Reply




In a recent review of recurrent vulvovaginal candidiasis, treatment options were described for women in whom no preventable triggering stimuli were forthcoming. A suppressive maintenance prophylactic regimen with fluconazole was recommended and indeed this regimen is widely used and appreciated worldwide. In the review, attention was directed at 1 such regimen consisting of the use of once weekly fluconazole (150 mg) for a period of 6 months. Other alternative regimens were also immediately referenced including a more personalized but similar regimen of Dr Donders et al, the text emphasizing that these maintenance regimens have documented therapeutic efficacy and safety. No attempt was made to compare efficacy of the different maintenance fluconazole regimens since there are no data of comparative efficacy. In the accompanying letter Drs Ginc and Donders claim that their regimen of fluconazole called “ReCiDiF” is superior to the widely used once-weekly fluconazole regimen. Unfortunately, as mentioned above, no comparative study has ever been performed! Given the obvious differences in patient populations and treatment regimens utilized, attempts to compare study outcomes are not possible. To claim an advantage of the ReCiDiF regimen is without merit and is contrary to the respected scientific standard. A prospective randomized blinded study comparing the different fluconazole regimens would be welcomed.

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Apr 24, 2017 | Posted by in GYNECOLOGY | Comments Off on Reply

Full access? Get Clinical Tree

Get Clinical Tree app for offline access