Therapy generally involves topical use of any of a wide variety of imidazoles (e.g. miconazole, clotrimazole, econazole, butoconazole, terconazole) or nystatin. Imidazoles require shorter courses of treatment and appear to be more effective than nystatin. They are generally more expensive, though.

Recommended regimens

• miconazole or clotrimazole, 200mg intravaginally, daily for 3 days

OR

• clotrimazole, 500mg intravaginally, as a single dose

OR

• fluconazole, 150mg orally, as a single dose.

Alternative regimen

• nystatin, 100 000 IU intravaginally, daily for 14 days