cans lb tablet vt - Clindamycin (100mg) + Miconazole (200mg) medicine

Canfree V7 100mg/200mg Suppository: Complete Medicine Guide

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🏭 Ravenbhel Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for individual components; combination product supported by clinical experience.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: swelling of face, lips, throat, difficulty breathing.
  • Severe or persistent diarrhea, abdominal pain, or fever.
  • New or worsening vaginal discharge with foul odor.
  • Severe vaginal pain or blistering rash.
  • No improvement after 7 days of treatment.
  • High fever with chills and pelvic pain.

If experiencing severe symptoms, call emergency services immediately.

What is cans lb tablet vt used for?

This medicine is a vaginal suppository containing clindamycin (antibiotic) and miconazole (antifungal). It treats mixed vaginal infections by killing bacteria and fungi. Insert one suppository at bedtime for 3-7 days as prescribed.

  • Generic Name: Clindamycin + Miconazole
  • Manufacturer: Ravenbhel Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cans lb tablet vt के बारे में (Hindi Summary)

उपयोग: यह दवा योनि में होने वाले मिश्रित संक्रमणों के इलाज के लिए इस्तेमाल की जाती है, जिसमें बैक्टीरिया और फंगस दोनों शामिल होते हैं। इसमें क्लिंडामाइसिन और माइकोनाज़ोल नामक दो सक्रिय तत्व होते हैं। क्लिंडामाइसिन बैक्टीरिया को मारता है और माइकोनाज़ोल फंगस को खत्म करता है। यह दवा योनि में असामान्य स्राव, खुजली, जलन और बदबू जैसे लक्षणों को कम करने में मदद करती है। इसे डॉक्टर के बताए अनुसार ही इस्तेमाल करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में योनि में हल्की जलन, खुजली या असुविधा शामिल हैं। कुछ महिलाओं को स्राव में अस्थायी वृद्धि या हल्के दाने हो सकते हैं। कभी-कभी सिरदर्द, पेट में ऐंठन या मतली हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई या गंभीर त्वचा पर लाल चकत्ते दिखें तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का इस्तेमाल डॉक्टर के निर्देशानुसार ही करें। सपोजिटरी डालने से पहले और बाद में हाथ धोएं। इसे रात को सोने से पहले डालें ताकि यह अंदर रह सके। इलाज के दौरान संभोग से बचें। टैम्पोन या डूश का इस्तेमाल न करें। अगर आप गर्भवती या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। 3 से 7 दिनों में सुधार न हो तो डॉक्टर से संपर्क करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 cans lb tablet vt Uses & Benefits

[{"condition":"Bacterial vaginosis","description":"Treats bacterial vaginosis caused by susceptible anaerobic bacteria, reducing abnormal discharge and odor.","evidence":"Well-established"},{"condition":"Vulvovaginal candidiasis","description":"Treats vaginal yeast infections caused by Candida species, relieving itching, burning, and discharge.","evidence":"Well-established"},{"condition":"Mixed vaginal infections","description":"Effective against mixed infections involving both bacteria and fungi, providing broad local coverage.","evidence":"Supported by clinical experience"}]

Off-label uses: []

Primary treatment for: Mixed vaginal infections (bacterial vaginosis and vulvovaginal candidiasis)

