Which over the counter (OTC) medications are used in the treatment of vaginitis?

Updated: Dec 04, 2018
  • Author: Hetal B Gor, MD, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Intravaginal imidazoles (see Pharmacologic Therapy) can be purchased over the counter and have proven efficacy for vaginal candidiasis. Patients may purchase and utilize these medications without a doctor’s advice or prescription and the choice of treatment can be based on personal preference since they appear to be equally effective. Vaginal anti-itch creams provide only symptomatic relief. Homeopathic treatments for vaginitis (boric acid, tea tree oil, live acidophilus, garlic) have not been well studied but may have some efficacy. [10, 11, 12]

If the patient shows no improvement, despite symptomatic or over-the-counter treatment, refer her for further workup of possible STDs and other infectious causes of vulvovaginitis.

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