Vulvovaginal candidiasis

Well treatable with local therapy only
Partner treatment (also for asymptomatic partners)
If there is a predisposing underlying disease, this should be addressed therapeutically
Vaginal tablets
- Clotrimazole 1 tbl. for 3 consecutive days
- Econazole 2 tbl. at 12 hour intervals
- Ciclopirox 1 tbl. on 3 consecutive days
Topical therapy
- Clotrimazole cream
- Econazole cream (1%)
- Ciclopirox cream
Systhemotherapy
- For recurrent candidiasis:
  - Itraconazole p.o. 200 mg 1x tgl. once
  - Alternatively: fluconazole p.o. 150 mg once
  - Alternatively: Terbinafine p.o. 250 mg 1x tgl.

In case of resistant C. glabrata or C. krusei infection:
- Voriconazole p.o. Initial dose: 200 mg 2x tgl. for 3 days
- Posaconazole p.o. 400 mg 2x tgl. for 10 days

Differential diagnoses