Topical imidazole antifungal
Econazole nitrate
Brand names: Pevaryl, Ecostatin, Gyno-Pevaryl
Adult dose
Dose: Skin: apply BD; Vaginal pessary 150mg single dose or 3 nights
Route: Topical / Vaginal
Frequency: Per indication
Clinical pearls
- NICE CKS Candidiasis / Tinea: alternative to clotrimazole / miconazole
- Continue 1–2 weeks after symptom resolution to prevent recurrence
Contraindications
- Hypersensitivity to imidazoles
Side effects
- Local irritation
- Burning
- Itch
- Contact dermatitis (rare)
Interactions
- Latex contraceptives (vaginal product damages condoms/diaphragms — use alternatives)
Monitoring
- Resolution of lesions
Reference: BNF; NICE CKS Candidiasis; NICE CKS Tinea; https://bnf.nice.org.uk/drugs/econazole-nitrate/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Suspicious Pigmented Lesion — Melanoma Pathway · NICE NG14 2015 / BAD
- Cellulitis and Erysipelas · NICE NG141 2019 / CREST
- Psoriasis — Severity Assessment and Step-Up Therapy · NICE NG153 2019 / BAD
- Atopic Eczema — Assessment and Step-Up Therapy · NICE NG95 2023
- Urticaria and Angioedema · BSACI / EAACI Guidelines 2022
- Acne Vulgaris — Grading and Treatment · NICE NG198 2021 / BAD