Vaginal Candidiasis

All topical and oral azoles give >80% cure.

In pregnancy avoid oral azoles - see treatment choice below.

In children avoid oral azoles without specialist advice.

First choice:

topical Clotrimazole


500mg pessary

OR 10% 5g vaginal cream


One dose

(topical treatment at night)

Alternative treatment

oral Fluconazole

(avoid in children and if pregnant)


150mg orally


One dose

If pregnant:



100mg pessary at night


6 nights