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Vaginal Discharge (cont.)

What prescription medications treat causes of a vaginal discharge?

The choice of medication depends upon the type of infection. Antibiotics and antifungal medications are the mainstay of treatment, administered either in topical, injection, or oral form, depending upon the particular infection.

Oral, injectable, and topical (applied as tablets or cream into the vaginal area) medications are used to treat the various causes of vaginal discharge.

  • A number of medications may be effective in the treatment of bacterial vaginosis, including metronidazole (Flagyl), tinidazole (Tindamax), and clindamycin cream (Cleocin). These medications are also effective in the treatment of trichomonas infections.
  • Trichomonas is treated either with metronidazole (Flagyl) or tinidazole (Tindamax), given by mouth in a single dose. It is important for sex partners to be treated at the same time to avoid re-infection.
  • In the past, penicillin was the drug of choice for treatment of uncomplicated gonorrhea. However, new strains of gonorrhea have become resistant to various antibiotics, including penicillins, and are therefore more difficult to treat. Gonorrhea may be treated by an injection of ceftriaxone (Rocephin) intramuscularly or by oral cefixime (Suprax). Other antibiotics may also be used.
  • Chlamydia is typically treated by oral azithromycin (Zithromax, Zmax) or doxycycline (Vibramycin, Oracea, Adoxa, Atridox and others).
  • Vaginal yeast infections can be treated by topical creams such as butoconazole (Gynazole 1), clotrimazole (Lotrimin), miconazole (Monistat 3, Monistat 5, Monistat 7, M-Zole Dual Pack, Micon 7), and terconazole (Terazol 3, Terazol 7). Nystatin (Mycostatin, bio-Statin, Nilstat) is also available in vaginal tablet form. Oral medications such as fluconazole (Diflucan) can also be used if necessary.
Medically Reviewed by a Doctor on 5/27/2016

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