| |
Drug Name |
|
Dose |
|
Side effects |
|
Notes |
|
TOPICAL THERAPIES |
| |
Clotrimazole
(Mycelex) troches |
|
10mg 4–5 times daily
for 1–2 weeks |
|
May cause altered taste
and stomach upset |
|
Suck slowly; do not chew
or swallow whole |
| |
Nystatin
(Mycostatin) Pastille |
|
1–2 pastilles
4–5 times daily |
|
May cause irritation in
the mouth; nausea |
|
Suck slowly; do not chew
or swallow whole |
| |
Nystatin
(Mycostatin) oral suspension |
|
5ml four times daily for
7–14 days |
|
May cause stomach upset |
|
Swish around mouth before
swallowing |
|
TOPICAL THERAPIES |
| |
Ketoconazole
(Nizoral) tablet |
|
200mg a day, 7–14
days; 400mg day, 14–21 days* |
|
Nausea, vomiting, stomach
pain; liver toxicity |
|
Monitor liver function while
taking this drug; Take with food |
| |
Itraconazole
(Sporanox) |
|
100mg a day, 7–14
days; 200mg a day, 14–21 days* |
|
Nausea, vomiting, stomach
pain; liver toxicity |
|
Monitor liver function while
taking this drug |
| |
Fluconazole
(Diflucan) |
|
200mg a day, 7–14
days; 200mg a day, 14–21 days* |
|
Nausea, vomiting, stomach
pain; liver toxicity |
|
Monitor liver function while
taking this drug |
| |
Amphotericin B (Fungizone)
Amphotericin B lipid complex (Abelcet) |
|
100mg a day four times daily
(oral suspension);
0.5mg/kg a day, 14–21 days (intravenous)* |
|
For intravenous form: kidney
toxicity, electrolyte losses, fever, chills, sweats |
|
For oral suspension, swish
around mouth before swallowing; monitor kidney function |
|
OTHER THERAPIES |
| |
Gentian violet
(1% solution in water) |
|
Applied to affected areas
twice a day for three days |
|
May cause swelling |
|
Available over-the-counter.
May be useful for recurrent infections when applied every
7 days for 1 month; messy application. |
|
*Esophageal
candidiasis |