Treatments for Vaginal candidiasis
Treatments for Vaginal candidiasis
The list of treatments mentioned in various sources
for Vaginal candidiasis
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Vaginal candidiasis: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Vaginal candidiasis may include:
Hidden causes of Vaginal candidiasis may be incorrectly diagnosed:
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Drugs and Medications used to treat Vaginal candidiasis:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Vaginal candidiasis include:
Hospitals & Medical Clinics: Vaginal candidiasis
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Discussion of treatments for Vaginal candidiasis:
Genital Candidiasis: DBMD (Excerpt)
Antifungal drugs which are taken orally, applied
directly to the affected area, or used vaginally are the drugs
of choice for vaginal yeast infections. Although these drugs usually
work to cure the infection (80%-90% success rate), infections
that do not respond to treatment are becoming more common, especially
in HIV-infected women receiving long-term antifungal therapy.
Prolonged and frequent use of these treatments can lessen their
effectiveness. (Source: excerpt from Genital Candidiasis: DBMD)
Genital Candidiasis: DBMD (Excerpt)
What
is the difference betw een the 3-day treatments and the 7 day
treatments for genital candidiasis/VVC?
The only difference between these is the length
of treatment. Three-day and 7-day treatments may both be effective. (Source: excerpt from Genital Candidiasis: DBMD)
Genital Candidiasis: DBMD (Excerpt)
Over-the-counter treatments for VVC are becoming
more available. As a result more women are diagnosing themselves
with VVC and using one of a family of drugs called "azoles"
for therapy. However, misdiagnosis is common, and studies have
shown that as many as two-thirds of all OTC drugs sold to treat
VVC were used by women without the disease. Using these drugs
when they are not needed may lead to a resistant infection. Resistant
infections are very difficult to treat with the currently available
medications for VVC. (Source: excerpt from Genital Candidiasis: DBMD)
Vaginitis Due to Vaginal Infections, NIAID Fact Sheet: NIAID (Excerpt)
Various
antifungal vaginal medications are available to treat yeast
infection. Women can buy some antifungal creams, tablets, or
suppositories (butoconazole, miconazole, clotrimazole, and
tioconazole) over the counter for use in the vagina. But because
BV, trichomoniasis, and yeast infection are difficult to
distinguish on the basis of symptoms alone, a woman with vaginal
symptoms should see her physician for an accurate diagnosis before
using these products.
Other products available over the counter contain
antihistamines or topical anesthetics that only mask the symptoms
and do not treat the underlying problem. Women who have chronic or
recurring yeast infections may need to be treated with vaginal
creams for extended periods of time. Recently, effective oral
medications have become available. Women should work with their
physicians to determine possible underlying causes of their
chronic yeast infections. HIV-infected women may have severe yeast
infections that are often unresponsive to treatment. (Source: excerpt from Vaginitis Due to Vaginal Infections, NIAID Fact Sheet: NIAID)
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Book Excerpts: Treatment of Vaginal candidiasis
Treatments of Vaginal candidiasis: Online Medical Books
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for more information about the treatments of Vaginal candidiasis.
Dysmenorrhea:
Treatment
(In a Page: Signs and Symptoms)
- Primary dysmenorrhea is initially treated with NSAIDs
–High-dose ibuprofen may be administered beginning the day before the onset of menses
–Oral contraceptives with or without NSAIDs may be effective when NSAIDs alone are inadequate
–Low-fat vegetarian diet, a fish oil supplement, and vitamin E may reduce pain severity
- Patients unresponsive to NSAIDs and oral contraceptives should be evaluated for pelvic pathology (secondary dysmenorrhea)
–Endometriosis: GnRH analogs, danazol; laparoscopy in severe cases; treat infertility if necessary
–Adenomyosis: Hysterectomy is treatment of choice
–Leiomyoma: Removal, embolization, hysterectomy
–Pelvic inflammatory disease: Antibiotics, oral
contraceptives (to prevent ectopic pregnancy), treat infertility if necessary
–Treat depression and/or anxiety as necessary
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vaginal Discharge:
Treatment
(In a Page: Signs and Symptoms)
-
See most recent CDC guidelines for all STDs
-
Trichomonas
–Metronidazole single dose or for 7 days (avoid alcohol with metronidazole use)
–Intravaginal clotrimazole if pregnant or unable to use metronidazole
Gonorrhea
–Oral ciprofloxacin or IM ceftriaxone
Chlamydia –Azithromycin or doxycycline orally
Bacterial vaginosis
–Metronidazole single dose or for 7 days
Candida
–Clotrimazole cream or intravaginal suppository
–Fluconazole single dose
Atrophic vaginitis
–Topical or oral hormone replacement if appropriate
Advise to avoid douching/perfumed hygiene products
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vaginal Discharge:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Physiologic leukorrhea: Provide reassurance
-
Irritative vaginal discharge: Educate on proper wiping techniques, avoidance of tight clothing and irritants
-
Foreign bodies such as toilet paper can usually be removed with gentle vaginal lavage, sitz baths
-
Treatments for infectious causes of vaginal discharge:
–Bacterial vaginosis: Metronidazole or topical
clindamycin
–Candida can be treated with topical or oral antifungals
–Trichomonas is treated with metronidazole
–Group A β-hemolytic streptococci: Penicillin
–Chlamydia is treated with doxycycline or azithromycin
–Gonorrhea: Ceftriaxone, ciprofloxacin, or ofloxacin
–Shigella is treated with trimethoprim-sulfamethoxazole
- Encourage barrier contraception in sexually active adolescents
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Candidiasis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment first aims to improve the underlying condition that predisposes the patient to candidiasis, such as controlling diabetes or discontinuing antibiotic therapy and catheterization, if possible.
