton on the index finger, dip into the liquid and carry out lubrication). Used for therapeutic baths.

[14], [15]

Supplementary

Suppositories (suppositories) with chlorhexidine as the main active ingredient are also available in the pharmaceutical industry, and are often used in gynecology for the treatment of thrush, as well as other inflammatory, infectious processes. They have antiseptic, antimicrobial effects on the body, relieve inflammation. Apply vaginal or rectal suppositories. Vaginal inserts are inserted deep into the vagina, in a supine position, with legs relaxed and half-bent at the knees (as in a gynecological examination). Rectal injected into the rectum in the position of the prisseda. It is recommended to be administered at night, as suppositories may melt and leak. During the day it is better to use sanitary pads. Assign one suppository per day, the course of treatment is 7-10 days.

Pharmacodynamics

On pharmacological properties, the solution is an agent with antiseptic and disinfectant properties. It has a pronounced antibacterial effect. It has an effect on the fungal infection. In general, it can be argued that this means for local exposure, etiological treatment, that is, acts directly on the cause of thrush. This explains the high efficacy of chlorhexidine, since eliminating the cause of the pathology, the disease goes much faster. Chlorhexidine is not always used as an independent means, it is often part of other pharmaceutical agents, and is part of a comprehensive treatment.

[16], [17],

Pharmacokinetics

When studying the features of pharmacodynamics, it was found that the drug is absorbed through the mucous membranes and skin. It has mainly local effects, a systemic effect on the bloodstream has not been established. The drug does not penetrate into the blood, so there are no cases of overdose.

[18], [19]

Dosing and administration

Suppositories are administered at night before bedtime, rectally or transvaginally, as deeply as possible. 1 suppository per day. The course is designed for 5-7 days. As for the solution: it is not applied in its pure form. First, an aqueous solution is made (1:10 with water or distillate). Then the drug is applied in a thin layer on the affected area, about 2-3 times a day. The duration of treatment is 1-10 days. Longer treatment is not recommended. The exact scheme, method of application and dose is determined by the doctor. Also, the drug is used for rinsing the throat, the number of rinses up to 10 times per day. For washings it is recommended to use 1-2 times a day. Used for douching - for 15-20 minutes.

How to do douching chlorhexidine?

If you do not know how to properly do chlorhexidine douching, it is better to consult your doctor, because the treatment is often in each case strictly individual. The doctor will conduct an examination, you may need to analyze. Then, depending on the results obtained, the appropriate treatment will be selected. In any case, conducting douching, you should strictly observe the precautions and rules of use of the drug, similar to many antiseptic agents. Typically, chlorhexidine is used in a diluted and slightly heated form. The solution should evenly and slowly flow into the vagina during the douching process, should not be under pressure. To do this, use special vaginal syringe, tips, which can be purchased at the pharmacy. You need to douche for a long time - from 15 to 30 minutes, without a break. It can be treated for no more than 5-7 days, because with longer treatment, vaginal dysbacteriosis can develop, and later - secondary infection (bacterial, fungal).

[26], [27]

How to dilute chlorhexidine to wash away?

Depending on the severity of the inflammatory process, the degree of bacterial or fungal contamination, the state of the immune system (the test results will be shown), the doctor will prescribe a complete treatment regimen and prescribe how best to dilute chlorhexidine for leaching. The following dilutions are traditionally used: 1:10; 1:20; 1:50; 1: 100. But if necessary, the doctor may prescribe other options.

Chlorhexidine washing with thrush

Washing is essentially douching. For the procedure of washing with chlorhexidine, a syringe is used for thrush, a solution is prepared. The dosage and concentration should be selected by the doctor. Prepare a warm solution, insert the tip into the vagina, and rinse. The duration of the procedure is at least 15-20 minutes in a row. It is important to control sensations. Pain should not be. With the appearance of even minimal pain, you need to stop the procedure. After the procedure is terminated, a cotton swab should be inserted into the vagina, moistened with the same solution that was used for douching (of course, not used) for about 20 minutes. At the end of the procedure, all equipment must be sterilized. If you can not get a special mini-sterilizer, you can simply boil for 5-10 minutes.

[28],

Chlorhexidine tampons for thrush

Sometimes when thrush is prescribed swabs with chlorhexidine. Special tampons that would have been soaked with the drug, and ready for use, are not commercially available. So you have to cook them yourself. So, the most convenient way is to buy hygienic tampons for critical days of any shape in a pharmacy, soak them with chlorhexidine solution and inject into the vagina. At the same time there are special tampons with an applicator, which greatly facilitates the introduction.

