Livarol: instructions for use, analogues and reviews, prices in Russian pharmacies. Livarol leaks out. What are Livarol suppositories prescribed for? Correct Application

“Livarol” is a highly effective drug used to treat infectious lesions of the vagina that are caused by a fungus, in particular for the treatment of vulvovaginal candidiasis. Suppositories can be used during pregnancy only after a specialist gives permission and writes out a prescription.

In this article we will look at reviews of Livarol.

Composition and effect of the antifungal drug

The main active ingredient in suppositories is ketoconazole (one suppository contains 400 mg), which belongs to the group of imidazole derivatives. This component has antifungal, fungicidal and fungistatic effects.

The yeast-like fungus of the genus Candida has a very complex structure of cell walls, and therefore not all drugs are able to inhibit reproduction and growth pathogens. The mechanism of action of ketoconazole is due to inhibition of the synthesis of ergosterol and other compounds necessary for the life of the pathogen. Shortage useful substances leads to disruption of the structure and permeability of cell walls. The fungus stops forming colonies and threads, as a result of which it dies. This demonstrates the fungicidal effect of the drug.

In the absence of synthesis of the components necessary for the membrane wall, the vital activity of the yeast fungus of the Candida group is impossible. There are a lot of reviews about Livarol candles.

Significant medicinal properties is that the drug is active against other pathogenic flora - staphylococci, as well as streptococci. It is worth remembering that diseases of the internal and external genital organs are provoked not only by the spread of fungal flora, but also by bacterial flora. But thanks wide range the effects of ketoconazole do not require the use of two different drugs, because it will be sufficient to use only antifungal suppositories.

Suppositories in their composition have a so-called polyethylene oxide base, which is capable of dissolving at body temperature, after which it envelops the mucous membrane, while providing medicinal effect ketoconazole. During this process, the tissues gradually begin to clear themselves of accumulated pathological exudate.

While taking Livarol, according to reviews, there is an occurrence of liquid discharge. This does not apply to pathologies, it’s just that in this way the polyethyl oxide base is removed along with the pathological exudate.

Indications for use of the drug

Vaginal suppositories "Livarol" are prescribed for the treatment of acute and chronic forms of thrush (vaginal candidiasis). This medicine is also used for reduced immunity to prevent the development of fungal infections. Also a drug for thrush in for preventive purposes used after a long course of treatment antibacterial agents, capable of providing negative impact on female microflora.

The price and reviews of Livarol are of interest to many.

Use during pregnancy

The development of vaginal candidiasis during pregnancy comes as an unpleasant surprise to many women. This happens due to hormone imbalances and decreased protective functions body. When microflora favorable for the fungus appears, its rapid reproduction begins. The first signs of candidiasis include cheesy discharge and itching. If such symptoms occur during pregnancy, the obstetrician-gynecologist, as a rule, prescribes the use of Livarol suppositories. The use of an antifungal agent is contraindicated in the first trimester of pregnancy, since there is a high risk of various pathologies in the fetus. That is why Livarol suppositories during pregnancy, according to reviews, are prescribed in the second trimester.

In the third trimester, use does not have any teratogenic effect on the child, so the risk of developing pathologies in the fetus is minimal. Any specific features of using antifungal suppositories during pregnancy should be clarified with your doctor, who may prescribe a separate treatment regimen for the 2nd and 3rd trimester.

Sometimes the treating gynecologist may prescribe the use vaginal suppositories during the third trimester of pregnancy (immediately before childbirth) to sanitize the birth canal.

This is confirmed by the instructions and reviews attached to Livarol.

Instructions for use

If the attending physician has not prescribed any individual treatment regimen, then the suppositories should be used according to the instructions for use. The developers of the drug recommend using suppositories immediately before going to bed. To do this, the medicine must be removed from the package and inserted deep enough into the vagina. This procedure should be carried out in a lying position. After which you must not get up for at least half an hour. How is Livarol used, according to reviews?

Vaginal suppositories should be used one per day. The duration of treatment depends on the diagnosis, but in general the course of therapy should be at least five days. To treat the chronic form of vaginal candidiasis, the course of treatment is extended to 10 days.

