Clotrimazole is a broad-spectrum antimycotic or antifungal agent. The antimycotic properties of clotrimazole were discovered in the late 1960s. The drug belongs to the category of imidazole azole antifungals. It is available in a variety of dosage forms, including creams, ointments, tablets, and slow-dissolving capsules.
Clotrimazole may be used to treat anemia
In addition to its antifungal activity, clotrimazole has become a drug of interest for the treatment of a number of other diseases, such as sickle cell disease, malaria and some types of cancer. This drug's minimal side effects and uncomplicated metabolic profile have led to its widespread use for the treatment of fungal outbreaks, such as vaginal infections caused by yeast spores (candida vulvitis or thrush), as well as athlete's foot.
Compound
Gel 1% contains clotrimazole at a concentration of 10 mg/g, propylene glycol, macrogol 400, carbomer , rectified ethyl alcohol 96% from food raw materials, glycerol , sage ethereal extract.
Cream composition 1%: clotrimazole at a concentration of 10 mg/g, cetostearyl and benzyl alcohols, polysorbate 60, synthetic spermaceti, octyldodecanol, sorbitan stearate, water.
Composition of the ointment 1%: clotrimazole at a concentration of 10 mg/g, polyethylene oxides 400 and 1500, propylene glycol, methylparaben, nipagin.
Composition of the 1% solution: clotrimazole at a concentration of 10 mg/ml (in terms of dry matter), polyethylene glycol 400, propylene glycol, ethanol 96%.
Composition of suppositories: one suppository contains 100 mg of active substance and base in the volume necessary to obtain a suppository weighing 2 g. Clotrimazole suppositories contain semi-synthetic glycerides as a base.
Composition of tablets: 100, 200 or 500 mg of clotrimazole, lactose in the form of monohydrate, potato starch, adipic acid, sodium bicarbonate, silicon dioxide in colloidal form, sodium lauryl sulfate.
Release form
- gel 1% (pack of 20 and 40 g);
- cream 1% (tubes 15, 20, 30 and 50 g);
- ointment 1% (tubes 15, 20, 30 and 40 g);
- 1% solution (15 ml bottles);
- vaginal suppositories 0.1 g (package No. 6);
- vaginal tablets 0.1, 0.2 or 0.5 g (packaging No. 1, No. 3, No. 6; tablets are equipped with an applicator).
Clotrimazole tablets and vaginal suppositories have an ATC code different from other dosage forms of the drug - G01AF02.
Clotrimazole can also be produced in the form of granules, powder for external use, or spray.
The drug is intended for local (including intravaginal) and external use; tablets for oral administration are not available.
Pharmacodynamics and pharmacokinetics
Clotrimazole is an imidazole .
In vitro, exhibits high activity against the most pathogenic fungi , which can cause serious infectious complications, namely:
- dermatophytes (Microsporum sp., Epidermophyton floccosum, Trichophyton sp.);
- yeast-like fungi (Cryptococcus neoformans, Candida sp.);
- dimorphic fungi (Histoplasma capsulatum, Paracoccidicides brasiliensis, Coccidiodes immitis).
The mechanism of action of clotrimazole is based on its ability to block the synthesis of proteins, nucleic acids and ergosterol, which is necessary for the construction of cell membranes of fungi. As a result, the cell membranes of the fungi are damaged and the cells die.
At low concentrations, clotrimazole has a fungistatic effect. If the dose exceeds 20 mcg/ml, the drug has a fungicidal effect, and not only on proliferating cells.
When used in high doses, it helps to increase the concentration of hydrogen peroxide in the fungal cell to a toxic value and, as a result, destroys the fungal cells
When applied topically, the drug is absorbed by the epidermis . The highest concentration of the substance is determined in the reticuloderm . It is also able to penetrate the keratin of nails.
Clotrimazole enters the systemic circulation in very small quantities. Metabolized in the liver to inactive substances that are excreted from the body in feces and urine.
When administered intravaginally, 5 to 10% of clotrimazole is absorbed. The absorbed substance is metabolized in the liver. Metabolic products are excreted in bile.
pharmachologic effect
Clotrimazole is a broad-spectrum antifungal agent that inhibits the growth of pathogenic yeasts by altering the permeability of cell membranes. The action of clotrimazole is fungistatic at concentrations of the drug up to 20 μg/ml and can be fungicidal in vitro against Candida albicans and other species of the genus Candida at higher concentrations. Unfortunately, resistance to clotrimazole, which was rare in the past, is now common among various patient groups.
