Kerala State Drug Formulary.pdf

Drugs for Vaginitis
2. Oral : fluconazole - 150 mg - single dose
Ketoconazole - (200mg tab)1 tab b.d. x 5 days
Both partners should be treated.
Trichomonas vaginitis
Caused by the protozoa Trichomonas vaginalis.
Symptoms are intense itching and profuse foul smelling discharge p/v.
Treatment : Metronidazole is the drug of choice 200 mg thrice
daily x 7 days for both partners.
Single dose of 2 g for both partners also can be given.
Tinidazole 2 g stat. also may be given.
Clindamycin vag tab
I: Topical treatment of bacterial vaginosis.
C/I: Hypersensitivity
P/C: Hepato renal ,Gl disease, atopy, pregnancy, lactation.
Dose: 2% cream at night for 3-7 days.
Atrophic vaginitis
Occurs in the post menopausal women. This is due to oestrogen
deficiency.Malignancy should be excluded by a cervical smear (pap - smear)
Treatment : Local oestriol cream is applied 2 - 3 times daily until
patient gets symptomatic relief.
CONTRACEPTIVES
Oral contraceptives
Combined pills having oestrogen and progestogens (Mala-D, Mala-N)
are usually used.The estrogen is ethinyl oestradiol 20/30 mcg. The
progestogen is either norgestrel or desogestrel.
Tablets should be started from the lst day of periods, continued for
21days. The fresh packet should be taken exactly on the 7th day. Some OC
pill packet have 7 placebo tablets of iron to be taken following the hormone
tablets,so the patient need to remember just to take one tablet a day
only.
Contraindications
Thromboembolic disorders or history of thromboembolism, active
liver disease, cancer of the genital tract or breast, avascular headache. .
Injectable contraceptives
Usually used once are progesterone only. Contraceptives like Depot.
Medroxyprogesterone acetate.
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