To achieve maximum effective treatment the course should not be interrupted even during menstruation. Dermatologists believe that the drug "Livarol" does not lose its therapeutic effect during menstruation and has a beneficial effect on the vaginal mucosa. Vaginal suppositories have the advantage of having an oil base, which allows the drug to be administered deeply enough. Due to its successful composition, the drug is distributed evenly in the vaginal mucosa, which ensures good therapeutic effect candles during menstruation.

Reviews of “Livarol” for thrush confirm this.

Side effect of the drug

Ketoconazole shows its toxic effect on the body, as a rule, only when oral administration. As part of an antifungal drug, this substance is practically unable to enter the general bloodstream, as a result of which it does not have a negative effect.

At the moment, the effect of ketoconazole in suppositories on the development of pregnancy is not fully known. This is because clinical studies have not yet been conducted on the effects of this substance on the body of this group of consumers. But still, you should not forget that when using Livarol, according to reviews, the following are possible: side effects:

• toxic effect on cellular structure liver;
• dysfunction gastrointestinal tract(diarrhea or constipation, flatulence, severe nausea and gagging);
• various disorders nervous system(excessive excitability, lethargy, headaches, anxiety).

Several cases of increased intracranial pressure against the background of drug use.

If there are any adverse reactions, then you should immediately contact your doctor, who will be able to select the optimal treatment regimen.

Contraindications

Antifungal vaginal suppositories "Livarol" cannot be used in the following cases:

Precautionary measures

When starting to use Livarol vaginal suppositories, it is necessary to take into account the risk of undesirable consequences for the sexual partner. During the practice of unprotected sexual intercourse, a man may develop an allergy to the main component of the drug.

In order to minimize the risk of recurrence of infection, it is necessary for both partners to undergo antifungal therapy at the same time.

Also, during the course of treatment with Livarol, it is necessary to abstain from alcohol and alcohol-containing medications, because their use can cause unforeseen consequences. Ethanol and ketoconazole are antagonists.

Price

The drug can be purchased at a pharmacy for 400-500 rubles. Cost may vary slightly. The product is sold without a prescription.

Livarol is a topical antifungal drug made from Imidazoledioxolane derivatives. Active ingredient: Ketoconazole. The drug has a fungistatic and fungicidal effect, the mechanism of which inhibits the biosynthesis of ergosterol and changes the lipid composition of the fungal membrane.

The drug is active against most strains of dermatophytes and yeast fungi (especially the genus Candida), as well as against staphylococcal and streptococcal microflora. Thus, the drug has two therapeutic effects at once: antimycotic and antibacterial.

In this article we will look at why doctors prescribe Livarol suppositories, including instructions for use, analogues and prices for this drug in pharmacies. Real REVIEWS People who have already used Livarol can be read in the comments.

Composition and release form

Dosage form - vaginal suppositories: from white to white with a yellow, gray or cream tint, have a torpedo shape with possible marbling of the surface (5 pcs each in a strip pack, a cardboard pack of 1 or 2 packs).

• The active ingredient of Livarol is ketoconazole, 400 mg in 1 suppository.

Clinical and pharmacological group: antifungal drug for topical use.

What does Livarol help with?

Most often, Livarol is prescribed for thrush. But there are other ailments for which doctors use Livarol suppositories:

1. Violation of the vaginal microflora for various reasons (also during pregnancy);
2. Acute candidiasis, that is, thrush. This disease progresses very rapidly and its distinctive feature is white vaginal discharge and other symptoms;
3. Chronic thrush. It has periods of remission and exacerbation;
4. As a prevention of thrush when using antibacterial agents together.

The drug can also be used after transfer infectious disease, which reduces immunity, as a prophylactic against thrush.

pharmachologic effect

Livarol suppositories are an antifungal drug from the group of imidazoledioxolane derivatives for topical use. It has a fungicidal and fungistatic effect, the mechanism of which is to inhibit the biosynthesis of ergosterol and change the lipid composition of the fungal membrane.

Active against dermatophytes Trichophyton (Trichophyton spp.), Epidermophyton (Epidermophyton floccosum), Microsporum (Microsporum spp.) and yeast Candida (Candida spp.), Fitosporum (Pityrosporum spp.).

