What medicine is better for vaginitis? Vaginitis is a common and high-incidence gynecological disease. There are many factors that cause this disease, such as the abuse of antibiotics in life, long-term use of contraceptives, and lack of personal hygiene. This disease is also very harmful to women's health. So, what medicine is better for vaginitis? 1. Trichomonas vaginitis: Oral use of drugs to kill trichomoniasis, such as metronidazole, 200 mg each time, 3 times a day, for 7 days. After taking the drug, if the test result is negative for trichomoniasis, the patient should continue treatment for one course after the next menstruation to consolidate the therapeutic effect. Take 2g of metronidazole orally once, or take 400mg of metronidazole 2-3 times a day for 7 consecutive days. If oral drugs cannot be tolerated, vaginal administration can be used, metronidazole vaginal effervescent tablets 200mg, once a day, for 7 consecutive times. 2. Nonspecific vaginitis: Metronidazole, 500 mg orally, twice a day, for 7 days. It can also be used topically, 200 mg each time, inserted into the vagina, 7 days as a course of treatment. Clindamycin 300 mg, orally twice a day, for 7 consecutive days; or 2% clindamycin cream for vaginal use, once every night, for 7 consecutive days. It can be combined with estrogen ointment for local application, twice a day; systemic oral administration of nialestradiol, 4 mg for the first time, and 2 mg every 2 to 4 weeks thereafter, for 2 to 3 months. 3. Candidal vaginitis: Clotrimazole and tioconazole are the first choice in clinical practice. In the early stage, clotrimazole suppositories 100 mg/d were mostly used for vaginal insertion, and 7 days was a course of treatment. Recently, a single dose of 500 mg clotrimazole lactic acid formula (trade name Canestin) is commonly used for vaginal administration. The efficacy is better than before, it is more convenient to use, and the patient's compliance with the drug is also good. Pregnant women can also use it. Tioconazole: The trade name is appropriate. Tioconazole vaginal ointment is administered in a single dose. It is easy to use, has few side effects, and has significant efficacy. It is administered once every night before going to bed with the attached applicator. The course of treatment is 3, 6 or 14 days. Improper use of medication for vaginitis can easily lead to recurrent vaginitis or drug resistance. In addition, there are strict treatment regulations for vaginitis. If the treatment regimen is not followed, the infection may recur and develop drug resistance, increasing the difficulty of treatment. |
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