Vaginal Candidiasis
Antimicrobial prescribing: NHS Forth Valley
NICE Clinical Knowledge Summaries - vulvovaginal candidiasis (acute)
NICE Clinical Knowledge Summaries - vulvovaginal candidiasis in pregnancy
Advise on self-management measures to provide symptom relief
Consider potential underlying predisposing conditions and/or optimise management if already known e.g diabetes, HIV
If there are vulval symptoms: Consider topical imidazole in addition to an oral or intravaginal antifungal
e.g. clotrimazole or miconazole 2% cream applied to vulva 2-3 times per day
Drug details
First Line if not pregnant:
Fluconazole
150mg orally
Single dose
Alternative:
Clotrimazole
500mg pessary
Single dose
If there are signs of severe infection (e.g. vaginal erythema, fissure) repeat antifungal drug treatment after 72 hours
First line during pregnancy:
Clotrimazole
500mg pessary at night
or
Vaginal cream (10%) 5g intravaginally at night
Up to 7 nights
Alternative:
Miconazole
Vaginal cream (2%) 5 g intravaginally at night
Up to 7 nights