What interventions are effective for chronic recurrent yeast vaginitis?
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Long-term pulsed maintenance therapy with fluconazole is effective for reducing recurrence of symptomatic vulvovaginal candidiasis (VVC). (SOR B, based on a randomized controlled trial [RCT].) Evidence exists for using weekly pulses for up to 6 months, and a tapered pulse schedule up to 1 year.
Evidence Based Practice 13(3): 10-11.