The drug Clotrimazole fights fungus well
Clotrimazole is generally considered a fungistatic rather than a fungicidal drug, although this difference is not absolute as clotrimazole exhibits fungicidal properties at higher concentrations.
The action of the drug is based primarily on damage to the permeability barrier in the cell membrane of fungi. Clotrimazole inhibits the biosynthesis of ergosterol, an essential component of fungal cell membranes. If ergosterol synthesis is either completely or partially inhibited, the cell is no longer able to create an intact and functional cell membrane. Since ergosterol directly stimulates the growth of fungal cells in a hormone-like manner, the rapid onset of the above processes results in dose-dependent inhibition of fungal growth.
Although there is a decrease in ergosterol, due to the inhibition of lanosterol 14-demethylase (also known as CYP51), which is believed to be responsible for the antifungal properties of clotrimazole, this drug also exhibits other pharmacological effects. These include inhibition of sarcoplasmic reticulum Ca2+ -ATPase, intracellular calcium depletion, and blockade of calcium-gated potassium channels and voltage-gated calcium channels. The action of clotrimazole on these complexes explains other effects of this drug that differ from its antifungal activity.
Indications for use: what is Clotrimazole ointment, cream, gel, suppositories and tablets for?
What do Clotrimazole ointment, gel, cream and solution help with?
The drug is prescribed for the treatment of fungal infections of the skin , which are caused by molds and yeasts , dermatophytes and other pathogens sensitive to clotrimazole.
They are also used as remedies for lichen caused by Malassezia furfur and erythrasma (caused by Corynebacterium minutissimum).
Clotrimazole ointment, cream, gel and solution help: against nail fungus ( onychomycosis , fungal paronychia ), trichophytosis , dermatophytosis , fungal erosion and diaper rash, candidiasis , microsporia , athlete's foot , dermatomycosis , complicated by secondary pyoderma mycoses .
Indications for the use of ointment, gel, cream and solution include infectious diseases, pathogens that are resistant to nystatin and a number of other antifungal agents.
for the treatment of pityriasis rosea , since this disease is most likely of viral or infectious-allergic origin , and may also be the body’s response to a severe shock or nervous breakdown. Clotrimazole is effective against fungal infections .
The use of Clotrimazole ointment, gel and cream with Clotrimazole in gynecology is indicated:
- for the treatment and prevention of thrush ;
- for the prevention of repeated fungal infections of the female reproductive system , which develop during long-term treatment with antibiotics or against the background of immunodeficiency conditions.
Also, solution, gel, cream and ointment in gynecology are used to sanitize the genital tract before delivery.
Candles - what are they for?
The indication for the use of vaginal suppositories is vaginal candidiasis and genital superinfections caused by microorganisms sensitive to clotrimazole. The drug is prescribed to women and, after the onset of sexual activity, to teenage girls.
What are Clotrimazole tablets for?
Clotrimazole tablets are used to treat blastomycotic infections of the vulva and vagina . In particular, the drug is prescribed for vaginitis caused by fungi of the genus Candida (including diseases caused by strains resistant to nystatin ), caused by other pathogens sensitive to clotrimazole, superinfections of the genital organs , for sanitization of the genital tract before delivery.
Indications and contraindications for use
The list of pathologies for which the ointment is recommended is presented:
- genital candidiasis complicated by trichomoniasis;
- dermatomycosis;
- dermatophytosis;
- mycoses complicated by infection of pyogenic cocci.
- thrush;
- some types of lichen;
- paronychia;
- superficial candidiasis;
- stomatitis;
- erythrasma.
The drug is contraindicated:
- in the first trimester of pregnancy;
- for abrasions, wounds, skin erosions;
- intolerance to component components.
Use in the second and third semesters of pregnancy requires the permission of a doctor; during lactation, it is prohibited to apply the ointment to the breast. The medicine is prescribed to newborns with restrictions:
- A small area of skin is subjected to the procedure;
- Large lesions are treated in parts.
The medication in the form of powder is prescribed to infants with an infected type of diaper rash. Treatment of fungal infections is important for pathologies that cause drying of the dermis.
Side effects
Allergic reactions.
When applied to the skin, the following side effects are possible:
- burning;
- edema;
- the appearance of blisters;
- erythema;
- skin irritation;
- tingling sensation
- peeling.
Local use for urogenital mycoses may be accompanied by burning, itching, swelling and hyperemia of the mucous membrane, intercurrent cystitis , the appearance of vaginal discharge, increased urination, pain during sexual intercourse.
