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8.2.4

Oral candidiasis

Clinical HIV Guidelines, 5th Edition, 2022. Chapter 8, HIV-related diseases.

Signs and symptoms

Multiple whitish or red patches anywhere inside mouth

Pharmacological

Nystatin oral suspension Keep in mouth as long as possible; apply to mother’s nipples if breastfeeding Adult: 4ml 6-hourly for 7-14 days Child: 1ml 6-hourly for 7-14 days Alternative regimen: if severe or no response to nystatin Fluconazole tablets Adult: 100 mg 24-hourly for 14 days Child: 6mg/kg on day 1 then 3mg/kg daily for 14 days

Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.

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