Terconazole

DEA Class; Rx

Common Brand Names; Terazol, Terazol 3, Terazol 7

  • Antifungals, Vaginal

Intravaginal azole antifungal
Used for vaginal candidiasis; usually fungicidal against Candida albicans

Indicated for Candidal Vulvovaginitis

Hypersensitivity

  • Headache
  • Abdominal pain
  • Chills
  • Fever
  • Dysmenorrhea
  • Vulvar/vaginal burning
  • Dysmenorrhea
  • Vulvar itching, soreness, edema, or discharge
  • Polyuria
  • Burning or itching of penis of sexual partner
  • Flu-like syndrome

Discontinue if irritation or sensitization occurs

Perform/repeat microbiological studies (KOH smear and/or cultures) in patients not responding to terconazole to rule out other pathogens

Anaphylaxis and toxic epidermal necrolysis (TENs) reported; discontinued if anaphylaxis or TENs develops

Product is petroleum-based, which may damage latex or rubber condoms or diaphragms (separate use by 3 days)

Discontinue use if toxic epidermal necrolysis occurs; institute supportive therapy and monitoring; do not reinstitute therapy

If flu-like symptoms or chills, fever occur, discontinue therapy and do not reinitiate

Pregnancy Category: C

Lactation: unknown

Adults

1 applicatorful (20 or 40 mg terconazole/5 g cream) intravaginally/day; 1 suppository (80 mg terconazole) intravaginally/day.

Geriatric

1 applicatorful (20 or 40 mg terconazole/5 g cream) intravaginally/day; 1 suppository (80 mg terconazole) intravaginally/day.

Adolescents

Safety and efficacy have not been established; however, 1 applicatorful (20 or 40 mg terconazole/5 g cream) intravaginally/day and 1 suppository (80 mg terconazole) intravaginally/day have been used off-label.

Children

Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Terconazole

vaginal cream

  • 0.4%
  • 0.8%

suppository

  • 80mg

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