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Clotrimazole (Into the vagina)

What works?

Learn more about the effects of these drugs. The most reliable research is summed up for you in our featured article.

Brand names include
3 Day Vaginal Cream, Gyne-Lotrimin, Gyne-Lotrimin 7, Mycelex-7
Other forms
Into the mouth, Topical route
Drug classes About this
Antifungal
Combinations including this drug

What works? Research summarized

Evidence reviews

Interventions for the prevention and management of vaginal thrush in HIV positive women

Vulvovaginal candidiasis (VVC) / thrush is one of the most common fungal infections and recurs frequently in women with human immunodeficiency virus (HIV) infection. Even though rarely or never resulting in systemic fungal infection or mortality, interventions for prevention and treatment of this condition is an essential part of maintaining the quality of life of such individuals.This review was aimed at evaluating such interventions.

Topical treatment for vaginal candidiasis (thrush) in pregnancy

Imidazoles are best but pregnant women may need longer (7 not 4 day) courses. Thrush is a common vaginal infection in pregnancy causing itching and soreness. There is no evidence that this yeast infection harms the baby. Antifungal creams are effective. Imidazoles (such as clotrimazole) are more effective than older treatments such as nystatin and hydrargaphen. Longer courses (7 days) cured more than 90% of women whereas standard (4 day) courses only cured about half the cases.

Interventions for the prevention and management of oral thrush associated with HIV infection in adults and children

Oral candidiasis (thrush) associated with human immunodeficiency virus (HIV) infection occurs commonly and recurs frequently, often presenting as an initial manifestation of the disease. Interventions aimed at preventing and treating HIV‐associated oral thrush form an integral component of maintaining the quality of life for affected individuals. This review evaluated the effects of interventions in preventing or treating oral thrush in children and adults with HIV infection. Thirty three trials (n=3445) were included. Twenty two trials investigated treatment and eleven trials investigate prevention. There was no difference with regard to clinical cure between fluconazole compared to ketoconazole, itraconazole, clotrimazole and posaconazole. Fluconazole, gentian violet and ketoconazole were superior to nystatin. Compared to placebo and no treatment, fluconazole was effective in preventing clinical episodes from occurring. Continuous fluconazole was better than intermittent treatment. Insufficient evidence was found to come to any conclusion about the effectiveness of clotrimazole, nystatin, amphotericin B, itraconazole, ketoconazole or chlorhexidine with regard to OC prophylaxis.

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Summaries for consumers

Interventions for the prevention and management of vaginal thrush in HIV positive women

Vulvovaginal candidiasis (VVC) / thrush is one of the most common fungal infections and recurs frequently in women with human immunodeficiency virus (HIV) infection. Even though rarely or never resulting in systemic fungal infection or mortality, interventions for prevention and treatment of this condition is an essential part of maintaining the quality of life of such individuals.This review was aimed at evaluating such interventions.

Topical treatment for vaginal candidiasis (thrush) in pregnancy

Imidazoles are best but pregnant women may need longer (7 not 4 day) courses. Thrush is a common vaginal infection in pregnancy causing itching and soreness. There is no evidence that this yeast infection harms the baby. Antifungal creams are effective. Imidazoles (such as clotrimazole) are more effective than older treatments such as nystatin and hydrargaphen. Longer courses (7 days) cured more than 90% of women whereas standard (4 day) courses only cured about half the cases.

Interventions for the prevention and management of oral thrush associated with HIV infection in adults and children

Oral candidiasis (thrush) associated with human immunodeficiency virus (HIV) infection occurs commonly and recurs frequently, often presenting as an initial manifestation of the disease. Interventions aimed at preventing and treating HIV‐associated oral thrush form an integral component of maintaining the quality of life for affected individuals. This review evaluated the effects of interventions in preventing or treating oral thrush in children and adults with HIV infection. Thirty three trials (n=3445) were included. Twenty two trials investigated treatment and eleven trials investigate prevention. There was no difference with regard to clinical cure between fluconazole compared to ketoconazole, itraconazole, clotrimazole and posaconazole. Fluconazole, gentian violet and ketoconazole were superior to nystatin. Compared to placebo and no treatment, fluconazole was effective in preventing clinical episodes from occurring. Continuous fluconazole was better than intermittent treatment. Insufficient evidence was found to come to any conclusion about the effectiveness of clotrimazole, nystatin, amphotericin B, itraconazole, ketoconazole or chlorhexidine with regard to OC prophylaxis.

See all (11)

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