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Common questions about clotrimazole for thrush - Brand name: Canesten

How does clotrimazole work?

Clotrimazole works by killing the fungus (yeast) that is causing the infection.

Clotrimazole kills fungus by causing holes to appear in its cell membrane and the contents leak out. This kills the fungus and treats the infection.

When will I feel better?

External symptoms such as itching and discharge should get better within 3 days. Talk to a doctor if your symptoms do not get better or get worse.

If internal symptoms such as pain or soreness do not go away within 7 days, talk to a doctor.

You may need a longer course of treatment or a stronger medicine.

If your vaginal thrush improves within 7 days but then comes back after 7 days, you can use another pessary or internal cream.

Are there any long-term side effects?

Do not use clotrimazole for more than 14 days unless a doctor tells you to. The fungal infection may become resistant to clotrimazole which means it will no longer work properly.

Talk to a doctor if you have thrush more than twice in 6 months.

You may need a longer course of treatment or a stronger medicine.

Are there other medicines to treat thrush?

There are other antifungal medicines available that are similar to clotrimazole, including:

These are available as creams and pessaries for treating thrush. You will need a prescription from a doctor for these medicines.

There is also an antifungal medicine called fluconazole which is available as a capsule that you swallow. You can buy it from a pharmacy for treating thrush of the vagina or penis.

Ask a doctor or pharmacist what medicine is best for you.

Is thrush a sexually transmitted infection (STI)?

No, thrush is not an STI, but it can sometimes be passed on by having sex.

It's best to avoid having sex until thrush has cleared up.

Clotrimazole cream can damage the latex used in contraceptives such as condoms and diaphragms.

Will it affect my contraception?

It's best to avoid sex until thrush has cleared up.

Clotrimazole cream can damage the latex used in condoms and diaphragms. This can mean your contraception will not work as well as it should.

Clotrimazole will not stop other types of contraception from working, including the combined pill or emergency contraception.

Can I drink alcohol while using clotrimazole?

Yes, you can drink alcohol while using clotrimazole.

Is there any food or drink I need to avoid?

No, you can eat and drink normally while using clotrimazole.

Can lifestyle changes help thrush?

These steps can help stop thrush from coming back after you've treated it:

  • Wash daily and dry the affected area properly after washing.
  • Avoid using perfumed soaps or deodorants.
  • Avoid hot baths and perfumed bath oils.
  • Wear cotton underwear.
  • Avoid wearing tights or tight underwear.
  • Avoid sex until thrush has cleared up.

Page last reviewed: 2 November 2022
Next review due: 2 November 2025