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Fluconazole Yeast Infection Treatment

This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains the full information on interactions, side effects, and other important information you should know about the medicine before you start.

Instructions | When To Take Second Fluconazole For Yeast Infection

You have stated that you wish to take medication for your symptoms of vaginal yeast infection. You will be taking 150 mg Fluconazole (Brand name Diflucan)— if in 2 days, your symptoms do not get better, take the second dose of 150 mg Fluconazole. Signs of this infection include vaginal itching with/without thick white discharge. The itching may begin before the discharge starts. The itching should not be external in the area where your pubic hair would be, but down near the opening of the labia, possibly internal as well. You may experience burning when urinating as the urine touches the raw, irritated skin. In case of severe scratching, tiny amounts of blood can occasionally be seen in the underwear. Yeast infections do not cause a vaginal odor, fever, or abdominal pain.

Refill

[Subscription customers only] You will automatically be sent a refill every 90 days (subject to a refill visit to help screen for side effects). However, you may request a refill early by logging into your Account (Subscriptions > Next Refill).

If your symptoms aren't getting better after you start taking the medicine or if you develop new or worsening symptoms such as fever, chills, nausea, vomiting, or pain, in the mid to upper back, you should see a doctor in-person immediately. If you have questions about longer treatments for chronic or recurrent yeast infections, please follow up with an in person physician to discuss a more aggressive treatment. There are no evidenced-based (scientifically-proven) “natural” or “home remedies” to prevent or cure vaginal yeast infections. Some women find that changing brands or types of hygiene, intimate or menstrual products improves their frequency of vaginal yeast infections.

Active Ingredients

This medicine contains the following active ingredients. If you are allergic to any of these components, similar components, or any of the others components listed in the manufacturer's pamphlet do not take it and call or message us immediately.

• Fluconazole
  
  

Allergies

This medicine may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please stop the medicine and call or message us or see your doctor in-person.

Other azole antifungal medication

Conditions

We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop or discover that one of these conditions applies to you please stop taking this medicine and call or message us immediately.

• Pregnancy/Breastfeeding*
• Central nervous system problems
• Liver problems
• Kidney problems
• Heart problems of any kind

*NOTE: This medication IS safe for use in breastfeeding.

Pregnancy and Breastfeeding

Oral Fluconazole can potentially cause birth defects or miscarriage if taken in the first trimester of pregnancy. All pregnant women with yeast infections are considered high risk and should be seen in person for management.

Emergency Side Effects

This medicine can cause dangerous and potentially life threatening side effects. If any of the emergency side effects listed in the manufacturer's pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in-person.

• Easy bruising or bleeding
• Arrhythmias/irregular heartbeat
• Seizures
• Difficulty swallowing or throat swelling
• Difficulty breathing
• Severe skin rash or changes
• Severe weakness or fatigue
• Heart palpitations or chest pain
• Jaundice/liver failure
  
  

Other Side Effects

This medicine can also cause other side effects. If any of the other side effects listed in the manufacturer's pamphlet or those below happen to you please stop taking the medicine and call or message us or see your doctor in-person.

• Lightheadedness/Dizziness
• Headache
• Nausea or vomiting
• Taste changes
• Diarrhea
• Brief elevations in liver function testing

*NOTE: This medication does not cause bacterial vaginosis infections

Medicines, Supplements, and Foods

We have evaluated your health history and the specific health information you provided us, however if anything changes and you start or discover that you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan.

Accurate Information

We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.

Treatment Failure

This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency call 911 or seek immediate medical help in-person. You may need to seek alternative treatment such as those listed below or in the follow-up plan.

Misdiagnosis or Delayed Diagnosis

There is also a risk that we may incorrectly diagnose or fail to diagnose the correct conditions that you may have, thereby affecting our recommendation for treatment. This risk exists with in-person care as well, but they may have additional clinical history, physical exam findings and tests to aid their evaluation. We use evidence-based practice guidelines and clinical decision making to try to minimize these risks. Here are some other diagnoses that we attempt to rule out:

• HIV medications
• Antipsychotic medications
• Cholesterol medications
• Anxiety medications
• Antibiotics
• Seizure medications
• Birth control (all hormonal)
• Pain medications
• Diabetes medications
• Blood pressure medications
• Herbal supplements
• Anesthetics
• Immunosuppressants
  
  

Accepting or Declining Our Recommendation

We are recommending this treatment for you because the potential benefits of treatment outweigh the risks.. You should evaluate this information as well as the manufacturer's pamphlet, and any input from your in-person healthcare team, or other relevant information to decide if this treatment plan is appropriate for you. You are free to decline our treatment recommendations although, doing so may prolong symptoms and can be associated with other risks or negative outcomes.

Alternative Treatment

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can't provide. Message us or talk to your doctor in-person to discuss alternative treatments. Here are some other treatments or strategies that you might consider:

• In-person exam with testing
  
  

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health. You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.