How Many Fluconazole Pills Are Needed to Cure Candida Infection? - Obstetrics and Gynecology

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The dosage of fluconazole for treating Candida infections can vary based on the specific type of infection and the patient's condition. Typically, for an uncomplicated vaginal yeast infection, a single dose of 150 mg is often sufficient. However, for more severe or systemic infections, higher doses or longer treatment durations may be required


Hello Doctor, I would like to know if the white discharge resembling cottage cheese is caused by Candida albicans? How many fluconazole 150mg tablets do I need to take to fully recover? Last week, I visited a gynecologist who prescribed me one fluconazole 150mg tablet.
I felt some improvement, but I still experienced itching.
On the sixth day, during a follow-up appointment, the doctor prescribed a second fluconazole 150mg tablet, which I took today.
I would like to know how many fluconazole tablets I need to take to completely heal.
Thank you.

Niming, 20~29 year old female. Ask Date: 2020/08/14

Dr. Lin Manying reply Obstetrics and Gynecology


Hello, miss: The number of pills needed for recovery is not fixed, but please continue with your follow-up appointments.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/08/14

More Info


Fluconazole is an antifungal medication commonly used to treat infections caused by fungi, including Candida infections, which are often referred to as yeast infections. The typical dosage for treating a vaginal yeast infection is a single dose of 150 mg of fluconazole. However, the effectiveness of the treatment can vary depending on several factors, including the severity of the infection, the specific strain of Candida involved, and the individual's overall health.

In your case, it seems that you have already taken one dose of fluconazole and then a second dose after a follow-up visit with your doctor. The initial dose of 150 mg is usually sufficient for many patients, but some individuals may require additional doses or a longer treatment duration, especially if the infection is recurrent or if symptoms persist. It is not uncommon for patients to experience itching or discomfort even after taking fluconazole, as it may take some time for the symptoms to fully resolve.

The white, cottage cheese-like discharge you mentioned is characteristic of a Candida infection, but it is essential to confirm the diagnosis with a healthcare provider, as other conditions can cause similar symptoms. If you are still experiencing symptoms after taking two doses of fluconazole, it is crucial to follow up with your healthcare provider. They may recommend additional treatment options, such as a longer course of fluconazole, a different antifungal medication, or topical treatments to alleviate the itching and discomfort.

In some cases, recurrent yeast infections can be a sign of an underlying issue, such as diabetes, hormonal imbalances, or a weakened immune system. Therefore, if you find that you are frequently experiencing yeast infections, it may be worth discussing these concerns with your doctor to explore potential underlying causes and appropriate management strategies.

In summary, while a single dose of fluconazole is often effective for treating a yeast infection, some patients may require additional doses or alternative treatments if symptoms persist. It is essential to maintain open communication with your healthcare provider and follow their recommendations for treatment and follow-up care. If you have any concerns about your symptoms or the effectiveness of the treatment, do not hesitate to reach out to your doctor for further evaluation and guidance.

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