Template:Candidiasis Treatment

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.