Womens Health

Non prescription Yeast (Candida) Topical Treatments

Yeast vaginitis is often misdiagnosed. If you feel you have recurrent infections, please see your doctor to make sure you do not have some other type of infection or just an irritant vulvitis which is a skin reaction to irritation, soaps, topical creams, ointments, deoderants, powders, etc. Also, do not treat yourself for a yeast vaginitis if the discharge is odorous, smells fishy. This is almost always NOT a yeast vaginitis. See our articles:

  • Signs and Symptoms of Vulvovaginal Candidiasis
  • Irritant Vulvitis Often Misdiagnosed as Yeast
  • Yeast Vaginitis - Treat the Symptoms or Diagnose by Culture?
  • Oral Treatment of Bacterial and/or Yeast Vaginal Infections

There are many fungal species that can be resistant various topical treatments. Our recommendations are based on some of the following studies:

  • Of topical imidazoles for yeast vaginitis, butoconazole and itraconazole seem to have the best activity in the test tube against various yeasts and other fungal organisms.
  • T. glabrata and S. cerevisiae are more resistant (in vitro) to clotrimazole and ketoconazole, C. krusei strains resistance to nystatin and flucytosine was noted. 

Talk to your doctor about which treatment and topical cream is right for you.  You should never try to self-diagnose an infection. At the first symptoms of a yeast infection make an appointment with your doctor.  If an infection is confirmed then follow your doctor's advice for the best treatment for your infection.

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