Cannes

Kanesten is an antimycotic that has a wide range of therapeutic activity.

Indications Canestena

It is used to eliminate such disorders:

• fungi affecting the epidermis and mucous membranes (caused by yeast or mold fungi, dermatophytes, as well as other microbial pathogens that are sensitive to clotrimazole);
• epidermal infections caused by the activity of malassassia furfur and corynebacterium minutissum, with therapy, respectively, depriving of a multi-colored character, as well as erythrasms;
• Candidiasis of vulvitis (women) or candida form of balanitis (men);
• application of suppositories in a portion of 0.1 g can be carried out for the sanation of birth canals in pregnant women (if sensitive bacteria-pathogens were detected in the late pregnancy period).

Release form

Release of the drug occurs in the form of a cream, in tubes of 20 g.

Also produced in the form of vaginal candles, 1, 3 or 6 pieces inside the blister plate. In addition to blisters in the box contains a special applicator, which is used for intravaginal injection of drugs.

[1]

Pharmacodynamics

The antifungal effect of the medication is provided by suppression of ergosterol secretion, as a result of which functional and structural disorders develop within the cytoplasmic walls. The drug also has a fungicidal and fungistatic effect.

A wide range of antifungal activity allows the drug to affect both dermatophytes, and on dimorphic, yeast and mold fungi. Slowing effect of drugs develops at the levels of 0.062-8.0 μg / ml.

In addition to the antifungal effect, the drug also affects the activity of gram-positive bacteria, including staphylococci with streptococci, and negative bacteria (bacteroides and gardnerella vaginalysis) at concentrations of 0.5-10 μg / ml.

Pharmacokinetics

The tests showed that the absorption of clotrimazole is rather weak and varies within 2-10% of the applied portion. The peak values of the drug inside the plasma are less than 10 ng / ml, which suggests that the likelihood of developing common negative manifestations is very low.

After intravaginal administration of suppositories, systemic absorption is a maximum of 10%. Exchange processes lead to the formation of inactive derivatives, excreted from the body.

[2], [3]

Dosing and administration

The cream should be used externally, treating it with affected areas (thin strip, thickness of which is 0.5 cm) and gently rubbing. Repeat this procedure 2-3 times a day.

The maximum duration of therapy is 1 month. To select exact terms is necessary individually, taking into account the degree of severity and localization of the lesion, and besides this, the type of bacterium-pathogen:

• with dermatomycosis - for 3-4 weeks;
• with erythrasms - 0.5-1 month;
• with a multi-colored form of lichen - for 1-3 weeks;
• candidal form of balanitis or vulvitis - for 7-14 days.

Mode with intravaginal method of administration.

Suppositories must be inserted into the vagina, as deep as possible. The procedure is recommended before bedtime. If this is allowed, the insertion process can be performed using an applicator. At the introduction of the patient should be placed horizontally, lying on the back.

At night, the medicine is given in a standard dose - 1 suppository per day.

[8], [9]

Use Canestena during pregnancy

Kanesten should be used very carefully at the first trimester, and in addition to lactation.

Contraindications

It is contraindicated to use in diagnosed intolerance with regard to the constituent components of the drug.

[4], [5]

Side effects Canestena

Negative manifestations mainly develop in the form of pain and allergy symptoms; local symptoms are itching and eruptions on the epidermis.

The introduction of suppositories can provoke side effects in the field of reproductive organs - burning, edema, discomfort, itching, vaginal hyperemia and hyperemia in the external genital area. Occasionally, there are abdominal pains.

[6], [7]

Storage conditions

Kanesten must be kept in a place that is closed from penetration of children. Temperatures are a maximum of 25 ° C.

[10], [11]

Shelf life

Canestes are allowed to be applied within 36 months from the date of release of the drug.

[12]

Application for children

No experience in the use of medication in pediatrics. Since the cream contains benzyl alcohol, it is forbidden to use it in newborns or premature infants.

[13]

Analogues

Analogues of the medication are funds Candida, Kandisan, and also Imazol.

[14], [15], [16], [17], [18],

Reviews

Canesten gets quite good reviews from patients. It is effective in a variety of lesions of fungal origin, has an affordable cost, a convenient scheme of use and dosage form, and besides it is safe to use - it has almost no side effects.