Template:Thrush Antifungals

• Nystatin oral suspension 400,000-600,000 units (swish and swallow) Q6H until 48 hours after symptoms disappear OR
• Clotrimazole 10 mg troches 5 times/day for 14 consecutive days OR
• Fluconazole 200 mg PO on day one, followed by 100 mg daily for two weeks
  • Fluconazole is reserved for moderate to severe disease

Pediatric Dosing

If the patient is breast feeding it is important for the mother to treat her nipples before and after feeding

• Nystatin Oral Suspension 100,000 units/ml for 14 days for all ages
  • Premature infants should only have 0.5 - 1 mL given to each side of the mouth every 6 hours
• Clotrimazole 10mg PO five times daily for 14 days
  • reserved for patients > 3 years old
• Fluconazole 6 mg/kg PO on day one, followed by 3 mg/kg daily for two weeks