The human body contains bacteria and fungi (Candida, yeast, yeast-like, etc.), which, in immunodeficiency states, begin to multiply, causing illness. At the initial stage, such a lesion can be easily treated with antimycotics (antifungal drugs), of which Pimafucin is recognized by medicine as one of the most effective.
Description of the drug
Pimafucin cream is produced in a tube made of plastic or aluminum, which contains 30 g of the drug. The main active ingredient is natamycin, an antibiotic of organic origin with a fungicidal effect from the group of polyene macrolides. It is obtained by cultivating the bacteria Streptomyces natalensis and is used both in medicine and in food production, using it as a preservative.
The composition also includes cetostearyl alcohol, wax, propylene glycol, purified water and other excipients. The color of the drug varies in several shades of white and yellow.
Symptoms and signs of male thrush
Most often, thrush in men appears in the form of balanoposthitis, which means inflammation of the foreskin and glans penis. In this case, the head of the penis becomes swollen, red, and irritation and pimples may appear on it. At the same time, the man also often feels severe itching and burning, and whitish discharge often occurs from the penis. After a certain time, a white coating begins to appear on the genitals, which resembles curdled milk.
In the area of the glans penis, the process of inflammation can lead to impaired urination , or more precisely the appearance of painful micturition and pain during sexual intercourse. This situation requires immediate treatment. In these situations, the urologist prescribes antifungal agents to the person, among which Pimafucin cream has become widespread.
At the first stage of the disease, only local treatment is possible. When the infection process has progressed or become chronic, it is also necessary to use antifungal agents internally (for example, medications that contain fluconazole or Pimafucin tablets).
pharmachologic effect
By acting on the membranes of fungal cells, natamycin disrupts their integrity, which leads to the death of microbes. The fungi Candida albicans have increased sensitivity to the substance; dermatophytes have the lowest threshold for damage.
Even with long-term use, the drug does not cause addiction from fungal microflora - this is evidenced by the results of clinical trials.
Another feature of Pimafucin is the absence of systemic effects. This is due to the fact that natamycin is almost not absorbed when applied to the skin or mucous membranes - if they are in an intact state.
Indications and contraindications
Pimafucin ointment can be used by men and women for the treatment and prevention of lesions caused by fungi with proven sensitivity to natamycin. These pathologies include:
- infectious diseases of the mucous membrane and skin lesions;
- vulvitis, vulvovaginitis, balanoposthitis, when their causative agents are fungal microorganisms;
- candidiasis pathologies of nails and skin;
- initial or complicated otitis of the external auditory canal;
- dermatomycosis - fungal infections of the skin.
Pimafucin cream for women is usually recommended for use when diagnosed with thrush. The disease is fungal in nature and can appear during periods of decreased levels of general immunity caused by other diseases or weakening and overwork of the body.
For men, Pimafucin cream can be used as a prophylactic or therapeutic agent for the diagnosis of “balanoposthitis” - an inflammatory disease of the genital organs. But only when the fungal nature of the disease is established.
In case of severe symptoms of the disease or a complicated course, additional use of Pimafucin suppositories and tablets is possible.
During menstruation, cream, like suppositories, is not used if the affected area is located directly in the genital area. During the treatment period, it is allowed to use protective barrier agents during sexual intercourse.
Use during pregnancy
The official instructions allow the use of Pimafucin when carrying a child, not only in the form of a cream, but even in the form of suppositories:
- during pregnancy, Pimafucin suppositories are approved for use in the first trimester, since the drug does not have a systemic effect and does not enter the blood of the expectant mother;
- During pregnancy in the second trimester, not only Pimafucin suppositories, but even tablets of the same name are approved for use - this indicates a high degree of safety of the drug.
But even with obvious signs of thrush during pregnancy, Pimafucin should be used only after the nature of the pathogen has been established.
Contraindications
The only contraindication for use in both men and women may be individual intolerance. The drug is usually well tolerated by patients. The facts speak about its maximum safety: Pimafucin can be used during pregnancy and lactation, in the treatment of children (even newborns).
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Acceptable side effects include the following symptoms: slight burning, redness, irritation. In most cases, such manifestations disappear after 2-3 days.
Thrush in men: General information
In men, physiologically, the genital organs are designed in such a way that during urination, all bacteria and fungi come out of the urethra with urine. Therefore, in the male body, Candida fungi and other infections take root much more difficult, unlike the female body . It is for this reason that, as a rule, representatives of the stronger sex do not notice any signs of diseases in the intimate sphere.
Thrush itself in men most often goes away without any discomfort. But when the immune system is weakened or there is a concomitant infection in the body ( trichomoniasis, chlamydia, ureaplasmosis ), then Candida can bring a man many troubles, which usually manifest themselves in the form of:
- the appearance of acne;
- redness;
- burning sensation in the genitals.
In this case, the man is recommended to undergo a thorough and comprehensive examination by a doctor for the presence of STIs, take smears from the urethra for infections and flora, and, if necessary, take a sperm culture and prostate juice. , the urologist prescribes Pimafucin cream for topical use as a very effective and common drug for combating thrush in men .
Instructions for use
How often the drug is used and in what quantities depends entirely on the nature of the disease:
- Vulvitis, balanoposthitis
. The cream is applied to the affected areas from 1 to several times a day, depending on the severity of the symptoms. - Dermatomycoses
. The affected areas (skin, nails, diaper rash in children) are lubricated with cream up to 4 times a day. - Mycosis with external otitis
. A small amount of ointment is applied to the previously cleaned affected area of the ear canal, after which a wool or cotton turunda is inserted into the ear.
