Fungal

Clotrimazole

• Vaginal cream 10% (£7.48 = 5g)
• Pessaries 500mg (£9.06 = 1 pessary)
• Pessaries 100mg (£3.85 = 6 pessaries)

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