MOUTH - Esophagitis, Candidal (Candida albicans}

 

Ketoconazole*

(Nizoral®)

Generics available

Pregnancy: C; Lactation: Unsafe

 

Tabs: 200 mg  

 

Adult: 200-400 mg Q24H x 14-21 days.

 

Food: May take without regard to food. May take with food if GI upset occurs. Avoid taking within 2 hours of acid-suppressing drugs.

 

Important side effects: Headache, dizziness, nausea, vomiting, hepatotoxicity, rash, urticaria, pruritus, reduced testosterone levels, gynecomastia.

 

 

Fluconazole*

(Diflucan®)

Pregnancy: C; Lactation: Likely Safe

 

Tabs: 50 mg, 100 mg, 150 mg, 200 mg

Oral Susp: 10 mg/mL, 40 mg/mL

 

Adult: 200 mg x 1, then 100 mg Q24H x 10-21 days

 

Food: May be taken without regard to food.

 

Side effects: Nausea, dizziness, hepatitis, rash (potentially exfoliative). Encourage patient to report rash or nausea, epigastric discomfort, yellowing of eye(s) or skin, or easy bruising.