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What is Canesten extra cream used for? Understanding its dual-action formula

4 min read

In many regions, Canesten Extra cream is formulated as a dual-action medication, combining an antifungal agent with a mild steroid to treat infected, inflamed skin. It is specifically designed for skin conditions where inflammation, redness, and itching are prominent, providing symptomatic relief while addressing the root cause of the fungal infection.

Quick Summary

Canesten Extra cream treats inflamed fungal skin infections, such as athlete's foot, jock itch, and ringworm. Its formula uses both an antifungal ingredient to eliminate the fungus and an anti-inflammatory agent to relieve redness and itching.

Key Points

  • Dual-Action Treatment: Canesten Extra combines an antifungal ingredient like clotrimazole or bifonazole with an anti-inflammatory agent like hydrocortisone to treat both the infection and associated inflammation.

  • Specific Indications: It is used for inflamed fungal skin conditions, including athlete's foot, jock itch, ringworm, and some types of nappy rash.

  • Regional Variations: The formula varies by region; some versions contain clotrimazole and hydrocortisone, while others use bifonazole as the antifungal agent.

  • Short-Term Relief: Formulations with hydrocortisone are typically used for a short initial period (e.g., up to 7 days) to quickly resolve severe inflammation and itching.

  • Follow-Up Treatment: For formulations with a steroid, a follow-up course with a simple antifungal cream is often recommended to fully eradicate the infection and prevent recurrence.

  • Topical Use Only: Canesten Extra is for external application only and should not be used on broken skin, near the eyes, or under occlusive dressings.

In This Article

A Closer Look at the Active Ingredients

Depending on the region, the specific formulation of Canesten Extra cream can vary, primarily differing in its active antifungal and anti-inflammatory components. However, the core purpose of providing both antifungal treatment and symptom relief remains the same.

In some markets, Canesten Extra is sold as an “Antifungal Anti-inflammatory Cream” containing two main active ingredients: clotrimazole and hydrocortisone.

  • Clotrimazole: An imidazole antifungal that works by damaging the fungal cell membrane, stopping the growth of fungi and yeast that cause the infection.
  • Hydrocortisone: A mild corticosteroid that reduces the redness, swelling, and itching associated with skin inflammation.

In other regions, the product may be formulated with bifonazole, a broad-spectrum antifungal known for its once-daily application. This version is typically used for less inflamed fungal infections and may feature a convenient applicator for direct, hygienic use.

Medical Conditions Treated by Canesten Extra

Canesten Extra is indicated for a range of dermatophyte and yeast infections where inflammation is a key symptom. These conditions thrive in warm, moist environments and can cause significant discomfort, which the cream’s dual-action formula is designed to alleviate quickly.

Common conditions include:

  • Athlete's Foot (Tinea Pedis): A fungal infection often occurring between the toes, causing scaling, itching, and redness. Canesten Extra treats the infection while soothing the inflamed skin.
  • Jock Itch (Tinea Cruris): A fungal infection affecting the groin, buttocks, or inner thighs, characterized by a red, itchy, and often inflamed rash.
  • Ringworm (Tinea Corporis): A fungal infection that produces a red, circular, and often inflamed rash on the skin.
  • Fungal Nappy Rash (Candida Nappy Rash): Caused by a yeast infection, this rash can become inflamed and painful. Canesten Extra provides effective treatment for both the fungal cause and the associated inflammation.
  • Fungally Infected Eczema or Dermatitis: In cases where eczema or dermatitis becomes complicated by a fungal infection, Canesten Extra can provide targeted relief.

How to Apply Canesten Extra Correctly

Proper application is crucial for effectively treating the infection and preventing recurrence. Always read the specific instructions on your product's packaging, as they can differ based on the active ingredients. A general guide is as follows:

  1. Cleanse and Dry: Wash the affected area thoroughly with warm water and a mild soap. Pat the skin completely dry, paying close attention to areas between the toes or skin folds.
  2. Apply Sparingly: Apply a small amount of cream to cover the affected area and the surrounding skin. A thin layer is sufficient.
  3. Rub in Gently: Massage the cream into the skin until it is evenly distributed.
  4. Wash Hands: Always wash your hands thoroughly before and after application to prevent spreading the infection to other parts of your body or to other people.
  5. Follow Treatment Duration: Follow the recommended duration, especially for the hydrocortisone formula, which is typically limited to 7 days for the anti-inflammatory component. Afterwards, a hydrocortisone-free antifungal cream may be needed for continued treatment.

