How are vaginal infections treated? |
                                
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How are vaginal infections treated?
From a theoretical point of view, one should usually await the results of investigations before commencing treatment. In clinical practice one is keen to make an early start in assisting patients and it is common practice to commence treatment on the basis of clinical observations and Adjust treatment subsequently according to investigation results. Candida may respond to Nystatin (Nystan BMS) vaginal pessaries and cream. The full course of 14 days should be followed. Candida is sensitive to imidazole derivatives (Table 22.1), which are usually applied locally as creams or pessaries.
Table 22.1 Imidazoles used for the treatment of genital candida infections.
The vaginal creams may be applied internally for vaginal infections and externally for vulval infections. The creams may also be applied to the penis of the partner particularly when there are recurrent infections. There are four pessaries designed for single application. These are Canesten-1, Ecostatin-1, Gynokatarin-1 and Gyno-Pevaryl 1. Three preparations are taken orally fluconazole (Diflucan 150 Pfizer), ketoconazole (Nizoral- Janssen-Cilag) and itraconazole (Sporanox- Janssen-Cilag). The vaginal creams may be applied internally for vaginal infections and externally for vulval infections. The creams may also be applied to the penis of the partner particularly when there are recurrent infections. There are four pessaries designed for single application. These are Canesten-1, Ecostatin-1, Gynokatarin-1 and Gyno-Pevaryl 1. Three preparations are taken orally fluconazole (Diflucan 150 Pfizer), ketoconazole (Nizoral- Janssen-Cilag) and itraconazole (Sporanox- Janssen-Cilag). Related Medical Abstracts - Click on the paper title:- Do you have an unanswered women's health question?Please let us have your general question on our NEW FORUM / MESSAGE BOARDS facility and we will try to answer it for you. I am sure that you will appreciate that we cannot offer advice on the management of an individual's specific problem.
Thank you for your visiting us at 2WomensHealth.com. This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London. I do hope that you find the answers to your questions in the patient information and medical advice provided. If you still have unanswered questions, please consider entering them into one of our forums and I will try to assist you. DISCLAIMER The aim of this web site is to provide a general guide and it is not intended as a substitute for a consultation with an appropriate specialist in respect of individual care and treatment.
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