When applied topically for mycoses of the oral cavity, redness of the mucous membrane, tingling and burning sensation at the site of application of the drug, and irritation may be observed.
Use of the drug
Clotrimazole cream is prescribed for the topical treatment of the following skin infections:
- Tinea pedis, tinea cruris and tinea corporis caused by Trichophyton rubrum, Trichophyton mentagrophytes, Floccosum Epidermophyton;
- Candidiasis caused by Candida albicans;
- Herpes zoster caused by Malassezia furfur;
- Diaper rash infected with Candida Albicans;
In some drugs, clotrimazole can be combined with betamethasone dipropionate and corticosteroids.
The oral formulation is indicated as a prophylactic drug to reduce the incidence of oral and pharyngeal candidiasis in immunocompromised patients receiving chemotherapy, radiation therapy, or steroid therapy used to treat leukemia, cancer, or kidney transplantation. The drug is not indicated for the treatment of any systemic mycoses.
Instructions for use of Clotrimazole: Clotrimazole for women and men
Clotrimazole ointment: instructions for use. How to apply Clotrimazole ointment for men?
Before applying Clotrimazole ointment (Acri or other manufacturers), the affected areas of the body are first washed with soapy water and dried thoroughly.
The drug is applied to the affected areas (covering small areas of healthy skin around the lesion) in a thin layer from 1 to 3 r./day. and rub lightly.
For 1 treatment of an area the size of a palm, a 5-mm strip of ointment is sufficient.
Regardless of what pathogen causes the disease, treatment after relief of subjective symptoms is recommended to continue for another 2 weeks.
For dermatomycosis, the course of treatment lasts from 3 to 4, for erythrasma - from 2 to 4, for lichen versicolor - from 1 to 3 weeks.
If there is no clinical improvement after 4 weeks of regular use of the drug, the patient is sent for a repeat microbiological study and the treatment regimen is revised.
The use of ointment for thrush in women helps block the spread of fungal cells and, when higher doses are prescribed, ensures their complete destruction. For therapeutic purposes, Clotrimazole for thrush is used 2 times a day, rubbing the ointment into the affected areas of the perineum.
Until the drug is absorbed, it is recommended not to wear underwear.
For men, the method of use for thrush and other fungal infections of the genital organs ( candidal balanoposthitis , urogenital candidiasis ) is the same as for women.
The ointment is applied to the foreskin and glans penis and gently rubbed into the skin and mucous membrane. Frequency of applications - 2 times/day.
The drug is poorly absorbed into the skin, and its active substance is characterized by the ability to gradually accumulate in the upper layer of the skin. Thanks to these properties, Clotrimazole ointment is highly effective for thrush in men and women.
Clotrimazole cream: instructions for use
The cream is intended for topical use. For thrush and other fungal diseases , apply it to the affected areas twice or thrice during the day and rub in lightly.
If mycoparasites affect the genitals, to treat thrush , the cream is prescribed simultaneously to both partners. For candidal balanitis or balanoposthitis, clotrimazole cream for men is used in the same way as ointment.
The duration of the course depends on the indications for use and ranges from 1-2 (for candidal balanitis/vulvitis ) to 3-4 weeks (for dermatomycosis ).
To prevent relapse of the disease, it is very important not to stop treatment for another 2 weeks after the subjective symptoms of infection disappear. If there is no improvement after 4 weeks of therapy, the patient should consult a doctor.
Vaginal cream Clotrimazole is administered into the vagina in portions of 5 grams 1 time per day. within 3 days.
Instructions for the solution
Before applying Clotrimazole, the skin should be washed with warm soapy water (especially the areas between the fingers) and dried well. The affected areas are treated 2-3 times a day. The amount of solution should be sufficient for uniform application to the entire affected surface.
If the skin of the feet is affected, liquid Clotrimazole solution must be applied after each wash.
The solution is the most preferred dosage form for onychomycosis . This is due to the fact that it has the best penetrating properties.
For fungal infections of the oral cavity, the affected areas of the mucous membrane are treated with a cotton swab or swab, onto which drops are first applied (10 to 20 drops are enough to treat each ear). Frequency of procedures - 3-4 rubles/day.
After applying Clotrimazole, you should refrain from eating and drinking for an hour.
Clotrimazole drops are also effective against onomycosis caused by yeast fungi. Drops are administered into the ear using turundas: a twisted cotton ball is moistened in the solution and 3-4 times a day. Place it in the ear canal for 5-10 minutes. Treatment lasts from 3 to 4 weeks.
