Monistat

What is Monistat?

Monistat is a vaginal cream containing an antifungal to help treat yeast infections. You can get it as a dual treatment containing a vaginal suppository or ovule (that come with an applicator as well or are prefilled into an applicator) with an external cream for itch relief.

A yeast infection (also known as vaginal thrush) is caused by the overgrowth of yeast in the vagina. This causes symptoms like itching, burning and abnormal vaginal discharge, but it can also be asymptomatic, meaning it doesn’t present any symptoms.^[1]

You don’t always require treatment for a yeast infection, as it can resolve on its own. But if the symptoms persist, you’ll need topical or oral antifungal medication.

How does Monistat work?

Miconazole is an antifungal that reduces the fungi’s ability to produce ergosterol, a key part of the cell wall. Without it, the fungi weakens, making it easier for your immune system to clear the infection.^[2]

What dose of Monistat are there?

There are three versions of Monistat available:

• Monistat 1 is a one-day treatment containing one 1200mg ovule, a pre-filled applicator and a tube of external itch relief cream.
• Monistat 3 is a three-day treatment containing three 4% suppositories, ovule or pre-filled applicator, and a tube of external itch relief cream.
• Monistat 7 is a seven-day treatment containing seven applicators, a 2% vaginal cream, and a tube of external itch relief cream.

The suppository and ovule are inserted into your vagina to help clear the infection. You can also get each treatment with an external vaginal cream that’s used to relieve itching and irritation.

The dose you choose depends on the severity of your infection, as well as your health needs and preferences.

How to use Monistat

Depending on the version you use, the instructions will vary. It’s best to read the instructions that come with your medicine before using it.

How to use Monistat suppository

1. Tear off one suppository from the strip. 
2. Place the suppository on top of the applicator. 
3. Hold the applicator by the opposite end from where the suppository is.
4. Insert the applicator into your vagina.  
5. Push the barrel with your other hand to insert the suppository into your vagina.
6. Throw away the applicator safely.

How to use Monistat ovule

1. Remove the ovule from the pouch. 
2. Place the ovule on top of the applicator. 
3. Hold the applicator by the opposite end from where the ovule is.
4. Insert the applicator into your vagina.  
5. Push the barrel with your other hand to insert the ovule into your vagina.
6. Throw away the applicator safely.

How to use Monistat applicator

Prefilled applicator:

1. Remove the blue cap from the prefilled applicator.
2. Attach the plunger to the prefilled applicator.
3. Insert the applicator into your vagina.  
4. Push the barrel with your other hand to insert the cream into your vagina.
5. Throw away the applicator safely.

If the applicator isn’t pre-filled, follow the instructions below:

1. Open the cream tube. 
2. Attach the applicator to the cream. 
3. Squeeze the cream into the applicator until it’s full. 
4. Separate the applicator from the tube. 
5. Insert the applicator into your vagina.  
6. Push the barrel with your other hand to insert the cream into your vagina.
7. Throw away the applicator safely.

How to use vaginal cream

1. Open the tube 
2. Squeeze a small amount of cream onto your fingertip.
3. Apply the cream on the outside of your vagina where it’s itchy and irritated. 
4. Close the tube
5. Repeat the steps twice a day, in the morning and evening, for 7 days. 

If you’re unsure what to do, check the package leaflet that comes with your medicine. It will have detailed instructions with pictures. If you’re still unsure, you can contact our clinicians online.

How often do I need to use Monistat?

Depending on the treatment, the dosage will vary. Monistat 1 is a one-dose treatment, while Monistat 3 is used for three days and Monistat 7 for seven days.

The external vaginal cream can be used twice a day (morning and night) for up to seven days, even if you’re using Monistat 1.

How long does Monistat take to work?

Your symptoms should start to lessen within a day and completely clear within a few days.

It can take a little longer if you’re using Monistat 3 or 7, as they contain a lower dose of the antifungal miconazole.