One 500
mg pessary
should be inserted at night. Using the applicator provided, the pessary should be inserted as high as possible into the vagina This is best achieved when lying back with legs bent up. A second treatment may be carried out if necessary.
What is
clotrimazole pessary
used for?
Clotrimazole is usually applied in two ways to treat thrush A pessary or internal (intravaginal) cream is inserted high into the vagina to treat the infection. Then a cream (usually containing 2% clotrimazole) is applied around the outside of the vagina to relieve the itching and soreness.
How long does it take for clotrimazole pessary to work?
It usually treats thrush within 7 days but it’s best to treat the infection for at least 2 weeks to stop it coming back. The most common side effect is an itching or burning feeling in the area being treated.
What is clotrimazole pessary 500mg?
Clotrimazole Vaginal pessary is used to treat Vaginal Yeast Infections Clotrimazole 500
mg tablet
is a
single course
of treatment. Each course of treatment consists of one Clotrimazole vaginal pessary, which remains effective for 3 days.
Can you pee with a pessary in?
You may feel some discomfort when it is inserted, but it should not be painful. After the first fitting you will be asked to walk around for 15 to 20 minutes. This is to make sure the pessary does not fall out and that you can pass urine with the pessary in place.
Can you go to the toilet after using a pessary?
To aid absorption try to lay down for 20 minutes after inserting pessaries vaginally. If used rectally then you should not open your bowels for an hour after inserting the pessary , if you do then another dose is required.
What happens when you insert a pessary?
The pessary is a device that is placed into the vagina to support the uterus or bladder and rectum. It is a firm ring that presses against the wall of the vagina and urethra to help decrease urine leakage The type and size of the pessary should be fitted to meet your individual needs and anatomy.
How long can a pessary be left in?
How long can I use a pessary for? Pessaries are a
safe long-term treatment
for prolapse but they do need to be changed every three to six months Some women will be able to do this at home themselves but others will need to go to a hospital or a clinic to have this done for them.
How do I know when a yeast infection is gone?
First, you will notice that vaginal discharge has returned to a normal consistency and smell Second, you will notice that itching has gone away, alleviating much of the discomfort associated with the infection. Third, you will notice that any rash, swelling, or redness has subsided.
How do you know if pessary is inserted correctly?
A well fitting pessary will not cause pelvic discomfort when standing up and walking When you cough, bend forwards, squat or hold your breath and strain the device should not move down out of your vagina. If the pessary moves to the entrance or out of your vagina you may require refitting with a larger size.
How do you insert a pessary in yourself?
Insert the folded pessary into the vagina (long ways) as far back as you can It will open up into its normal shape when you let go on the ring. Use your index finger to make sure the rim is behind the pubic bone. If you are left handed, place your right foot up on a chair, low stool, or toilet.
How long does a pessary take to work?
If you have a controlled-release pessary inserted into your vagina, it can take 24 hours to work. If you are not having contractions after 24 hours, you may be offered another dose. Sometimes a hormone drip is needed to speed up the labour.
Can I put a pessary in during the day?
Once in the vagina the pessary will melt and may leak from your vagina. You may find it more comfortable to insert the pessary before going to bed at night rather than during the day If you do insert it during the day, sanitary towels can be used to prevent any staining of your clothes.
What is the fastest way to get rid of a yeast infection?
The fastest, and most reliable, way to get rid of a yeast infection is to visit a doctor if you suspect you have one. They will likely prescribe fluconazole, an oral treatment that may take 1 week to get rid of the infection.
Are pessaries safe?
Long-term pessary use is a safe and effective option for patients with POP and stress urinary incontinence Although serious side effects are infrequent, insertion and removal of most pessary types still pose a challenge for many patients.
How do you insert clotrimazole tablets?
Unwrap one tablet and place it in the applicator. Lie on your back. Gently insert the applicator tip high in the vagina and push the plunger to release the tablet into the vagina. Gently remove the applicator.
What are the side effects of using a pessary?
- Foul-smelling discharge
- Irritation and even damage inside the vagina.
- Bleeding.
- Passing a small amount of urine during exercise or when you sneeze and cough
- Difficulty having sexual intercourse.
- Urinary tract infections.
How often should I remove pessary?
Women who can insert and remove the pessary on their own can remove it for cleaning weekly or even nightly Follow-up visits should take place every six to 12 months. During the visit the pessary will be removed and cleaned. The vagina will be examined to make sure the pessary is not scraping or bruising the skin.
Citations
https://www.nhs.uk/medicines/clotrimazole-for-thrush/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1046022/
https://homehealth-uk.com/all-products/clotrimazole-thrush-treatment-pessary-500mg/
https://www.boots.com/canesten-thrush-pessary-500mg-10032889