Instructions for the gel
The method of using the gel is similar to the method of using the ointment. The product is applied to the epidermis affected by mycoparasites 2-3 times a day. and rub in with light movements.
The peculiarity of this dosage form is that the gel is well distributed on the skin and is also well absorbed into it. This allows the drug to be used for treating hard-to-reach areas of the body.
The gel is used intravaginally in the same way as clotrimazole cream: 1 r./day. 5 grams each. The course of treatment is 3 days.
Clotrimazole vaginal tablets: instructions for use
In the absence of other prescriptions, Clotrimazole Acri tablets and synonymous drugs for thrush and other fungal infections of the genital organs are used:
- for 3 days, 1 tablet 2 times a day;
- for 6 days, 1 tablet 1 time per day.
How to administer Clotrimazole vaginal tablets? Before administration, the tablet is removed from the package and moistened with chilled boiled water. The drug should be administered in the “lying on your back” position with your knees bent.
In order for the tablet to completely dissolve and clotrimazole to work, a moist environment is necessary (otherwise, undissolved particles may spill out). Therefore, the tablet is inserted into the vagina as deeply as possible. It is optimal to carry out the procedure before bedtime.
Treatment must be stopped before menstruation begins. Menstrual flow will wash away the drug and it will not have the desired effect. During treatment with vaginal tablets, you should not use tampons, spermicides, intravaginal douching or any other vaginal products.
To sanitize the genital tract before delivery, a woman is given a single dose of 200 mg of clotrimazole.
During pregnancy , the drug is contraindicated in the 1st trimester. At later stages, clotrimazole does not have an adverse effect on the development of the fetus, however, the use of the applicator may be associated with certain risks.
Instructions for candles
Suppositories for thrush are used intravaginally. The drug should be injected deep into the vagina, one dose daily for 6 days. A repeat course is possible after consulting a doctor.
Clotrimazole suppositories for thrush and other urogenital mycoses are not used during menstrual bleeding. Treatment must be completed before it begins.
During pregnancy, the drug in this dosage form is used from the 2nd trimester and in situations where the expected benefit to the mother outweighs the possible risks to the fetus.
Reviews allow us to conclude that the drug quickly destroys fungal colonies and eliminates the unpleasant symptoms of mycoses. Its other advantages include low price and a large selection of dosage forms.
Application of ointment
Before applying Clotrimazole, clean the problem area with baby soap and water and dry thoroughly. The towel used must be disinfected. The drug is used to treat several pathological processes:
- Thrush
Candidiasis affects the mucous membranes of the body. When the genital form develops in women, the drug is applied using a special applicator; upon completion of the procedure, the patient must remain in a supine position for at least half an hour. Both external and internal genitalia are treated. Due to poor distribution of the ointment over the skin surface, Clotrimazole cream or vaginal suppositories are more often used. Therapy is carried out for up to 30 days.
For men, weekly manipulations with the medicine are enough to combat candidiasis. The medication is applied to the mucous membranes affected by the fungus and rubbed in gently. If one of the sexual partners is infected, the other automatically undergoes preventive therapy, even in the absence of obvious symptoms.
- Fungal infection of nails and feet
When applying the product, not only the lesion is captured, but also the nearby healthy skin. After careful rubbing, linen or cotton socks are put on the feet, and the inner surface of the shoes is treated for prevention.
Nail plates are treated with Clotrimazole solution; they are cut short before treatment. Therapeutic measures take place over 1-2 months, supplemented by one week of prophylaxis.
- Depriving
The drug is prescribed to combat the ringworm, pityriasis type of pathology. Surfaces affected by the fungus are treated evenly, and additional disinfectants are used: iodine solution, etc. In difficult cases, therapy is supplemented with fungicides for oral administration. Treatment is carried out three times a day for 3 weeks. After completion of the course, preventive treatment continues for another 5 days.
- Dermatitis
Clotrimazole is active against atopic, seborrheic, and diaper dermatitis. In the first case, the ointment is used:
- for the face – three times a day;
- for the scalp – 2 times a day.
For babies, the drug is applied once every 24 hours. Therapy takes up to one calendar month, prevention of relapses takes another 5-7 days. For atopic dermatitis, the medicine is included in complex treatment with other medications. The diaper form of the pathology allows treatment within 5 days. Additional medications may be used.
Overdose
When applied to the skin and intravaginally, there is no risk of acute intoxication, since clotrimazole enters the systemic circulation in very small quantities.
In case of accidental ingestion of Clotrimazole, nausea, anorexia, vomiting, gastralgia, and liver dysfunction are possible. In rare cases, pollakiuria, hallucinations, drowsiness, and allergic skin reactions are observed.
