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Treatment with azoles results in relief of symptoms and negative cultures in 80–90% of patients who complete therapy. [4] The creams and suppositories in this regimen are oil-based and might weaken latex condoms and diaphragms. Treatment for vagina thrush using antifungal medication is ineffective in up to 20% of cases. Treatment for thrush ...
Certain medications: Long-term use of antibiotics or steroids can alter the skin's natural flora and make it more prone to infections. Certain drugs like lithium and cyclosporine may also ...
Medications for symptom relief – e.g., antihistamines for itching; paracetamol or NSAIDs for pain [2] Cold compress application [2] For severe reactions, discontinuation of the medication and acute medical treatment of the reaction may be required. [2]
[6] [5] Fluconazole is in the azole antifungal family of medication. [5] It is believed to work by affecting the fungal cellular membrane. [5] Fluconazole was patented in 1981 and came into commercial use in 1988. [7] It is on the World Health Organization's List of Essential Medicines. [8] Fluconazole is available as a generic medication. [5]
Antifungals that have been studied and found to be effective in the treatment of seborrhoeic dermatitis include ketoconazole, fluconazole, miconazole, bifonazole, sertaconazole, clotrimazole, flutrimazole, ciclopirox, terbinafine, butenafine, selenium disulfide, and lithium salts such as lithium gluconate and lithium succinate. [10] [3]
The last group consists of antifungal drugs with a different mechanism of action than the other three classes. These drugs include benzoxaborole antifungals, ciclopirox olamine antifungals, thiocarbamate antifungals and undecylenic alkanolamide antifungals. Topical antifungal drugs may come with side effects such as itching and local irritation.
This condition often results in distressing symptoms like vulvar itching, burning pain, and urethral irritation, and can be complicated by increasing drug resistance and recurrence rates, particularly in patients with ineffective treatment, long-term contraceptive use, or compromised sexual hygiene. [37]
The rebound effect, or pharmaceutical rebound phenomenon, is the emergence or re-emergence of symptoms that were either absent or controlled while taking a medication, but appear when that same medication is discontinued, or reduced in dosage. In the case of re-emergence, the severity of the symptoms is often worse than pretreatment levels.