Canesten Thrush Combi Pessary & External Cream

Pack Contents:

• 1 pessary with applicator to treat the cause of vaginal thrush
• 1 tube of soothing double strength cream for relief of external itching and soreness

Canesten Combi Pessary & Cream is a dual-action treatment for vaginal thrush. This pack is designed to treat both the infection inside the vagina and the itching, soreness and irritation on the external genital area. The active ingredient in both the pessary and the cream is clotrimazole, an antifungal medicine that stops the growth of the yeast that causes thrush. The pessary is inserted into the vagina where it releases clotrimazole to tackle the infection at the source, while the external cream delivers clotrimazole to the vulva and surrounding skin to ease discomfort and irritation.  

Active Ingredients (Cream)

Clotrimazole 2%

Other Ingredients (Cream)

Benzyl alcohol, polysorbate 60, sorbitan stearate, cetyl palmitate, cetostearyl alcohol, octyldodecanol, purified water.

Active Ingredients (Pessary)

Clotrimazole 500mg  

Other ingredients (Pessary)

Lactose monohydrate, microcrystalline cellulose, lactic acid, maize starch, crospovidone, calcium lactate pentahydrate, magnesium stearate, colloidal anhydrous silica, hypromellose.

Adults and children between 16 – 60 years old:

• Before using, wash your hands thoroughly.  
• The pessary should be inserted into the vagina, preferably at night using the applicator provided, while lying down so it is comfortable and positioned high within the vagina. 
• The cream should be gently applied to the external genital area two to three times a day and smoothed in.  
• Symptoms should disappear within three days of treatment. Follow the full course of treatment even if symptoms improve quickly.

Pessary is for internal use only. Cream for external use only on the affect genital skin.

Precautions

• Not suitable for children under 16 years old, or adults over 60 years old. 
• Do not use if you are pregnant, trying to conceive, breastfeeding, or outside the recommended age range without consulting a healthcare professional, as this formulation is not suitable in pregnancy.  
• Thrush must be diagnosed previously by a healthcare professional before treatment can be provided.
• You may be refused treatment if you have had more than two infections in the last six months.
• Treatment may be used for thrush in men only if thrush has been caught from a partner.
• Not be used if you are allergic to clotrimazole or any of the other ingredients.  
• Avoid contact with the eyes or mouth. 
• The cream may affect latex contraceptives like condoms or diaphragms and reduce their effectiveness, so alternative protection is advised during use and for several days afterwards. 

Storage

Store below 25°C.

Store in a cool, dry place away from direct sunlight and heat sources.

Keep the tube and pessaries in their original packaging to protect from moisture.

Keep out of sight and reach of children.

Common side effects can include:

• Itching, irritation or burning in or around the vagina after using the pessary or cream
• Redness, rash or swelling at the application site
• Discomfort or lower abdominal/pelvic pain
• Vaginal irritation or minor bleeding during treatment
• External skin irritation (cream) such as redness, stinging or peeling skin.

Uncommon or rare side effects can include:

• Blistering of the skin where the cream is applied
• Serious allergic reactions (e.g., swelling of the face, lips, tongue or throat; difficulty breathing; rash; dizziness)
• Abdominal pain, nausea or other systemic reactions (very rare)

For more information see Patient Information Leaflet.

Including any side effects that are not listed in the patient information leaflet, you can speak to your doctor or pharmacist about. Also, side effects can be reported directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or by searching “MHRA Yellow Card” in the Google Store or Apple App Store. Reporting side effects helps improve the safety of this medicine for yourself and future customers.