The drug is also active against Staphylococcus (Staphylococcus spp.) and Streptococcus (Streptococcus spp.).

Instructions for use

The drug is used intravaginally. The most convenient position for administering the suppository is lying on your back. It is necessary to first release the suppository from the contour packaging and insert it deep into the vagina.

• The duration of treatment depends on the course of the disease. As a rule, 1 suppository is used for 3 to 5 days. If the result is not achieved, the treatment is repeated. Application continues until clinical recovery, confirmed by laboratory tests.
• The use of the drug lasts for 10 days with chronic candidiasis, using 1 suppository per day.

Starting from the 4th month of pregnancy and during breastfeeding, the doses and route of administration are usual.

Contraindications

The drug should not be used in the following cases:

• contraindicated for children under 14 years of age;
• nursing mothers;
• Pregnancy for more than 2 months (permissible with doctor's permission).

During pregnancy, the drug should be used with caution. You can also choose analogues of medications that do not affect the fetus.

Side effects

During therapy, the following side effects may develop:

1. Allergic reactions: urticaria, skin rash;
2. Local reactions: vaginal itching, irritation and hyperemia of the vaginal mucosa.

Pregnancy and lactation

The drug is contraindicated in the first trimester of pregnancy. When using the drug in the second and third trimesters of pregnancy and lactation, caution should be exercised.

Analogues

TO structural analogues Livarol includes the following drugs:

• Ketoconazole;
• Mycozoral;
• Nizoral;
• Sebozol.

Other medicines with similar therapeutic effect- suppositories Ornisid, Flagin, Candide, Sertaconazole. From this list of drugs, the doctor can choose a cheaper analogue.

Prices

The average price of LIVAROL, suppositories in pharmacies (Moscow) is 450 rubles.

Conditions for dispensing from pharmacies

The drug is approved for use as a means of OTC.

Livarol (pharmacologically active substance- ketoconazole) is an antifungal drug for topical use, which is a derivative of imidazoledioxolane. It has a fungicidal (i.e., destructive to fungi) and fungistatic (slowing down their growth and development) effect, which is due to the ability of the drug to suppress the biosynthesis of ergosterol and change the lipid component of fungal cell membranes. Livarol exhibits its activity against dermatophytes (Microsporum spp., Epidermophyton floccosum, Trichophyton spp.) and yeast fungi (Candida spp., Pityrosporum spp.). The drug is also effective against some bacteria, including Staphylococcus spp., Streptococcus spp. and corynebacteria. Among the important pharmacokinetic characteristics of livarol, its low systemic absorption should be noted: when used intravaginally, the drug is practically not absorbed into the systemic circulation, which has a beneficial effect on its safety profile. The drug is produced in the form of vaginal suppositories, where, in addition to ketoconazole, excipient includes a polyethylene oxide base that moisturizes the vaginal mucosa and improves interaction active substance preparation with vaginal epithelial cells. Before use, the suppository should be released from the contour packaging. Livarol is administered deep into the vagina, which is more correct to do while in horizontal position. The frequency of administration is 1 time per day, the duration of the drug course is 3-5 days, depending on the observed therapeutic effect and the nature of the disease. For chronic candidiasis, use 1 suppository per day, the duration of treatment is 10 days. Unlike the first trimester of pregnancy, its second and third trimesters are not direct contraindications to the use of livarol, however, during this period the drug should be used with extreme caution. The same applies to breastfeeding women, as well as girls under 12 years of age.

The drug has minimal side effects. It is curious that to some extent it can threaten the sexual partner of a woman using livarol: there have been cases allergic reactions, expressed by hyperemia of the penis. To reduce the risk of relapse, the sexual partner must also undergo treatment. It is important that Livarol combines well with other medicines: no cases of undesirable pharmacological interaction have been noted and it is practically excluded due to the fact that ketoconazole in the form of vaginal suppositories is not absorbed into the systemic circulation. Livarol is available from pharmacies without a prescription, making it available for use as part of responsible self-medication.

