Vulvovaginal Candidiasis

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

How Should I Use the Medicine?

Wash your hands before and after you use these medicines. Clean the outside of your vagina with soap and water and dry well. Insert the medicine into your vagina while you are lying down at night before you go to sleep. This helps the medicine stay in your vagina for several hours.

A slight burning of the skin or vagina is normal with first contact. It is common to have more discharge while you are using the medicine. There usually are no other problems related to using these medicines. But you should not use any medicine if you are allergic to it.

Many of these medicines are oil-based. If you put the medicine in your vagina and use a latex condom or diaphragm when you have sex, the medicine may cause breaks. In that case, either avoid sex while using the drugs or use another type of birth control.

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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

How Should I Use the Medicine?

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