Itraconazole or fluconazole
8-hourly with the local treatment. Alternatively, oral fluconazole therapy may be used, and this is now available without prescription ('over the counter' medication) in the UK. The male sexual partner may use a similar antifungal ointment for his benefit and for hers (reinfection).
Fluconazole is often given orally or i.v. to heavily immunocompromised patients (e.g. during periods of profound granulocytopenia) and to severely ill patients on intensive care units to reduce the incidence of systemic candidiasis.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.