Penile thrush (male candidiasis, balanitis, balanoposthitis) is a Candida-predominant infection of the glans and foreskin — common in uncircumcised men, men with diabetes, immunosuppression, or those whose female partner has recurrent vulvovaginal candidiasis. Topical combination antifungal + low-potency steroid is first-line for symptomatic relief and clearance. The MedsBase Thrush Treatment for Men catalogue stocks these options, supplied by WHO-GMP sertifioiduilta valmistajilta.
Topical clotrimazole + betamethasone combinations. The combination of topical antifungal (clotrimazole) with low-potency steroid (betamethasone valerate) treats both the candida overgrowth and the inflammatory itch / redness simultaneously. Apply thinly to glans and foreskin twice daily for 7 days. Stocked as Candid B Cream ja Candid B Lotion. Alternative clobetasone-clotrimazole as Clocip B Cream. Avoid prolonged steroid use (more than 7 days continuously) — risk of skin atrophy and rebound flare.
Quadriderm RF (fixed-quadruple combination). Quadriderm RF combines clobetasol (high-potency steroid) + neomycin (aminoglycoside antibiotic) + miconazole (azole antifungal) + chlorocresol (antibacterial preservative) — useful for severe inflammatory dermatitis with secondary bacterial / fungal involvement. Stocked as Quadriderm RF Cream. Limit use to 5–7 days because of clobetasol potency.
Oral fluconazole alternative. Single-dose oral fluconazole 150 mg is an effective alternative — particularly useful when topical treatment is impractical or not tolerated. Stocked as Fludic (fluconazole tablet). Browse our broader Sienitulehduksen hoito category for additional fluconazole brands.
Käyttöohje. Mild symptomatic balanitis → topical clotrimazole-betamethasone (Candid B) twice daily for 7 days, plus careful hygiene (gentle washing without soap, dry thoroughly, avoid scented products). Severe inflammatory presentation → Quadriderm RF for 5 days then switch to clotrimazole-only. Recurrent balanitis → consider oral fluconazole, screen for diabetes, treat female partner if recurrent VVC, consider circumcision in refractory cases.
Tärkeää. Recurrent or severe penile candidiasis warrants HbA1c testing for undiagnosed diabetes — newly-diagnosed type 2 diabetes commonly presents with recurrent thrush. Persistent or atypical balanitis (ulcerated, exudative, lichenified) needs dermatology / urology evaluation to exclude lichen sclerosus, Zoon’s balanitis, contact dermatitis, psoriasis, or premalignant change. New genital lesions should not be assumed to be thrush — STI screening as appropriate.
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