Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Important: Therapy
- Send scrapings for culture
- Caution: significant drug interactions with fluconazole and miconazole - refer to BNF
- Consider immune deficiency and testing for HIV
Micro Organisms
Candida albicans
Important: Therapy
Nystatin oral suspension, use 1ml as a mouthwash (then swallow) 6 hourly - usually for 7 days
OR
Fluconazole 50mg oral once daily for 3 - 7 days
Continued for 48 hours after lesions have resolved
Immunocompromised:
Fluconazole 100mg oral once daily for 7 - 14 days
OR
if interactions with other medication use nystatin
Notes:
Important: Therapy
Miconazole oral gel, 2.5ml 6 hourly after food - continue for 7 days after lesions resolve.
(NB: interaction with warfarin)