CANESTEN PESSARY

Active substance: CLOTRIMAZOLE MICRONISED

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Pessary
Clotrimazole 500mg
Read all of this leaflet carefully because it contains
important information for you.
This medicine is available without prescription. However, you
still need to use Canesten Pessary carefully to get the best
results from it.
• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or
advice.
• You must contact a doctor if your symptoms worsen or
do not improve in 7 days.
• If you have any unusual effects after using this product,
tell your doctor or pharmacist.

IN THIS LEAFLET
1.
2.
3.
4.
5.
6.

What is Canesten Pessary and what is it used for?
Before you use Canesten Pessary
How to use Canesten Pessary
Possible side effects
How to store Canesten Pessary
Further information

1. WHAT IS CANESTEN® PESSARY AND
WHAT IS IT USED FOR?
Canesten Pessary is a single application for the treatment
of vaginal thrush. It is inserted into the vagina for
treatment at the site of infection.
Only use this product if you have been previously
diagnosed by your doctor as having vaginal thrush.
The active substance in Canesten Pessary is clotrimazole.
Clotrimazole belongs to a group of medicines called
azoles and is an antifungal agent which fights the cause of
infections such as vaginal thrush.

2. BEFORE YOU USE CANESTEN® PESSARY
Do not use Canesten® Pessary:
• If you are allergic (hypersensitive) to clotrimazole or
any of the other ingredients of Canesten Pessary
(see Section 6. Further Information).
• During your period as it may be less effective.
Before using Canesten® Pessary, you should see
your doctor if:
• You are unsure whether you have thrush or this is the
first time you have had these symptoms.
• You have had more than two infections of thrush in the
last six months.
• You or your partner have ever had a sexually
transmitted disease.
• You are aged under 16 or over 60.
• You have ever had an allergic reaction to Canesten or
any other vaginal antifungal products.
• You have any of the following symptoms:
• Irregular vaginal bleeding.
• Abnormal vaginal bleeding or a blood-stained
discharge.
• Ulcers, blisters or sores of the vagina or vulva.
• Lower abdominal pain.
• Pain or difficulty in passing urine.
• Fever or chills.
• Feeling sick or vomiting.
• Diarrhoea.
• A foul smelling discharge from the vagina.
This is because Canesten Pessary may not be the right
treatment for you.

Special precautions:
As with other pessaries, this product may reduce the
effectiveness of rubber contraceptives, such as condoms
or diaphragms. Consequently, you should use alternative
precautions for at least five days after using this product.
Do not use tampons, intravaginal douches, spermicides or
other vaginal products while using this product.
Avoid vaginal intercourse while you have thrush and
during use of this product because your partner could
become infected.
Using other medicines:
Please tell your doctor or pharmacist if you are taking
or have recently taken any other medicines, including
medicines obtained without a prescription.
Inform your doctor if you are taking tacrolimus or
sirolimus (used to reduce the immune response to
prevent rejection after an organ transplant).
Pregnancy and breast-feeding:
If you are pregnant, breast-feeding or trying for a baby, tell
your doctor or midwife before using Canesten Pessary. If you
have informed your doctor or midwife already, follow his/her
instructions carefully.
To treat internal thrush, your doctor may recommend that
you use the pessary without the help of an applicator.

3. HOW TO USE CANESTEN® PESSARY
If Canesten Pessary has been prescribed for you by your
doctor, follow any instructions he/she may have given you.
If you purchased this product without a prescription, follow
these directions closely:
The applicator should be used to insert the pessary as
high as possible into the vagina, preferably before going to
sleep at night for convenient and comfortable treatment.
Wash your hands before removing the foil from the blister
pack and again afterwards when you have used the applicator.
1. Remove the applicator from the packaging. Pull out the
plunger A until it stops. Remove the pessary from the foil
blister pack and place firmly into the applicator B.

1
B

A

2. To fit the pessary into the applicator, the holder of the
applicator needs to be squeezed lightly at both sides. The
pessary fits tightly into the applicator and needs to be
squeezed into the holder to about 1cm.

2

3. Carefully put the applicator as deep as is comfortable
into the vagina (this is easiest when lying on your back
with your knees bent up). Holding the applicator in place,
slowly press the plunger until it stops so that the pessary
is deposited into the vagina.

6. FURTHER INFORMATION
What Canesten® Pessary contains:



3
Bladder

Womb
Vagina
Rectum

4. Remove the applicator. Dispose of the applicator in a
safe place, out of the reach of children. The applicator
cannot be flushed down the toilet.
Since the pessary dissolves in the vagina, it may be helpful
to wear a panty liner because it is quite common to notice a
white chalky residue after using the pessary. This does not
mean that the treatment has not worked. However, if you
notice pieces of undissolved pessary, speak to your doctor or
a pharmacist, as the treatment may not have worked properly.
The symptoms of thrush should disappear within three days
of treatment. If no improvement is seen after seven days you
must tell your doctor. If the infection returns after seven days
you may use one further treatment, but if you have more
than two infections within six months you should see your
doctor.

