Vaginal imidazole antifungal

Butoconazole (بوتوكونازول)

Butoconazole is a local antifungal for Candida infection of the vagina and vulva. Itching or discharge is not always thrush, so first, recurrent or unusual symptoms need a correct diagnosis.

What it is used for

  • Treating vaginal Candida infection
  • Relieving itching, burning and discharge associated with confirmed vaginal thrush

How it is used

  • Insert cream with the applicator or use an ovule by the method and schedule in the leaflet
  • Wash your hands before and after use and do not swallow the product
  • Use external pads if needed and avoid tampons and vaginal douches during treatment
  • Complete the product course and do not repeat it yourself if symptoms remain

Possible side effects

  • Vaginal or vulval burning, itching, soreness or swelling
  • Cramps or pelvic pain
  • Irritation or discharge
  • Rarely, rash or severe allergy

Who should not use it

  • Allergy to butoconazole or any ingredient
  • Use without diagnosis when symptoms are the first episode or differ from a previous thrush infection

Before and while using it

  • Fever, lower abdominal pain, offensive discharge, sores or bleeding needs examination rather than self-treatment
  • Persistent symptoms or recurrent infection needs testing for other causes, diabetes or impaired immunity
  • Some creams contain mineral oil that weakens latex condoms and diaphragms; follow the leaflet warning and use a suitable alternative
  • Stop and seek help for swelling, severe rash or breathing difficulty
  • This medicine does not treat sexually transmitted infections

Medicine interactions

  • Mineral oil in some creams can weaken latex contraceptive products
  • Do not use another vaginal product at the same time without asking a doctor or pharmacist

Pregnancy and breastfeeding

  • Tell your doctor if you are pregnant; use it only under supervision and a different insertion method may be needed
  • Ask your doctor before use while breastfeeding because information is limited

How to store it

  • Store it as directed, away from heat and children's reach

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.