Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Oral Health and HIVOral Health and HIV
           
Rollover images to visit our other forums!
  
  • Email Email
  • Glossary Glossary


Thrush
Jun 16, 2000

What is thrush and what causes it? What medication is used to treat thrush?

Response from Dr. Reznik

Thrush is a common term for pseudomembranous candidiasis which is caused by fungal organisms. The most common causative agent is Candida albicans, but our recent research has shown an increased prevalence of non-albicans species such as Candida glabrata and Candida Krusei. The difficulties these non-albicans species bring is that, for the most part, they do not respond to existing therapies.

Medications used to treat thrush are based on the extent of disease. For mild to moderate infections, I recommend topical therapies such as Mycelex troches. I do not recommend the use of nystatin swish and swallow due to the high glucose concentration (50%) as well as the length of time a person in expected to keep this medication in the mouth (5 minutes). This is the time nystatin needs to be in contact with the candidal plaques to be effective.

For moderate to severe bouts of thrush I recommend Diflucan (fluconazole) which is dosed a 200 mg on day one, then 100 mg a day for the rest of a two week period of time.

Whether you are using a topical or systemic medication, treatment should last for at least two weeks; this helps prevent against recurrence of the infection. For pictures of candidiasis, please visit the HIVdent Picture Gallery.

I hope his information proves helpful.

Sincerely,

DR


Previous
does HIV always cause oral problems in infected patients?
Next
Implants for HIV+ Patient?

  
  • Email Email
  • Glossary Glossary


 
 
Advertisement




Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement