Canesten Combi comes in 2 parts, which is the pessary that is inserted into your vagina, and the cream which is applied to the outside. There is only one pessary per pack, and it should be inserted at night, before bed. The cream should be used 2 to 3 times a day to soothe itching and soreness and treat external thrush.
When to use Canesten Combi
You can use Canesten Combi when you get thrush symptoms. In women, these include irritation around the vagina, thick white discharge, and soreness or stinging when you pee, or have sex. If you think you have thrush, you should go to your GP, or a sexual health clinic if you:
- are under 16 years old
- have thrush more than 4 times in a year
- have taken oral treatment and it has not worked
- have a weakened immune system, such as patients with HIV, diabetes, or cancer
- bleeding or deep pain during or after sex
- bleeding between your periods
- pelvic pain
- green or yellow discharge
You can take Canesten Combi without seeing a doctor if you think you have thrush and none of the above apply to you. If you are pregnant or breastfeeding you should speak to a doctor or your midwife before using Canesten combi. Do not use the vaginal applicator if you are pregnant.
How to apply Canesten Combi cream
Before using the cream, pierce the seal. Be sure to wash your hands before and after using the cream. To apply, use a thin and even layer of cream around the entrance of your vagina, 2 to 3 times a day. Gently smooth the cream into your vagina, so you do not cause more irritation. If you still have external symptoms after 7 days of using the cream, you must speak to your doctor.
How to use the Canesten Combi pessary
The pessary should be inserted as high in your vagina as comfortable, unless your doctor has given you other instructions.
Insert the pessary before bed, when you are ready to go to sleep. This is so the tablet can dissolve in your vagina overnight. To use the pessary, follow these steps.
- Wash your hands and remove the applicator. Pull out the plunger and put the pessary into the place on the applicator. There are pictures included in the patient information leaflet to help you with this.
- The pessary should be inserted tightly into the holder.
- Put the applicator as deep as you can into your vagina. Do this by lying back, with your knees bent up.
- When it is in place, slowly press the plunger until the pessary is inserted into your vagina.
- Remove the applicator slowly and dispose of it. Do not flush it down the toilet.
Some women like to wear a panty liner after using the pessary, as it can cause a chalky residue in your underwear. This is because the tablet dissolves in your vagina. This is normal and does not mean the treatment has not worked.
If you notice large chunks of the pessary has not dissolved then speak to your doctor or pharmacist, as this may mean the treatment has not worked.
How often do I need to use Canesten Combi?
You should only need to use Canesten Combi once to treat your thrush. If you get thrush often, you can use Canesten Combi whenever you first get symptoms. If you get thrush more than 4 times in a year, speak to your doctor.
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