Research Article | Open Access
Lauren B. Angotti, Lara C. Lambert, David E. Soper, "Vaginitis: Making Sense of Over-the-Counter Treatment Options", Infectious Diseases in Obstetrics and Gynecology, vol. 2007, Article ID 097424, 4 pages, 2007. https://doi.org/10.1155/2007/97424
Vaginitis: Making Sense of Over-the-Counter Treatment Options
Background. The FDA approved over-the-counter (OTC) use of vaginal antifungals in 1990. Subsequently, a plethora of OTC products have become available to women on drugstore shelves. Objectives. The purpose of this study was to determine the availability of OTC products marketed for the treatment of vaginitis and to determine if their efficacy had been confirmed by published prospective randomized control trials (RCTs). Materials and methods. The authors chose four retail locations frequented by women seeking vaginitis treatment. All products deemed a viable treatment option were purchased. Results. All intravaginal imidazoles purchased, regardless of treatment duration or active ingredient, were found to be of proven efficacy. We were unable to find an RCT confirming the effectiveness of vaginal anti-itch creams and homeopathic treatments for vaginitis. Conclusion. 45% of products available to women in the feminine hygiene section of the stores surveyed could not be confirmed to be effective for treating infectious vaginitis.
- C. Wilson, “Recurrent vulvovaginitis candidiasis: an overview of traditional and alternative therapies,” Advance for Nurse Practitioners, vol. 13, no. 5, pp. 24–29, 2005.
- B. Fidler, “Over-the-counter management of vaginal yeast infections,” Drug Store News, pp. 23–27, 2006.
- I. Stehlin, “Homeopathy: real medicine or empty promises?,” FDA Consumer, vol. 30, no. 10, pp. 15–19, 1996.
- J. P. Borneman and R. I. Field, “Regulation of homeopathic drug products,” American Journal of Health-System Pharmacy, vol. 63, no. 1, pp. 86–91, 2006.
- J. D. Sobel, “Vaginitis,” The New England Journal of Medicine, vol. 337, no. 26, pp. 1896–1903, 1997.
- D. Spence, “Candidiasis (vulvovaginal),” Clinical Evidence, no. 14, pp. 2200–2215, 2005.
- NCCAM Questions and Answers about homeopathy.
- D. G. Ferris, P. Nyirjesy, J. D. Sobel, D. E. Soper, A. Pavletic, and M. S. Litaker, “Over-the-counter antifungal drug misuse associated with patient-diagnosed vulvovaginal candidiasis,” Obstetrics and Gynecology, vol. 99, no. 3, pp. 419–425, 2002.
- S. Sihvo, R. Ahonenc, H. Mikanderc, and E. Hemminkia, “Self-medication with vaginal anti-fungal drugs: physician's experiences and women's utilization patterns,” Family Practice, vol. 17, no. 2, pp. 145–149, 2000.
- B. A. Liang, “Diagnosis and treatment of infectious vaginitis,” Hospital Physician, vol. 35, no. 10, pp. 46–58, 1999.
Copyright © 2007 Lauren B. Angotti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.