Also treats: Bacterial vaginosis, Vulvovaginal candidiasis

📋 Drug Information

Generic Name(s)Clindamycin + Miconazole
Brand NameCanfree V7 100mg/200mg Suppository
ManufacturerRavenbhel Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassAntibiotic + Antifungal
Route of AdministrationVaginal
StorageStore at room temperature (15-30°C). Protect from light and moisture. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Insert the suppository at bedtime to prevent it from slipping out and to allow overnight action.
2
Wash your hands before and after insertion to avoid introducing new germs.
3
Avoid sexual intercourse during treatment to prevent irritation and reinfection.
4
Do not use tampons or douches while using this medicine, as they can interfere with treatment.
5
Complete the full course even if symptoms improve early to prevent recurrence.
6
If you are pregnant or breastfeeding, consult your doctor before starting this medicine.
7
Report any severe or persistent side effects to your doctor promptly.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Abnormal vaginal discharge
This medicine is commonly prescribed for this.
Likely Use
✅
Vaginal itching
This medicine helps relieve itching caused by infection.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionClindamycin and miconazole are absorbed systemically to a limited extent after vaginal administration. Clindamycin vaginal absorption is approximately 5-10% of the dose; miconazole absorption is minimal. Peak plasma levels are low compared to oral dosing.
DistributionBoth drugs distribute locally in vaginal tissues. Systemically absorbed clindamycin is widely distributed to body fluids and tissues; miconazole is highly protein-bound and distributes into tissues.
Protein BindingClindamycin is about 90% bound to plasma proteins; miconazole is over 90% bound to plasma proteins.
MetabolismClindamycin is metabolized in the liver, primarily by CYP3A4, to active and inactive metabolites. Miconazole is metabolized in the liver via CYP3A4 and CYP2C9.
Half-LifeClindamycin half-life is approximately 2-3 hours; miconazole half-life is about 20-25 hours.
ExcretionClindamycin and its metabolites are excreted mainly in urine and bile. Miconazole is excreted primarily in feces as unchanged drug and metabolites.
BioavailabilityVaginal bioavailability of clindamycin is about 5-10%; miconazole has minimal systemic bioavailability after vaginal use.
Onset of ActionLocal symptomatic relief may begin within 1-2 days, but full therapeutic effect requires completing the course.
Peak Plasma TimePeak plasma concentrations after vaginal administration are typically reached within 4-8 hours for clindamycin; miconazole peak is variable.
Duration of ActionThe local effect lasts between doses; systemic levels are low. The full course is usually 3 to 7 days.

How It Works

Clindamycin binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis and thereby stopping bacterial growth. Miconazole interferes with the synthesis of ergosterol, a vital component of fungal cell membranes, leading to increased permeability and cell death. Together, they provide antibacterial and antifungal action directly in the vagina.

Mechanism Steps

1
Clindamycin uptake and ribosomal binding: Clindamycin penetrates bacterial cells and binds to the 50S ribosomal subunit, blocking peptide bond formation.
2
Inhibition of bacterial protein synthesis: This prevents the elongation of polypeptide chains, leading to bacterial growth arrest and death.
3
Miconazole uptake into fungal cells: Miconazole enters fungal cells and inhibits the enzyme 14α-demethylase, disrupting ergosterol synthesis.
4
Fungal cell membrane damage: Without ergosterol, the fungal cell membrane becomes leaky, causing loss of essential cellular components and cell death.

💡 How to Take cans lb tablet vt

Strength: Vaginal suppository containing Clindamycin 100 mg and Miconazole 200 mg.

1Wash your hands thoroughly with soap and water.
2Remove the suppository from its packaging.
3Lie on your back with your knees bent and feet flat, or stand with one foot on a chair.
4Gently insert the suppository into the vagina as far as it will comfortably go, using the applicator if provided.
5Withdraw the applicator and dispose of it properly.
6Wash your hands again.
7Stay lying down for at least 15 minutes to allow the suppository to dissolve.

Dosage Information

Adult DosageThe usual adult dose is one suppository inserted vaginally once daily at bedtime for 3 to 7 days, depending on the severity of the infection and your doctor's recommendation. The exact duration and frequency must be individualized by a qualified clinician based on the specific infection, your medical history, and response to treatment. Do not self-adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dose adjustment is required for elderly patients based on age alone. However, elderly patients may have reduced renal or hepatic function, so use with caution and monitor for side effects.
Renal ImpairmentNo dose adjustment is typically needed for vaginal use due to low systemic absorption. However, in severe renal impairment, consult your doctor as systemic clindamycin may accumulate.
Hepatic ImpairmentNo specific dose adjustment is established for vaginal use. In severe hepatic impairment, systemic clindamycin levels may increase; use with caution and monitor liver function.
Maximum Daily DoseOne suppository per day (100 mg clindamycin + 200 mg miconazole).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Insert the missed dose as soon as you remember.
💡 Continue with your regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double the dose. Continue with the next scheduled dose.