In this case, the patient is prescribed enterosorbents and symptomatic treatment. Gastric lavage is performed in situations where a life-threatening dose was taken within the previous hour, as well as in the presence of visible symptoms of an overdose (nausea, dizziness, vomiting).
Application and dosage
Clotrimazole in cream form is available in 20 gram tubes. 1 gram of the drug contains 20 mg of active substance.
The drug is rubbed into the affected areas of the skin in a thin layer 2-3 times a day.
The duration of the course of therapy is:
- dermatomycosis - 3-4 weeks;
- erythrasma - 2-4 weeks;
- lichen versicolor - 1-3 weeks;
- candidal vulvitis and candidal balanitis - 1-2 weeks.
To consolidate the positive results of treatment and prevent re-development of the disease, the course can be continued for 2 weeks after the symptoms of the disease disappear.
If the patient's condition does not improve after 4 weeks of using the drug, you should consult a doctor.
If you have hypersensitivity to the drug, allergic reactions, headaches, or other side effects, you should consult a doctor. When prescribing a course of treatment, the patient must report a history of sexually transmitted diseases, allergic reactions, if the patient’s temperature is above 38C.
special instructions
Avoid ingestion and contact with eyes.
For mycoses, all affected areas of the body should be treated simultaneously.
The use of vaginal tablets, unless otherwise advised by a doctor, is contraindicated in the presence of any of the following symptoms:
- acyclic vaginal bleeding;
- bloody discharge or pathological bleeding from the vagina, uterine hemorrhages;
- dysuria;
- lower abdominal pain;
- open sores, blisters, or sores of the vagina or vulva;
- any unpleasant symptoms that are associated with the use of Clotrimazole (irritation, redness, burning, swelling, etc.);
- chills or fever with a temperature above 38°C;
- nausea and/or vomiting;
- vaginal discharge with an unpleasant odor;
- diarrhea;
- pain in the shoulder or back.
To prevent reinfection, treatment is prescribed to both partners simultaneously. The optimal dosage form for men is cream.
For trichomoniasis, in addition to the drug, chemotherapeutic agents are prescribed for systemic treatment ( metronidazole orally).
Which is better, Clotrimazole ointment or cream?
The choice in favor of one or another dosage form is made depending on the indications. Clotrimazole ointment for women and men is prescribed for diseases that are accompanied by increased dryness and flaking of the skin.
As a rule, these are skin mycoses caused by dermatophytes ( trichopytosis , microsporia ), athlete's foot inguinal , erythrasma , pityriasis versicolor , isolated cases of smooth skin candidiasis , mixed bacterial-fungal infections .
For weeping inflammatory processes, it is more advisable to use a cream that has a drying effect.
Clotrimazole cream 1% 20g No. 1
Name
Clotrimazole.
Release forms
Cream.
INN
Clotrimazole.
FTG
Antifungal agent.
Compound
1 g of cream contains: active substance: clotrimazole 0.01 g. excipients: benzyl alcohol, cetostearyl alcohol, octyldodecanol, polysorbate 60, sorbitan stearate, synthetic cetaceum (cetyl ester), purified water.
Description
Homogeneous mass of white color.
Pharmacotherapeutic group
Antifungal agents for external use. Imidazole and triazole derivatives. ATX code:
D01AC01
.
