Fluconazole
150mg orally
STAT
Or Clotrimazole
500mg pessary or 10% cream
STAT
Pregnant: clotrimazole
100mg pessary at night
6 nights
or miconazole 2% cream
5g intravaginally BD
7 days
Recurrent (>4 episodes per year):
Fluconazole
150mg every 72 hours for 3 doses
then
150mg once per week for 6 months
All topical and oral azoles give 75% cure.
Oral fluconazole is significantly cheaper than clotrimazole 10% cream or 500mg pessary
In pregnancy avoid oral azoles and use intravaginal treatment for 7 days.