⚠️ Side Effects of cans lb tablet vt

✅ Common Side Effects

Vaginal burning or irritation (Common (5-10%))
Usually resolves after a few applications. If persistent or severe, consult your doctor.
Vaginal itching (Common (5-10%))
May be due to the infection or the medicine. If it worsens, contact your doctor.
Increased vaginal discharge (Common (5-10%))
This may be the suppository base melting. If discharge is foul-smelling or accompanied by fever, seek medical advice.
Headache (Uncommon (1-5%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.
Abdominal cramps (Uncommon (1-5%))
Usually transient. If severe, contact your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Report severe or persistent diarrhea, abdominal pain, or fever to your doctor immediately.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop use and seek immediate medical attention if you develop a painful rash, blistering, or peeling skin.

⚠️ Rare Side Effects

Vaginal candidiasis superinfection
Consult your doctor if you develop new or worsening yeast infection symptoms.
Metallic taste
Usually resolves on its own. If bothersome, discuss with your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Neuromuscular blockers Major
Erythromycin Moderate
CYP3A4 inhibitors Moderate
Kaolin-pectin Minor

🚨 Major Interactions

  • Warfarin
  • Neuromuscular blocking agents (e.g., vecuronium)

⚡ Moderate Interactions

  • Erythromycin
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)

🍷 Alcohol Interaction

No specific interaction is established between alcohol and this vaginal suppository. However, alcohol may worsen underlying infection or interact with other medications. Consult your doctor.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to clindamycin, miconazole, or any component of the formulation","History of regional enteritis, ulcerative colitis, or antibiotic-associated colitis","Use in children under 12 years (unless directed by a doctor)","First trimester of pregnancy (unless clearly needed and prescribed by a doctor)"]

⚠️ Warnings & Precautions

["Do not use if you have a history of allergy to clindamycin or miconazole.","Avoid contact with eyes, nose, or mouth.","Do not use during menstruation; start treatment after your period ends.","Avoid sexual intercourse during treatment.","Do not use tampons or douches while using this medicine.","If symptoms persist beyond 7 days, consult your doctor.","Prolonged use may lead to overgrowth of non-susceptible organisms.","Use with caution in patients with liver or kidney disease.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]

🤱 Lactation Safety

Clindamycin and miconazole are excreted in breast milk in small amounts. Consult your doctor before use during breastfeeding. To minimize infant exposure, avoid applying to the breast area and consider timing doses after feeding.

💊 Overdose Management

Overdose with this vaginal suppository is unlikely due to low systemic absorption. If accidental ingestion occurs, seek medical attention immediately. Symptoms of clindamycin overdose may include nausea, vomiting, and diarrhea. Miconazole overdose may cause nausea and vomiting. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, insert it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Use this medicine only as prescribed by your doctor. Wash your hands thoroughly before and after inserting the suppository. Insert it at bedtime to allow the medication to stay in place overnight. Avoid sexual intercourse while using this medicine, as it may reduce effectiveness and cause irritation. Do not use tampons or douches during treatment. If you are pregnant or breastfeeding, consult your doctor before use. Do not use this medicine if you have a history of allergy to clindamycin or miconazole. Keep out of reach of children. If symptoms do not improve within 3 to 7 days, contact your healthcare provider.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced renal or hepatic function. Use with caution and monitor for side effects. No specific dose adjustment is required based on age alone.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. The safety of this combination in pregnancy is not fully established. Your doctor will weigh the benefits and risks.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially pelvic or vaginal surgery, as it may interfere with healing or increase infection risk.

