2: Treatment of BV and VVC Flashcards

1
Q

Recommended for pregnant women:

  • Metronidazole 500 mg orally twice a day for 7 days
  • 250 mg 3x/day for 7 days.
A

BV

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2
Q

Recommended: Miconazole 1,200 mg vaginal suppository, one suppository weekly for 6 months.

A

Recurrent VVC maintenance therapy

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3
Q

Recommended: Fluconazole 150 mg oral tablet, one tablet in single dose

A

Uncomplicated VVC

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4
Q

Recommended: Fluconazole 150 mg orally every third day for a total of 3 doses (days 1, 4, and 7).

A

Recurrent VVC initial therapy

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5
Q

Recommended: Fluconazole 150 mg in 2 sequential doses, second dose 72 hours after initial dose.

A

Severe VVC

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6
Q

Recommended: Fluconazole 150 mg orally weekly for 6 months.

A

Recurrent VVC maintenance therapy

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7
Q

Recommended: Metronidazole 500 mg orally twice a day for 7 days.

A

BV

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8
Q

Recommended for pregnant women: Topical azole therapy, applied for 7 days.

A

Uncomplicated VVC

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9
Q

Alternative regimens: Metronidazole 2 g orally and fluconazole 150 mg orally in a single dose once monthly.

A

BV

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10
Q

Recommended: Intermittent use of topical treatments.

A

Recurrent VVC maintenance therapy

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11
Q

Recommended: Topical azole for 7–14 days.

A

Severe VVC

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12
Q

Alternative regimens: Clindamycin ovules 100 g intravaginally once at bedtime for 3 days.

A

BV

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13
Q

Recommended: Clindamycin cream 2%, one full applicator (5 g) intravaginally, at bedtime for 7 days

A

BV

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14
Q

Alternative regimens: Metronidazole 0.75% intravaginally once weekly for 4–6 months.

A

BV

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15
Q

Recommended: Tioconazole 6.5% ointment 5 g intravaginally in a single application

A

Uncomplicated VVC

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16
Q

Recommended: Itraconazole 200 mg orally twice daily for 3 days

A

Recurrent VVC initial therapy

17
Q

Recommended: Butoconazole 2% cream (single-dose bioadhesive product), 5 g intravaginally for a single application.

A

Uncomplicated VVC

18
Q

Recommended recurrent: Retreat with original therapy.

A

BV

19
Q

Alternative regimens: Clindamycin 300 mg orally twice a day for 7 days.

A

BV

20
Q

Recommended: Metronidazole gel 0.75%, one full applicator (5 g) intravaginally, daily for 5 days.

A

BV

21
Q

Recommended: Optimal treatment unknown; options include nonfluconazole azole drug (oral or topical) for 7–14 days.

A

Non-albicans VVC Initial Therapy

22
Q

Alternative regimens for pregnant women: None.

A

BV

23
Q

Recommended:

  • Terconazole 0.4% cream 5 g intravaginally for 7 days
  • 0.8% for 3 days
A

Uncomplicated VVC

24
Q

Recommended:

  • Clotrimazole 1% cream 5 g intravaginally for 7–14
  • 2% for 3 days
A

Uncomplicated VVC

25
Q

Alternative regimens:

  • Tinidazole 2 g orally once daily for 2 days
  • 1 g for 5 days
A

BV

26
Q

Recommended: Itraconazole 100–200 mg daily for 6 months.

A

Recurrent VVC maintenance therapy

27
Q

Recommended:

  • Miconazole 2% cream 5 g intravaginally for 7 days
  • 4% for 3 days
A

Uncomplicated VVC

28
Q

Recommended:

  • Miconazole 100 mg vaginal suppository, one suppository daily for 7 days
  • 200 mg for 3 days
  • 1200 mg for 1 day
A

Uncomplicated VVC

29
Q

Recommended for HIV infection in complicated VVC?

A

Should not differ from that of seronegative women.

30
Q

Recommended: Boric acid 600 mg in gelatin capsule vaginally once daily for 14 days.

A

Recurrent Non-albicans VVC

31
Q

Recommended: Longer duration of initial therapy, such as topical azole for 7–14 days.

A

Recurrent VVC initial therapy

32
Q

Recommended for pregnant women: Clindamycin 300 mg orally twice a day for 7 days

A

BV

33
Q

Recommended: Terconazole 80 mg vaginal suppository, one suppository for 3 days.

A

Uncomplicated VVC