Oral Candidiasis
Antimicrobial prescribing: NHS Forth Valley
Oral candidiasis
Topical azoles more effective than topical nystatin.
Oral candidiasis rare in immunocompetent adults; consider undiagnosed risk factors including HIV.
Fluconazole if extensive/severe candidiasis; if HIV or immunosuppression use 100mg.
Drug details
Miconazole oral gel
2.5ml of 24mg/ml QDS - hold in mouth after food
at least 7 days - continue for 7 days after symptoms resolve
If miconazole not toleratednystatin suspension
100,000 – 500,000 units/mL QDS
7 days or until 2 days after symptoms resolve
Fluconazole
50mg OD OR
100mg OD
7 days further 7 days if persistent