Vulvovaginal Candidiasis

J Midwifery Womens Health. 2010;55(3):283-284.

What is the Best Treatment for Vulvovaginal Candidiasis?

Most yeast infections are treated with a medicine inserted in your vagina that comes as a cream, suppository, or tablet. The medicines listed here are used for 1 to 7 days. One-day treatments should only be used for mild infections. If you are having a lot of burning or itching you will want to use the medicine for 3 or 7 days. Use the medicine for the entire time, even if you feel better. Stopping the medicine too soon can cause the infection to come back Table 1.

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Cite this: Vulvovaginal Candidiasis - Medscape - Apr 29, 2010.

What is Vulvovaginal Candidiasis?
Why Does a Woman Get Vulvovaginal Candidiasis?
How Can I Prevent Vulvovaginal Candidiasis?
When Should I See a Health Care Provider?
What is the Best Treatment for Vulvovaginal Candidiasis?
How Should I Use the Medicine?

Table 1. Recommended Treatment for Vulvovaginal Candidiasis
Intravaginal Agents (one of following)	Brand Name	Duration
Butoconazole 2% cream	Mycelex 3	3 days^a
Butoconazole 2% sustained release	Gynazole-1	single dose
Clotrimazole 1% cream	Gyne-Lotrimin-7 Mycelex-7	7–14 days^a,b
Clotrimazole 100 mg vaginal tablet	Gyne-Lotrimin-7	7 days
Clotrimazole 100 mg vaginal tablet	Gyne-Lotrimin-7	3 days
Clotrimazole 500 mg vaginal tablet	Gyne-Lotrimin	single dose
Miconazole 2% cream	Monistat-7	7 days^a,b
Miconazole 100 mg suppository	Monistat-7	7 days^a
Miconazole 200 mg suppository	Monistat-3	3 days^a
Nystatin 100,000 unit vaginal tablet	Mycostatin	14 days
Tioconazole 6.5% ointment	Monistat 1-Day Vagistat 1	single dose^a
Terconazole 0.4% cream (45 gms)	Terazol-7	7 days^b
Terconazole 0.8% cream (20 gms)	Terazol-3	3 days
Terconazole 80 mg suppository	Terazol-3	3 days

^aAvailable over-the-counter.
^bRecommended during pregnancy.
Adapted from Mashburn J. Etiology, Diagnosis, and Management of Vaginitis. J Midwifery Womens Health 2006;51:423–30 and Centers for Disease Control and Prevention.

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Vulvovaginal Candidiasis

What is the Best Treatment for Vulvovaginal Candidiasis?

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