Skip to main content
  1. Home
  2. NHS Forth Valley
  3. Primary Care Guidance
  4. Back
  5. GASTRO INTENSTINAL TRACT INFECTIONS
  6. Oral Candidiasis

Oral Candidiasis

Oral candidiasis 

CKS

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.

Miconazole oral gel

2.5ml of 24mg/ml QDS - hold in mouth after food

at least 7 days - continue for 7 days after symptoms resolve

If miconazole not tolerated nystatin suspension

100,000 – 500,000 units/mL QDS  

7 days or until 2 days after symptoms resolve

Fluconazole

50mg OD OR

100mg OD

7 days further 7 days if persistent