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Vulvovaginal Candidiasis Treatment - Coggle Diagram
Vulvovaginal Candidiasis Treatment
Uncomplicated
Non prenant
Topical azole
Miconazole
100 mg vaginal suppository OD at bedtime for 7 days
200 mg vaginal suppository OD at bedtime for 3 days
2% cream intravaginally OD at bedtime for 7 days
Clotrimazole
1% cream intravaginally OD at bedtime for 7–14 days
2% cream intravaginally OD at bedtime for 3 days
Oral fluconazole
150mg once
Pregnant
only topical azole
Miconazole
2% cream intravaginally OD at bedtime for 7 days
100 mg vaginal suppository OD at bedtime for 7 days
Clotrimazole
1% cream intravaginally OD at bedtime for 7–14 days
Complicated
Severe symptoms
extended course of topical azole (e.g., 7–14 days)
oral fluconazole 150mg every 72 hours for 2 doses
Causative organism other than C. albicans
Consider specialist referral.
Fluconazole is not recommended
Treatment may include other azoles and/or boric acid.
Recurrent infection
Treatment of acute infection
extended course of topical azole (e.g., 7–14 days)
oral fluconazole 100–200 mg every 72 hours for 3 doses
Suppressive maintenance therapy
oral fluconazole 100–200 mg once weekly for 6 months