What medicine should be used for recurrent vaginitis?

For recurrent vaginitis, you can use clotrimazole vaginal tablets, metronidazole suppositories, miconazole nitrate suppositories, fluconazole capsules, lactic acid bacteria vaginal capsules and other drugs as directed by your doctor. Recurrent vaginitis may be related to factors such as low immunity, poor hygiene habits, changes in hormone levels, uncontrolled diabetes, abuse of antibiotics, etc. It is necessary to use targeted medication according to the type of pathogen and adjust lifestyle.

1. Clotrimazole vaginal tablets

Clotrimazole vaginal tablets are suitable for recurrent attacks of vulvovaginal candidiasis and exert antifungal effects by destroying fungal cell membranes. Local burning sensation may occur after use. Pregnant women should use it under the guidance of a doctor. Administration needs to be avoided during the menstrual period, and it is recommended to review the leucorrhea routine after the course of treatment.

2. Metronidazole suppository

Metronidazole suppository can inhibit the DNA synthesis of anaerobic bacteria and protozoa for the recurrence of bacterial vaginosis or trichomonas vaginitis. It is forbidden to drink alcohol while taking the medicine, and lactating women need to suspend breastfeeding. The spouse needs to take metronidazole tablets simultaneously to prevent cross-infection and avoid sexual intercourse during treatment.

3. Miconazole nitrate suppository

Miconazole nitrate suppositories are effective for recurrent fungal vaginitis and can interfere with fungal ergosterol synthesis. Allergic reactions such as vulvar redness and swelling may occur. People with severe liver and kidney dysfunction should use with caution. It is recommended to insert it deep into the vagina before going to bed and use it continuously for 7 days as a complete course of treatment.

4. Fluconazole capsules

Fluconazole capsules are suitable for systemic antifungal treatment and have significant effects on refractory candida infections. Liver function indicators need to be monitored, and combined use with terfenadine and other drugs is prohibited. Oral administration requires strict dosing intervals, usually with a single bolus dose or weekly maintenance therapy.

5. Lactobacillus vaginal capsules

Lactic acid bacteria vaginal capsules restore the microecological balance by supplementing vaginal probiotics and prevent the recurrence of inflammation. It needs to be kept refrigerated and should not be used at the same time as antibiotics. It is recommended to use it continuously for 10 days after menstruation, and cooperate with a low-sugar diet to enhance the colonization effect.

Patients with recurrent vaginitis need to change pure cotton underwear every day and wash it with boiling water, and avoid using alkaline lotion to rinse the vagina. It is recommended to control blood sugar levels, maintain a regular schedule to enhance immunity, and pay attention to cleanliness before and after sex. Vaginal microecological testing should be reviewed regularly during treatment, and bacterial culture and drug sensitivity testing should be performed if necessary. If there are more than 4 attacks within six months, long-term suppressive antifungal treatment should be considered.