Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Remedies For Recurrent Candidiasis Infection
Question: Dear Dr i have ever used clotrimazole 100mg X2 for 3 nites..been through Flagystatin 500mg/1000,000I.U. metronidazole & nystatin for 10days X 1 pc...the yeast infection cheese came back..then clotrimazole 100mg X2 for 3 nites and it is back..tis time after 5days..no itching but i can feel the rushing out discharge in my urethra like feeling and with the yellow cheese discharge.. I am now trying out 500mg metronidazole combi with 100mg miconazole nitrate... am known to have high Candida...《status :--with recurrences now..》
For this latest over the counter bought item...have available 14 pieces..suggested (1) regimen to use 1/day and 1 / nite for 7days or 1pc/nite for 14nites.
Tis seems serious..and i have to work day n nite shift..and I cannot have a consistent timing for inserting the pessaries...please kindly advise 1) would this time medication be good enough as it seems am building up resistance...2) which regime is vetter 7days or 14 days.. many thanks
For this latest over the counter bought item...have available 14 pieces..suggested (1) regimen to use 1/day and 1 / nite for 7days or 1pc/nite for 14nites.
Tis seems serious..and i have to work day n nite shift..and I cannot have a consistent timing for inserting the pessaries...please kindly advise 1) would this time medication be good enough as it seems am building up resistance...2) which regime is vetter 7days or 14 days.. many thanks
Brief Answer:
Use Azole pessary once daily for 14 days.
Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns.
Since you have confirmed recurrent candidiasis, there is no need to use Metronidazole. It does not help.
Use Azole pessary once daily for 14 days. This dosage suits your work schedule also. The dosage is once daily. Taking it for longer period would inhibit fungal growth.
If this treatment is also not effective, consult doctor and take Fluconazole therapeutic course followed by six months suppressive dose course.
Do you have diabetes? if so it is extremely important that it is well controlled.
I hope this is helpful.
If you have further concerns, I will be happy to answer.
Best wishes,
Dr Rama
Use Azole pessary once daily for 14 days.
Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns.
Since you have confirmed recurrent candidiasis, there is no need to use Metronidazole. It does not help.
Use Azole pessary once daily for 14 days. This dosage suits your work schedule also. The dosage is once daily. Taking it for longer period would inhibit fungal growth.
If this treatment is also not effective, consult doctor and take Fluconazole therapeutic course followed by six months suppressive dose course.
Do you have diabetes? if so it is extremely important that it is well controlled.
I hope this is helpful.
If you have further concerns, I will be happy to answer.
Best wishes,
Dr Rama
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hi Dr Wani, thank you Dr i dont think i have diabetes, though my mother has it and she had passed away.
Due to the situation of recurrent cheese discharge, i have inserted the pessaries before messaging you
(1) I have started the 500mg metronidazole combi with 100mg miconazole nitrate. Do i finish up the 7 days ? or 14days.?
Or (2) stop this therapy because this combination doesnt help me and is causing resistance?
And (3) Dr there is no Azole pessaries (what is the retail name) available here in my country are there any alternative?
i understand that you mentioned Fluconazole course and 6 months course..will the gastric flora be destroyed?
Many Thanks for your reply.
Due to the situation of recurrent cheese discharge, i have inserted the pessaries before messaging you
(1) I have started the 500mg metronidazole combi with 100mg miconazole nitrate. Do i finish up the 7 days ? or 14days.?
Or (2) stop this therapy because this combination doesnt help me and is causing resistance?
And (3) Dr there is no Azole pessaries (what is the retail name) available here in my country are there any alternative?
i understand that you mentioned Fluconazole course and 6 months course..will the gastric flora be destroyed?
Many Thanks for your reply.
Brief Answer:
Details below.
Detailed Answer:
Hi,
Welcome back.
It is good to get checked to find out if you have diabetes.
Since you have already started it complete the course for 14 days.
Miconazole, Fluconazole ,clotrimazole etc are azole group of drugs.
Using fluconazole for long period does not destroy gastric flora. It is a antifungal agent.
Use loose cotton undergarments.
I hope this is helpful.
If you have further queries, do write to me.
Best wishes,
Dr Rama
Details below.
Detailed Answer:
Hi,
Welcome back.
It is good to get checked to find out if you have diabetes.
Since you have already started it complete the course for 14 days.
Miconazole, Fluconazole ,clotrimazole etc are azole group of drugs.
Using fluconazole for long period does not destroy gastric flora. It is a antifungal agent.
Use loose cotton undergarments.
I hope this is helpful.
If you have further queries, do write to me.
Best wishes,
Dr Rama
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
