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Suggest Alternative Medication For Vulvovaginal Candidiasis

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Posted on Mon, 8 Aug 2016
Question: I seem to hve a yeast infection, that will not clear up. doctor has given me fluconazole, and also nystatin, which only inflames it worse.
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Answered by Dr. Michelle Gibson James (44 minutes later)
Brief Answer:
repeat fluconazole, prolonged course of topical

Detailed Answer:
HI, thanks for using healthcare magic

In some women, the yeast infection can be resistant to treatment and prolonged therapy is needed.
These difficult infections are called complicated vulvovaginal candidiasis

Treatment of complicated vaginal candidiasis (yeast infection) may involve:(1) a repeat dose of the fluconazole is given 3 days after the initial dose

If this time has passed, it can be used at any time

(2)prolonged course of topical treatment. Cream or ovule of the azole family of medications should be used and given for 7 to 14 days.
This includes meds such as miconazole (monistat) , clotrimazole (gyne- lotrimin), tioconazole (vagistat), terconazole (terazol 7), butoconazole (gynazole-1)

One of these creams can be used for 7 to 14 days along with the repeat dosing of the fluconazole

If there is no response then a swab may need to be taken to determine the exact cause of the infection. There are different types of fungi, so it may be a type that requires alternative medication


I hope this helps, feel free to ask any other questions
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Alternative Medication For Vulvovaginal Candidiasis

Brief Answer: repeat fluconazole, prolonged course of topical Detailed Answer: HI, thanks for using healthcare magic In some women, the yeast infection can be resistant to treatment and prolonged therapy is needed. These difficult infections are called complicated vulvovaginal candidiasis Treatment of complicated vaginal candidiasis (yeast infection) may involve:(1) a repeat dose of the fluconazole is given 3 days after the initial dose If this time has passed, it can be used at any time (2)prolonged course of topical treatment. Cream or ovule of the azole family of medications should be used and given for 7 to 14 days. This includes meds such as miconazole (monistat) , clotrimazole (gyne- lotrimin), tioconazole (vagistat), terconazole (terazol 7), butoconazole (gynazole-1) One of these creams can be used for 7 to 14 days along with the repeat dosing of the fluconazole If there is no response then a swab may need to be taken to determine the exact cause of the infection. There are different types of fungi, so it may be a type that requires alternative medication I hope this helps, feel free to ask any other questions