One of the indications for the use of livarol is vulvovaginal candidiasis, one of the most common diseases of the urogenital tract in women. In the treatment of vulvovaginal candidiasis, both systemic and intravaginal antifungal agents are used, and the latter have a number of advantages, the most important of which is the ability to create high therapeutic concentrations active component with a minimal degree of absorption into the systemic circulation. Given the widespread prevalence of vulvovaginal candidiasis and its impact on the quality of life of patients, clinicians are interested in finding new effective antifungal drugs that have a favorable safety profile and are available to the general population. One such drug is livarol, which has been demonstrated in clinical trial of this drug in the mycological clinic of St. Petersburg MAPO. After a course of treatment, including taking 1 suppository of livarol for 5 days, the curability of patients with vulvovaginal candidiasis was 100% (immediately upon completion of the drug course) and 96% (5 days after it). No undesirable side effects were noted during the study.

Pharmacology

An antifungal drug from the group of imidazoledioxolane derivatives for topical use. It has a fungicidal and fungistatic effect, the mechanism of which is to inhibit the biosynthesis of ergosterol and change the lipid composition of the fungal membrane.

Active against dermatophytes (Trichophyton spp., Epidermophyton floccosum, Microsporum spp.) and yeast (Candida spp., Pityrosporum spp.).

Also active against Staphylococcus spp. and Streptococcus spp.

Pharmacokinetics

Systemic absorption during intravaginal use of the drug Livarol ® is insignificant.

Release form

Vaginal suppositories are white, white with a yellowish or grayish, or creamy tint; torpedo-shaped; Marbling of the surface is allowed.

Excipients: butylated hydroxyanisole - 500 mcg; base for suppositories: macrogol 1500 (92-98%), macrogol 400 (8-2%) to obtain a suppository weighing 3.0 g.

5 pieces. - contour cellular packaging (1) - cardboard packs.
5 pieces. - contour cell packaging (2) - cardboard packs.

Dosage

Before using the drug, vaginal suppositories should be removed from the contour packaging.

Suppositories are inserted deep into the vagina in a supine position 1 time/day for 3-5 days, depending on the course of the disease.

For chronic candidiasis, 1 suppository is prescribed for 10 days.

Overdose

Data on overdose of the drug Livarol ® are not provided.

Interaction

When using Livarol with other drugs, no undesirable interactions have been observed, and they are unlikely due to the low resorption capacity of ketoconazole.

Features of application

Use during pregnancy and breastfeeding

The drug is contraindicated in the first trimester of pregnancy.

When using the drug in the second and third trimesters of pregnancy and lactation, caution should be exercised.

Use in children

The drug should be prescribed with caution to children under 12 years of age.

special instructions

IN in rare cases allergic reactions (hyperemia of the penis) in the sexual partner are possible.

Patients who know firsthand what vaginal candidiasis is, quite often medicinal purposes Livarol suppositories are used for thrush. The product is relevant for both treatment acute pathology, which arose for the first time, and for chronic recurrent manifestations of the disease.

Features of the composition

The main active ingredient in Livarol suppositories for thrush is ketoconazole. The antimycotic effect of the drug is based on disrupting the elastic molecular structure of fungi and creating conditions that prevent their development.

Ketoconazole, as an antifungal agent, has activity against fungi that feed on keratin, yeast fungi (in particular the genus Candida), dimorphic and higher fungi. In addition, it is active against staphylococcal and streptococcal bacteria. Systemic absorption of the drug after vaginal administration is small. The base of Livarol suppositories is polyethylene oxide (not oil).

Indications for use

The use of Livarol is appropriate in the following cases:

• therapy for vaginal candidiasis occurring in acute stage or having chronic course with frequent relapses of thrush;
• for preventive purposes of vulvovaginal candidiasis, which can occur against the background of reduced body resistance to pathogenic microorganisms and after the use of antibacterial therapy or cytostatics that significantly disrupt the normal microflora of the vagina.

Livarol for thrush already in a few days helps relieve unpleasant acute symptoms, which greatly affects the quality of life of a woman who is faced with such a nuisance for the first time, or when manifestations of this disease occur quite often in her life. When vaginal candidiasis has developed, patients often consult a doctor with complaints such as:

• strong and unbearable itching in the perineum and vagina;
• discharge that resembles cottage cheese in its consistency;
• painful sensations during sexual intercourse.

