Template:Candidiasis Treatment: Difference between revisions

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====Oral Therapy====
====Uncomplicated====
*Fluconazole 150mg PO once
*Fluconazole 150mg PO once (preferred)
**A second dose at 72hrs may be given if patient is still symptomatic
**A second dose at 72hrs may be given if patient is still symptomatic



Revision as of 21:36, 19 June 2024

Uncomplicated

  • Fluconazole 150mg PO once (preferred)
    • A second dose at 72hrs may be given if patient is still symptomatic

Intravaginal Therapy

  • Clotrimazole 1 % cream applied vaginally for 7 days OR
  • Clotrimazole 2% applied vaginally for 3 days
  • Miconazole 2% cream applied vaginally for 7 days OR 4% cream x 3 days
  • Butoconazole 2% applied vaginally x 3 days
  • Tioconazole 6.5% applied vaginally x 1

Pregnant Patients

  • Intravaginal Clotrimazole or Miconazole are the only recommended treatments
  • Duration is 7 days
  • PO fluconazole associated with congenital malformations and spontaneous abortions[1]
  1. Molgaard-Nielsen D et al. Association Between Use of Oral Fluconazole During Pregnancy and Risk of Spontaneous Abortion and Stillbirth. JAMA. 2016;315(1):58-67.