Terconazole 0.4% Vag prep

Indications

Terconazole 0.4% Vag prep is used for: Vulvovaginal candidiasis

Adult Dose

Vaginal Vulvovaginal candidiasis Adult: As cream: Apply intravaginally at bedtime for 7 consecutive days or for 3 consecutive days, respectively. As 80 mg supp: Admin intravaginally at bedtime for 3 consecutive days.

Child Dose

Renal Dose

Administration

Contra Indications

Hypersensitivity. Lactation.

Precautions

Discontinue if irritation or flu-like symptoms develop. May damage latex or rubber contraceptives. Patients <18 yrs. Pregnancy.

Pregnancy-Lactation

Pregnancy Category: C Lactation: unknown

Interactions

May decrease absorption of ciprofloxacin, ciclosporin, mycophenolate, tacrolimus and levothyroxine. Sevelamer should be given 3 hr before or 1 hr after taking other drugs to minimise potential pharmacokinetic interaction.

Adverse Effects

Side effects of Terconazole 0.4% Vag prep : Vulvovaginal burning, vulvar itching, dysmenorrhoea, genital, body and abdominal pain. Flu-like syndrome with headache, fever, chills and hypotension with doses >80 mg.

Mechanism of Action

Terconazole disrupts ergosterol synthesis by binding to fungal cytochrome P450. It is active in vitro against Candida spp. and other fungi. It has some antibacterial activity in vitro but not against usual vag flora e.g, lactobacilli.