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Vaginitis
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| Vaginitis
NEW MONOGRAPHS
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Possible therapeutic alternatives |
| Vulvovaginal candidiasis: |
Candida sp. |
| Oral alternatives: |
| Fluconazole 150mg orally as a one-time dose or Itraconazole 200mg orally twice daily for 2 doses. |
| Topical alternatives: |
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butoconazole (Femstat):insert one applicatorful intravaginally at bedtime x 3-6 days [2% cream 28g]
Clotrimazole (mycelex, Gyne-Lotrimin): 1 applicatorful at bedtime for 7 days. //Alternatively, 1 vaginal tab (100mg) intravaginally at bedtime for 7 days or 1 (500mg) vaginal tab x 1. [ supplied: 100, 500mg tablets, 1% vaginal cream-45 & 90 grams]
Miconazole (Monistat) 1 applicatorful intravaginally at bedtime for 7 days. Alternatively, Insert one 200mg vaginal suppository at bedtime for 3 days.
Terconazole (Terazol): 1 applicatorful (0.4%) intravaginally at bedtime for 7 days or (0.8%) at bedtime for 3 days. Alternatively, 80mg vaginal suppository at bedtime for 3 days.
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| Trichomoniasis (malodorous yellow-green discharge) |
Trichomonas vaginalis |
| Flagyl 2 grams orally as single dose or Tinidazole 2 grams orally x 1 or Flagyl 500mg orally twice daily for 7 days. |
| Treatment failures: |
| retreat with Flagyl 500mg orally twice daily for 7 days. |
| Treat sex partners with Flagyl 2 grams x 1 or 500mg orally twice daily for 7 days |
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Bacterial vaginosis
( Malodorous vaginal discharge. Over half of the cases are asymptomatic.) |
Common pathogens |
| Flagyl 500mg orally twice daily for 7 days or |
| Metrogel: 1 applicatorful intravaginally once daily at bedtime or twice daily (morning and evening) for 5 days. [70g tube 0.75% gel] or |
| Clindamycin 300mg orally twice daily for 7 days or |
| clindamycin 2% vaginal cream 5 grams intravaginally at bedtime for 7 days. |
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