Treatment of recurrent candidal vaginitis

Vulvar itching and vaginal itching always make female friends who suffer from them feel uneasy. Increased vaginal discharge. Excessive vaginal discharge will make women feel wet in their lower body and feel uncomfortable all over. When the lower abdominal pain is severe, you may not even be able to work or study normally. What is the treatment for recurrent vaginitis? I think this must be a question in many people's minds, so today I will explain it to you.

1. Internal Therapy

(I) Nystatin: This product can inhibit Candida albicans, but it is not easily absorbed from the gastrointestinal tract, so it is only suitable for eliminating candidiasis intestinal infections or as a nebulized inhalation to treat respiratory infections. Take orally 500,000 to 1,000,000 units three times a day for 1 to 2 weeks.

(ii) Intravenous infusion of amphotericin B and erythromycin has certain effects in treating visceral candidiasis, but it is highly toxic and requires careful observation. Domestic lushanomycin has similar therapeutic effects to amphotericin B.

(III) Clotrimazole: The daily dose for adults is 2-3 grams, taken orally in three doses for 2 consecutive weeks.

(IV) Ketoconazole: Adult dose: 200 mg, once a day. Some people also suggest that taking 200 mg of this product every other day has the same effect as taking it once a day.

(V) Garlic injection 20-40 ml, add glucose solution and drip intravenously once a day. The therapeutic effect is quite satisfactory and the toxicity is also low.

(VI) Intramuscular injection of transfer factor every other day or oral administration of 300 mg of cimetidine four times a day can enhance the body's cellular immune function and help promote the patient's recovery.

2. External Therapy

Mucocutaneous Candida can be cured with topical therapy alone. In clinical applications, gentian violet, nystatin, amphotericin B, erythromycin and imidazole drugs can be selected as the main drugs and prepared into solutions, ointments, pastes or emulsions for use.

3. Local therapy

(1) 2% clotrimazole, miconazole or ketoconazole cream; or compound levoconazole ointment, applied externally, twice a day, mainly suitable for various skin candidiasis. Papular candidiasis accompanied by prickly heat can be treated with sulfur calamine lotion containing nystatin 4 to 6 times a day. Intertriginous rashes often require the use of powder.

(2) Nystatin ointment (nystatin 100,000 U, glycerin 10 ml, distilled water added to 60 ml) is mainly used for thrush and genital candidiasis. It is applied externally 2 to 3 times a day.

(3) Nystatin suppositories (50,000 to 100,000 U each) are suitable for candidal vaginitis, once a night for 1 to 2 weeks.

(4) 50,000 U of polyaldehyde nystatin added to 5 ml of normal saline, or 5 mg of amphotericin B added to 20 ml of water for injection, inhaled as aerosol, 2 to 4 times a day, suitable for oral and respiratory Candida infections.

What is the treatment for recurrent vaginitis? I believe the above content has given everyone a certain understanding of this issue. There are many complications of recurrent candidal vaginitis, and everyone should take it seriously. The causes related to the occurrence of this disease should be eliminated as much as possible and should be treated accordingly; keep the affected area dry and clean.