What are Canesten Pessaries?
Canesten pessaries are a proven treatment option for mild to moderate vaginal thrush in those between 16-60 years old. A pessary is a tablet that is inserted into the vagina using a plastic applicator, which is provided in each pack.
Canesten pessaries contain the active ingredient, clotrimazole. Clotrimazole is an anti-fungal medication that when inserted high up into the vagina contained within a pessary kills the fungi or yeast infection that causes the irritation, discomfort and discharge associated with vaginal thrush.
To get the best results from using your pessary it is recommended that they are inserted before you go to sleep. Using the pessary overnight means it has more time to dissolve in the moisture of the vagina while you are lying down.
For the most effective relief from the symptoms of vaginal thrush, you may also want to use an external cream, which when applied to the outside of the vagina works quickly to ease soreness and itching. For more information about external creams, visit our Thrush Symptoms & Treatments page.
Thrush treatments are available without a prescription, however, you must have previously received a diagnosis of vaginal thrush from a doctor before using this product.
What is Canesten Pessary used for?
Canesten pessaries are used to treat the cause of vaginal thrush (candidiasis) by destroying the fungi or yeast that results in the soreness, itching and discharge associated with thrush.
Canesten pessaries are only suitable to treat vaginal thrush as they require inserting high up inside the vagina using an applicator to work on the source of infection.
Some people do not want to use pessaries, in which case oral tablets are also available that target the internal cause of thrush. The use of oral tablets is also recommended to treat thrush (candida balanitis) in males. Fluconazole thrush capsules can be viewed and purchased online too.
What is vaginal thrush?
Vaginal thrush is a common fungal infection that is caused by an increase in fungi called Candida. The vagina naturally contains both fungus and bacteria but it is when the Candida is overproduced that you may notice symptoms of vaginal thrush developing.
Some of the most common symptoms of vaginal thrush are:
- Itching of the vagina and vulva
- Redness and swelling of the vulva and vaginal lips (labia)
- Cottage-cheese like white discharge
Many women will become infected with vaginal thrush at some point in their lifetime and although it can cause irritation, thrush is not harmful and is easily treatable. For more information about causes, symptoms and treatment options for thrush please see our Thrush Advice page.
You should speak to your doctor or a pharmacist if the following apply to you:
- You are not sure whether you are experiencing thrush
- You think your symptoms may be severe
- You have experienced more than 2 episodes in 6 months
How do Canesten Pessaries work?
Canesten pessaries contain either 100mg, 200mg or 500mg of the active ingredient Clotrimazole. Canesten pessaries are highly effective at treating vaginal thrush as by using an applicator to insert the pessary high into the vagina it allows the Clotrimazole to begin targeting the source of the infection rapidly.
Clotrimazole is an antifungal agent which works by targeting the overgrowth of Candida fungi, which causes vaginal thrush. Clotrimazole interferes with the enzymes that help the fungus create strong outer membranes, resulting in the fungal cells becoming leaky. Without an intact membrane, the fungi themselves are unable to survive and the infection is cleared.
How do I know if Canesten Pessaries are working and how long will it take to work?
Canesten pessaries are available in different strengths. The pessaries that come in 100mg and 200mg need to be inserted into the vagina for at least 3 consecutive days whereas the 500mg dose only requires a single dose.
Some people will notice relief from the symptoms of vaginal thrush after a single application as the pessary is able to work directly at the site of infection. After 3-7 days you should notice that your symptoms have cleared.
If you are still experiencing thrush symptoms after 7 days or have experienced 2 or more episodes of vaginal thrush within 6 months you should speak to your doctor for further advice.
How long do Canesten Pessaries take to dissolve?
It is recommended that Canesten Pessaries are inserted at night high up inside the vagina using the applicator, so that they can dissolve inside the vagina while you are asleep.
It is not uncommon for you to notice parts of the dissolved pessary coming out of your vagina over the next few days following commencing treatment, this is normal and does not mean the treatment is not working. You may wish to wear a panty liner during this period as this can leave a white chalky residue.
Canesten Pessary did not dissolve/Canesten Pessary is coming out?
It is normal to notice a white chalky residue coming out of the vagina during treatment using a Canesten pessary if however, you notice pieces of undissolved pessary you should speak to a doctor or pharmacist as it may be that your treatment has not worked.
Pessaries need moisture to dissolve. It is therefore advised that using the supplied applicator you insert the pessary as high as you can into the vagina before you go to sleep.
If you know that you have vaginal dryness you should speak to your doctor or pharmacist before using Canesten pessaries for advice.
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