Medication/dosageCost per course of therapy
Bacterial vaginosis
Recommended regimen
Metronidazole (Flagyl)$$
500 mg orally twice daily for seven days
Metronidazole gel (Metrogel)$$$
One full applicator (5 g) intravaginally once daily for five days
Clindamycin 2% cream$$$
One full applicator (5 g) intravaginally at bedtime for seven days
Alternative regimen
Tinidazole (Tindamax)$$$
2 g orally for two days or 1 g for five days
Clindamycin$$$
300 mg orally twice daily for seven days
Clindamycin ovules$$$
100 mg intravaginally once daily at bedtime for three days
Pregnancy*
Metronidazole$$
500 mg orally twice daily for seven days
Metronidazole$$
250 mg orally three times daily for seven days
Clindamycin$$
300 mg orally twice daily for seven days
Trichomoniasis
Recommended regimen
Metronidazole$
2 g orally in a single dose
Tinidazole$$$
2 g orally in a single dose
Alternative regimen
Metronidazole$$
500 mg orally twice daily for seven days
Pregnancy*
Metronidazole$
2 g orally in a single dose
Vulvovaginal candidiasis, uncomplicated
Butoconazole 2% cream (Gynazole-1)$$
5 g intravaginally once daily for three days
Butoconazole 2% cream, sustained release$
5 g intravaginally in a single dose
Clotrimazole 1% cream$
5 g intravaginally once daily for seven to 14 days
Clotrimazole 2% cream$
5 g intravaginally once daily for three days
Miconazole 2% cream$
5 g intravaginally once daily for seven days
Miconazole 4% cream$
5 g intravaginally once daily for three days
Miconazole vaginal suppository
100-mg vaginal suppository once daily for seven days$
200-mg vaginal suppository once daily for three days$$
1,200-mg vaginal suppository in a single dose$$
Nystatin vaginal tablet$
100,000-unit vaginal tablet once daily for 14 days
Tioconazole 6.5% ointment$$
5 g intravaginally in a single dose
Terconazole 0.4% cream$$
5 g intravaginally once daily for seven days
Terconazole 0.8% cream$$
5 g intravaginally once daily for three days
Terconazole vaginal suppository$$
80-mg vaginal suppository once daily for three days
Fluconazole (Diflucan)$$
150 mg orally in a single dose
Vulvovaginal candidiasis, complicated
Recurrent
Initial regimen
Any topical agent
Seven to 14 days
Fluconazole$$$
100, 150, or 200 mg orally once daily every third day for three doses
Maintenance regimen
Fluconazole$$$
100, 150, or 200 mg orally once weekly for six months
Severe
Any topical azole$$
Intravaginally once daily for seven to 14 days
Fluconazole$$$
150 mg orally once daily in two doses 72 hours apart
Vulvovaginal candidiasis, nonalbicans
Nonfluconazole azole (oral or topical)$
Seven to 14 days
Boric acid gelatin capsule$$
Intravaginally once daily for 14 days
Pregnancy*
Any topical azole$$
Intravaginally once daily for seven days