Vaginal candidiasis (thrush)
The regional formulary will not cover all eventualities for infections medicines choices. As with any condition; patient specific factors and sensitivities need to be considered. Please consider this regional formulary advice alongside any relevant local Board guidelines.
Treatment of vaginal candidiasis
Fluconazole
Fluconazole 150mg capsules
150mg orally as a single dose.
Clotrimazole
Clotrimazole 500mg pessaries
500mg to be inserted vaginally at night for 1 night.
Prescribing Notes:
- Fluconazole and clotrimazole are available via the Pharmacy First service.
- There is no evidence that treating the partner of women suffering from candidiasis is helpful.
- Patients who are inserting intravaginal cream or pessaries into the vagina may also apply topical clotrimazole cream to the vulva.
- With any genital symptoms consider a sexually transmitted infection (STI) test including chlamydia, gonorrhoea, HIV and syphilis.
History Notes
30/07/2026
Regional formulary chapter launched.