In this case, before prescribing Livarol, a competent specialist will refer the patient to undergo a smear test for microflora. Such an analysis will not only help make sure that it is really thrush and not some other sexually transmitted infection, but will also show how this type mushrooms are sensitive to certain drugs.

Features of application

Livarol for thrush is used intravaginally. The duration of treatment is 3-5 days. 1 suppository is inserted deep into the vagina before bed. Livarol suppositories have quite detailed instructions for use for thrush. For those who haven't used it before vaginal suppositories, it will not be difficult to do everything according to the recommendations contained in the annotation included in the box with candles.

Suppositories are packaged in contour packaging. Each candle has “wings”, by stretching which you can easily remove it. The suppository is torpedo-shaped. It begins to melt very quickly in your hands, so all manipulations must be carried out dynamically. Experienced gynecologists recommend washing your hands before inserting suppositories. cold water, this way you can extend the shelf life of the dosage form.

Livarol can be administered standing or lying down. Women often prefer to do this in a horizontal position on their back with their legs slightly tucked. The suppository should be inserted as deep into the vagina as possible. Since under the influence of body temperature it begins to melt and wash out the contents of the vagina, it is better to use a pad or cotton diaper so as not to stain the underwear.

“Even if after 2-3 suppositories a woman feels significant relief, then it is not worth interrupting treatment, since the disease will not be fully cured and will become chronic.”

Contraindications and side effects

The use of Livarol suppositories for thrush is not permissible early pregnancy and if hypersensitivity to ketoconazole or other imidazole derivatives and auxiliary components included in this drug.

The drug is usually well tolerated by women, but in rare cases the following symptoms may appear:

• congestion of blood vessels circulatory system vagina;
• increased sensitivity of the vaginal mucosa;
• itching of the external and internal genital organs;
• itching and rashes on skin not at the injection site (allergic manifestation).

For candidiasis in pregnant women in the second half of their term and in girls under 12 years of age, the drug is used with great caution after prior consultation with the attending physician.

The drug is considered quite safe and highly effective, so for many women it doesn’t matter how much Livarol costs. They are convinced of its effectiveness and, despite the fact that this drug is not the cheapest, they often give it preference.

Advantages of the drug

Women who have successfully treated thrush with Livarol note the following benefits:

• The pronounced effect is achieved due to the fact that it creates high concentration active substance.
• Due to the fact that the drug is injected directly into the pathological focus, the therapeutic effect occurs quite quickly.
• Absorption of ketoconazole during local application insignificantly, so the patient can count on a minimum number of adverse reactions.
• Livarol suppositories are convenient to use. There is no need to store them in the refrigerator.
• Complete relief from obsessive symptoms occurs within 3-5 days.

Vaginal suppositories can be used for treatment only by women, but to prevent relapse, her sexual partner is also recommended to be treated using a different dosage form.

The following actions will help protect yourself from the recurrence of thrush:

• Preferably wear cotton underwear to allow the body to “breathe.”
• In a warm, humid environment, the fungus develops dynamically, so you should avoid wearing a wet swimsuit for long periods of time.
• After hygiene of the external genitalia, use only your own personal towel, since wet cloth may persist infection.
• To avoid introducing bacteria from the anus to the vagina, you need to use a front-to-back motion when wiping.
• Do not use products that irritate the skin around the vulva (bath oils, hygiene sprays and powders).
• Consume sweets only in moderation, because if they are abused, the pH of the vagina may change, which will contribute to the activation of the Candida fungus.
• Try to include fermented milk products with lactobacilli in your diet every day.
• Against the background of ongoing antibacterial therapy, antifungal drugs and probiotics should be taken for preventive purposes.
• During treatment for vulvovaginal candidiasis, you should abstain from sexual intercourse.

In addition, after a thrush has been cured with Livarol, a woman should definitely begin to restore the vaginal microflora.