Nystatin is an effective antifungal for superficial candidiasis. Clotrimazole, fluconazole, ketoconazole, and miconazole are effective in mucous-membrane and vaginal candidal infections. Ketoconazole or fluconazole is the treatment of choice for chronic candidiasis of the mucous membranes. Treatment for systemic infection consists of I.V. amphotericin B or fluconazole.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Chronic mucocutaneous candidiasis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment aims to control infection but isn’t always successful. Topical antifungal agents, such as clotrimazole, miconazole, and nystatin, are useful. They may be prescribed as mouthwashes or troches (lozenges) for 5 to 10 days.
Systemic infections may not be fatal, but they’re serious enough to warrant vigorous treatment. Ketoconazole and fluconazole have had some positive effect. Oral or I.M. iron replacement may also be necessary. Treatment may also include plastic surgery of the lesions, when possible, and counseling to help patients cope with their disfigurement.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dysmenorrhea:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Initial treatment aims to relieve pain. Pain-relief measures may include:
❑ analgesics (such as aspirin) for mild to moderate pain (most effective when taken 24 to 48 hours before onset of menses; are especially effective for treating dysmenorrhea because they also inhibit prostaglandin synthesis; stronger anti-inflammatories may be used.
❑ opioids if pain is severe (infrequently used)
❑ prostaglandin inhibitors (such as mefenamic acid and ibuprofen) to relieve pain by decreasing the severity of uterine contractions
❑ cox-2 inhibitors (such as celecoxib, rofecoxib, and valdecoxib) to promote comfort
❑ heat applied locally to the lower abdomen (may relieve discomfort in mature women but isn’t recommended in young adolescents because appendicitis may mimic dysmenorrhea).
For primary dysmenorrhea, administration of sex steroids is an effective alternative to treatment with antiprostaglandins or analgesics. Such therapy usually consists of hormonal contraceptives to relieve pain by suppressing ovulation. However, patients who are attempting pregnancy should rely on antiprostaglandin therapy instead of hormonal contraceptives to relieve symptoms of primary dysmenorrhea.
Because persistently severe dysmenorrhea may have a psychogenic cause, psychological evaluation and appropriate counseling may be helpful.
In secondary dysmenorrhea, treatment is designed to identify and correct the underlying cause. This may include surgical treatment of underlying disorders, such as endometriosis or uterine leiomyomas. However, surgical treatment is recommended only after conservative therapy fails.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Vulvovaginitis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The cause of vulvovaginitis determines the appropriate treatment. It may include oral or topical antibiotics, antifungal creams, antibacterial creams, or similar medications. An antihistamine may be prescribed for allergic reactions. Cold compresses or cool sitz baths may provide relief from pruritus in acute vulvitis; severe inflammation may require warm compresses. Other therapy includes avoiding drying soaps, wearing loose clothing to promote air circulation, and applying topical corticosteroids to reduce inflammation. Chronic vulvitis may respond to topical hydrocortisone or antipruritics and good hygiene (especially in elderly or incontinent patients). Topical estrogen ointments may be used to treat atrophic vulvovaginitis. No cure exists for herpes-virus infections; however, oral and topical acyclovir decreases the duration and symptoms of active lesions.
If a sexually transmitted disease (STD) is diagnosed, it’s very important that partners also receive treatment, even if there are no symptoms. Failure of partners to receive treatment can lead to continual reinfection, which may eventually lead to infertility and affect the patient’s overall health.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dysmenorrhea:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
If dysmenorrhea is idiopathic, advise the patient to place a heating pad on her abdomen to relieve the pain. This therapy reduces abdominal muscle tension and increases blood flow.
