Vulvo vaginal candidiasis is a common cause of pruritic vaginal discharge. The main manifestations include pruritis vulvae, whitish curd like vaginal discharge, vulval irritation, dyspareunia, and splash (external) dysuria. It is commonly caused by Candida albicans.

Diagnosis: Laboratory: KOH test, Culture

Treatment:

Drug treatment

First line:

Nystatin, Suppository 100,000 IU per vaginum, daily for 14 days. (For S/E and C/I and dosage forms, see page 101)

OR

Clotrimazol, 100 mg vaginal tabs 1 /day for 6 days or 2 times /day for three days or 200mg 1/day for 03 days or 500m vaginal tabs single dose or 1% cream-5 gm 10-14 days (For S/E and C/I, see page 80)

Alternative:

Miconazole, 200 mg vaginal supp for three days or 100 mg vaginal tabs for 7 days or 2% cream 5 gm Intra vaginal for 7 days. (For S/E and C/I, see page 81)

Chronic Vulvo Vaginal Candidiasis: -

Ketaconazole, 400 mg /day or 200 mg twice /day for 5-10 days. Then 100 mg /day for 6 months as

Alternative:

Fluconazole, 150 mg p.o. stat, then 100 mg ketoconazole /day for 6 months prophylaxis. (For S/E and C/I, see page 26)