When and how to use Canesten Pessary :
The full course of treatment consists of a Canesten Pessary held inside a foil blister pack, and an applicator for insertion of the pessary into the vagina.
The applicator should be used to insert the pessary into the vagina preferably before going to sleep at night for convenient and comfortable treatment.
1.Remove the applicator from the packaging. Pull out plunger until it stops. Remove the pessary from the blister pack and place the pessary firmly into applicator. To fit the pessary into the applicator, the holder of the applicator needs to be squeezed lightly at either side. The pessary fits tightly into the applicator and needs to be squeezed into the holder to about 1cm.
2. 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 pessary is deposited into the vagina. 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.
Since the pessary dissolves in the vagina, it may be helpful to wear a panty liner because it is quite common to notice a slight white residue (chalky) after using the pessary. 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.
When not to use Canesten Pessary :
Do not use the pessary if you have previously had an allergic reaction to the active ingredient, clotrimazole. If you are unsure about this, ask your doctor.
See your doctor as soon as possible and do not use the pessary if you have any of the following symptoms:
Irregular vaginal bleeding
Abnormal vaginal bleeding or a blood-stained discharge
Ulcers, blisters or sores of the vagina or vulva
Lower abdominal pain
Pain or difficulty in passing urine
Fever or chills
Feeling sick or vomiting
A foul smelling discharge from the vagina
This is because Canesten Pessary may not be the right treatment for you.
If you are unsure whether you have thrush, check with your doctor before using Cenesten Pessary.
What special precautions should be taken?
If you are pregnant or are trying for a baby, tell your doctor before using Canesten Pessary. If you have informed your doctor already, follow his/her instructions carefully. During pregnancy, extra care should be taken when using the applicator.
Before using the pessary, you should see your doctor if :-
You have had more than two infections of thrush in the last six months
You or your partner have ever had a sexually transmitted disease
You are aged under 16 or over 60 years
You have ever had an allergic reaction to Canesten or any other vaginal anti-fungal products.
How to avoid future recurrences:
Wear cotton knickers, and loose clothing
After going to the toilet, wipe yourself from the front to back as a thrush infection may be transferred from the bowel
Change your sanitary protection regularly
Try to avoid wearing tights, nylon knickers and close fitting jeans
Try to avoid washing with perfumed soaps or using vaginal deodorants
Do not wash hard with sponges or flannels and avoid hot baths with strong perfumed oils
If you are still worried, or have any further questions, about the symptoms or the treatment of thrush, do not hesitate to ask your doctor or pharmacist.
What side effects may I experience?
Rarely, the Canesten Pessary may cause side effects in some people. The side effects are very similar to the symptoms of thrush. If the redness, burning, irritation or swelling get worse, see your doctor as soon as possible.As with all medicines, some people may be allergic to the pessary.
Contents: The pessary contains Clotrimazole 200mg
It also contains calcium lactate pentahydrate, maize starch, crospovidone, colloidal anhydrous silica, lactic acid, lactose monohydrate, magnesium stearate, hypromellose and microcrystalline cellulose.