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Suggest Treatment For Vulvovaginal Candidiasis

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Posted on Tue, 15 Apr 2014
Question: Is there an OTC topical cream for the relief of burning and itching from vulvovaginal candidiasis.
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Answered by Dr. Michelle Gibson James (36 minutes later)
Brief Answer: yes there are options Detailed Answer: HI, thanks for using healthcare magic The itching occurs due to inflammation from the infection. The itching and scratching associated with vaginal yeast infections causes small excoriations (very small cuts) in the vaginal skin that causes the burning. If the urge to itch is treated then the burning would also resolve. Treatment can involve vaginal ovules or creams or an oral tablet (diflucan). The topical creams or ovules that you can obtain over the counter are: (1)monistat (miconazole) (2)vagistat (3)femstat (butaconazole)- used nightly for 3 nights (4)gyne-lotrimin, mycelex (both of these contain clotrimazole- duration of use would vary according to strength of clotrimazole) These creams would be applied at night. In addition, if you can obtain a mild topical steroid cream to apply in the vaginal region for 1 to 2 days, it would also help with the itching and burning till the full effect of the vaginal yeast creams kick in. Example is hydrocortisone These medications can be used with the diflucan. I hope this helps, feel free to ask any other questions
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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 Treatment For Vulvovaginal Candidiasis

Brief Answer: yes there are options Detailed Answer: HI, thanks for using healthcare magic The itching occurs due to inflammation from the infection. The itching and scratching associated with vaginal yeast infections causes small excoriations (very small cuts) in the vaginal skin that causes the burning. If the urge to itch is treated then the burning would also resolve. Treatment can involve vaginal ovules or creams or an oral tablet (diflucan). The topical creams or ovules that you can obtain over the counter are: (1)monistat (miconazole) (2)vagistat (3)femstat (butaconazole)- used nightly for 3 nights (4)gyne-lotrimin, mycelex (both of these contain clotrimazole- duration of use would vary according to strength of clotrimazole) These creams would be applied at night. In addition, if you can obtain a mild topical steroid cream to apply in the vaginal region for 1 to 2 days, it would also help with the itching and burning till the full effect of the vaginal yeast creams kick in. Example is hydrocortisone These medications can be used with the diflucan. I hope this helps, feel free to ask any other questions