Comparison: Canesten Extra vs. Standard Canesten Creams

To help understand which product is best for your needs, here is a comparison of Canesten Extra and a standard clotrimazole-only cream. Note that formulations can vary by market.

Feature Canesten Extra (Clotrimazole + Hydrocortisone) Standard Canesten (Clotrimazole Only)
Active Ingredients Clotrimazole and Hydrocortisone Clotrimazole
Purpose Treats fungal infection while reducing severe inflammation, itching, and redness. Treats fungal infection by killing the fungus.
Symptom Relief Provides faster, more immediate relief from intense itching and inflammation due to the mild steroid. Focuses on eliminating the underlying cause; symptomatic relief is slower.
Duration of Use Short-term use for the combined formula (typically no more than 7 days). Longer-term use (up to 4 weeks, depending on the infection).
Recommended For Initial treatment of inflamed fungal infections. General fungal infections, or for the maintenance phase after Canesten Extra.

Important Precautions for Using Canesten Extra

  • External Use Only: This cream is for external use only. Avoid contact with eyes, mouth, and other mucous membranes.
  • Avoid Occlusive Dressings: Do not cover the treated area with waterproof bandages or tight nappies, as this can increase systemic absorption, especially for the hydrocortisone variant.
  • Not for Broken Skin: Do not apply Canesten Extra to cracked or broken skin.
  • Drug Interactions: Some Canesten products may temporarily reduce the effectiveness and safety of latex products like condoms and diaphragms, so alternative contraceptive methods should be considered during and immediately after treatment.
  • Consult a Healthcare Professional: Individuals who are pregnant or breastfeeding, have sensitive skin, or are considering use on young children should consult a doctor or pharmacist first.

Conclusion: A Targeted Solution for Inflamed Fungal Infections

In summary, Canesten Extra cream is a potent topical treatment, particularly effective for inflamed fungal infections, because it combines an antifungal agent with an anti-inflammatory component. By addressing both the cause and the symptoms simultaneously, it offers fast relief from the discomfort of itching, redness, and swelling. However, due to the inclusion of a steroid in some formulations, it is crucial to follow dosage instructions carefully and for a limited duration, often followed by a standard antifungal cream to complete the treatment. When in doubt, always seek advice from a pharmacist or other healthcare professional to ensure you are using the correct formulation for your specific condition. For more detailed information on specific formulations available, consult the local health product database or a pharmacist.(https://www.medsafe.govt.nz/profs/datasheet/c/canestenExtraCrm.pdf)

Frequently Asked Questions

Canesten is a standard antifungal cream containing only clotrimazole. Canesten Extra, in many regions, adds a mild steroid like hydrocortisone to the antifungal agent, making it suitable for inflamed and itchy fungal infections.

If you are using a Canesten Extra cream containing a steroid (hydrocortisone), it should generally not be used for more than 7 days without a doctor's advice. After the inflammation subsides, you may need to switch to a standard antifungal-only cream.

While some Canesten products are designed for vaginal thrush, Canesten Extra cream is generally formulated for external fungal skin infections like those on the feet or groin. Specific Canesten products are available for vaginal yeast infections.

Canesten Extra containing hydrocortisone is typically not recommended for children under 2 years of age unless advised by a doctor. When used for fungal nappy rash, care must be taken not to fasten nappies too tightly over the treated area.

If your symptoms do not improve within 7 days of treatment or if they get worse, you should consult a doctor or pharmacist. A different type of infection may be present or the antifungal cream may not be suitable.

Yes, some people may experience side effects such as mild irritation, burning, redness, or stinging. If these symptoms are severe or signs of an allergic reaction occur, stop use and seek medical advice.

Canesten Extra works by combining an antifungal agent, which kills the fungus, with a mild anti-inflammatory agent. The antifungal tackles the root cause of the infection, while the anti-inflammatory provides fast relief from associated symptoms like itching and redness.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.