A less convenient way is to make tampons by yourself, using cotton wool and a bandage. But you need to understand that this method is not safe, because pieces of tissue, cotton wool can remain after the procedure, which only strengthens the inflammatory process and increases suppuration. It should also be borne in mind that in no way can chlorhexidine be used in a clean, undiluted form. It is a concentrated remedy that can cause a severe inflammatory process, and even a chemical burn with further mucosal detachment. In what concentration to dilute the drug - you need to ask your doctor, because without a gynecological examination it is impossible to find the right, optimal concentration.

[29], [30], [31], [32]

Chlorhexidine for thrush in children

The main reason for the development of thrush, both in children and adults, is the development of a fungal infection (Candida fungus). Thrush in children often develops on the background of dysbiosis, reduced immunity. The characteristic signs of thrush are itching, burning, white, cheesy discharge. Chlorhexidine (aqueous solution) will help relieve symptoms and eliminate the inflammatory process. Most often make a solution in the ratio of 1:10 or 1:20.

It should be noted that chlorhexidine is used even in the treatment of a newborn, especially if it is under hospital supervision for a long time. In this case, the risk of developing nosocomial infection and hospital strains sharply increases. This is due, primarily, to the fact that the child has not yet formed immunity. In children up to three years, mother’s immunity is fully preserved. Chlorhexidine has an antibacterial effect. When organizing the treatment of a newborn, all procedures for treating the skin and mucous membranes are carried out exclusively under the supervision of a doctor, in a hospital setting, subject to the treatment regimen. Self-medication can only harm.

[33], [34], [35], [36]

Use Chlorhexidine digluconate during pregnancy

Contraindications to the ban on the use of chlorhexidine for thrush, during pregnancy, the instructions are not specified. The drug does not penetrate the transplacental barrier, that is, even if the drug got into the blood, it does not penetrate to the fetus or the uterus. There is evidence that chlorhexidine is not able to penetrate even the transdermal barrier, that is, it has an impact only at the local level, on the mucous membranes and skin integument, without entering the systemic circulation. However, there is no unequivocal answer among specialists regarding the safety of chlorhexidine in the treatment of thrush during pregnancy.

Contraindications

The drug is not recommended for use in case of individual intolerance, hypersensitivity to the drug, with a tendency to allergic reaction (especially if it is an immediate type of reaction). Not recommended for itching, skin irritation, redness, in the presence of open lesions, skin cracks, microtraumas. Not recommended for acute inflammatory processes and some gynecological diseases (urethritis, vulvitis, vulvovaginitis), for erosions and burns of mucous membranes, in the first 2 months after birth. Also, the drug is forbidden to take orally. In addition, you need to consider that in pure form, the drug is not used, it must be diluted. Otherwise, there will be a chemical burn or irritation.

[20], [21], [22], [23]

Side effects Chlorhexidine digluconate

Chlorhexidine is an effective and safe remedy. But side effects are sometimes observed with him. Most often they are observed in case of hypersensitivity, sensitization of the body, against the background of individual intolerance and a tendency to allergic reactions.

Side effects are mainly local, manifested in the form of redness, swelling, itching. Sometimes, with prolonged use, or with a large amount of the drug taken, there is an increase in local body temperature, increased pain and discomfort.

[24], [25]

Overdose

Cases of overdose are rare. These are mainly local effects: they can be accompanied by a chemical burn, redness, irritation, and burning. Systemic action is not observed, because the drug does not penetrate into the systemic circulation.

[37], [38], [39]

Interactions with other drugs

Cases of interaction with other drugs are not registered. Chlorhexidine does not enter into any reactions.

[40], [41]

Storage conditions

Chlorhexidine should be stored in its original packaging at a temperature not higher than 15 degrees. Storage in the refrigerator and away from heat sources (open fire, heater, battery) is recommended. Before use, hold for about 15 minutes at room temperature, so that the agent is preheated and does not cause a spasm of small vessels.

[42]

Shelf life

The shelf life of chlorhexidine depends on whether the package is opened or not. If the drug has already been used, it can be stored for no more than 30 days. Diluted aqueous solution is stored no more than a day. Packed drugs stored for 2-3 years.

[43], [44], [45]

Analogs

The closest analogue of chlorhexidine is Miramistine solution. This drug in a similar way can have both fungicidal and fungistatic effects. The difference is that Miramistin is also available in the form of a spray, which can irrigate the damaged areas, mucous membranes. Indications for use are the same as for chlorhexidine.

[46], [47], [48], [49]

Reviews

It is worth noting that the reviews about the tool are mostly positive. Chlorhexidine for thrush  can quickly get rid of the manifestations of thrush, relieves the main symptoms, eliminates pain, inflammation, prevents the risk of recurrence. The full course of treatment is at least 7-14 days.