Oral Candidiasis

Oral candidiasis 

CKS

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.

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 tolerated nystatin suspension

100,000 – 500,000 units/mL QDS  

7 days or until 2 days after symptoms resolve

Fluconazole oral tablets

50mg OD OR

100mg OD

7 days further 7 days if persistent