Order vaginal tablets and external cream for thrush
Canesten Combi is a thrush pessary used to treat the internal thrush infection and a double strength thrush cream to soothe the irritating external symptoms the infection causes.
Pessary + External Cream - £12.99
About Canesten Combi
Who can order Canesten Combi online?
You can use Canesten Combi if you:
- Are female
- Are not pregnant
- Are experiencing thrush symptoms
- Are not allergic to any of the ingredients
How do you order Canesten Combi online?
If you fit the above criteria, then you can place an order for Canesten Combi with us online. The process is quick and easy, just follow these simple steps:
- Fill out a short online assessment about your health and lifestyle
- Place an order for your preferred treatment option
- A Zava Doctor will check your assessment to see if your order is right for you
- If your order is right for you, then it can be posted to your preferred address or you can collect it from a local post office instead
Side effects of Canesten Combi
Common side effects after using the pessary are:
- Vaginal peeling or bleeding
Common side effects after using the cream are:
- Peeling skin
A full list of side effects can be found in the patient leaflet.
Canesten Combi is an antifungal treatment used to treat thrush. There are two types of Canesten Combi:
- Internal and external creams
- Pessary and external cream
At Zava we only offer the pessary and external cream type. But, both are used to treat thrush. The active ingredient in the Canesten Combi Pessary and External Cream is clotrimazole which belongs to a group of medicines called azoles. Clotrimazole is an antifungal agent which treats the thrush infection.
Vaginal thrush is a yeast infection caused by the fungus, Candida. The most common species is Candida albicans present in 85-90% of thrush cases. Vaginal thrush is common and affects most women at some point in their lifetime. Vaginal thrush isn’t considered a sexually transmitted infection (STI) because it is hardly ever passed on through sex.
The thrush pessary needs to be inserted into the vagina as high as possible, preferably before going to sleep at night. Inserting it before bed is both convenient and comfortable.
How to use:
- Wash your hands before removing the foil from the pack
- Remove the applicator from the packaging
- Pull plunger A out until it stops
- Remove the pessary from the packaging and place into the applicator B
- The pessary fits tightly into the applicator and should be squeezed into the holder to about 1cm. Squeeze the holder of the applicator lightly on both sides to fit the pessary to the applicator
- Lie on your back with your knees bent up (most comfortable position) and carefully insert the applicator into the vagina as deep as you feel comfortable
- While holding the applicator in place, slowly press the plunger until it stops. The pessary is now left inside the vagina
- Remove the applicator and throw it away. It can’t be flushed down the toilet. Make sure it is out of reach of children
- Consider wearing a pantyliner because the pessary dissolves in the vagina and may leave a chalky residue powder
If you notice a powder this doesn’t mean the treatment hasn’t worked, but if you find undissolved pieces of the pessary, talk to your doctor as this may be an indication that the treatment hasn’t worked properly.
- Pierce the tube seal before use by placing the end of the cap over the end of the tube and pressing
- Apply the cream thinly and evenly to the area around the entrance of the vagina, 2-3 times a day
- Thrush symptoms should disappear within 3 days of treatment
- If there is no improvement after 7 days you should tell your doctor
The pessary and cream should take 3 days to work. The cream can be used 2-3 times per day until the symptoms subside. The clotrimazole pessary should dissolve within 2-3 days and works because it causes high intravaginal concentrations of clotrimazole.
When you are treating thrush with a pessary, you should avoid having vaginal intercourse. You should also avoid vaginal intercourse while you have thrush to prevent your partner from becoming infected.
If you are pregnant and have thrush you should speak to your doctor or midwife before using the pessary in the Canesten Combi pack. You should follow their instructions before using the pessary.
Your doctor may recommend that you treat the internal thrush with the pessary, but not use the applicator to insert it into your vagina. Clotrimazole has been shown to be well-tolerated by women and has shown low risk in pregnancy.
Canesten Combi contains the active ingredient, clotrimazole and contains a pessary and external cream. Whereas Canesten Duo contains an oral capsule and external cream. Although the cream in both packs is the same, the capsule in Canesten Duo contains a single dose of fluconazole, another antifungal medication.
Canesten HC cream contains clotrimazole and hydrocortisone acetate. The hydrocortisone helps to relieve the inflammation associated with fungal infections as well as swelling, itching, and redness. Canesten HC is used to treat fungal skin infections including:
- Athlete’s foot
- Fungal nappy rash
- Jock itch
It is used for fungal skin infections particularly when there is inflammation present. But, unlike Canesten Combi and Canesten Duo, Canesten HC cream will only treat the external symptoms of vaginal thrush and not the internal infection.
Bayer. (2017). Canesten Combi Pessary and External Cream. EMC [online] Available at: https://www.medicines.org.uk/emc/files/pil.5105.pdf [accessed 24th January 2019].
Bayer. (2015). Canesten HC Cream. EMC. [online] Available at: https://www.medicines.org.uk/emc/files/pil.6970.pdf [accessed 24th January 2019].
Gupta, P. S. et al (2016). Vaginal infections: a common gynecologic disorder. International Journal of Health Sciences and Research; 6: 293-296.
Roberts, C. L. et al (2011). Treatment of asymptomatic vaginal candidiasis in pregnancy to prevent preterm birth: an open-label pilot randomized controlled trial. BMC, Aug; 11: 1-6.