Vaginal Candidiasis

Vaginal Candidiasis

BASHH

PHE, CKS

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.

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