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Candida - female genital - Management
What short courses of antifungals are recommended?
- Oral antifungals:
- Oral fluconazole 150 mg (single dose).
- Oral itraconazole 200 mg (twice a day for 1 day).
- Intravaginal antifungals:
- Intravaginal pessaries. See Table 1 for more details.
- Intravaginal clotrimazole 10% cream (insert 5 g into the vagina as a single dose at night).
Table 1. Short courses of intravaginal pessaries for vulvovaginal candidiasis.
Preparation | Directions |
|---|
Clotrimazole 500 mg | Insert into the vagina once at night |
Clotrimazole 200 mg | Insert into the vagina once a night for 3 nights |
Econazole 150 mg* | Insert into the vagina once at night |
Econazole 150 mg | Insert into the vagina once a night for 3 nights |
Miconazole 1200 mg | Insert into the vagina once at night |
* Formulated for single dose use. |
|
Basis for recommendation
- These recommendations are based on published expert opinion [CDC, 2006; FFPRHC and BASHH, 2006].
- The doses CKS has recommended for short courses are all licensed.
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