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86134322.indd 1 instructions carefully. If youhaveinformedyourdoctor ormidwifealready, followhis/her midwife before usingCanestenCombi SoftGelPessary &External . If youare pregnant, breast-feeding forababy, ortrying tellyourdoctoror Pregnancy andbreast-feeding: the immuneresponse toprevent rejection afteranorgan transplant). Inform yourdoctorifyouare takingtacrolimus orsirolimus (usedtoreduce any othermedicines, includingmedicinesobtainedwithoutaprescription. Please tellyourdoctororpharmacistifyouare takingorhaverecently taken Using othermedicines: Do notusethisproduct duringyourperiodasitmaybelesseffective. product becauseyourpartnercouldbecomeinfected. Avoid vaginal intercourse whileyouhave thrushandduringuseofthis products whileusingthisproduct. Do notusetampons, intravaginal , spermicidesorothervaginal after usingthisproduct. Consequently, youshouldusealternativeprecautions foratleastfivedays effectiveness ofrubbercontraceptives, suchascondomsordiaphragms. As withothercreams and pessaries, thisproduct mayreduce the Special precautions: (e.g. rash, itchingorredness). The cream alcoholwhichmaycauselocalskinirritation contains cetostearyl Important informationaboutsomeoftheingredients: • Do notuseCanesten®Combi SoftGelPessary &External Cream: 2. thrush. and isanantifungalagentwhichfightsthecauseofinfectionssuchasvaginal is . Clotrimazolebelongstoagroup ofmedicinescalledazoles The activesubstanceinCanestenCombi SoftGelPessary &External Cream cream toprevent re-infection, eveniftheyhavenosymptoms ofthrush. frequency ofthese attacks, thesexualpartner’s peniscanbetreated withthis Some womensufferfrom recurrent attacksofthrush.To reduce the cause andexternalsymptoms. treatment forvaginal thrush(candidiasis)becauseittreats boththeinternal Canesten Combi Pessary &External Cream isafullcourseof 1. 6. 5. 4. 3. 2. 1. IN THISLEAFLET • • • • information foryou. Read allofthisleafletcarefully becauseitcontainsimportant

T IS CANESTEN® COMBI AND WHAT Pessary &External 6. Cream Further (seeSection Information). ingredients, alcohol,ofCanestenCombi includingcetostearyl SoftGel I F H P H Befor What isCanestenC I under anycircumstances. This medicinehasbeenpr I K OU USECANESTEN®COMBI f youare allergic (hypersensitive)toclotrimazoleoranyoftheother f youhaveanyunusualeffectsafterusingthisproduct, tellyourdoctor. f youhaveanyfurtherquestions, askyour doctororpharmacist. IS ITUSEDFOR? WHA BEFORE Y ossible sideeffects urther information eep thisleaflet.You mayneedtoread itagain. ow tostore CanestenCombi ow touseCanestenCombi e youuseCanestenCombi Ca ombi andwhatisitusedfor? escribed foryou.Do notgiveittoanyone else nesten applicator B. stops. Remove from thepessary foilblisterpackandplacefirmlyinto 1. afterwards whenyouhaveusedtheapplicator. Wash yourhandsbefore removing thefoilfrom theblisterpackandagain at nightforconvenientandcomfortabletreatment. inserted ashighpossibleintothevagina, preferably before goingtosleep Unless directed byyourdoctor, otherwise theSoftGelPessary shouldbe The SoftGelPessary: 3. symptoms ofthe infection disappear. day andsmoothed ingently. Treatment shouldbe continueduntilthe evenly appliedtothearea around theentrance ofthevagina, 2or3timesa To treat theitchingandsoreness ofthevulva, thecream should bethinlyand and press. Before use, pierce thetubeseal byinvertingthecapoverendoftube Women: The Cream: liner. dissolvesinthevagina, Since thepessary itmaybehelpfultowearapanty emove theapplicator. Dispose oftheapplicatorinasafeplace, outof the reach ofchildren. Theapplicatorcannotbeflusheddownthetoilet. 4. deposited intothevagina. efully puttheapplicatorasdeepiscomfortableintovagina (this applicator inplace, slowlypressis theplungeruntilit stopssothatthepessary is easiestwhenlyingonyourbackwithkneesbentup).Holding the 3. applicator B, fits tightlyintotheapplicator. Thepessary byalighttwist. 2. pessary withoutthehelpofanapplicator.pessary To treat internalthrush,yourdoctormayrecommend thatyouusethe