pharmachologic effect
Clotrimazole inhibits cell growth and division and, depending on the concentration, may have a fungistatic or fungicidal effect. Clotrimazole changes the permeability of cell membranes by disrupting the synthesis of ergosterol and binding to phospholipids of the fungal cell wall. Clinical studies have shown that topical treatment of infections with clotrimazole is as effective as the use of other imidazole derivatives, econazole and ketoconazole. Clotrimazole inhibits the synthesis of proteins, fats, DNA and polysaccharides, damages cellular nucleic acids and accelerates the excretion of potassium. It can also inhibit the activity of oxidases and peroxidases and the biosynthesis of triglycerides and phospholipids in fungi. At higher concentrations, clotrimazole causes damage to cell membranes through mechanisms independent of sterol synthesis. Clotrimazole prevents the transformation of Candida albicans blastospores into an invasive form of mycelium. A change in the activity of the cell membrane leads to cell death and depends on the degree of exposure of the drug to microbial organisms. Spectrum of activity Clotrimazole is characterized by a wide spectrum of activity. Clotrimazole inhibits the development and destroys dermatophytes (Epidermophyton floccosum, Microsporum canis, Trichophyton mentagrophytes, Trichophyton rubrum), yeast (Candida spp., Cryptococcus neoformans) and dimorphic fungi (Coccidioides immitis, Histoplasma capsulatum, Paracoccidioides brasiliensis). Clotrimazole is also active against some gram-positive (Streptococcus, Staphylococcus, Gardnerella vaginalis) and gram-negative (Bacteroides) microorganisms. In vitro, clotrimazole inhibits the proliferation of Corynebacterium and gram-positive cocci (except enterococci) at concentrations of 0.5-10 μg/ml. Clotrimazole has a wide spectrum of fungistatic and fungicidal activity in vitro. Its effect on the mycelium of dermatophytes (Trichophyton, Microsporum, Epidermophyton) is similar to the effect of griseofulvin, and its effect on budding fungi (Candida) is similar to the activity of polyenes (amphotericin B and nystatin). Clotrimazole at concentrations below 1 mcg/ml inhibits the development of most strains of Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum and Microsporum canis. Clotrimazole at a concentration of 3 mcg/ml inhibits the development of most pathogens Pityrosporum orbiculare, Aspergillus fumigatus, Candida species, including Candida albicans, some strains of Staphylococcus aureus and Streptococcus pyogenes, as well as some strains of Proteus vulgaris and Salmonella. Clotrimazole is active against Sporothrix, Cryptococcus, Cefalosporium and Fusarium. Concentrations above 100 µg/ml are effective against Trichomonas vaginalis. Fungi resistant to clotrimazole are extremely rare; There is data only on individual strains of Candida guilliermondii. The development of resistance in clotrimazole-sensitive fungi following passage of Candida albicans and Trichophyton mentagrophytes has not been reported. There have been no cases of development of resistance to clotrimazole in C. albicans strains resistant to polyene antibiotics due to chemical mutation.
Pharmacokinetics
When applied topically to the skin, clotrimazole is absorbed by the epidermis. Higher concentrations of clotrimazole are found in the stratum corneum and spinosum of the epidermis, as well as in the papillary and reticular layers of the dermis, but clotrimazole enters the systemic circulation in small quantities. Clotrimazole is metabolized in the liver to inactive substances that are excreted from the body through the kidneys and intestines.
Indications for use
Clotrimazole cream is used for the local treatment of fungal skin diseases: arms and legs, trunk, legs and feet caused by the dermatophytes Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum and Microsporum canis; pityriasis versicolor caused by Malassezia furfur (Pityrosporum orbiculare or Pityrosporum ovale); - fungal infections of the skin and mucous membranes of the external genitalia (labia, foreskin and glans penis) caused by Candida vulvitis or Candida balanitis.
Contraindications
Hypersensitivity to clotrimazole or excipients of the drug.
Use during pregnancy and lactation
Pregnancy There are limited data on the use of clotrimazole during pregnancy. Animal studies have shown no direct or indirect effects on reproductive toxicity. As a precaution, the use of clotrimazole should be avoided during the first trimester of pregnancy. Lactation Available pharmacodynamic/pharmacokinetic data in animals indicate the release of clotrimazole/metabolites into milk. Breastfeeding should be discontinued during treatment with clotrimazole. Fertility No studies have been conducted on the effects of clotrimazole on human fertility. Animal studies show no effect on fertility
Directions for use and doses
For external use. The cream should be applied in a thin layer 2-3 times a day to previously cleansed (using soap with a neutral pH value) and dry affected areas for 2-4 weeks. The cream should be applied simultaneously to all affected areas. When applying the cream to the feet, they must be thoroughly washed, dried, and then applied to the areas between the toes. Patients should contact their doctor again if symptoms do not improve after 7 days of treatment.
Side effect
The frequency of occurrence of adverse reactions is determined as follows: very often (≥ 1/10), often (from ≥ 1/100 to
Overdose
When using the drug externally, an overdose is unlikely. The use of clotrimazole in high doses does not cause any reactions or life-threatening conditions. The drug is not intended for oral administration. If the cream is accidentally taken orally, anorexia, nausea, vomiting, abdominal pain, and impaired liver function are possible; rarely drowsiness, hallucinations, frequent urination, allergic skin reactions. In this case, it is necessary to perform gastric lavage and prescribe activated charcoal. If you accidentally get the cream into your eyes or mouth, rinse them immediately with water and consult a doctor as soon as possible. If you swallow the cream, you should immediately consult a doctor.
