CANESTEN 200MG PESSARY
Active substance(s): CLOTRIMAZOLE MICRONISED
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 200mg 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
What is Canesten 200mg Pessary and what is it used for?
Before you use Canesten 200mg Pessary
How to use Canesten 200mg Pessary
Possible side effects
How to store Canesten 200mg Pessary
1. WHAT IS CANESTEN® 200mg PESSARY
AND WHAT IS IT USED FOR?
Canesten 200mg Pessary is indicated 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 200mg 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® 200mg
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
Inform your doctor if you are taking tacrolimus or sirolimus (used to
reduce the immune response to prevent rejection after an organ
Pregnancy and breast-feeding:
If you are pregnant, breast-feeding or trying for a baby, tell your doctor
or midwife before using Canesten 200mg 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® 200mg PESSARY
If Canesten 200mg 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 on three consecutive nights
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.
Do not use Canesten® 200mg Pessary:
If you are allergic (hypersensitive) to clotrimazole or any of the other
ingredients of Canesten 200mg Pessary (see Section 6. Further
During your period as it may be less effective.
Before using Canesten® 200mg Pessary, you should see your
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
• 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.
• A foul smelling discharge from the vagina.
This is because Canesten 200mg Pessary may not be the right treatment
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.
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.
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
Do not use tampons, intravaginal douches, spermicides or other vaginal
products while using this product.
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4. Remove the applicator. After use, remove plunger A completely by
pulling it out of the applicator B. Then wash it in warm (not boiling)
soapy water, rinse and dry carefully.
5. After completing the treatment, 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
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® 200mg 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
If you forget to use Canesten® 200mg Pessary:
Canesten 200mg Pessary should be used for three consecutive nights.
However, if you forget to insert a pessary, follow the advice given below:
When you remember, continue with your course of treatment. If you have
forgotten for more than one day, your infection may not be fully treated,
so if symptoms persist upon completion of this course, see your doctor.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Canesten 200mg 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:
• Swallowing or breathing problems.
• Swelling of your lips, face, throat or tongue.
• Weakness, feeling dizzy or faint.
After you use the 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, tell your doctor or pharmacist
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at:
By reporting side effects you can help provide more information on the
safety of this medicine.
6. FURTHER INFORMATION
What Canesten® 200mg Pessary contains:
The active substance is clotrimazole at a strength of 200mg.
The other ingredients are calcium lactate pentahydrate, maize starch,
crospovidone, colloidal anhydrous silica, lactic acid, lactose
monohydrate, magnesium stearate, hypromellose and
What Canesten® 200mg Pessary looks like and contents of the pack:
Canesten 200mg Pessary contains three white pessaries held inside a foil
blister pack and one applicator for insertion of the pessary into the vagina.
Marketing Authorisation Holder:
Bayer plc, 400 South Oak Way, Reading, RG2 6AD, UK.
Bayer AG, 51368 Leverkusen, Germany
Remember: If you have any doubts about using Canesten® 200mg
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
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.
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
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
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 September 2017.
Canesten is a registered trademark of Bayer AG, Germany.
5. HOW TO STORE CANESTEN® 200mg
Keep this medicine out of the sight and reach of children.
Do not store above 25°C.
Do not use Canesten 200mg Pessary after the expiry date which is stated
at one end of the carton and on the foil blister strip of the pessaries. 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.
PMR 86104016 (O8/00-C) Pantone: 485, Cool Gray 11