Template:Candidiasis Treatment: Difference between revisions
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**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 | ||
*Intravaginal therapy | |||
*Clotrimazole 1 % cream applied vaginally for 7 days OR | **Clotrimazole 1 % cream applied vaginally for 7 days OR | ||
*Clotrimazole 2% applied vaginally for 3 days | **Clotrimazole 2% applied vaginally for 3 days | ||
*Miconazole 2% cream applied vaginally for 7 days OR 4% cream x 3 days | **Miconazole 2% cream applied vaginally for 7 days OR 4% cream x 3 days | ||
*Butoconazole 2% applied vaginally x 3 days | **Butoconazole 2% applied vaginally x 3 days | ||
*Tioconazole 6.5% applied vaginally x 1 | **Tioconazole 6.5% applied vaginally x 1 | ||
====Pregnant Patients==== | ====Pregnant Patients==== | ||
Revision as of 21:37, 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]
- ↑ 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.