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:

Clotrimazole

 

100mg pessary at night

 

6 nights