2: Treatment of BV and VVC Flashcards
Recommended for pregnant women:
- Metronidazole 500 mg orally twice a day for 7 days
- 250 mg 3x/day for 7 days.
BV
Recommended: Miconazole 1,200 mg vaginal suppository, one suppository weekly for 6 months.
Recurrent VVC maintenance therapy
Recommended: Fluconazole 150 mg oral tablet, one tablet in single dose
Uncomplicated VVC
Recommended: Fluconazole 150 mg orally every third day for a total of 3 doses (days 1, 4, and 7).
Recurrent VVC initial therapy
Recommended: Fluconazole 150 mg in 2 sequential doses, second dose 72 hours after initial dose.
Severe VVC
Recommended: Fluconazole 150 mg orally weekly for 6 months.
Recurrent VVC maintenance therapy
Recommended: Metronidazole 500 mg orally twice a day for 7 days.
BV
Recommended for pregnant women: Topical azole therapy, applied for 7 days.
Uncomplicated VVC
Alternative regimens: Metronidazole 2 g orally and fluconazole 150 mg orally in a single dose once monthly.
BV
Recommended: Intermittent use of topical treatments.
Recurrent VVC maintenance therapy
Recommended: Topical azole for 7–14 days.
Severe VVC
Alternative regimens: Clindamycin ovules 100 g intravaginally once at bedtime for 3 days.
BV
Recommended: Clindamycin cream 2%, one full applicator (5 g) intravaginally, at bedtime for 7 days
BV
Alternative regimens: Metronidazole 0.75% intravaginally once weekly for 4–6 months.
BV
Recommended: Tioconazole 6.5% ointment 5 g intravaginally in a single application
Uncomplicated VVC