Patient's question:
I have developed candidiasis due to an allergy to miconazole vaginal suppositories. The doctor prescribed me clotrimazole vaginal tablets and metronidazole suppositories instead and instructed me to use the clotrimazole first, followed by metronidazole after my menstrual period ends (since I had my period around September 8th). I’m afraid I might have misheard, so I want to confirm if this is the correct usage. Should there be a time gap between the two medications to avoid interference with the efficacy? Also, regarding the oral fluconazole, is it correct to take three tablets, then wait a week before taking another three? Please clarify this for me. Thank you. (First-time diagnosis)Doctor's answer:
During menstruation, vaginal suppositories cannot be used. They will never interfere with the therapeutic effect. Common medications for candidal vulvovaginitis include nystatin suppositories, one suppository (10,000 units) inserted deep into the vagina each night, with a 10-day course of treatment. Additionally, oral itraconazole tablets can be taken for one week. After completing the course of treatment, it is necessary to return to the hospital for follow-up examination, and the choice must be made with careful medication adherence. While maintaining external genital hygiene, the husband should clean the penis before sexual intercourse. Treatment for candidal vulvovaginitis can be achieved through either pure Western medicine or a combination of Chinese and Western medicine.