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
Recommended: Itraconazole 200 mg orally twice daily for 3 days
Recurrent VVC initial therapy
Recommended: Butoconazole 2% cream (single-dose bioadhesive product), 5 g intravaginally for a single application.
Uncomplicated VVC
Recommended recurrent: Retreat with original therapy.
BV
Alternative regimens: Clindamycin 300 mg orally twice a day for 7 days.
BV
Recommended: Metronidazole gel 0.75%, one full applicator (5 g) intravaginally, daily for 5 days.
BV
Recommended: Optimal treatment unknown; options include nonfluconazole azole drug (oral or topical) for 7–14 days.
Non-albicans VVC Initial Therapy
Alternative regimens for pregnant women: None.
BV
Recommended:
- Terconazole 0.4% cream 5 g intravaginally for 7 days
- 0.8% for 3 days
Uncomplicated VVC
Recommended:
- Clotrimazole 1% cream 5 g intravaginally for 7–14
- 2% for 3 days
Uncomplicated VVC
Alternative regimens:
- Tinidazole 2 g orally once daily for 2 days
- 1 g for 5 days
BV
Recommended: Itraconazole 100–200 mg daily for 6 months.
Recurrent VVC maintenance therapy
Recommended:
- Miconazole 2% cream 5 g intravaginally for 7 days
- 4% for 3 days
Uncomplicated VVC
Recommended:
- Miconazole 100 mg vaginal suppository, one suppository daily for 7 days
- 200 mg for 3 days
- 1200 mg for 1 day
Uncomplicated VVC
Recommended for HIV infection in complicated VVC?
Should not differ from that of seronegative women.
Recommended: Boric acid 600 mg in gelatin capsule vaginally once daily for 14 days.
Recurrent Non-albicans VVC
Recommended: Longer duration of initial therapy, such as topical azole for 7–14 days.
Recurrent VVC initial therapy
Recommended for pregnant women: Clindamycin 300 mg orally twice a day for 7 days
BV
Recommended: Terconazole 80 mg vaginal suppository, one suppository for 3 days.
Uncomplicated VVC
