Recurrent vulvovaginal candidiasis TOG Flashcards
Non Pregnant PO recurrent VVC
Induction
Fluconazole 150mg every 72 hours for 3 doses
Maintenance
150mg weekly for 6 months
Non Pregnant topical recurrent VVC
Initiation:
Clotrimazole 500mg PV 7-14 days
Maintenance
500mg weekly 6 months
Tx for non C.albicans Spp, acute and recurrent
Acute: Nystatin pessary 100,000 units, 12-14 nights
Recurent: 14 nights per month for 6 months
Acute and recurrent for VVC in pregnancy
Acute clotrimazole 500mg PV 7 nights
Chronic
Induction 500mg 10-14 nights
1 x weekly
Cure rate in pregnancy of clotrimazole 500mg for 4 days and 7 days
4 50%
7 90%
Can you breastfeed following fluconazole?
1 dose yes
>1 no
Cautions with fluconazole
Reaction with other drugs
Relation to hypokalaemia and prolonged QT