Oral Candidiasis

NHSL Antimicrobial Guidelines
NHS Lanarkshire

Oral candidiasis

CKS: Candida - oral

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

Drug

Miconazole oral gel

(Caution interactions check BNF.)

Dosage

20mg/mL QDS

Duration

7 days or until 2 days after symptoms

Drug

If Miconazole not tolerated:
Nystatin suspension

Dosage

100,000 units/mL QDS

Duration

7 days or until 2 days after symptoms

Drug

Fluconazole oral tablets

Dosage

50mg OD
or
100mg OD

Duration

7 days further 7 days if persistent

Editorial Information

Last reviewed: 20/03/2021

Next review date: 20/03/2024

Author(s): NHS Lanarkshire Antimicrobial Management Committee, Dr Dundas, Dr Hylands, S McCormick.

Approved By: AMC; ADTC

Reviewer name(s): NHS Lanarkshire Antimicrobial Management Committee.