What prescription drugs are available? | What medications are available for vaginal mycosis?

What prescription drugs are available?

There are a number of different prescription drugs that are used to treat vaginal mycosis. From over-the-counter drugs, this distinguishes either a higher dose of the active ingredient or the type of the active ingredient itself. In the following section, important prescription drugs used for the treatment of vaginal mycosis will be presented.

For a better overview, the drugs are sorted by active ingredient.

• Clotrimazole: Important prescription drugs containing the active ingredient Clotrimazole include “Canesten Gyn 6-Day”, “Clotrimazole AL 100”, “Fungicide Ratiopharm Vaginal Cream 1%” or “Antifungal HEXAL”. What these drugs have in common is that they are used either as a cream or vaginal tablet.

  They differ from over-the-counter medicines in that they are used for a longer period of time or in a higher dosage of the active ingredient clotrimazole.

• Fluconazole: The active ingredient Fluconazole is exclusively contained in prescription drugs. Examples are “Fluconazol STADA 50 mg/100 mg/150 mg – hard capsules”, “Fungata” or “Fluconazol Ratiopharm”. Fluconazole is only taken as a tablet and does not exist as a cream or vaginal suppository.
• Miconazole: There is a product called “Gyno Daktar”, which is available either as vaginal cream only or as a cream in combination with vaginal suppositories.

  The active ingredient is miconazole.

• Econazole: Several products with the active ingredient Econazole are available under the name “Gyno-Prevaryl”.This drug is also available either alone as vaginal suppository or in combination with a cream for external use. Furthermore, the periods of application differ.
• Nifuratel: The prescription drug “Inimur” contains the active ingredient nifuratel. Creams, dragees, vaginal suppositories and combination packs are available.
• Itraconazole: If the external application of medication does not help against a vaginal mycosis, there is the possibility to treat with “SIROS capsules”. These contain the active ingredient itraconazole and are taken orally.

What medications may I take during pregnancy?

Pregnancy is a state of emergency for the woman and requires special care in the treatment with medication. There are very well tolerated drugs that can be used during pregnancy without hesitation, but there are also drugs that must not be used. As a matter of principle, one should also avoid prescription-free medication during pregnancy, unless the taking of such medication has been expressly discussed with the doctor or pharmacist with regard to the pregnancy.

Vaginal mycosis infections should also be treated during pregnancy. Preparations containing the active ingredients Nystatin or Clotrimazol are permitted. Other active ingredients are usually contraindicated and must not be used.

When using Clotrimazole (e.g. KadeFungin®), 200 mg vaginally, as suppositories, are recommended for a period of 3 days. These suppositories should be inserted vaginally in the evening before going to bed. Alternatively, 100 mg vaginally in the evening for a period of 5-7 days or 500 mg vaginally as a single dose.

In addition, a cream with Clotrimazole should be used. This must usually be applied thinly 2 to 3 times a day for a period of 2 to 3 weeks. The active ingredient Nystatin is also applied as a cream 2 to 3 times a day for a period of 2 to 3 weeks. Vaginal fungi should always be treated by a gynecologist during pregnancy.