GENITOURINARY - Balanitis (Group B Streptococcus, Staphylococci) Genital cleansing and hygiene important. May be more severe in diabetic patients. May require urologic consultation for circumcision.
Bacitracin (OTC)*	Adult: Apply four times daily until resolved.	Important side effects: May cause rash or itching.
(Baciguent^®)
Generics available
Ointment: 500 U/g
GENITOURINARY - Balanitis, Fungal (Candida sp.)
Clotrimazole (OTC)* (Lotrimin^®, Mycelex^®, Fungoid^®) Generics available	Adult: Apply to affected area after washing and drying twice daily until resolved.
Cream 1%: 30 g
Lotion 1%: 30 mL
Nystatin* (Mycostatin^®, Nilstat^®) Generics available Cream: 15 g, 30 g Ointment: 15 g, 30 g	Adult: Apply to affected area after washing and drying two to four times daily until resolved.	Important side effects: Contact dermatitis.
Fluconazole* (Diflucan^®) Tabs: 50 mg, 100 mg, 150 mg, 200 mg	Adult: 100-150 mg PO once.	Food: May be taken without regard to food. Important side effects: Nausea, dizziness, hepatitis, rash. Notify doctor if you develop rash, unusual bleeding, bruising, yellow skin or eye(s), nausea, or GI pain.
GENITOURINARY - Balanitis, Resistant to Topical Therapy
Ciprofloxacin* Cipro^® Tabs: 250 mg, 500 mg, 750 mg	Adult: 500 mg PO twice daily for 10 days.	Food: Take on empty stomach 1 hour before or 2 hours after a meal. May take with food if it causes GI upset, but avoid large amounts of dairy products. May take 2 hours before or 6 hours after sucralfate, antacids, aluminum, magnesium, calcium, zinc, iron, sucralfate, vitamins, or mineral supplements.
		Important side effects: Photosensitivity, dizziness. Reduce dose in renal disease (CrCl <50 mL/min).