W TO USECANESTEN®COMBI & External Cream Cream & External Pessary Combi Soft Clotrimazole 500mg vaginalcapsule&2%w/wcream HO R R Car Fix theSoftGelP emove theapplicatorfrom thepackaging.Pull outtheplungerAuntilit essary firmlyintothedesignatedholderof essary 28.11.17 10:28

Black

Pantone 485 U

CAN Soft Gel Pessary P antone Cool Combi (POM) UK Gray 11 U

210 x 297 mm

Kontur

Verlag Book, Book Italic, Bold, Bold Italic, Zapf Dingbats Regular, Bliss Pro Medium 9 pt 86134322.indd 2 hospital. away orcontacttheAccidentandEmergency Department ofyournearest If orcream thepessary are swallowed accidentally, tellyourdoctorstraight Do orcream notputthepessary inyour mouthorswallow them. for externaluseonly: The SoftGelPessary isforuseinthevagina only. Thecream is for useinchildren under16yearsold. Canesten Combi SoftGelPessary &External Cream isnotrecommended weeks.to theendofpenis2or3timesadayforuptwo If yoursexualpartneristreated withthiscream, thecream shouldbeapplied Treating yoursexualpartner: doctor. you havemore infectionswithinsixmonthsyoushouldseeyour thantwo infection returns aftersevendaysyoumayuseonefurthertreatment, butif no improvement isseenaftersevendaysyoumusttellyourdoctor. If the The symptomsofthrushshoulddisappearwithinthree daysoftreatment. If • • Soft GelPessary: What Canesten®Combi SoftGelPessary & External Cream contains: 6. measures willhelptoprotect theenvironment. your pharmacisthowtodisposeofmedicinesnolongerrequired. These Medicines shouldnotbedisposedofviawastewater orhouseholdwaste. Ask tube ofcream. daterefers Theexpiry tothelastdayofthatmonth. andontheendof end ofthecarton,onfoilblisterstrippessary Do orcream datewhichisstatedatone notusethepessary aftertheexpiry Do notstore above30°C. protect from moisture. This product shouldbestored placeinorder intheoriginalcartonadry to Keep thismedicineoutofthesightandreach ofchildren. 5. ofthismedicine.safety By reporting side effectsyoucanhelpprovide more informationonthe www.mhra.gov.uk/yellowcard side effectsdirectly via the Yellow Card Schemeat: includes anypossiblesideeffectsnotlistedinthisleaflet.You canalsoreport If yougetanyside effects, talktoyourdoctor, pharmacistornurse. This Reporting ofsideeffects If youexperience anyoftheaboveeffects, tellyourdoctorimmediately. • After youapply the cream youmightexperience: • • After youmightexperience: youusethe pessary • • • • • nearest hospital.Signsofanallergic reaction mayinclude: straight away orcontacttheAccidentand Emergency Department ofyour itching orswellinggetworse, stopusingthisproduct andtellyourdoctor medicine. If youexperienceanallergic reaction ortheredness, burning,pain, If youare allergic,areaction willoccursoonafteryouhaveusedthe As withallmedicines, somepeoplemaybeallergic orcream. tothepessary cause sideeffects, getsthem. althoughnoteverybody Like allmedicines, CanestenCombi SoftGelPessary &External Cream can 4.

yellow (E110),lecithin, medium-chaintriglycerides. glycerol, water, titanium dioxide (E171),quinoline yellow(E104),sunset The otheringr The activesubstanceisclotrimazole atastr peeling ofskin. I P peeling orbleeding. I Nausea. W Swelling ofyourlips Sw Rash. W TO STORE CANESTEN®COMBI

SSIBLE SIDEEFFECTS tching, rash, blisters, burning,discomfort,swelling,redness, irritationor tching, rash, swelling,redness, discomfort,burning,irritation,vaginal HO FURTHERINFORMATION PO ain intheabdomenorpelvicarea. eakness, feelingdizzyorfaint. allowing orbreathing problems. edients are whitesoftparaffin, liquidparaffin, gelatin, , face, throat ortongue. ength of500mg.