Another treatment approach

Many modern women often encounter repeated manifestations of chronic vaginal candidiasis. The reason for this is the disturbed microflora in the vagina. If in the treatment of thrush you always focus only on antimycotic drugs in the fight against saprophytic microflora, then you will achieve persistent positive result will not work.

“The fungus of the genus Candida, when present in small quantities, is necessary to maintain women's health. It regulates many metabolic processes in the mucous membranes of the vagina. Therefore, when the body tries to regain the lost balance after complete destruction of the fungus, then infectious process is coming back."

After experiencing thrush, the body needs complete recovery. The patient should pay attention to the following aspects:

• normalization of the natural flora of women reproductive organs;
• restoration of the natural flora of the digestive tract;
• increase in overall vitality and the body's defenses.

If done under the supervision of a qualified gynecologist and when used integrated approach, then you can count on full recovery after the experience primary disease thrush or another exacerbation of chronic pathology.

Restoration of microflora without drugs

Against the background of current thrush, the pH of the vagina changes greatly, and this contributes to the attachment of a secondary bacterial infection. Therefore, upon completion of taking Livarol in suppositories, it is imperative to take a vaginal smear to check the current state of the microflora.

If any pathogen, then carry out additional antibacterial therapy, and after that they begin to directly restore the microflora of the female reproductive organs after candidal vaginitis.

During this period, it is important to adhere to the following recommendations:

• devote Special attention maintaining personal hygiene;
• change underwear every day;
• perform douching with serum or solution of Lactobacterin;
• try to enrich your diet fermented milk products(kefir, yogurt, fermented baked milk, cottage cheese);
• eat at least 0.6 kg of fresh fruits and vegetables every day that promote reproduction beneficial bacteria in the intestines;
• devote enough time to rest, get good sleep (at least 7-8 hours a day);
• spend more time on fresh air, lead active image life.

If preventive actions thrush does not justify itself, then especially severe cases the doctor selects pharmacological preparations to restore microflora. Selection therapeutic tactics occurs depending on the results of the smear analysis.

Medication-assisted recovery

If vaginal dysbiosis is severe, the patient may be prescribed probiotics and prebiotics. Probiotics are bacteria normal microflora organisms that are able to restore the natural microflora of organs (vagina, intestines), as well as have a detrimental effect on pathogenic bacteria and microorganisms that can cause diseases under certain conditions.

Prebiotics are substances that are not absorbed into small intestine, but create favorable conditions and stimulate the growth of normal microflora of the large intestine.
Probiotics do not always involve oral intake. To eliminate vaginal dysbiosis after thrush, vaginal medications are widely used:

• Gynoflor;
• Ecovag;
• Bioselac;
• Vagilak;
• Laktogin.

The listed drugs will be effective if, along with thrush, the woman does not suffer from cervical erosion, since it is on the epithelial surface that a favorable environment is formed for the dynamic reproduction of lactobacilli. The biological product Vaginorm C, which successfully restores vaginal dysbiosis, is very popular among gynecologists.

If a serious violation of the epithelial cover has occurred, then first they are engaged in restoration inner shell vagina, and then fill it with bacterial cultures. Sometimes such patients are prescribed suppositories with bifidumbacterin and lactobacterin. A biocomplex can also be used - Normoflorin B or L, depending on the result of a smear analysis for microflora.

Therapy after antibiotics

Quite often, thrush occurs in women after antibiotic therapy. But in this matter the following points should be taken into account:

• antimycotic therapy in this case is not a priority;
• if the thrush was not advanced, then every effort must be made to restore the microflora of the female reproductive organs;
• They are required to strengthen the immune system (Arbidol, Galavit, Immodin).

Even while taking antibiotics, you can protect yourself from the development of dysbiosis of the vagina and intestines by taking Bifiform, Yoghurt capsules, and Hilak drops. They promote the proliferation of beneficial microflora and are good prophylactic agents that prevent the growth of Candida.

If thrush appears after treatment with antibiotics, then it must be eliminated under the supervision of a specialist and strictly following his recommendations. You need to get tested all the time. They begin therapy with probiotics, but if there is no improvement within 48 hours, then they resort to prescribing antifungal drugs in the form of suppositories like Livarol or vaginal tablets.

