7.2.2 Vaginal and vulval infections

Fungal

Clotrimazole
  • Vaginal cream 10% (£6.23 = 5g)
  • Pessaries 500mg (£3.39 each)
  • Pessaries 100mg (£3.50 = 6 pessaries)
Miconazole
  • Vaginal cream 2% (£4.33 = 78g)

Bacterial

See Genital tract infections guidance, topical preparations listed below

Metronidazole
  • Vaginal gel 0.75% (£4.31 = 40g)

Indications and dose

  • Bacterial vaginosis
    • One applicatorful (5g) inserted into the vagina once daily at bedtime for 5 consecutive nights.

Notes

  1. Metronidazole vaginal gel is not licensed for use in children under 18 years.
Clindamycin
  • Vaginal cream 2% (£10.86 = 40g)

Indications and dose

  • Bacterial vaginosis
    • One applicatorful (5g) inserted into the vagina once daily at bedtime for 7 consecutive nights.
    • In patients for whom a shorter treatment course is desirable, a 3 day regimen has been shown to be effective.

Notes

  1. Safety and efficacy in paediatric patients have not been established

 

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