Re: Candida albicans

From: james connerth (babydoc@apex.net)
Thu Mar 2 11:14:24 2000


Same experience--lots resistant to fluconazole/terazol best.

Ron Ainsworth wrote:

> Several years ago, I became annoyingly aware that Pacificare's formulary
> does not cover terconazole for treatment of vulvo-vaginal candidiasis.
> On the other hand they do cover miconazole, clotrimazole and
> fluconazole. From what I am aware, those three drugs all have similar
> coverage and miss the non-albicans Candida sp. Most patients who come
> in have already tried OTC available drugs, and if they have not
> responded, it makes little sense to retry more of same. In my
> experience, terconazole is a much better treatment choice, for 3 or 7
> days. I'm currently trying to get Pacificare to add terconazole, and
> have to come up with three articles from "peer reviewed literature" to
> support my contention! My question is does anyone out there actually
> prescribe Monistat or GyneLotrim as first-line therapy, or do you all go
> to Terazol for your first choice? About the only time I prescribe
> Diflucan is when a patient specifically requests the "one day pill" or
> has done well on it in the past.
>
> --
> Ronald E. Ainsworth, MD





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