In each specific case, the duration of treatment is determined by the effect obtained from the treatment. If the course of the disease is favorable, the course is 1-3 weeks.
Even after the symptoms have completely disappeared, it is recommended to continue treatment for several more days.
One of the advantages of the drug is its possible combination with other medications, with the exception of antimycotic ones. Like most medications, Pimafucin cannot be used beyond its expiration date - after 2 years. It must be stored at a temperature no higher than +25°C.
Pimafucin ointment and cream for men: Instructions, composition, how to apply
Pimafucin cream 2% is used to treat men's outer integument. It is produced in aluminum tubes of 30 grams. The color of the drug can vary from light yellow to white. For easy and quick distribution of the product, the cream contains:
- wax based on cetyl esters;
- propylene glycol;
- sodium lauryl sulfate;
- decyloleate;
- cetostearyl alcohol;
- propyl parahydroxybenzoate;
- methyl parahydroxybenzoate.
To combat thrush, you need to thoroughly treat the head of the penis with cream up to four times daily . The duration of treatment is determined by the doctor, taking into account the individual characteristics of the person. The duration of therapy may vary and depends on the severity of candidiasis. There is no need to complete treatment as soon as the symptoms stop appearing. It is necessary to use the drug on the affected areas for a few more days for preventive purposes.
Pimafucin tablets are used for the development of intestinal candidiasis and the protracted course of the disease. Since the product has an exclusively local effect and is not absorbed into the blood, the effect occurs only on infected mucous membranes. The regimen and dosage of taking the tablets is determined by the doctor. Use Pimafucin one capsule up to 4 times a day , taking into account the doctor’s recommendations. If the dosage is correctly determined and the tablets are taken in accordance with the instructions, then there are no side effects.
The instructions indicate that treatment with Pimafucin ointment for men is prescribed for no less than 2 weeks, regardless of the form of the drug. When a person’s condition does not improve after 5 days of treatment, or severe side effects appear, then you need to consult a doctor and supplement the treatment with tablets or replace the antibiotic.
In the case of candidiasis, which affects a woman’s body, Pimafucin cream is usually used according to the same scheme. The duration of the course varies from 10 days to 2 weeks , depending on the general condition of the woman and progress in changing the pathological condition for the better. It is also recommended to use a medicinal cream after performing a home douching procedure, which is part of the treatment for a fungal infection.
The instructions also indicate how to use Pimafucin cream for men who have sexual intercourse. There is no need to avoid sexual intercourse, but it is advisable for both partners to fight candidiasis. When treating any genital lesion, it is advisable to use a condom.
Important : Any creams for candidiasis are effective drugs that can quite successfully cope with their main task. But the effectiveness of treatment can only be expected in a situation where thrush has manifested itself in an isolated case and resolves in an acute form of the disease. But the use of topical drugs at the chronic stage of candidiasis will be inappropriate. Although this medicine will relieve the symptoms of the disease, it will not be able to categorically affect male thrush. As a result, the infection will move inside the body and, most likely, the infection will spread to other organs.
As a rule, candidiasis in men goes away, patients do not always seek help from a doctor, and the infection can spread to the internal genital organs . Thrush in men most often develops with hidden urological or sexually transmitted diseases, which lead to a decrease in the immune system.
Women can also use Pimafucin cream for thrush, but vaginal suppositories are best for them. But thrush in girls and young girls is treated with a cream; a thin layer of it is applied to the infected part of the genitals 1-2 times a day until the clinical symptoms of the disease disappear and a couple of days after they disappear.
Analogues and substitutes
Two groups of drugs have a similar effect:
- with the active substance natamycin: Primafungin, Ecofucin, Natacin, Natamax, etc.;
- with antifungal effect.
In case of intolerance to the components of Pimafucin or its absence in the pharmacy network, the following drugs can be used that have a similar effect in treatment:
| Name | Dosage form | Active substance | Indications for use |
| Fluconazole | Capsules, syrup, solution for infusion | Fluconazole, synthetic substance | Skin mycoses, genital lesions, systemic candidiasis, fungal diseases of the mucous membrane |
| Irunin | Capsules, solution for internal use | Itraconazole, a substance with antifungal activity | Fungal skin lesions, vulvovaginal candidiasis, tropical mycosis, histoplasmosis, pityriasis versicolor, etc. |
| Nystatin | Suppositories, ointment, tablets | Nystatin, a polyene antifungal agent | Treatment and prevention of candidiasis of the skin and vagina, mucous membranes, gastrointestinal tract |
| Mikosist | Capsules, solution for infusion | Fluconazole | Cryptococcosis, candidiasis (generalized, mucous membranes, genital, skin), prevention of fungal diseases |
| Livarol | Vaginal suspositories | Ketoconazole | Treatment and prevention of acute and chronic vaginal candidiasis |
Pimafucin has an affordable price - within 300 rubles. per tube (made in the Netherlands). Cheaper analogues are: Clotrimazole Fitofarm (20-30 rubles, Ukraine), Clotrimazole (35-240 rubles, Belarus), Primafungin (185-210 rubles, Moldova).
Side effects
In some cases, the following side effects may occur while using Pimafucin cream:
- vomiting and nausea;
- gastrointestinal disorder;
- itching;
- burning.
The cream does not affect systemic processes in the body, so there is no need to treat side effects . The drug is the safest for use of all the analogues presented. It is recommended to prescribe it even to newborns and infants. But, one way or another, a doctor’s consultation is necessary. In addition, as when using any other product, you need to monitor the reaction of the mucous membranes and skin.
