Many women in the situation suffer from thrush. Pimafucin suppositories during pregnancy in such situations are the drug of choice. Learn about safety, contraindications and options for taking at different periods of gestation from our article.

Is it possible to take pimafucin in 1, 2, 3 trimesters

Expectant mothers are very kind to their situation, and any prescribed medicine raises a lot of questions about safety for the baby. "Pimafucin" is a well-known and effective tool used to eliminate infections caused by fungal yeast-like microflora. The medicine is more popular in gynecology and obstetrics, it is recommended for the treatment and prevention of thrush, as well as for other vaginal diseases caused by a fungus. They release the medicine in three forms - pills, ointment and suppositories. Pregnant doctors usually prescribe the last form.

The main component of Pimafucin is natamycin, a polyene macrolide antibiotic. The substance is not absorbed into the mucosa, which means it does not penetrate the blood through the blood to the child. However, it should be borne in mind that additional studies to detect harm to the health of the mother and fetus have not been conducted. Nevertheless, the annotation to the remedy states that there are no contraindications for the use of suppositories by women during pregnancy and breastfeeding.

For a decade and a half, many gynecologists have trusted Pimafucin.He has almost no contraindications, adverse reactions are extremely rare for his action, the result of treatment is positive, and improvement is noted already on the second day after the start of therapy. Suppositories are safer than tablets, because they do not affect the state of the gastric mucosa, substances do not penetrate the blood. Suppositories are administered vaginally, begin to affect the focus of the disease immediately, without having to go a long way through the digestive tract.

The composition of the drug

Suppositories are torpedo-shaped. Their color is from white with a yellow tint to tan.

Composition per suppository:

  • natamycin - 100 mg;
  • fat - 700 mg;
  • cetyl alcohol - 690 mg;
  • sorbitol - 460 mg;
  • polysorbate - 80 - 460 mg;
  • sodium bicarbonate - 69 mg;
  • adipic acid - 64 mg.

3 or 6 candles are placed in one box.

In what cases are candles prescribed

Pathologies caused by fungi are usually accompanied by unpleasant symptoms such as itching, burning, discharge of a white curd-like appearance with a pungent sour smell from the genitals. If the described sensations arose during pregnancy, then it is necessary to take a smear to identify pathogenic microflora caused by Candida fungus.

An antifungal antibiotic will be prescribed if the following diseases are detected:

  • vaginitis;
  • vulvovaginitis;
  • vulvitis.

If a woman does not have symptoms, then therapy can be postponed to the postpartum period.

Instructions for use at different stages of pregnancy

In the early stages, candles and Pimafucin tablets may be prescribed. At the 2nd and 3rd trimesters, it is not recommended to use pills.

The course of treatment is prescribed only by the obstetrician conducting the pregnancy, and an approximate instruction is as follows:

  • Candles "Pimafucin" during pregnancy, 1 trimester: 1 suppository per day after hygiene procedures. Duration of use is 3 to 6 days.
  • 2 trimester: 1 suppository / day. for 3 to 6 days.
  • 3 trimester: 1 candle / day. a course of 3 to 7 days.

During the third trimester, it is forbidden to resort to douching for the purpose of hygiene. Suppositories should be inserted deep into the vagina with clean hands, lying down. After the procedure, rest is recommended. Gynecologists recommend the use of suppositories at night.

Sexual life during the treatment period is not prohibited, but it is recommended that the partner take tests for the detection of infection. If one is found, the father of the unborn child also needs to undergo antibiotic therapy.

The use of barrier contraceptives is welcome during the treatment period.

Duration of Pimafucin Treatment

In the annotation to the drug it is prescribed that the standard course is from 3 to 7 days. But still, only the doctor determines the duration, based on the course of the disease and the condition of the pregnant woman.

Not all women after the Pimafucin course report a relief, some complain that the disease is only worsening. In this case, the obstetrician will prescribe a different drug.

Drug interaction

Suppositories from thrush are a completely safe remedy that can be used with other antimicrobial, antifungal, antiviral drugs. The interaction of Pimafucin with other substances is not described in the instructions for use.

Despite the fact that suppositories do not have contraindications for use with other drugs, you should not start taking other medicines during treatment without consulting a doctor. Each organism is individual, as is the course of pregnancy.

Contraindications, side effects and overdose

There are no contraindications to therapy with the discussed suppositories. The only considered individual intolerance to the components of the candles, so you need to carefully study their composition before use. If previously unpleasant sensations were noted after the introduction of a suppository, then further use of the drug is unacceptable.

Side effects, although rare, are manifested.

Doctors note that after the introduction of a suppository, the following unpleasant symptoms are possible:

  • itching
  • burning;
  • swelling of the mucosa at the injection site;
  • violation of the stool;
  • nausea;
  • irritation;
  • vomiting

If you detect the indicated symptoms, the course must be interrupted, and consult your obstetrician about further treatment.

Under the influence of body temperature, candles quickly dissolve, become a foamy mass that is quickly absorbed. If the medicine was not administered deep enough, foamy discharge can be noted - there is nothing to worry about. Cetyl alcohol, which is contained in suppositories, causes a slight burning sensation. If it is tolerant, treatment is not interrupted - this is a normal reaction to an irritated mucosa.

For more than 15 years, Pimafucin has been actively used to treat candidiasis. And to date, information about overdose cases is not available. The components that make up the drug do not affect the speed of the reaction and attention, therefore, driving a car and performing obviously dangerous work are possible during treatment.

How to replace the drug

In some situations, the doctor may prescribe analogues of Pimafucin suppositories. These may be preparations similar in composition or pharmacology, but all of them must fully comply with safety when used during gestation.

Such suppositories include:

  • "Ecofucin";
  • Primafungin;
  • "Clotrimazole";
  • Viferon;
  • "Gino-Pevaril."

It is strictly forbidden to arbitrarily replace even an analogue prescribed by a doctor.

Incorrectly selected medication can adversely affect the development of the baby and the condition of the woman.

Expectant mothers often encounter diseases caused by fungi, so do not be shy to talk about a problem with a doctor. The specialist will prescribe proper tests, according to their results, he will prescribe competent treatment. It is important for pregnant women to understand that during the period of gestation, you need to take care not only about yourself, but also about the unborn baby. Therefore, it is important to follow the recommendations of the doctor, observe the rules of hygiene and therapy. All this can prevent the initially occurring diseases and their relapse.