November 2005
| Drug Name | Dose | Side Effects | Notes |
| Topical Therapies | |||
|
Clotrimazole (Mycelex) trouches |
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 |
| Systemic 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 |
| Others | |||
|
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