Dose the patient being treated have any of the following conditions?

• Under 12 years old.

• Fever.

• Pain in the lower abdomen, shoulder or back.

• Have more than 3 yeast infections per year.

• Immunosuppression from a health condition (HIV) or medications (corticosteroids, cancer drugs, methotrexate, other medicines).

• Diabetes.

• Had a yeast infection within the past 2 months.

• Fishy odor right after sexual intercourse.

• Pregnancy.

• Allergy to latex, spermicides, or feminine care products or if an allergy is suspected (rash, hives, itching, trouble breathing, dizziness).

• Symptoms have not resolved after 1 week of an OTC self treatment.


Yes

No






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