Vaginal candidiasis in pregnancy

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Antimicrobial prescribing: NHS Lothian
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Genital infections in pregnancy and breast feeding
Vaginal candidiasis in pregnancy

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Antibiotic Recommendation

Clotrimazole pessary 500 mg once daily for up to 7 days

(During pregnancy the pessary should be inserted without using the applicator)

If there are vulval symptoms, consider use of topical clotrimazole 1% cream applied 2-3 times a day.

Alternative regimens:

Clotrimazole vaginal cream (10%) 5 g intravaginally at night. Dosing can be extended according to age and product licence.

Clotrimazole pessary 200 mg intravaginally at night for 7 consecutive nights.

(During pregnancy the pessary should be inserted without using the applicator)

Notes

For recurrent or resistant diseases seek specialist advice.

Fluconazole - manufacturer advises avoid in pregnancy.

Intravaginal and topical clotrimazole may damage latex condoms and diaphragms.

External creams need to be applied for seven days after symptoms have cleared.