Canesten Combi Pessary & Cream Clotrimazole

• The pessary: use it at bedtime. Load it into the applicator, and lying on your back with your knees bent, insert the applicator as deeply as is comfortable, then press the plunger slowly until it stops. Remove and dispose of the applicator, and wash your hands. Some white residue the next day is normal.
• The cream: apply a thin, even layer to the area around the entrance of the vagina, two or three times a day, for as long as the itching and soreness last.
• One pessary is the full internal course. Your symptoms should settle within about three days.
• If a partner has symptoms, the cream can be used on the penis for up to two weeks.
• If you are no better after 7 days, see your doctor.

Safety information

Who should not use it

Do not use this product if you are allergic to clotrimazole or any of the ingredients, during your period, or during the first three months of pregnancy.

Warnings & precautions

Clotrimazole damages latex - it can reduce the effectiveness of condoms and diaphragms, so use another form of contraception for at least five days after treatment. Avoid sex while you are being treated, and do not use tampons, spermicides or other vaginal products at the same time. See your doctor rather than treating this yourself if this is your first episode of thrush, if you are unsure it is thrush, if you have had more than two episodes in the last six months, if you are under 16 or over 60, if you have had a sexually transmitted infection or been exposed to one, or if you have any abnormal bleeding, blood-stained discharge, ulcers, blisters or sores, a foul-smelling discharge, pain passing urine, lower tummy pain or a fever. Do not use it during your period.

Pregnancy & breastfeeding

Do not use it in the first three months of pregnancy. Later in pregnancy use it only on the advice of your doctor or midwife, and tell them you are pregnant as the applicator may not be suitable. The Irish leaflet advises stopping breastfeeding for the duration of treatment - talk to your pharmacist if that applies to you.

Possible side effects

Mild burning or irritation just after use is the commonest, and usually settles. Vaginal discomfort, redness, swelling, itching, peeling skin, light bleeding or lower tummy pain can occur. Stop using it and get medical help straight away if you develop a rash, swelling of the face or throat, difficulty breathing or feel faint.

Always read the label

This is a medicine. Always read the label and patient information leaflet before use. If symptoms persist, talk to your doctor or pharmacist.

The pessary contains clotrimazole 500mg and lactose monohydrate. The external cream contains clotrimazole 2% w/w.

Canesten Combi Pessary & Cream Clotrimazole - Patient Information Leaflet