Canesten isaregistered trademark ofBayerAG, Germany. This leafletwas lastrevised inOctober 2017. at localrate. information, callourCanestenAdviceLineon0845758 5030.Callscharged For UKresidents only:ifyouhaveanyquestionsorwouldlike more advice. treatment ofthrush, donothesitatetoaskyourdoctororpharmacistfor If youare stillworriedorhaveanyquestionsaboutthesymptoms 3 How toavoidfuture recurrences: these symptoms;youmayhaveonlyoneofthem. odourless discharge from thevagina. Not whohasthrush all everybody swelling andsoreness of thetissuesofvagina andvulva andawhitish, persistent burningand/oritchingaround thevagina andvulva, redness, develop intoathrushinfectioncausinganyofthefollowingsymptoms: If thenatural pHbalanceisaltered, thelevelofyeastincreases andcan additives andtightclothing. pregnancy, menopause),poorhealth, antibiotics, perfumedsoaps, bath by manyfactors suchashormonalchanges(menstruation,contraceptive pill, However, thenatural balancethatkeeps Candidaundercontrol canbeupset the andotherpartsofthebody, withoutyouevennoticingit. Thrush iscausedbyayeast(fungus)calledCandidawhichlivesharmlesslyin from atsometimeintheirlivesandisnotcausedbylackofpersonalhygiene. Vaginal thrush(candidiasis)isacommoninfectionthatmostwomensuffer Further informationaboutvaginal thrush: External Cream correctly, seektheadviceof orpharmacist. yourdoctor If youhave anydoubtsaboutusingCanesten®Combi SoftGelPessary & anyone elseunderanycircumstances. Remember: Thismedicinehasbeenprescribed foryou.Do notgiveitto 79639 Grenzach-Wyhlen, Germany. GP Grenzach Produktions GmbH, Manufacturer: 400SouthOakBayer plc, Way, Reading, RG2 6AD, UK. Marketing AuthorisationHolder: intothevaginapessary andone10gtubeofwhitecream. heldinsideafoilblisterpack,oneapplicatorforinsertionofthe treatment, whichconsistsofasingleyellowteardrop-shaped softvaginal Canesten Combi SoftGelPessary &External Cream containsafullcourseof and contentsofthepack: What Canesten®Combi SoftGelPessary &External Cream lookslike • • Cream: 7 7 7 3 3 3

See Sec The otheringr The activesubstanceisclotrimazoleatastr baths withstrong perfumed oils. D T T Change yoursanitar A W W ingredients’ forcetostearyl alcoholadvice. water. stearate, palmitate, andpurified cetyl alcohol,octyldodecanol cetostearyl infection maybetransferred from thebowel. ry toavoidwashingry withperfumedsoapsorusingvaginal deodorants. toavoidwearingtights,ry nylonknickers andclosefittingjeans. fter goingtothetoilet,wipeyourselffrom thefront tobackasathrush o notwash orrubyourself hard withspongesorflannelsandavoidhot ear cottonknickers andlooseclothing. ash daily. tion 2‘Do notuse’ and‘Important informationaboutsomeof the edients are benzylalcohol,polysorbate60,sorbitan y protection regularly. ength of2%w/w. 86134322 28.11.17 10:28

Black

Pantone 485 U

CAN Soft Gel Pessary P antone Cool Combi (POM) UK Gray 11 U

210 x 297 mm

Kontur

Verlag Book, Book Italic, Bold, Bold Italic, Zapf Dingbats Regular, Bliss Pro Medium 9 pt