Gynaecology
Vaginal Candidiasis
Per-vaginal itching with a curdy vaginal discharge, off and on.
- ICD-10
- —
- Source
- OPD handbook p.135
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Per-vaginal itching with curdy vaginal discharge, off and on
Diagnosis
- General physical examination unremarkable; blood sugar (RBS) checked in the sample
Treatment
Step 1 of 4
1. Antifungal pessary
- Canesten vaginal pessary, intravaginal (Urdu: to be placed)
Prescription
Clotrimazole vaginal pessaryTopical antifungal (vaginal)
DoseIntravaginal, at night
Brand Canesten vaginal pessary
Step 2 of 4
2. Antihistamine for itching
Prescription
CetirizineAntihistamine
Dose1 at night
Brand Tab Cetrizine 10 mg
Also sold as Rigix, Sedil, Antial, Neo-Antial, Cetrix, Zyrtec
Step 3 of 4
3. Supplement
Prescription
Multivitamin + ZincSupplement
Dose1 daily with (as written) two weeks (Urdu note)
Brand Cap Polybion Z
Step 4 of 4
4. If recurrent
- Oral fluconazole: one capsule today and one capsule after one week
Prescription
FluconazoleOral antifungal
Dose1 today, then 1 after a week
Brand Cap Fungone 150 mg (as read)
Also sold as Fungone (as read), Diflucan