Patient Leaflet Updated 11-Dec-2023 | Bayer plc
Canesten Thrush Internal Cream 10% vaginal cream
Canesten® Thrush Internal Cream
10% w/w vaginal Cream
Clotrimazole
This medicine is available without prescription. However, you still need to use Canesten Thrush Internal Cream carefully to get the best results from it.
1. What is Canesten Thrush Internal Cream and what is it used for?
2. Before you use Canesten Thrush Internal Cream
3. How to use Canesten Thrush Internal Cream
4. Possible side effects
5. How to store Canesten Thrush Internal Cream
6. Further information
Canesten Thrush Internal Cream is a single application, full course treatment for vaginal thrush. It is a soothing intravaginal cream in a prefilled applicator for treatment at the site of infection.
Only use this product if you have been previously diagnosed by your doctor as having vaginal thrush.
The active substance in Canesten Thrush Internal Cream is clotrimazole. Clotrimazole belongs to a group of medicines called azoles and is an antifungal agent which fights the cause of infections such as vaginal thrush.
This is because Canesten Thrush Internal Cream may not be the right treatment for you.
This product contains cetostearyl alcohol which may cause local skin reactions (e.g. contact dermatitis).
The medicine also contains 10mg benzyl alcohol in each gram of cream. Benzyl alcohol may cause allergic reactions and mild local irritation.
As with other creams, this product may reduce the effectiveness of rubber contraceptives, such as condoms or diaphragms. Consequently, you should use alternative precautions for at least five days after using this product.
Do not use tampons, intravaginal douches, spermicides or other vaginal products while using this product.
Avoid vaginal intercourse while you have thrush and during use of this product because your partner could become infected.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Inform your doctor if you are taking tacrolimus or sirolimus (used to reduce the immune response to prevent rejection after an organ transplant).
Canesten Thrush Internal Cream can be used in pregnancy and breastfeeding. If you are pregnant, breastfeeding or trying for a baby, tell your doctor or midwife before using Canesten Thrush Internal Cream. If you have informed your doctor or midwife already, follow his/her instructions carefully.
To treat internal thrush, your doctor may recommend that you use a treatment that can be inserted in the vagina without the help of an applicator, such as a clotrimazole pessary.
If Canesten Thrush Internal Cream has been prescribed for you by your doctor, follow any instructions he/ she may have given you. If you purchased this product without a prescription, follow these directions closely:
The cream should be inserted as high as possible into the vagina, preferably before going to sleep at night for convenient and comfortable treatment.
Wash your hands before removing the foil from the blister pack and again afterwards when you have used the applicator.
1. Remove the applicator from the packaging. Keeping the cap in place, insert the tip of plunger A into the applicator B (approximately 1cm).
2. Twist and pull to remove the cap C. Be careful not to press the plunger in any further before you have inserted the applicator into the vagina. This will avoid wasting any cream.
3. Carefully put the applicator as deep as is comfortable into the vagina (this is easiest when lying on your back with your knees bent up). Holding the applicator in place, slowly press the plunger until it stops so that the pre-measured dose of cream is deposited into the vagina.
4. Remove the applicator. Dispose of the applicator in a safe place, out of the reach of children.
The applicator cannot be flushed down the toilet.
The cream is deposited in the vagina, but it is quite common to notice a slight discharge after using the cream and therefore it may be helpful to wear a panty liner. This does not mean that the treatment has not worked.
The symptoms of thrush should disappear within three days of treatment. If no improvement is seen after seven days you must tell your doctor. If the infection returns after seven days you may use one further treatment, but if you have more than two infections within six months you should see your doctor.
Do not put the cream in your mouth or swallow it.
If the cream is swallowed accidentally, tell your doctor straight away or contact the Accident and Emergency Department of your nearest hospital.
Like all medicines, Canesten Thrush Internal Cream can cause side effects, although not everybody gets them.
As with all medicines, some people may be allergic to the cream. If you are allergic, a reaction will occur soon after you have used the medicine. If you experience an allergic reaction or the redness, burning, pain, itching or swelling get worse, stop using this product and tell your doctor straight away or contact the Accident and Emergency Department of your nearest hospital. Signs of an allergic reaction may include:
After you apply Canesten Thrush Internal Cream you might experience:
If you experience any of the above effects, tell your doctor or pharmacist immediately.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not store above 25°C.
Do not use Canesten Thrush Internal Cream after the expiry date which is stated at one end of the carton, on the applicator and on the applicator foil wrapping. The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Canesten Thrush Internal Cream is available in single-dose packs containing 5g of white cream in a pre-filled applicator.
Remember: If you have any doubts about using Canesten® Thrush Internal Cream correctly, seek the advice of your doctor or pharmacist.
Vaginal thrush (candidiasis) is a common infection that most women suffer from at some time in their lives and is not caused by lack of personal hygiene.
Thrush is caused by a yeast (fungus) called Candida which lives harmlessly in the vagina and other parts of the body, without you even noticing it. However, the natural balance that keeps Candida under control can be upset by many factors such as hormonal changes (menstruation, contraceptive pill, pregnancy, menopause), poor health, antibiotics, perfumed soaps, bath additives and tight clothing.
If the natural pH balance is altered, the level of yeast increases and can develop into a thrush infection causing any of the following symptoms: persistent burning and/or itching around the vagina and vulva, redness, swelling and soreness of the tissues of the vagina and vulva and a whitish, odourless discharge from the vagina. Not everybody who has thrush has all these symptoms; you may have only one of them.
If you are still worried or have any questions about the symptoms or the treatment of thrush, do not hesitate to ask your doctor or pharmacist for advice.
For UK residents only: if you have any questions or would like more information, call our Canesten Advice Line on 0845 758 5030. Calls charged at local rate.
This leaflet was last revised in July 2022.
Canesten is a registered trademark of Bayer AG, Germany.
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