🦷 Dental Procedures

No specific considerations for dental procedures. Inform your dentist about all medications you are taking.

💚 Lifestyle Tips for Better Results

🏃
Wear loose, breathable cotton underwear to reduce moisture and irritation.
🥗
Avoid douching and scented feminine products.
😴
Practice good genital hygiene by washing with mild soap and water.
💧
Maintain a healthy diet and stay hydrated.
🧘
Avoid sharing towels or underwear to prevent reinfection.
🌞
Manage stress and get adequate sleep to support immune function.

🏋️ Exercise Considerations

No specific exercise restrictions are required while using this medicine. However, avoid strenuous activities if you feel uncomfortable. Gentle exercise is fine.

🥗 Diet Recommendations

Include probiotics like yogurt to support healthy vaginal flora.
Reduce sugar and refined carbohydrates to prevent yeast overgrowth.
Stay well hydrated.
Eat plenty of fruits and vegetables for immune support.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. You can continue your normal daily activities, but avoid sexual intercourse during treatment.

🛑 When to Stop This Medicine

Stop using this medicine after completing the prescribed course or if you experience a severe allergic reaction. Do not stop early even if symptoms improve. Consult your doctor before stopping if you have concerns.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless prescribed by a doctor. Prolonged use may lead to overgrowth of non-susceptible organisms, causing new infections. Regular monitoring may be needed if used for extended periods. Consult your doctor if you need treatment for more than 7 days.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral antibiotics and antifungals

Oral medications may be prescribed for systemic treatment of mixed infections.

Evidence: Well-established
Probiotics

May help restore healthy vaginal flora and prevent recurrence.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established with this medicine. Continue routine vaccinations as scheduled.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, continue with your regular bedtime schedule as closely as possible. Keep it in your carry-on luggage to avoid temperature extremes in checked baggage. Declare it if required by customs.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 32-year-old woman with symptoms of bacterial vaginosis and yeast infection.
She experienced abnormal discharge, itching, and burning. Her doctor prescribed this medicine for 7 days. She used it at bedtime and avoided intercourse. By day 4, symptoms improved significantly. She completed the full course and felt completely better.
💡 Lesson: Consistent use and completing the full course are key to resolving mixed vaginal infections.
👤 A 45-year-old woman with recurrent vaginal infections.
She had tried over-the-counter treatments without success. Her doctor diagnosed a mixed infection and prescribed this medicine. She initially felt mild burning but it subsided after two days. She emphasized the importance of not stopping early.
💡 Lesson: Proper diagnosis and completing prescribed treatment prevent recurrence and resistance.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling relief within 1-2 days, but complete the full course as prescribed, usually 3-7 days.

Q: Can I use it during my period?

A: It is best to avoid using it during your period. Start treatment after your period ends, or as advised by your doctor.

Q: Is it safe during pregnancy?

A: Consult your doctor before use. The safety of this combination in pregnancy is not fully established.

Q: Can I have sex while using it?

A: Avoid sexual intercourse during treatment to prevent irritation and reinfection.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for cans lb tablet vt

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any vaginal infection.
    Fact: It is effective only against susceptible bacteria and fungi. Other infections require different treatments.
  • Myth: You can stop using it once symptoms improve.
    Fact: You must complete the full course to prevent recurrence and resistance.
  • Myth: It is safe to use during pregnancy without consulting a doctor.
    Fact: Consult your doctor before use during pregnancy; safety is not fully established.

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Clindamycin 100 mg + Miconazole 200 mg","route":"Vaginal","primary_use":"Mixed vaginal infections"},{"medicine":"Clindamycin alone","composition":"Clindamycin 100 mg","route":"Vaginal","primary_use":"Bacterial vaginosis"},{"medicine":"Miconazole alone","composition":"Miconazole 200 mg","route":"Vaginal","primary_use":"Vaginal yeast infection"}]

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