Vaginal Candidiasis Yeast Note

1. All available over the counter (OTC) except fluconazole.

2. For relapses or treatment failures not resolved in one week, consider fluconazole (Diflucan) 150 mg PO on days 1, 5, 9, and 13. [C]

3. Creams and suppositories are oil-based and may weaken condoms or diaphragms.

1. Fluconazole (Diflucan) 150 mg PO single dose [C, not recommended in pregnancy]

2. Miconazole vaginal suppositories (Monistat 3) 200 mg intravaginally qhs for 3 days [generally accepted in pregnancy]

3. Miconazole 2% vaginal cream (Monistat 7): one applicator (5 g) per vagina qhs for 7 days [generally accepted as safe in pregnancy]

4. Clotrimazole vaginal suppositories (Gyne-Lotrimin, Mycelex-7) 100 mg tablet intravaginally qhs for 7 days OR two 100 mg tabs intravaginally for 3 days [B]

5. Clotrimazole 1% vaginal cream (Gyne-Lotrimin, Mycelex-7): one applicator (5 g) per vagina qhs for 7 days [B]

6. Butoconazole (Femstat) 2% cream one applicator (5 g per vagina qhs for 3 days [C]

Course: As listed, however 7 days of treatment are recommended for those medications used during pregnancy.

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