Miconazole 2% Cream Dosing for Uncomplicated Vulvovaginal Candidiasis

Standard Dosing

• The 2021 CDC guideline recommends applying 5 g of miconazole 2 % cream intravaginally once daily for 7 days in women with uncomplicated vulvovaginal candidiasis. 1
• This regimen (5 g daily for 7 days) is identified by the CDC as the standard dosing for the over‑the‑counter 2 % formulation. [1][2]
• The CDC notes that the 2 % cream is available without prescription and is appropriate for uncomplicated vulvovaginal candidiasis. 1

Alternative Formulations

• For a shorter treatment course, the CDC recommends miconazole 4 % cream, 5 g intravaginally daily for 3 days. [1][2]
• The CDC lists miconazole intravaginal suppositories as alternative options:
  
  • 100 mg once daily for 7 days,
  • 200 mg once daily for 3 days, or
  • a single 1200 mg dose. 1