Canesten® Pessary is for use in the vagina only:
Do not put the pessary in your mouth or swallow it.
If the pessary is swallowed accidentally, tell your doctor
straight away or contact the Accident and Emergency
Department of your nearest hospital.

4. POSSIBLE SIDE EFFECTS
Like all medicines, Canesten Pessary can cause side
effects, although not everybody gets them.
As with all medicines, some people may be allergic to the
pessary. If you are allergic, a reaction will occur soon after
you have used the medicine. If you experience an allergic
reaction or the redness, burning, pain, itching or swelling
get worse, stop using this product and tell your doctor
straight away or contact the Accident and Emergency
Department of your nearest hospital. Signs of an allergic
reaction may include:
• Rash.
• Swallowing or breathing problems.
• Swelling of your lips, face, throat or tongue.
• Weakness, feeling dizzy or faint.
• Nausea.
After you use Canesten pessary you might experience:
• Itching, rash, swelling, redness, discomfort, burning,
irritation, vaginal peeling or bleeding.
• Pain in the abdomen or pelvic area.
If you experience any of the above effects or react badly to
the pessary in any other way not listed in this leaflet, tell
your doctor or pharmacist immediately.

5. HOW TO STORE CANESTEN® PESSARY
Keep out of the reach and sight of children.
Do not use Canesten Pessary after the expiry date which is
stated at one end of the carton and on the foil blister strip
of the pessary. The expiry date refers to the last day of that
month.
Medicines should not be disposed of via wastewater or
household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to
protect the environment.

The active substance is clotrimazole at a strength
of 500mg.
The other ingredients are lactose monohydrate,
microcrystalline cellulose, lactic acid, maize
starch, crospovidone, calcium lactate
pentahydrate, magnesium stearate, colloidal
anhydrous silica and hypromellose.

What Canesten® Pessary looks like and contents of
the pack:
Canesten Pessary contains a single white pessary held
inside a foil blister pack and one applicator for insertion of
the pessary into the vagina.
Marketing Authorisation Holder:
Bayer plc, Consumer Care Division
Bayer House, Strawberry Hill
Newbury, Berkshire RG14 1JA, UK.

Manufacturer:
Bayer Pharma AG,
D-51368, Leverkusen, Germany
Remember: If you have any doubts about using Canesten®
Pessary correctly, seek the advice of your doctor or
pharmacist.

Further information about vaginal thrush:
Vaginal thrush (candidiasis) is a common infection that
most women suffer from at some time in their lives and is
not caused by lack of personal hygiene.
Thrush is caused by a yeast (fungus) called Candida
which lives harmlessly in the vagina and other parts of the
body, without you even noticing it. However, the natural
balance that keeps Candida under control can be upset by
many factors such as hormonal changes (menstruation,
contraceptive pill, pregnancy, menopause), poor health,
antibiotics, perfumed soaps, bath additives and tight
clothing.
If the natural pH balance is altered, the level of yeast
increases and can develop into a thrush infection causing
any of the following symptoms: persistent burning and/or
itching around the vagina and vulva, redness, swelling
and soreness of the tissues of the vagina and vulva and
a whitish, odourless discharge from the vagina. Not
everybody who has thrush has all these symptoms; you
may have only one of them.

How to avoid future recurrences:
 Wear cotton knickers and loose clothing.
 Wash daily.
 After going to the toilet, wipe yourself from the
front to back as a thrush infection may be
transferred from the bowel.
 Change your sanitary protection regularly.
 Try to avoid wearing tights, nylon knickers and
close fitting jeans.
 Try to avoid washing with perfumed soaps or
using vaginal deodorants.
 Do not wash or rub yourself hard with sponges
or flannels and avoid hot baths with strong
perfumed oils.
If you are still worried or have any questions about the
symptoms or the treatment of thrush, do not hesitate to
ask your doctor or pharmacist for advice.
For UK residents only: if you have any questions or would
like more information, call our Canesten Advice Line on
0845 758 5030. Calls charged at local rate.
This leaflet was last revised in October 2013.
Canesten is a registered trademark of Bayer AG, Germany.

Bayer

This artwork
is compliant
with the Bayer
Consumer Care
ReBranding
Guidelines.
DATE 24/7/12
Brand
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WTD Job No.
SKU No.
Dimensions
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Date

Canesten
PIL
UK
15979
XXXXX
200 x 315 mm
9.5 pts
Meta Plus
TBA
22/10/13

Version 1.5

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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