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Candid cream 1% 20g
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Mechanism of action
Antifungal broad-spectrum drug for external use; contains as active substance Clotrimazole - imidazole derivative. The mechanism of action is to inhibit the synthesis of ergosterol, necessary for the construction of the cell membrane of fungi, which leads to a violation of its permeability and subsequent cell lysis.
Active against dermatophytes, yeast fungi (genus Candida, Torulopsis glabrata, genus Rhodotorula), mold fungi, as well as the causative agent Pityriasis versicolor (lichen-colored lichen) and the causative agent of erythrasma.
The drug has an antimicrobial effect. Active against some strains of gram-positive bacteria (Streptococcus spp., Staphylococcus spp.), gram-negative bacteria (Bacteroides spp., Gardnerella vaginalis), as well as against Trichomonas vaginalis, Malassezia furfur, Corynebacterium minutissimum.
Clotrimazole has a high penetrating power. With external use of the drug in the epidermis, higher concentrations of clotrimazole are achieved than in the dermis and in the subcutaneous tissue.
Indications and usage
- fungal skin diseases (including mycoses of skin folds, feet);
-coloric versicolor;
erythrasma;
surface candidiasis caused by pathogens sensitive to the drug.
The drug is applied in a thin layer on pre-washed (using soap with a neutral pH) and dry affected skin 2-3 times / day.
The duration of treatment is determined individually, depending on the severity and course of the disease, the localization of pathological changes, and the effectiveness of therapy. Usually drug treatment is carried out for at least 4 weeks.
At dermatomycosis of the feet The therapy is recommended to continue for 2 weeks after the disappearance of the clinical symptoms of the disease.
At multi-colored lichen the duration of treatment is on average 1-3 weeks.
Adverse reactions
Local reactions: rarely - redness, burning sensation and tingling, itching at the site of the drug.
Contraindications
Increased sensitivity to clotrimazole and other components of the drug.
Pregnancy and breastfeeding
The use of Clotrimazole during pregnancy and lactation (breastfeeding) is possible only when the intended benefits to the mother outweigh the potential risk to the fetus or infant.
AT clinical and experimental studies with external use of clotrimazole, the negative effect of the drug on the health of the woman or the fetus (child) is not established.
Cautions
The drug is not intended for use in ophthalmic practice.
Overdosage
Due to the low absorption of clotrimazole with external use of an overdose of the drug is unlikely.
If accidentally swallowed clotrimazole, the following may occur. symptoms: anorexia, nausea, vomiting, abdominal pain, abnormal liver function; rarely - drowsiness, hallucinations, frequent urination, skin allergic reactions.
Treatment: prescribe activated charcoal, conduct symptomatic therapy.
Drug Interactions
With simultaneous use with Nystatin, clotrimazole activity may be reduced.
Storage conditions
The drug should be stored in a dry, dark place at temperatures from 15° up to 25°C. Shelf life - 2 years.
The drug is approved for use as a means of OTC.