Re: Candida albicans

From: Robert Woolley (wooll005@tc.umn.edu)
Fri Mar 3 08:16:44 2000


> 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.

1) What is the cotst difference?

2) Are you doing cultures to demonstrate that these patients have an organism sensitive to terconazole but not other azoles?





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