Vaginal candidiasis

Drug Name

Dose

Notes

TOPICAL THERAPIES

Butoconazole 2% cream

5 grams for 3 days

Available over-the-counter. May weaken latex condoms and diaphragms.

Clotrimazole (Lotrimin) 1% cream

5 grams for 7–14 days

Available over-the-counter. May weaken latex condoms and diaphragms.

Clotrimazole (Mycelex) 100mg vaginal tablet

One 100mg tablet for 7 days or two 100mg tablets for 3 days

Clotrimazole (Mycelex) 500mg vaginal tablet

Single dose

Miconazole (Monistat) 2% cream

5 grams for 7 days

Available over-the-counter. May weaken latex condoms and diaphragms.

Miconazole (Monistat)
200mg vaginal suppository

Once a day for 3 days

Available over-the-counter.

Miconazole (Monistat)
100mg vaginal suppository

Once a day for 7 days

Available over-the-counter.

Miconazole (Monistat)
1,200mg vaginal suppository

Single dose

Tioconazole (Vagistat)
300mg ointment

Single dose

Available over-the-counter.

Terconazole (Terazol 7) 0.4% cream

5 grams for 7 days

May weaken latex condoms and diaphragms.

Terconazole (Terazol 3) 0.8% cream

5 grams for 3 days

May weaken latex condoms and diaphragms.

Terconazole (Terazol 3) 80mg vaginal suppository

Once a day for 3 days

ORAL THERAPIES

Fluconazole (Diflucan)

One 150mg dose

Not recommended for pregnant women; sometimes used weekly as a preventive measure.

Itraconazole (Sporanox)

One 100mg dose

Not recommended for pregnant women; sometimes used weekly as a preventive measure.

Ketoconazole (Nizoral)

One 200–400mg dose

Not recommended for pregnant women; sometimes used weekly as a preventive measure.

OTHER THERAPIES

Nystatin vaginal tablet (Mycostatin)

Applied to affected areas twice a day for three days.

Available over-the-counter. May be useful for recurrent infections (apply every 7 days for 1 month); messy application; can cause vaginal swelling; refraining from sex or use of condom recommended.

Treatment

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Preventing vaginal candidiasis