877-944-6131 Email Us

Clinician’s Corner: Yeast Infection

The most mentioned vaginal yeast infection that our patients experience is actually the second most common vaginal infection. Yeast infection of candidiasis is the second most common cause of vaginitis symptoms and accounts for approximately one-third of vaginitis cases.  Bacterial vaginosis is the most common, but no over-the counter treatment exists.

Ten to twenty percent of healthy women of reproductive age have Candida albicans present in the vaginal tract.  Risk factors for vulvovaginal candidiasis are as follows

  • Patients with Type-2 diabetes, are more prone to candida albicans infections especially if they are not well controlled
  • Patients exposed to antibiotic therapy-25-33 % of females exposed to antibiotic therapy. This is due to the destruction of the normal healthy bacteria, allowing the overgrowth of candida species.  Lactobacillus is of no value in treatment or prevention.
  • Immunosuppressed patients– patients with a less than robust immune system, either due to corticosteroid (like prednisone) therapy, or HIV are more susceptible to candida infections.
  • Elevated estrogen levels: patients taking birth control pills, or estrogen supplements have a higher incidence.
  • Sexual activity: vaginal candidiasis is not considered a sexual transmitted infection, but patients have increased incidence of yeast infections when they begin sexual activity.

Symptoms: itching is the most common sign, remembering that yeast isn’t the only organism that causes itching. Patients may experience  burning, soreness, and irritation.  Patients may experience pain with sex as well.  Symptoms are often worse during the week prior to their period.

Over the Counter Treatment:

Miconazole (Monistat®) (OTC) Is available as a cream, or vaginal suppository, or insert

  • Monistat-3: (200mg supp.) 1 supp vaginally at bedtime for 3 nights
  • Monistat-3 (4% prefilled cream 200mg each) vaginally at bedtime for 3 nights
  • Monistat-7: (100mg supp) 1 supp vaginally at bedtime for 7 nights
  • Monistat-7 (2% cream, 100mg each dose): 1 applicatorful vaginally at bedtime for 7 nights. Best treatment option for treatment of patients who are pregnant, or patients with diabetes.
  • Monistat-1 Combo pack: miconazole 1200mg insert plus miconazole cream for application to outside

CAUTION: potential drug interactions can occur due to topical absorption of miconazole

Clotrimazole (Gyne Lotrimin®)

Available as a cream

  • Gyne-Lotrimin 1% cream: 1 applicatorful vaginally at bedtime for 7nights
  • Gyne-Lotrimin 2% cream: 1 applicatorful vaginally at bedtime for 3 nights

Tioconazole (Vagistat® & Monistat-1®) one-day therapy

  • Dosage: 1 single dose (300mg) administered right before bedtime. Because of the white petrolatum (Vaseline®) base used to make this product, use with condoms or diaphragms is not recommended.

Your Thompson Pharmacist has the expertise to guide you through these bothersome infections.  Depending on your symptoms, sometimes the best option is to seek care from your gynecologist.  If you are certain it is a yeast infection, go ahead and ask… at Thompson Pharmacy, it’s all for you!