Melhor Remédio para corrimento com mau cheiro

How to get rid of vaginal discharge quickly? Dr. Michel Palheta does an amazing live stream talking about the types of vaginal discharge and the best treatment for candidiasis, bacterial vaginosis, trichomoniasis, and all types of discharge. 1. Colpistatin is a cream with triple action: antifungal, antimicrobial, antiseptic. Benzoylmetronidazole is a formulation of topical metronidazole, highly effective in treating Gardnerella vaginalis and anaerobic bacteria that cause bacterial vaginosis. Nystatin is a fungistatic and fungicidal agent that acts against all Candida species, including non-albicans. Benzalkonium chloride is a broad-spectrum topical germicide, active against various Gram-positive and Gram-negative bacteria, with antiseptic action. 2. Colpistatin provides faster relief from trichomoniasis symptoms In trichomoniasis, the clinical picture presents as vulvovaginitis, with intense irritation, dysuria, and itching, in addition to abundant vaginal discharge. Treatment should be carried out with oral metronidazole, but the use of topical imidazole derivative formulations relieves symptoms more quickly. 3. Colpistatin can be used during pregnancy During pregnancy, the use of oral azoles is not recommended. In cases of vulvovaginal candidiasis, vaginal creams based on nystatin are preferred. Bacterial vaginosis should be treated in symptomatic pregnant women in order to reduce the adverse effects of the infection on obstetric outcomes. Topical treatment with metronidazole has the same efficacy as systemic treatment. Mixed vulvovaginitis can affect women during the pregnancy-puerperal cycle, and the combination of nystatin + metronidazole is an ideal formulation for this condition. Topical vaginal nystatin is classified as category A and metronidazole as category B by the Food and Drug Administration (FDA) regarding the risk of use during pregnancy. 4. Colpistatin does not contain corticosteroids in its formulation. The indiscriminate use of corticosteroids in topical formulations can cause atrophy of both the mucosa and keratinized skin, in addition to being a risk factor for the development of Candida vulvovaginitis. Furthermore, Colpistatin has only one antibiotic, while other formulations have more than one, which may represent another risk factor for fungal vulvovaginitis. 5. Colpistatin reduces the incidence of Candida vulvovaginitis after treatment for bacterial vaginosis @achelab #michelpalheta #discharge Contrary to what is imagined, the association between Candida sp and bacteria involved in bacterial vaginosis is common. According to Wei Q et al., many Candida infections are asymptomatic and coexist with bacterial vaginosis – 12 to 30% of patients develop fungal vulvovaginitis after treatment with metronidazole. The formulation containing metronidazole and nystatin prevents the appearance of symptoms after treatment. 6. Colpistatin allows the restoration of vaginal flora Lactobacilli represent the normal vaginal bacterial flora, are responsible for the production of lactic acid and maintenance of a protective acidic pH. The metronidazole present in the formulation, unlike drugs such as clindamycin, does not act against lactobacilli, allowing the rapid restoration of normal vaginal flora. 7. Colpistatin has better tolerability compared to systemic medications. Orally administered metronidazole causes an unpleasant metallic taste, nausea, and, more rarely, transient neutropenia in many patients. Topical administration of metronidazole has the same efficacy as the oral route, but presents fewer side effects. 8. Colpistatin does not induce bacterial resistance. In a sample of 119 women with bacterial vaginosis and 1,059 identified anaerobic bacteria, 17% resistance to clindamycin was evidenced, compared to only 1% resistance to metronidazole before treatment. Topical clindamycin in non-pregnant women was associated with the induction of resistance of the anaerobic microorganisms involved in the infection to this drug after use (53%), while metronidazole did not cause resistance.