(3) Fungal origins caused by Candida albicans. Give miconazole
(Monistat ) cream and vaginal suppositories for the treatment of vaginal candidiasis.
The dosage should be intravaginally for 7 days. If needed, the dosage may be
repeated. Adverse reactions to this cream include burning, itching, or irritation to the
vaginal area. Discontinue use of the medication if hives or skin irritation occur. To treat
Candida albicans, give mycostatin (Nystatin) cream, ointment, tables, and topical
powders. These can be used for the skin, the genitourinary tract, and mucous
membranes, as appropriate.
Nystatin is not suitable for treating systemic infections because Nystatin it is
too toxic for parenteral use. Additionally, this medication is not absorbed from
the genitourinary tract.
Recurrent or relapsing infection. Treat as follows:
(a) Control or eliminate the systemic factors.
(b) Eradicate intestinal source if the infections is caused by the
migration of fecal flora to the perineum.
Sexual partner may need to use condoms.
Diseases and disorders of the genitalia are very common and with practice you
will become proficient in recognizing these problems. Recognition is probably the most
important step with these diseases. If diseases or disorders of the genitalia go
unrecognized and, therefore, untreated, they may spread to other parts of the body,
possibly causing much greater problems.