Treatment of a Yeast Infection

Numerous anti-fungal medications are available for vaginal candidiasis treatment, and are typically administered orally or by local application. Although many medications for yeast infection may be acquired over-the-counter, they should not be used by women experiencing the vaginal symptoms for the first time, nor by those having a recurrent (4th time during one year) yeast infection. It is a good idea to consult a medical professional in case of any vaginal discomfort or discharge, but if a decision to use an over-the-counter medication is made, it is essential to read the package insert carefully and consult the medical professional if the symptoms do not resolve after treatment. Treatment of male sexual partner is not required, unless he is experiencing inflammation symptoms.

Topical application of Clotrimazole or Miconazole containing creams is typically used as the first line of yeast infection treatment. The therapy course may range from 3 to 7 nights and the cream is administered with a specially-designed applicator, included in the medication package. Due to the topical application, minimal, if any, amounts of the medication is absorbed into the bloodstream and no systemic side effects are observed. Local side effects may include allergic reactions and skin irritation, in form of rash, urticaria, pruritus and stinging.

If the topical treatment is non-effective or undesirable, oral medication is considered. The most common anti-fungal agent for oral administration is Fluconazole, which is conveniently available in form of a single low dose treatment. However, Fluconazole is contraindicated for women who are allergic to other anti-fungal medications from the same group and should be used with caution and physician’s supervision by pregnant and breastfeeding women. Additionally, Fluconazole should not be taken along with several types of other medications, including some antihistamines and reflux drugs and with grapefruit juice. A low dose of Fluconazole is used for the vulvovaginal candidiasis treatment, so it is usually well tolerated, but systemic side effects such as headache, dizziness, nausea, abdominal discomfort and skin rash are possible.