Interaction with other drugs
Clotrimazole applied topically to the mucous membranes of the external genitalia may damage contraceptives made from latex (condoms and pessaries), and thereby reduce their effectiveness. Therefore, patients should use an alternative means of contraception during treatment with clotrimazole and for at least 5 days after its completion.
Impact on the ability to drive a car and operate machinery
Clotrimazole does not have or has an extremely insignificant effect on the ability to drive a car and use machinery.
Precautionary measures
Avoid applying the drug to the skin in the eye area. Do not swallow. All potentially infected skin areas must be treated at the same time. Propylene glycol contained in the cream may cause skin irritation. Due to the presence of cetostearyl alcohol in the composition of the drug, the drug may cause local skin reactions (for example, contact dermatitis).
Package
Cream for external use 1%. 20 g of cream in an aluminum tube coated with varnish on the inside. 1 tube along with instructions for use in a cardboard box.
Best before date
3 years. Do not use after expiration date.
Storage conditions
At temperatures below 25 °C, out of the reach of children. Do not freeze.
Release from pharmacies
Over the counter.
Buy Clotrimazole cream d/nar.prim.1% in tube 20g in pack No. 1 in the pharmacy
Price for Clotrimazole cream d/nar. approx. 1% in tube 20g in pack No. 1
Instructions for use for Clotrimazole cream d/nar. approx. 1% in tube 20g in pack No. 1
Clotrimazole analogs
Level 4 ATC code matches:
Daktarin
Oronazole
Isoconazole
Kandibene
Miconazole
Candide B
Nizoral
Kanesten
Mifungar
Ecodax
Econazole
Travogen
Bifonazole
Sebozol
Mycozolon
Mycozoral
Travocort
Mycospor
Mycospor Set
Dermazol
Synonyms of dosage forms for external use: Clotrimazole -Acri , Amyclone , Imidil , Candibene , Candizol Candide , Kanesten , Kanizon , Funginal , Funugitsip .
Vag analogues. tab.: Candide , Imidil , Candizol , Candibene , Funginal , Candide-B6 , Kanizon , Fungitsip .
Which is better: Candide or Clotrimazole?
Candida is synonymous with Clotrimazole. The basis of both drugs is the same substance, so there are no fundamental differences between them.
Clotrimazole or Pimafucin - which is better?
The main component of Pimafucin is the antimycotic antibiotic nitamicin . Sensitivity to the drug is predominantly caused by molds and yeasts (including the genera Penicillium, Candida, Cephalosporium, Aspergillus and Fusarium).
Less sensitive to Pimafucin are Pseudoallescheria boydii and dermatophytes . That is, in situations where the cause of the disease is fungi of the genus Epidermophyton, Trichophyton or Microsporum, the choice should be made in favor of the drug Clotrimazole.
The use of Clotrimazole is less often accompanied by hypersensitivity reactions. In addition, it is less likely than Pimafucin to provoke imbalances in the microflora of the genital organs.
Clotrimazole during pregnancy and lactation
Cream, gel, ointment, solution, suppositories and vag. tablets during pregnancy can be used from the 2nd trimester.
Strictly controlled studies regarding the safety of use during pregnancy; therefore, Clotrimazole is not prescribed in the 1st trimester.
Clinical studies regarding the effect of the drug on fertility in women have not been conducted; no adverse effects were detected in animal experiments.
Clotrimazole tablets and suppositories during pregnancy (in the 2nd and 3rd trimesters) do not have a negative effect on the fetus, but using the applicator can be dangerous.
When breastfeeding, the drug is used with caution, since it is unknown whether it passes into milk.
Gel, solution, cream and ointment Clotrimazole during pregnancy is applied to the skin affected by mycoparasites 2-3 times a day. If vaginal tablets are prescribed, they should be administered without an applicator. The duration of the course depends on the localization of pathological changes, the severity of the disease and the effectiveness of treatment.
Reviews indicate that in most cases the drug is well tolerated, and adverse reactions due to its use occur very rarely.
Peculiarities
Clotrimazole should not be used during the first trimester of pregnancy unless the doctor considers its use necessary for the patient's health. The drug should not be used during menstrual periods in the treatment of candidiasis vulvitis (thrush). If breastfeeding, clotrimazole can be used only as prescribed by your doctor.
The drug weakens the effect of nystatin, natamycin, amphotericin B when used simultaneously. The cream is not used to treat nails or fungal diseases of the head.
For external use, Clotrimazole cream is rubbed into the affected areas of the skin. Do not apply the product to the area around the eyes.