Treating thrush by choosing your own medications can be long and painful. But such therapy in most cases will be ineffective and dangerous; the disease may become chronic. Livarol with all of it positive characteristics It doesn't help in all cases, so the right approach in self-medication is to seek help as soon as possible medical care see an experienced gynecologist.

The drug "Livarol" belongs to the group of antimycotic substances (i.e. antifungal). The composition includes the substance ketoconazole, which is active against several types of fungi that infect a woman’s vagina.

This drug is produced in the form of vaginal suppositories, which contain 400 mg of active substance. The package contains 5 and 10 candles. Each candle is torpedo-shaped, white or cream in color, with a marble surface available.

Description

Vaginal suppositories for thrush "Livarol" have a detrimental effect on fungal infection female vagina, inhibiting the formation of certain substances on the surface of the fungus and changing the composition of its shell. It has an effect on fungi that belong to dermatophytes (trichophytes, microspores and epidermophytes) and yeasts (candida, pitirospores). They also partially perform the action of an antibiotic, affecting streptococci and staphylococci.

Indications for use

Livarol suppositories are used to treat thrush. This drug is used in cases such as:

• Acute candidiasis (thrush) of the vagina. This is a rapidly progressing disease with white discharge and the presence large quantity other symptoms.
• Chronic thrush, which has periods of exacerbation and remission (attenuation of the process for a while).
• As a preventive measure for the occurrence of thrush when using antibacterial drugs.
• Prevention of candidiasis after an infectious disease that significantly reduces immunity.
• Disturbance of the vaginal microflora various reasons(including during pregnancy).

Contraindications to the use of the drug

The drug is of such high quality that it has virtually no contraindications. However, if you have allergic reactions to ketoconazole or other components of the suppositories, it is better not to use it. Livarol during pregnancy can be used only from the 12th week, when the main organs and organ systems of the fetus are formed.

Livarol suppositories should be used with caution if you have thrush if:

• The patient's age is less than 12 years.
• Pregnancy after 12 weeks. Used after consultation with a specialist.
• When breastfeeding. The use of suppositories is possible only after consultation with a gynecologist.

Overdose and side effects

Cases of overdose with suppositories have not been reported and have not been clinically studied.

Side effects from the drug: possible itching and burning in the vaginal area, redness of the mucous membrane in this area and signs of irritation, which the gynecologist detects when examined in the mirrors. Skin rashes and hives (red spots on the skin that itch) may also occur. In more rare cases, nausea and dizziness may occur, as well as pink discharge from the vagina.

Instructions for use of "Livarol"

Suppositories are used in the treatment of fungal diseases of the vagina in women. To begin treatment, you need to release the candle from the packaging by pulling 2 edges. After extraction, lying on your back, a suppository is inserted deep into the vagina. It is better to do this before going to bed and not to get up after administration. Because the candle melts and can flow out in a vertical position.

When using suppositories, you must adhere to the following instructions for use: administer 1 suppository once a day. The course of treatment in mild cases of the disease should last 3-5 days, in severe cases chronic forms- 10 days.

For pregnant women and during lactation, dosages are not reduced and the course of treatment is not shortened.

If necessary, the drug can be used during menstruation. However, menstruation slightly reduces the length of time the suppository remains in the vagina, washing it out.

Along with a woman’s treatment, her sexual partner should also receive therapy to avoid reinfection. For men there are antifungal drugs in the form of an ointment or cream. When severe defeat, both women and men are required to take antifungal tablets in parallel.

special instructions

Livarol suppositories during pregnancy, as well as when breastfeeding, should be prescribed only by a gynecologist and under his supervision. If any unwanted effects the drug must be discontinued.

Drinking alcohol does not affect the effectiveness of the drug.

During menstruation or other bloody discharge from the vagina the drug can be used in case of severe severe symptoms diseases. In other cases, it is better to wait until the end.

Analogues of "Livarol"

The drug Livarol has the following analogues: Ketoconazole, Mycozoral, Nizoral, Mycoquet, Oronazole. An annotation with a description of each of these drugs is usually included in the package.

Livarol candles have a very affordable price.