Home Therapy Sex organs, obstetrics and STD
Home Therapy Sex organs, obstetrics and STD

Candida vaginitis (Vaginale candidiasis)

Advices

≥ 18 years
Priority Medication Remarks
Priority:
 1st choice 		Medication:

miconazole suppository 400mg 1dd 3 days
Remarks:

Vaginaal ante noctum. 
Priority:
 1st choice alternative 		Medication:

miconazole suppository 1200mg one-off
Remarks:

Vaginaal ante noctum.
Priority:
 2nd choice 		Medication:

clotrimazole suppository 200mg 1dd 3 days
Remarks:

Vaginaal ante noctum.
Priority:
 3rd choice 		Medication:

fluconazol po 150mg one-off
≥ 18 years

Indications: Ernstig: uitgebreid erytheem, oedeem, krabeffecten of fissuren
Priority Medication Remarks
Priority:
 1st choice 		Medication:

clotrimazole topical 5g 1dd 7 to 14 days
Remarks:

Vaginale crème 10 mg/g ante noctum.
Priority:
 1st choice alternative 		Medication:

miconazole 5g 1dd 7 to 14 days
Remarks:

Vaginale crème 20 mg/g ante noctum. 
Priority:
 2nd choice 		Medication:

fluconazol po 150mg 1dd
Remarks:

Tweemalig op dag 1 en dag 4.
≥ 18 years

Indications: recidiverende vulvovaginale candidiasis
Priority Medication Remarks
Priority:
 1st choice 		Medication:

miconazole suppository 1200mg 1dd 3 days
Remarks:

On demand. 
Priority:
 2nd choice 		Medication:

fluconazol po 150mg 1dd 3 days
Remarks:

On demand.
Priority:
 3rd choice 		Medication:

miconazole suppository 1200mg 1 per 4 weeks
Remarks:

Profylaxe op dag 5 van de menstruatie
intravaginaal ante noctum. 
Zo nodig dosering verhogen naar 1x/week. 
Priority:
 4th choice 		Medication:

fluconazol po 150mg 1 per 4 weeks
Remarks:

Profylaxe op dag 5 van de menstruatie
intravaginaal ante noctum. 
Zo nodig dosering verhogen naar 1x/week.

General comments

Intravaginale behandeling tast rubber van condooms en pessaria aan. 

Ook uitwendige klachten: 

- miconazole vaginale crème (20 mg/g): 2 dd dun aanbrengen tot de klachten over zijn, of:

- clotrimazol vaginale crème (10 mg/g): 2 dd dun aanbrengen tot de klachten over zijn.

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-499433.1
Updated: 08/07/2020 - 20:49
Status: Published