25.1.7
Mouth Sores (candidiasis)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 25, Palliative Care.
Clinical Description
- Common causes (see relevant chapter for details)
- Candidiasis, viral, drug induced e.g. chemotherapy, malnutrition, immunosuppression
Non-pharmacological
See under Halitosis
Pharmacological
- Antifungal: Fluconazole 100mg once daily,
- Nystatin oral suspension 100,000units/ ml
- advise patient to use Nystatin pessaries orally 12 hourly
- Stop Amitriptyline
- Stop or reduce steroids if taking high dose
- “miracle paint” = acyclovir 200mg+5ml nystatin + (2x200mg metronidazole tablets crushed) : mix together and use as a mouthwash or paint on oral ulcers twice a day
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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