What Causes Worsening Yeast Infection Despite Taking Diflucan?

Posted on Mon, 18 Jan 2016

Question: Hello i recently was on anti Biotics for a sinus infection which gave me a yeast infectiom my doctor perscribed diflucion but did not help and i think it got

I think has gotten worse olease help

Answered by Dr. Panagiotis Zografakis (55 minutes later)

Brief Answer:
diflucan is an appropriate choice

Detailed Answer:
Hello,

you haven't mentioned which part of your body got infected. I suppose it's your mouth or your vagina. If you haven't had a lot of vaginal infections then diflucan would probably be effective. Regarding mouth infections, though sometimes recurrences may occur and eradication can be more difficult particularly if the infection spreads to the esophagus.

Please inform me about the site of infection and your symptoms, if you'd like to further discuss this issue.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (47 minutes later)

My vagina is the infected area. It is a little swollen around the opening and is red but the discharge is white so it may be a really bad yeast infection I recently had a pap smear and everything was negative. But i was on 500mg of amoxcillen 2 times a day ..

Answered by Dr. Panagiotis Zografakis (18 hours later)

Brief Answer:
diflucan is good choice

Detailed Answer:
Vaginitis after antibiotic treatment is a fairly common complication for women. Diflucan is considered to be appropriate treatment. If it won't improve after a few days' treatment then alternative antifungals can be considered. A gynecologic examination and culture may help to correctly identify the pathogen and receive the best treatment.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (5 minutes later)

I recently had a culture exam and all of the results came back negative . There is no abnormal discharge but its a little white . My viginal opening is a little swollen . And is tender to the touch .i havent had any intercourse .

Answered by Dr. Panagiotis Zografakis (18 minutes later)

Brief Answer:
could be candida

Detailed Answer:
Candida is the most common pathogen in vaginal yeast infections and gives the appearance of spilled milk (white patches scattered around). Redness, itching, burning, discharge are all common. If you did the culture when you were under treatment, it is possible that treatment affected the results (and you got a negative report). What did the gynecologist think that you have?
Was the gynecologist certain about the yeast infection? How many days are you taking diflucan (please also mention the dosage).

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (15 minutes later)

No i was not on anything when i received my culture. But when i went for my follow up she had perscribed me so amoxicellin for a sinus infection which was 500mg three times a day . And she perscribed me the diflucan for after i was finished the antibioticts she only gave me 1 difulcan to take and it was a low dosage it also was a genric brand. Which i took and it didnt really lower the symptoms .

Answered by Dr. Panagiotis Zografakis (12 minutes later)

Brief Answer:
the normal dose is 150mg once

Detailed Answer:
The recommended dose for vaginitis is 150mg only once. This dose is usually effective. Alternative regimens include itraconazole by mouth and nystatin locally. Nystatin is less effective and has to be administered for a couple of weeks. In cases of treatment failure the gynecologist might have to consider other potential causes too or resistant strains.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (3 hours later)

Ok, well is it something that i could get now to eas the swelling and itching ? e

Answered by Dr. Panagiotis Zografakis (5 minutes later)

Brief Answer:
there are some creams for that

Detailed Answer:
There are some creams with combinations of antifungals and corticosteroids. Although the corticosteroids promote yeast infections, the combination with an antifungal can be used to treat yeast infections with excessive inflammation (which presents as swelling and itchiness on the skin). Ask your pharmacist for available formulations in your country. Any combination will do. Use it externally only. When the external inflammation is contained (in the next 24 hours usually) the corticosteroid will have to be withdrawn. Treatment with an antifungal should be continued.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (13 hours later)

Great, i have the creams should i apply them both at the same time ? Or different times ?

Answered by Dr. Panagiotis Zografakis (2 hours later)

Brief Answer:
different times would be better

Detailed Answer:
It would be better if you applied them at different times but I got a little confused now. We're you taking creams only? I thought you took diflucan tablet 150mg first.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar