Other vaginal infections (Formulary)

TAM (Treatments and Medicines) NHS Highland
NHS Highland

Refer to Genital-tract infections guidance.
For recurrent bacterial vaginosis alternative, non-antimicrobial vaginal gels such as Balance Activ BV® and Relactagel® may be useful.

METRONIDAZOLE

Therapy notes

Formulation and dosage details

Formulation:

Vaginal gel 0·75%

Dosage:

By vagina, insert 5 gram applicatorful at night for 5 nights.

CLINDAMYCIN

Therapy notes

Formulation and dosage details

Formulation:

Vaginal cream 2%

Dosage:

By vagina, insert 5 gram applicatorful at night for 7 nights.

DEQUALINIUM CHLORIDE

Therapy notes

  • Dequalinium chloride vaginal tablets can be used off label for treatment resistant or recurrent vaginal candidiasis.

Formulation and dosage details

Formulation:

Vaginal tablets 10mg (s)

Dosage:

By vagina, bacterial vaginosis, 10mg once daily for 6 days, inserted at night.

As per SMC 1194/16: Treatment of bacterial vaginosis.
SMC restriction: In patients for whom the initial treatment is not effective or well tolerated. 

Editorial Information

Document Id: F379