Clotrimazole is not prescribed to infants and premature infants
To treat candidiasis vulvitis, the capsule is inserted into the vulva, and the perineal area and mucous tissues are treated with cream. During treatment of candidal vulvitis, unprotected sex should be avoided so as not to infect the partner. If infection does occur, treatment should also be carried out by the partner. When carrying out therapy with the drug, tampons, spermicides and other vaginal products should not be used.
Reviews of Clotrimazole
Solution, ointment, cream, gel, suppositories and vaginal tablets Clotrimazole - reviews are eloquent confirmation of this - this is a time-tested, inexpensive and very effective remedy for nail and skin , as well as for urogenital mycoses .
In addition, the drug is effective against age spots .
Reviews of Clotrimazole suppositories on the forums are mostly as follows: “It’s the only thing I use to treat thrush . The product is cheap, but it helps a lot. No side effects.”
Important features of Clotrimazole, which are taken into account when prescribing it, are the possibility of:
- the use of suppositories, tablets, ointments, solutions, gels and creams for thrush during pregnancy;
- prescribing creams and ointments for the preventive treatment of a woman’s sexual partner.
No less good reviews from men about Clotrimazole ointment and reviews about the cream. The only drawback of the drug, men sometimes note, is that it should be used for a long time.
Clotrimazole price
The price of Clotrimazole in suppositories in Ukraine is 14 UAH for package No. 6, while the price in different cities - Kharkov, Kyiv or Odessa - is practically the same. In Russia, the price of suppositories with clotrimazole starts from 35 rubles.
The price of Clotrimazole ointment in Ukraine is from 7 UAH, in Russia you can buy ointment for 65-72 rubles. For Clotrimazole vaginal tablets, the price varies from 12 to 17 UAH in Ukrainian, and from 17 to 75 rubles. in Russian pharmacies (how much the drug costs depends on which company produces it).
The average price of the solution is 13.5 UAH. In Russia, drops can be bought for 12-140 rubles. The cost of the spray is about 28 UAH.
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
LuxPharma* special offer
- Canesten (Clotrimazole) ointment (cream) 20g
RUB 1,480 order
ZdravCity
- Clotrimazole cream 1% 20gGlaxoSmithKline Pharmaceuticals SA
RUB 204 order
- Clotrimazole-Akrikhin solution for external use. approx. 1% fl. 15mlMedana Pharma A.O.
RUB 298 order
- Clotrimazole cream 1% 20gHyperion SA
110 rub. order
- Clotrimazole lotion for nails. and skin micospray fl. 15 mlCorvette Pharma LLC
110 rub. order
- Clotrimazole-Teva cream 1% 30g Merkle GmbH
RUB 211 order
Pharmacy Dialogue
- Clotrimazole-Akrikhin (vial 1% 15ml) Akrikhin OJSC
RUB 309 order
- Clotrimazole-Teva cream (tube 1% 30g)Merckle GmbH
RUB 226 order
- Clotrimazole cream (tube 1% 20g) Ozone LLC
114 RUR order
- Clotrimazole (vial 1% 15ml)Medana
RUB 272 order
- Clotrimazole cream (tube 1% 20g)Hyperion SA
100 rub. order
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Pharmacy24
- Clotrimazole 25 g ointment PAT NEC "Borshchagivsky chemical-pharmaceutical plant", Kiev, Ukraine
15 UAH. order - Clotrimazole 100 g No. 6 vaginal tablets Evertogen Life Sciences Limited, India/Optimus Generics Limited, India
31 UAH order
- Clotrimazole Fitofarm 15 g ointment PRAT "Fitofarm", Ukraine
9 UAH order
- Clotrimazole 1% 20 g ointment Encube Ethicals Private Limited, India
34 UAH order
- Clotrimazole Teva 200 mg No. 3 vaginal tablets Merkle GmbH, Nimechchina
60 UAH.order
PaniPharmacy
- CLOTRIMAZOLE ointment Clotrimazole ointment 1% tube 20g India, Encube Ethicals
43 UAH order
- CLOTRIMAZOLE ointment Clotrimazole ointment 15g Ukraine, Fitofarm ChAO
12 UAH order
- CLOTRIMAZOLE tablets Clotrimazole tablets. vag. 100 mg No. 6 India, Optimus Generics Ltd
31 UAH order
- CLOTRIMAZOLE tablets Clotrimazole tablets. vag. 100 mg No. 6 Poland, GlaxoSmithKline Pharmaceuticals
41 UAH order
- CLOTRIMAZOLE liquid Clotrimazole solution 1% 25ml Ukraine, Borshchagovsky Chemical Plant PJSC
20 UAH order
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