Effleurage, a light circular massage with the fingertips, may also provide relief. Other comfort measures include drinking warm beverages, taking a warm shower, performing waist-bending and pelvic-rocking exercises, and walking. Inform the patient that increasing aerobic exercise and dietary intake of vitamin B1 and fish oil capsules have also proved effective in relieving dysmenorrhea.
Inform the patient that taking a nonsteroidal anti-inflammatory drug (NSAID) 1 to 2 days before the onset of menses is usually helpful. If she isn’t trying to get pregnant, taking monophasic birth control pills is also beneficial. Warn the patient that both of these treatments may reduce menstrual flow and duration. Be sure to rule out the possibility of pregnancy before starting contraceptive or NSAID therapy. Explain the actions and adverse effects of these drugs. (See Relief for dysmenorrhea.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Candidiasis:
Treatment
(Handbook of Diseases)
The first aim of treatment is to improve the underlying condition that predisposes the patient to candidiasis, such as controlling diabetes or discontinuing antibiotic therapy or catheterization, if possible.
Nystatin is an effective antifungal for superficial candidiasis. Clotrimazole, fluconazole, ketoconazole, and miconazole are effective for mucous membrane and vaginal Candida infections. Ketoconazole or fluconazole is the treatment of choice for chronic candidiasis of the mucous membranes. Treatment for systemic infection consists of I.V. amphotericin B with or without 5-fluorocytosine.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Vulvovaginitis:
Treatment
(Handbook of Diseases)
Common therapeutic measures include the following:
❑ oral metronidazole for the patient with trichomonal vaginitis and for all sexual partners
❑ topical miconazole 2% or clotrimazole 1% for candidal infection
❑ metronidazole for Gardnerella
❑ systemic antibiotic therapy for the patient with gonorrhea and for all sexual partners
❑ doxycycline or erythromycin for chlamydial infection
❑ topical estrogen cream, which may be helpful for patients who have irritation and inflammation caused by a low estrogen level (post-menopausal).
Cold compresses or cool sitz baths may provide relief from pruritus in acute vulvitis; severe inflammation may require warm compresses. Other therapy includes avoiding drying soaps, wearing loose clothing to promote air circulation, and applying topical corticosteroids to reduce inflammation.
Chronic vulvitis may respond to topical hydrocortisone or antipruritics and good hygiene (especially in elderly or incontinent patients). Topical estrogen ointments may be used to treat atrophic vulvovaginitis.
No cure exists for herpesvirus infections; however, oral and topical acyclovir decreases the duration and symptoms of active lesions.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Urethral discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise the patient with acute prostatitis to discontinue sexual activity until acute symptoms subside. However, encourage the patient with chronic prostatitis to regularly engage in sexual activity because ejaculation may relieve pain.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vaginal discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient to keep her perineum clean and dry. Also, tell her to avoid wearing tight-fitting clothing and nylon underwear and to instead wear cotton-crotched underwear and pantyhose. If appropriate, suggest that the patient douche with a solution of 5 tbs of white vinegar to 2 qt (2 L) of warm water to help relieve her discomfort.
If the patient has a vaginal infection, tell her to continue taking the prescribed medication even if her symptoms clear or she menstruates. Also, advise her to avoid intercourse until her symptoms clear and then to have her partner use condoms until she completes her course of medication. If her condition is sexually transmitted, instruct her on safer sex methods.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Dysmenorrhea:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Assess the patient's level of discomfort and use pharmacologic and nonpharmacologic methods to relieve discomfort.
Patient teaching
▪ Encourage the patient to view dysmenorrhea as a medical problem—not as a sign of maladjustment—and explain her treatment options. (See Relief for dysmenorrhea.)
▪ Explain the cause of the patient's dysmenorrhea once a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Urethral discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ To relieve symptoms, have the patient take hot sitz baths, increase fluid intake, void frequently, and avoid caffeine, tea, and alcohol.
▪ Monitor him for urine retention.
Patient teaching
▪ Advise the patient with acute prostatitis to discontinue sexual activity until acute symptoms subside.
▪ Encourage the patient with chronic prostatitis to regularly engage in sexual activity because ejaculation may relieve pain.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Vaginal discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Obtain cultures of the vaginal discharge.
▪ Give antibiotics, antivirals, or other drugs, as ordered.
▪ Observe standard precautions to prevent the spread of infection.
Patient teaching
▪ Explain to the patient the cause of vaginal discharge and its treatment.
▪ Teach the patient proper perineal hygiene and advise her to avoid tight-fitting clothing and nylon underwear.
▪ Suggest douching with vinegar and warm water to help relieve discomfort, if appropriate.
▪ Tell the patient to continue taking prescribed drugs even if her symptoms clear.
▪ Advise the patient to avoid intercourse until symptoms resolve.
▪ Provide information on safer sex practices.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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